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The Pumpkin Mask is an Activated Item that was intended to be dropped by Krampus. Originally, Krampus, with the Pumpkin Mask, would have comprised the entire Halloween Update, however Edmund and Florian were unsatisfied with that and the Pumpkin Mask was eventually replaced by A Lump Of Coal.

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When activated, the Pumpkin Mask was intended to allow Isaac to fire a four-directional blood beam like The Fallen's. Currently, The Pumpkin Mask acts the same as A Lump Of Coal when obtained.

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Fichier:The Binding of Isaac - Two undefined items in one playthrough

de:Pumpkin Mask