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Given that getting into the Dark Room is mostly a voluntary decision and there's much less items than in The Chest, is there any practical reason why one would choose going into the Dark Room?

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    Achievements and item unlocks. And it's only four items less. Which can possibly be guppy items – Arperum Sep 3 '16 at 13:28
  • Not four, you also lose all the items from the chests. – d33tah Sep 3 '16 at 14:14
  • Well, you can still find items in red chests when completing a room in Dark Room, iirc. – pinckerman Sep 3 '16 at 14:43
  • Wait? Since when doesn't the dark room give chest with items like in the chest? I haven't played in a while, but the dark room had the same chest room rewards as the chest – Arperum Sep 4 '16 at 8:43
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Aside from being required to unlock items for characters/get achievements, the item pool of the chest is that of the sacrifice rooms, since all chests are red chests.

By choosing the Dark Room, you could potentially collect 3 Guppy items, become Guppy, and have an OP finish to your run.

Once you've unlocked everything, though, it's mostly a matter of preference. Personally I choose the Dark Room if I'm not overly powerful that particular run, because I'm not very good at the bullethell fight with Blue Baby (or Isaac).

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