Pale Fatties are white-skinned variants of regular Fatties appearing in The Binding of Isaac: Rebirth. They first appear in Chapter 2 and throughout.
Pale Fatties' behavior are nearly identical to normal Fatties. They can be found in groups, and also along with Fat Sacks. When farting, they spit out 6 projectiles in all directions.
Pale Fatties has a chance to turn into Blubbers when killed.