Variants are fan-made monsters that are very similar to monsters in the Binding of Isaac; both the vanilla version and with WOTL DLC. Everything else after this list are unique monsters created from imagination.
Tvister is a Double Vis with the arms missing, replaced by two bloody stumps. When he fires, he will rotate like Mom's Heart, firing up, down, left, and right while turning like it's namesake, Tvister. (twister) The left and right beams come from the arm stumps.
Grouds are rare replacements of the Charger. When they spawn, they constantly charge wherever they move, and don't stop. Over time if they're not killed, they will begin to foam from the mouth and leave behind a white trail, however this slows down the Groud, and you when you step in.
Librarian is a mini boss that has a chance of appearing in the Library (obviously). He does not particularly do anything, he slowly floats randomly in the room. Even though he does nothing he damages the player 1/2 a heart every 7 seconds just becase the player's in the same room. The Librarian will keep gradualy damaging the player until he or the player is dead. Inspired by the "Stranger" enemy from Cry of Fear.
A mini boss that looks like isaac with Phd equipped. He shoots purple lasers out of his eyes and always drops mom's bottle of pills. He is immune to poison touch and will kill you if you use tarot cards or pills in a fight with him. He only appears in a secret room that can only be accessed by using telepills in the Sheol.
A mini-boss.Can replace any of the 7 deadly sins. resembles Chub, but is black with spiderlike legs and red eyes. Shoots yellow beams out of it's mouth and only it's tail takes damage. Devil items will be unusable while fighting him and he drops Devil hatred, a fan-made item that insta-kills Satan.
Has a very big amount of healt, due to his material. But this enemy has also two big disadvantages: It is really weak against explosions and it is slow. Like Magdalene with an "Speed down" pill. His attacks cause 1/2 hearts damage.
This enemy is a much better alternative form of the Dople. It is an exactly copy of the current Character. Not only in appearance. Also in the amount of healt and bombs (yes, the Copy can use bombs). He has the exactly same items as Isaac and can use the same spacebar item as Isaac. When the player play Isaac and found a item, that allowing him to fly, the Copy can also fly. This makes the battle much harder.
It spawns extremely rare in the Womb/Utero and rare in the cathedral. They spawns in the same tyype of rooms, Doples spawns. "But aren't they too hard to defeat, when i have wings?", you might say. For this reason, the Copy is the only enemie in the room. So, you have enought time for it.
Encountered in the Womb and Utero, the Fetus is an uncommon enemy that appears as It Lives, but is much smaller and its eyes are closed. In a similar manner to the Hanger, he will slowly float toward the player, occasionally stopping to open its eyes and spit a salvo of 5 red projectiles at the player. He also has a large amount of health and usually appears alone, sometimes paired with native Womb/Utero enemies.
The Mimic is an enemy that resembles a normal chest but is darker. It can appear anywhere except in The Womb and Utero. When touched, it opens its mouth, revealing a set of sharp, triangular teeth and a tongue, and roars. It will then start chasing the player at a swift speed.
Slabbies are enemies that will rarely appear in normal rooms. They can only appear in rooms where other enemies (Different enemies, though), appear as well. They can appear in any room, even rooms which existed before they were added to the game, that has at least four or more enemies naturally, replacing one mob or very rarely two, meaning that there would be the same number of mobs in the room as before, but two were replaced with Slabbies.
They look similar to Isaac, though have eyes similar to Wrath's, yet have an Isaac-like head. Their head also twitches sporadically like Wrath's, and they wear a PhD mask. They are pale and deathly gray in colour. They move similar to Wrath as well, but do not attack you ever unless you accidently run into them. When in a normal room, they have health similar to that of an average enemy, and when in a room with a mini-boss, they have the health of a greed head. When in a room with a boss, they have the health of the average mini-boss.
Slabbies are annoying in the sense that they can heal any mob in the room, but to do so, it must approach the mob and get next to it, and slowly heal them over time and will leave the mob's side when fully healed. The healing process is slow though and takes a ten to be fully healed, and the healing process will be interrupted when the Slabby is hit three times by a tear. It retreats temporarily and at any given moment, it will heal another enemy. The healing happens while it is doing the task, so even when you interupt the healing, the enemy will be healed according to the amount it is healed during the task, and it is only obvious how much it is healed when facing a mini-boss or a boss since they have a health counter. The healing is slow, though, and if you interupt accordingly, you should be able to do more damage than they can heal through. They cannot heal themselves.
They have a 50% to spawn in normal rooms under the conditions stated above, and if they are the last mob standing, they drop down into a large explosive that deals one entire heart. The radius is large and the only safe areas in the room due to the radius are the corners. They take three seconds to explode when they turn into an explosive (The explosive is their head, twitching and flickering to light and back to normal. It is indicated when it is about to explode at the last second when like a bomb, it flashes very fast. Until the womb, killing a Slabby of any type regardless if it is a champion or not will result in a drop. They are more of a nuisance and a time waster than a giant threat. They will not appear in the Isaac, ???, or Satan boss fights.
When the player opens the room containg te Head Popper it will have 3 seconds to defeat it. If the player does not defeat the enemie it will create a head and shoot blood tears at the player, if the enemie is defeated after the creation of the head, the head will fall and start rolling indefenetly back and forth until the player dies or it's defeated
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