Little C.H.A.D.

Effect

• Spawns a familiar who drops a half red heart every three rooms.
  • The first drop happens after two rooms.

Synergies

• (Added in Repentance)(Apple of Sodom) Apple of Sodom: Each half red heart has a chance to transform into 1-3 blue spiders when picked up, allowing the player to receive a form of increased offense.
• BFFS!: The familiar drops hearts in a repeating pattern of 2, 2 then 3 rooms.
• Dark Bum: Each half red heart dropped by Little C.H.A.D. can be collected by Dark Bum, allowing the player to receive (Removed in Repentance) full soul hearts and black hearts/(Added in Repentance) black hearts, pills, cards and/or runes instead of half red hearts.

Interactions

• (???) ???, (Tainted ???) Tainted ???, (Dark Judas) Dark Judas, (Tainted Judas) Tainted Judas, (Tainted Forgotten) Tainted Forgotten: Useless, unless (Added in Repentance)(Apple of Sodom) Apple of Sodom or Dark Bum have been collected, since these characters can't pick up red hearts.
• (Keeper) Keeper/ (Tainted Keeper) Tainted Keeper: Will give Blue Flies instead of hearts, acting as a weaker Rotten Baby.