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Gushers wander around a room blindly, similar to Pacers, but will occasionally shoot blood in a random direction. The shot is slow-moving and has short range, and is typically easy to avoid. Gushers are only a threat in large numbers and enclosed areas.
- A champion Gusher will maybe spawn in rooms that there is already Gushers (by replacing the normal one by a champion one) or by killing a champion Gaper / Frowning Gaper (killing a normal one will result in a normal Pacer, normal Gusher or none of them spawning).