Cracked Orb's effect can open the door with less damage taken than needed, or with no damage with Dull Razor.Broken Padlock can be used to open the door with one bomb.
ME!, and Sharp Key can be used to open the door without taking damage. The Lost, Tainted Lost, and Tainted Soul (unless he is holding Tainted Forgotten) can enter the door for free.Unlike other methods of health donation, red hearts will not be prioritized over more valuable hearts. It costs two full hearts to enter, and ignores almost every form of damage reduction, including The Wafer and invincibility. The door will not spawn after defeating Mom. The door to the Mausoleum / Gehenna will appear after defeating the boss in the Mines II / Ashpit II or the Depths / Necropolis I / Dank Depths I.
Unique features of this stage include Teleporters, Grudges, and the Ball and Chain. Gehenna has a demonic theme, with horned skulls, bones, and blood on the black cracked floor, while bloodied chains hang from the walls. Gehenna is an alternative floor to the Mausoleum and was added in The Binding of Isaac: Repentance.
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