The mystery surrounding items makes for an addictive game of chance that will constantly throw you curveballs, and never feels predictable.Īfterbirth+ on Nintendo Switch runs at 60 frames per second on both the TV and the handheld screen. It’s a satisfying dice roll and, after enough experimentation, you start to learn what special items are effective and what to avoid. I can’t tell you how many times I held my breath as I pulled the trigger just see if a special item would help or hurt my run. It may be frustrating to not know what subtle effects certain items have the first time you find them, but Afterbirth uses that to fuel your curiosity. I don’t think I would have ever figured out that passive collectibles like the Acid Baby drops pills after every two rooms, or that the Tonsil trinket has a small chance to summon a familiar that can block enemy shots without looking it up.
As helpful as this info is, Afterbirth+ still relies on external wiki sources if you want to get more detailed information on what items actually do.