- Balanced Gurdy Jr. wave in Catacombs II: It is now Blue Champion Gurdy Jr. + Stone Grimace

- Balanced Sisters Vis wave in Dank Depths II: It is now Sisters Vis + Poky

- Balanced Monstro wave in Basement II: Red Champion Monstro + 2 Ministros + Stoney instead of 2 Monstros

- Balanced Monstro wave in Basement II: 2 Monstros instead of Monstro + Red Champion Monstro

- Balanced Tainted Tube Worm wave in Downpour: 1 Tainted Tube Worm + 1 Tube Worm instead of 2 Tainted Tube Worms

- Removed the addition of 3 Dragon Flies from the waves of Mines II

- Added Stoney + Stone Grimace in the waves of Mines II

- Mausoleum II and Gehenna II now have 2 Cursed Death's Heads instead of 1

- Balanced Keepers wave in Necropolis: 6 Keepers instead of 7 Keepers

Balanced Corpse:

- 2 Level 2 Gapers + 2 Twitchies instead of 2 Level 2 Horfs + 2 Twitchies

- 4 Wrinkly Babies + 3 Spikeballs instead of 5 Wrinkly Babies

- Gutted Fatty + 4 Spikeballs instead of Gutted Fatty

- 3 Unborns + 4 Spikeballs instead of 3 Unborns

- HUGE UPDATE: Enemies no longer spawn all together in the corner! They are now spawn in a random position in the room but in a safe distance from isaac. This makes the waves more fun and challenging.

- Removed 3 Black Knights wave from Gehenna
- Added a new wave in Gehenna: 2 Black Knights + 5 Death's Heads

- Removed 2 Mask II + 1/2 Heart wave from Gehenna
- Added a new wave in Gehenna: [Mask II + 1/2 Heart] & [Mask + Heart] & [Morningstar]

- Removed Big Horn wave from Flooded Caves II

- Added a new wave in Flooded Caves II: Dark Cyan Peep + Stoney + Stone Grimace

- Balanced The Bloat wave in Depths II: It is now The Bloat + Stone Grimace

- Balanced Green Champion The Bloat wave in Womb II: It is now Green Champion The Bloat + Vomit Grimace

- Balanced The Matriarch wave in Scarred Womb II: It is now The Matriarch + Poky