Tainted Lilith's special attack method is not an item and cannot be rerolled.Despite its appearance, the Baby cannot pick up items, but it can be used to launch or push items towards Tainted Lilith. It returns to Tainted Lilith once the fire button is released. The baby shoots in all directions even without items like Analog Stick and automatically aims at nearby enemies.
The baby also fires tears that deal 1x damage while the fire button is held, and moves in the direction of the fire buttons it does not deal contact damage when firing tears. Instead of tears, Tainted Lilith launches a demonic baby attached via umbilical cord out of her stomach that behaves much like the Gello item that can be recalled after attacking, dealing 3x damage to enemies it hits. Like normal Lilith, she can't fire tears. She starts with one red heart container and 2 black hearts. Tainted Lilith is unlocked by reaching Home and using the Red Key, Cracked Key, or Soul of Cain to access a special room in one of the walls while playing as Lilith. Tainted Lilith is a character added in The Binding of Isaac: Repentance.
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