Caves
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The Caves are the second environment the player encounters. It takes the shape of a brown stone cave.
This environment introduces pits and spikes. The player cannot move over pits without the Ladder, items that give him flight power, or bombing an adjacent rock to fill the hole

Added by Trisz72in. Spikes will damage the player if he moves over them, but not when flying.
Also, TNT barrels are found on this environment. These barrels explode if shot.
Monsters
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- Fly
- Gusher
- Hopper
- Host
- Hive
- Maw
- Maggot
- Moter
- Spity
- Sucker
- Knight (Very rare, upgraded version can also appear)
- Leaper (Very rare)
- Mr. Maw (Very rare)
- Trite (Very, very rare)
Bosses found in normal rooms
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- Blastocyst (embryo only)
- Fistula (Multiple small and medium variations in the same room)
- Larry Jr.
Bosses
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- Fistula
- Gurdy
- Peep
- Chub
- C.H.A.D. (once unlocked)
- Pestilence (once unlocked)
- The Headless Horseman (once unlocked)
| Chapters | |
|---|---|
| No | Name |
| 1 | Basement · Cellar |
| 2 | The Caves · Catacombs |
| 3 | The Depths · Necropolis |
| 4 | The Womb · Utero |
| 5 | Sheol · Cathedral |
| 6 | The Chest |