Changes

In comparison to the base game, the IPECAC Community Mod Modifies many items, enemies and mechanics previously existent. Here is a categorized list of them.

Horsemen items
In addition to their usual drops, The Harbringers have unique drops. While not exclusive from them, each Horseman has one item that can be dropped from it instead of their usual rewards. These items are equally as likely to appear as the Horseman's other items, and, if said Horseman can drop either a Cube of Meat or a Ball of Bandages and the player already has at least one of either, it'll be dropped instead.


 * Famine: Drops Starvation.
 * Pestilence: (WIP)
 * War: (WIP)
 * Death: Drops Death's Sacrifice.
 * Conquest: Drops Divine Vengence.
 * Headless Horseman: Drops Beheading.

Challenges
No changes to Challenges were made yet

Characters
 Apollyon 

His active item, Void, uses -2 less charges. If you had unlocked the Locust of Void achievement, he will start with that trinket too.

Eve

Has a chance to start the run with the related trinkets: The Egg, Crow Heart, Eve Bird's Foot, or Black Feather. When Eve gets hit, instead of 1 Dead Bird being triggered, 2 Dead Birds are triggered.

 Isaac 

Holds the Missing Poster if you unlocked the "Isaac starts with missing poster" achievement.

 Magdalene 

Her damage is proportional to how much red hearts she has. Every half red heart gives her a .125 (estimated as 1.3 for the game) damage boost. This allows her to get a .88 damage boost from the start (7 [half red hearts from start] x .125 [damage from every half red hearts] = .875 [approximate to .88].

 Judas 

Starts out with Judas' Tongue if you unlocked the "Judas Starts with his tongue" achievement.

 Lilith 

Her active item, Box of Friends, uses -2 less charges.

 ??? (Blue Baby) 

Starts out with ???'s Soul if you unlocked the "??? Starts with his soul" achievement.

Holy Water
Creep size and damage scale with Isaac's Faith.

Trinity Shield
Size is scaled with Isaac's Faith.

Match Book
Increases the spawn rate of bombs, scaling with Isaac's Evil.

Shade
Inflicts Fear.

Damage scales with Isaac's Evil.

Safety Pin
Shot speed increase scales with Isaac's Evil.

Sulfuric Acid
Inflicts burning on regular enemies.

Stonies and Grimaces are instantly killed by Sulfuric Acid tears.

Lil Gish
Leaves a trail of black slowing creep.

Stem Cells
Now drops the trinket Stem Cell.

Dead Bird
On pickup, may drop:

The Egg

Eve's Bird Foot

Crow Heart

Black Feather

Mr. Mine
Has a unique sprite when out of the Flooded Caves -- Though this occurs on every floor, it is only ever seen naturally in the Womb, Utero and Scarred Womb.

Mom's Dressing Table
For each dressing table destroyed, the player is inflicted with -0.77 Luck. This is intended to counteract the benefits of blowing them up by linking it to a long-term disadvantage. When destroyed, the dressing table now also has a chance to drop the trinket Mirror Shard.

Miscellaneous

 * Black tar creep (Like from Ball of Tar, or the above Little Gish change) now sets on fire from explosions and from being close to a lit Fireplace. This fire does damage to enemies.