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Tainted Azazel is a character added in The Binding of Isaac: Repentance. He is the alternate version of Azazel. His horns are broken with blood leaking from the left stump, and his wings were cut or ripped off. Tainted Azazel is unlocked by reaching Home and using the Red Key, Cracked Key, or Soul of Cain to access a special room in one of the walls while playing as Azazel. Tainted Azazel starts with 3 Black Hearts and has his short Brimstone replaced with a room-long version that is very thin, high-pitched in sound, deals only 0.5× damage per tick, and has a shorter duration.

• The Devil - Defeat Ultra Greedier as Tainted Azazel.
• Soul of Azazel - Defeat Hush and Boss Rush as Tainted Azazel.
• Hell Game - Defeat Mega Satan as Tainted Azazel.
• Hemoptysis - Defeat Delirium as Tainted Azazel.
• Azazel's Stump - Defeat Mother as Tainted Azazel.
• Azazel's Rage - Defeat The Beast as Tainted Azazel.

• The achievement for unlocking Tainted Azazel is "The Benighted", a possible title for the character.
• "Benighted" means "overtaken by darkness" or "in a state of ignorance", which may be linked to how Azazel is Isaac's inner demon.
• This is further referenced through his card, XV - The Devil?, meaning weakness and blindness; Azazel is Isaac overtaken by his inner evil, having lost his "righteous path", shown as Azazel being beaten up like Tainted Isaac.
• This weakness is also manifested in his core mechanics and way of play, needing to rely on the curse of his sneeze and projectile reflection to weaken enemies to compensate for his own lack of firepower on non-debuffed enemies.
• Tainted Azazel's starting health is listed as "-I" on the character selection screen.
• Tainted Azazel's broken wings is a reference to how Heaven punished angels that rebelled against God by cutting their wings off and banishing them to Earth or Hell. Azazel Unlocks Tainted Azazel Unlocks Characters Rebirth Afterbirth Afterbirth † Repentance Tainted The Binding of Isaac: Rebirth
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