Blood Drive

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Blood Drive is an active item to be added in the Alabaster Fable.


  • Upon first use, it consumes all red hearts in the room and turns them into heart charges.
  • Activating the item in a Devil, Angel, Curse, or Sacrifice room will spawn pickups and collectibles for each red heart consumed.



  • According to the devs this was the most annoying item to work on.

Alabaster Unlocks Alabaster Unlocks Alabaster Unlocks
Alabaster's BloodRebellionDevil's HandBlood DriveSoul LinkMiniature DartsUnholy InsuranceTech SquaredPoikilocytosisSoul BOGOGhost ShotHaemowingsBlood ImbremTainted Alabaster