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Dear God
Perthro

Perthro

RuneRebirthLocked

How do you unlock Perthro?

In The Binding of Isaac, Perthro is unlocked by unlocking Solar System (Challenge).

Structured pathSource-backed requirements are mapped into trackable steps.

Rerolls all items in the room (the same effect as The D6).

What unlocking Perthro leads to

Nothing depends on this yet.

Source: bindingofisaacrebirth.wiki.gg

Imported 2026-09-13

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