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Dear God
Horse Pill

Horse Pill

AchievementRepentanceUnlock unknown

Achievement details

Achievement number
606
Description
???
Requirement
Defeat Mega Satan as Tainted Eve

How do you unlock Horse Pill?

In The Binding of Isaac, Horse Pill is unlocked by earning the Mega Satan completion mark as Tainted Eve.

Structured pathSource-backed requirements are mapped into trackable steps.

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    1. ??? or The Lamb must be defeated once for the Golden Gate to spawn. source
    2. Open the Golden Gate by combining Key Piece 1 and Key Piece 2 into the Golden Key, or by using Dad's Key or another gate-opening effect. source
    3. Reach the starting room of Chest or Dark Room, pass through the Golden Gate, and defeat Mega Satan. source

What unlocking Horse Pill leads to

Source: bindingofisaacrebirth.wiki.gg

Imported 2026-09-13

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