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Apparently multiple items can give you white hearts, like the ones given by Fate.

What are these white hearts? What do they do, and what can give them to you?

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  • I got a white heart as a room drop once
    – bobobobo
    Dec 1, 2012 at 22:22

2 Answers 2

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White hearts (which the wiki calls Eternal Hearts) sit above regular hearts, but below soul hearts in the order of what takes damage first. When you fill up a white heart or you go down a level with half a white heart, it turns into a heart container.

According to the mechanics guide, any regular heart drop has a 1/50 chance of becoming an eternal heart. This excludes hearts from the Bloody Penny or Little C.H.A.D., which are always half hearts. In addition, in the super secret room that contains a single eternal heart, any other regular heart drop in that room automatically becomes an eternal heart.

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  • Gold treasure chests can also spawn them. May 31, 2012 at 1:03
  • You can also get them from beggars, and Chapel rooms.
    – mordi2k
    May 31, 2012 at 18:46
  • Just got one from a pile of poop as well!
    – mordi2k
    Jun 1, 2012 at 18:39
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    @mordi2k wow, I'm surprised. Poop drops are usually really minor. Jun 1, 2012 at 18:40
  • Indeed, guess I got lucky with a very rare drop :p
    – mordi2k
    Jun 1, 2012 at 22:34
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Also, picking up an Eternal Heart while already having one will instantly turn that into a heart container, consuming the Heart you just picked up.

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