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Starts with 6 soul hearts and cannot have red hearts, the lower your hp the higher your tears stat goes, Starts with Cookie Heart a 6 room charge that on use gives you a soul heart and gives you a random permanent stat up, also starts with Gumdrops and Gingerbread
Gumdrops - Whenever you pick up an item 1-2 soul hearts drop
Gingerbread - Gain a permanent all stats up at the start of each floor
Due to all the stat increasing they start with a lot lower base stats