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Tainted Bethany is a character added in The Binding of Isaac: Repentance. She is the alternate version of Bethany. Tainted Bethany 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 Bethany. Tainted Bethany is unable to utilize Red Hearts as health and cannot obtain red heart containers, similar to ???. When picked up, red hearts instead are converted to a resource unique to Tainted Bethany called "blood charges" at the rate of one charge per half heart. The number of blood charges currently owned is listed along with the pickup counters. Blood charges can be consumed to use Tainted Bethany's activated item when the item isn't fully charged, at the rate of one blood charge per empty bar of charge. Tainted Bethany starts with 3 Soul Hearts, 6 blood charges, and Lemegeton in the consumable slot.

• The Hierophant - Defeat Ultra Greedier as Tainted Bethany.
• Soul of Bethany - Defeat Hush and Boss Rush as Tainted Bethany.
• Confessional - Defeat Mega Satan as Tainted Bethany.
• Lemegeton - Defeat Delirium as Tainted Bethany.
• Beth's Essence - Defeat Mother as Tainted Bethany.
• Vengeful Spirit - Defeat The Beast as Tainted Bethany.

• When Tainted Bethany dies, the orb embedded in her forehead stops glowing.
• The achievement for unlocking Tainted Bethany is "The Zealot", a possible title for the character.
• A zealot is someone with fanatical devotion to their faith or ideals.
• This also correlates with the meaning of her card, V - The Hierophant? associated with lack of adaptability (zealotry to tradition), good understanding (Lemegeton) and weakness (worse items); this is further shown with the Lemegeton's links to Judaism, the orthodox belief that fathered Christianity.
• Tainted Bethany's starting health is listed as "-I" on the character selection screen.
• Tainted Bethany's design is based off of the Exorcist and Necromancer enemies from The Binding of Isaac: Antibirth.
• According to _Kilburn, Tainted Bethany is a reference to a fan character "Anti-Bethany" created by the artist Mr.Lin, the Pencil Guy.

Bug! Certain items that spawn blue flies in large quantities can cause wisps to disappear. Bethany Unlocks Tainted Bethany Unlocks Characters Rebirth Afterbirth Afterbirth † Repentance Tainted The Binding of Isaac: Rebirth

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