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: A fan-made modification that changes the game's aesthetic or mechanics to a "paper" style.

: A passive item that grants a Bone Heart , increases tears, and spawns the Mysterious Paper trinket. : A fan-made modification that changes the game's

This query could refer to a few different things related to . Are you looking for information on: : A fan-made modification that changes the game's

: A trinket that changes shop layouts to sell familiars at a discount. : A fan-made modification that changes the game's

: A trinket that mimics the effects of other paper-based items like the Missing Poster , The Polaroid , or The Negative .

: The specific trinket used to unlock The Lost by dying in a sacrifice room.