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?

  • I got a white heart as a room drop once – bobobobo Dec 1 '12 at 22:22

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. – Sean Hanley May 31 '12 at 1:03
  • You can also get them from beggars, and Chapel rooms. – mordi2k May 31 '12 at 18:46
  • Just got one from a pile of poop as well! – mordi2k Jun 1 '12 at 18:39
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    @mordi2k wow, I'm surprised. Poop drops are usually really minor. – murgatroid99 Jun 1 '12 at 18:40
  • Indeed, guess I got lucky with a very rare drop :p – mordi2k Jun 1 '12 at 22:34

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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