More Options

Effects

Spawns two items instead of one in each (Treasure Room) Treasure Room. Only one item can be chosen; the other disappears.

(Removed in Repentance) Two items won't be generated in small Treasure Rooms.
If the Treasure Room has already been entered and the item was not taken, then picking up More Options later on the same floor will not retroactively add a second item to the room.
The very rare Treasure Rooms that have either no item or two items that can both be picked up will be replaced with a one-out-of-two choice room, like other treasure rooms. In the latter case, this is a downgrade.
(Added in Repentance) In (Downpour) Downpour, (Dross) Dross, (Mines) Mines, (Ashpit) Ashpit, (Mausoleum) Mausoleum, and (Gehenna) Gehenna, Treasure Rooms will have two known and one unknown items, instead of the usual one known and one unknown.
More Options will work for item rooms during the Ascent as long as those rooms were never originally entered.

(Added in Repentance) Crooked Penny / Diplopia: Both items are copied, allowing Isaac to take both copied items without the other disappearing. The original pedestal items will function as normal, disappearing the other if one is collected.
(Added in Repentance)(Devil's Crown) Devil's Crown: Both items can be taken, although they must be paid for with hearts.
(Added in Repentance) (Jacob and Esau) Jacob and Esau: Both characters can take one item each if they are lined up properly.