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Dice rooms are special rooms that can randomize many elements of the run. Dice rooms require two keys to be opened, unlike most other special rooms. For a dice room to spawn, two things must happen;
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First, the game must decide that a sacrifice room will spawn that floor. 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 can be accessed through the use of two keys, and contain one of the 6 dice faces.
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3 pips rerolls all pickups and trinkets for the entire floor. This includes shop pickups. 4 pips rerolls any item pedestals on the floor like the d6 would. 5 pips rerolls and restarts the current floor, which is the same effect as forget me now. If you didn't know, the spindown dice is an active item unlocked by defeating delirium as tainted isaac.
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