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July 12, 2014
A single six-sided die, red in color with black spots indicating the number associated with each side.
This item is initially locked and unavailable to the player. It can be unlocked by defeating Mom's Heart or It Lives! with ???. Once unlocked, Isaac will always start the game with this item.
Upon activation, any Items in the current room will be 're-rolled' and turned into another item that corresponds with that room's Item Pool. This effect is limited to collectible items, i.e. those which appear on a pedestal, and has no effect on Pick Ups.
For example, if Tammy's Head spawns from a Golden Chest, re-rolling it will result in an item from the Golden Chest Pool. However, if Tammy's Head spawns from a Golden Chest in a Boss Room, re-rolling it will result in an item from the Boss Room Pool instead of one from the Golden Chest Pool.