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Krampus has a 50:50 chance of dropping this or the Lump Of Coal.
When used, Isaac holds Krampus' Head above his head, and shoots Brimstone-like laser in the 4 cardinal directions, similar to Krampus' brimstone attack, exactly like what the Pumpkin Mask was intended to do. Head of Krampus is only unlockable on Binding of Isaac : Rebirth .
- The Head of Krampus was originally a 3 room recharge.