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Russian Roulette

make it rsl fmg indtead

I could see it being worth it for dimes, but nickles man? Risking life for 5 cents.
Doing it for 10 cents would be more worth it, and a good buff to the stats of this item since the RNG cost of this item is high. It'd allow for more moments where I'm actually rationalizing risking shooting myself in the head for 10 pennies so I can buy more options in the first shop instead of saying "oh it's a bad item" never grabbing it or binning it, the next active I find. Aside from that however, amazing item idea, and execution man.
Another thing that'd be cool is if you win items from the item pool of the room for a 3 streak of not blowing your brains out all over the room's walls.
Fr fr though, this gives me a reason to play as Lazarus or get lots of revive items other than having a skill issue which is a rlly fun thing to add to TBOI.

TBH, if it kills you, but Mantle can block it, I think that would be fair. Though it would also destroy itself if you have the item- and not the card.

who are you and get away from me and my grammar CrAzyNufodibmbum

risky wiikky~~ i buy it :3

This should be changed so if the 1 in 6 chance procs it just does damage, (1-2 hearts) it simply isnt work the risk how it is now

So bassicly it's useless

I think you're forgetting it stops your run 100% if you use it without extra lives.
You don't "take a hit", you literally die. One hit KO. Insta-kill.

I think this item is well balanced, but you should put it in boss pools so you'll encounter it more likely on earlier floors, where it's still useful.
I'd take a hit for a 5/6 chance to get THAT ONE SHOP ITEM which is just a little bit over budget.

Nickel doesn't seem very worth the chance of death.

Quarter? yes.
Otherwise, I suggest a Dime and putting the player at a 1/2 heart.