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-If used in a room without bosses, gives you a small damage up, like a worse Book of Belial (That way if you for some reason use it outside of boss rooms, it's not entirely useless, but you still want to prioritize using it against bosses)
-If used in a room with bosses, it gives you a stat buff/passive item for that room only that works well against that particular boss. Examples:
--Piercing shot against Duke of Flies
--Flight/bomb immunity against Little Horn
--Halo of Flies/The Soul against It Lives/Hush/Delirium/Mega Satan
--Large Damage up against The Haunt (Even better, make it give you exactly enough damage to one-shot his little haunts)
--Bomb immunity against Mom/Satan