An item that is a miniature Steven. When picked up, makes a familiar that looks like Steven follow Isaac.
The Dice may be used after the boss fight with the alternate boss Steve to get Steven instead of Little Steve, and vice versa. However, the drop rate of Steven from him is very low, re-rolling may most likely give you Little Steve again.
- The item is a reference to one of Edmund's games, Time Fcuk, along with the boss Steven himself and the item Steven.
- Little Steve might turn into Brother Bobby sometimes after collecting the 1UP! or in every new room until you get harmed.
- Obtaining the Robo-Baby after getting Little Steve will cause his shots to glitch into the door from which you entered. Blasting the door open will only cause the shots to start glitching into the walls instead. However, he functions normally when not in combat (ie. when all the doors of the room have been opened).