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There are six different dice room configurations in the game, each corresponding with a face of a d6 and its own effect. It can be annoying to remember what each room does, but there are some handy signs that can act as reminders if you have the afterbirth+ expansion. Dice rooms are special rooms that can randomize many elements of the run.
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Dice rooms require two keys to be opened, unlike most other special rooms. For a dice room to spawn, two things must happen; First, the game must decide that a sacrifice room will spawn that floor. Dice rooms can be accessed through the use of two keys, and contain one of the 6 dice faces.
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Each room can only be used once, and each face has a different effect 1 pip rerolls isaac's currently held items, similarly to the d4 (rerolls all held items, pickups, trinkets, and pedestal items) Let's do a compilation of poor item synergies and hopefully the devs will take notice and do some improvement in future patches. Please do note that this thread is not about underpowered item combos, but rather item synergies that are poorly implemented. Understanding rerolls and item generation in special rooms.
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