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Essentially, this item decreases the max amount of pickups you can hold while also punishing you for using them in the first place.
If it links health and coins alone I'd consider it, but currently this item only makes the game harder with no way being useful. Removing hearts also punishing you with no chance to protect your red hearts thus making getting Devil/Angel deals harder. There is also no way to heal 1 whole heart with one pickup unless you find a dime.
Instead perhaps could it simply let you use a consumable when you've none at the cost of a half-heart?