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Mama Guts

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Mama Guts is a monster first added in the Wrath of the Lamb expansion, and also return in the Rebirth remake. They first appear in Chapter 4.

It appears as a large blob of internal organs, much larger than regular Guts.


Big guts

Mama Guts from the original game.

Instead of attaching to an object, they slowly move around the room, eventually firing 8 large blood shots. Killing it will cause it to split into 2 Guts.



  • From the original game, they can be found in Necropolis. They no longer appear in this chapter from Rebirth, however.
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