Cain
ReadyHold 55 coins at the same time.
Achievement
Defeat The Lamb as Cain.
In-game: “Unlocked a new item.”
Sources:AchievementsDark RoomThe Lamb
Hold 55 coins at the same time.
Defeat Mom.
Reach Depths II and defeat Mom.
Sources:AchievementsWomb
Defeat Satan 5 times.
After: The Womb
Defeat The Lamb as Cain.
After: Cain, The Womb, The Negative