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maw of the void: 4 to 3
abyss is better void in every way, so if abyss is 3, then void should be 2
and some of the devil items are bad.
then just dont pick them?
besides, in latter chapters, there's usually enough rooms to get three black hearts before the boss room, meaning the book essentially pays for itself
Key Bum is probably worth at least a 2, just due to how much loot you can get from chest drops, and how easy it is to circumvent the "not enough keys" problem.
The regular Bum Friend might limit your ability to play things and use the shop, but shops stop after Depths, and he can give consumables for cheap. Plus, you can still beat him to the coins. Add in Super Bum, and that's worth a 1 to me.
You know what doesn't deserve to be Q1? Ventricle Razor. 15¢ item with an even more niche use than Breath of Life. Need I say more?
ventricle does what BoL does but better and is easier to use