When Isaac gives 
Pennies to the 
Pill Beggar. They have a chance to drop one of the following item. The items dropped are mainly 
Pills drugs themed.
Passive Items
| Icon |
Name |
Description |
Weight |
Effect |
Quality
|
|
PHD |
Better pills |
1.0/1.0 |
- Converts all bad pills into good pills, spawns one pill pickup, and identifies all pills.
- Restores two
 Red Heart and increases the payout of  Blood Donation Machines.
|
|
 |
False PHD |
Worse pills + evil up |
1.0/1.0 |
- Converts good pills into bad pills and identifies all pills.
- Bad pills now have secondary positive effects.
- Grants one
 Black Heart.
|
|
 |
Lil Spewer |
Puking buddy |
1.0/1.0 |
- Drops a random pill, and spawns a familiar that charges up and fires creep.
- Using pills changes the creep type.
|
|
 |
Coin Purse |
What's all this...? |
1.0/1.0 |
- Spawns 4 random pills near Isaac.
|
|
 |
Little Baggy |
Extra pill room |
1.0/1.0 |
- Isaac can hold 2 pills at once and all cards and runes are replaced by pills.
|
|
 |
Acid Baby |
Pills pills pills! |
1.0/1.0 |
- Spawns a familiar that drops a random pill every 3 rooms.
- Upon using a pill, all enemies in the room are poisoned.
|
|
 |
Kidney Stone |
Matt's kidney stone |
1.0/1.0 |
- Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go.
- The burst of tears also includes a kidney stone, which deals a lot of damage.
|
|
|
Sharing is Caring |
We feel invincible! |
1.0/1.0 |
- All non-orbital familiars operate 33% faster.
|
|
Active Items
| Icon |
Name |
Charges |
Description |
Weight |
Effect |
Quality
|
|
Placebo |
Depends on the power of the pill |
Pill mimic |
1.0/1.0 |
- Has the same effect as the Pill currently held by Isaac.
- The charge time is based on the power of the pill.
|
|
 |
Plan C |
 |
My last resort |
1.0/1.0 |
- Kills all enemies in the room, then kills Isaac three seconds later.
|
|
 |
Wavy Cap |
 0.5 s |
Tears up. A mind changing experience! |
1.0/1.0 |
- Increases fire rate, decreases speed, and distorts the screen.
- All effects become more pronounced with repeated use, and wear off by clearing rooms.
|
|
 |
Mom's Bottle of Pills |
 |
Reusable pill generator |
1.0/1.0 |
- On use, gives Isaac a random pill.
|
|
|
Forget Me Now |
|
I don't remember... |
1.0/1.0 |
- On use, re-generates the current floor with a new layout.
- Isaac loses Forget Me Now, but keeps other items and consumables picked up on the original floor.
|
|
