The Adulthood transformation makes Isaac grow a dirty beard and some scraggly hair on his head. In order to trigger the transformation, the Player must collect 3 spider related items from the list below. The Spider Baby transformation grants the ability for blue spiders to spawn when Isaac takes damage as well as a permanent familiar spider which applies a random status effect to enemies that touch it.
When transformed, Isaac wears a monocle and sometimes shoots 2 tears at once. The Bookworm transformation occurs after collecting 3 book items from the list below.
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