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Scarred Guts are palish-white/pink colored variants of normal Guts added to the Afterbirth DLC for The Binding of Isaac: Rebirth. They only appear in Chapter 4. They also have a chance to replace regular Guts during Chapter 4.
They behave identically to regular Guts, but leave a trail of harmful red creep behind. Their health points are slightly higher than normal Guts have.
- 1 or both Scarred Guts has a chance to be spawned upon killing Mama Guts.
- Despite its first title being called "Scarred", there are no signs of cuts or any wounds from this enemy variant.