This includes challenge rooms, as they start cleared.
After combat is finished, the spirits will disappear and black hearts will be restored with no damage.These spirits will move to one of the cardinal sides of the player, charge for a moment, and dash across the room, dealing contact damage to the player and enemies.
Soul Hearts already collected or spawned before obtaining Penance are unaffected.All spawned Soul Hearts pickups are replaced with Black Hearts, as well as Soul Hearts gained through other means (such as Book of Revelations).Unlocked Penance - Defeat Mom as Sarah.
