Isaac's head becomes identical to that of Wrath and will start shaking.
Gives Isaac five Bombs, and makes all dropped bombs large bombs (the same sized bomb dropped when Mr. Boom is used) that have a larger explosion. Also increases the damage of bombs, noticeable in boss fights.
- Dr. Fetus - All bombs fired become larger with increased damage, and get a Super Troll Bomb appearance if the player has Wrath of the Lamb installed. This is purely aesthetic.
- When combined with the Item Bucket of Lard, it causes a flicker effect on the character (because of overlapping textures). This also happens if you use any kind of stats up pill.