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When Isaac's health is at half a heart (or a full heart in Womb and beyond), the machine will drain Soul Hearts and Black Hearts instead. The machine will then pay out with 1-2 of any type of coin (only 1 in Hard Mode) or, rarely, Child's Heart. Alternatively, it can be destroyed with a bomb, which will cause it to drop several coin or heart pickups. Every donation has a chance of causing the Blood Donation Machine to explode, giving either a Blood Bag or an IV Bag. Download the Liquipedia app on iOS or Android and never miss a beat of your favorite tournaments, teams, players, and matches!
When blown up in the Dark Room or Chest, it will drop a collectible from the Treasure Room item pool, much like normal and golden Chests. Repeating this process after every Scapular activation allows Isaac to collect coins from the Blood Donation Machine until it breaks. When Fortune Telling Machines are blown up, they have the same drop table as Slot Machines (see above). Fortune Telling Machines appear naturally in Arcades, Secret Rooms, Super Secret Rooms, and other room layouts, and can be summoned using the X - Wheel of Fortune tarot card. I’ve included a copy of the Melora’s Boudoir by Oubliette vendor photo because there is one additional piece I was unable to show.
Slot Machines appear naturally in Arcades, Secret Rooms, and other room layouts, and can be summoned using the X - Wheel of Fortune tarot card. For debugging purposes, an init seed that spawns a slot machine that pays out a Dollar on the first attempt is 1236239571. There is a 1% chance to spawn one of the following items instead: Mom's Underwear, Mom's Heels, Mom's Lipstick, Mom's Bra, Mom's Pad, Mom's Eyeshadow, Mom's Contacts, Mom's Wig, Mom's Perfume or Mom's Pearls. While the Machine takes red hearts before Soul Hearts or Black Hearts, Using a Blood Donation Machine will trigger Scapular once Isaac is at half a heart.
Like the Slot Machine, Fortune Telling Machines will also drop a random collectible item when destroyed in the Dark Room or Chest. If the Slot Machine is caught in an explosion of any kind, it will be destroyed, yielding various rewards (see below). The bed, chair, and ottoman all have male and female poses, and the light fixtures give off a small amount of ambient light. Bumping into the Machine consumes 5 cents and activates the grapple, which will attempt to grab the item in the center. If Daemon's Tail is held, there is an 80% chance to prevent this grouping from being chosen; if prevented, another pickup grouping will be chosen instead.Saving and quitting in the middle of the reroll process will cause the items to stop rerolling upon re-entering the game. The Slot Machine also has a 2% chance to self-destruct after inserting a penny, in which case it drops several random pickups or A Dollar and becomes unusable. If Isaac bumps into Mom's Dressing Table, his appearance will be randomly changed such that only a few of his items are displayed. The Gachaland gacha event has started and I just had to share this bedroom set by Oubliette with you.
Blood Donation Machines may fail to pay out when used as Keeper or Tainted Keeper, preventing abuse. With timing, any item seen briefly during the rapid reroll process can be picked up, similar to acquiring items from Glitched Crown.
The Fortune Telling Machine also has a chance to self-destruct after inserting a penny, in which case it drops several random pickups or Crystal Ball.
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