What is different between the pre-Mom levels and post-Mom levels?

Question

I beat Mom for the first time yesterday and continued into the Womb on a second playthrough. I was doing pretty well (playing Cain, had 6-7 hearts, maxed out tears, high damage, 99 coins and keys, etc.), but noticed a significant difficulty difference in the Womb.

What is the differences between the pre-Mom levels (the Basement, Caves, and Depths) and the post-Mom levels (I know I took more damage, at least)?

I didn't find any shops or item rooms in one and a half levels in the Womb - is that a coincidence, or do I need to just hope all my items from before Mom can get me through the rest of the game?

Asked by Ian Pugsley

Answer

For one thing, as you have noticed, all monsters will do a full heart of damage, even those that did less in previous dungeons (unless you have the Wafer, which grants damage resistance). This applies to Blood Donation Machines as well.

Some special rooms (the Shop, and the Item Room) aren't present here, but you can still get Arcades and Gauntlet Rooms. The secret room can also contain an arcade machine.

The Womb is also the first area to have bosses from previous dungeons in regular rooms.

Answered by lunboks

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