Almost every single item has been converted into an active item. This means that you can only carry one item at a time throughout the entirety of the run (minus certain items). The only items that are not active items are one such as the box or squeezy, which are ones that spawn items on the ground. This is so that you cannot just pick it up and put it down again and again to get more and more items. Also, magic mush had some odd side affects, so it is still a passive item. Items that give health will only give you the health once after you pick them up, and then you can put them back down to take a more useful item, as they will not give health again. This is my first mod, so hopefully everything is working well. Please leave any comments on if something does not work right or something need balanced. Different characters start wit certain items. Cain starts with lucky foot, Samson starts with bloody lust, The Lost has the holy mantle, and Lilith has cambion conception. Most items retain their original use, except for some items and all familiars. Familiars will not give you the familiar immediately, you have to use them once to gain the familiar. It will give you two of them after the first use, but it will disappear after leaving the room, and each time you use it it will give you a second one of that familiar for that room only. Whore of babylon now basically give you whore of babylon state whenever you use it. Holy mantle will recharge the shield after getting hit upon use. Oh, and maybe I have finally made Abel a decent choice of items, and maybe even a bit overpowered. Many other items have interesting effects, so go out there and find them all! Good luck my fellow Isaac players, cause this mod is pretty difficult!