

It can be safely changed once Bethany is able to find a consistent source of healing.īe aware that Blood Oath triggers the effect of taking damage multiple times depending on your hearts. The difficulty increases once Bethany progresses past Womb, as every hit will do a full heart of damage and can spell disaster if she is unable to gain at least two hearts consistently.īethany is granted Child's Heart at the start of the run, and it is recommended to keep it instead of changing it for a different trinket, as heart drops will be significantly lower without it. However, this will not help against certain rooms that can almost guarantee being hit (such as obstacle rooms with spikes, or rooms with large amounts of Leapers).

As she starts with The Book of Belial and can charge up items with soul charges, it is possible to brute-force through most of the run with sheer damage alone much like Judas, especially during the early floors. The key is to survive long enough to find hearts to refill her health so she won't die in one hit. At the start of each floor, Blood Oath sets Bethany's health to half a heart and grants increased damage and speed for each heart depleted.
