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Cursed Doll applies a damage-over-time effect that removes a fixed percentage of Max HP from affected enemies each second. As of v1.0.17 (Oct 19, 2025), each 1-second tick can curse up to five enemies simultaneously. If you are planning around “%HP” damage, remember that it scales with enemy Max HP and is therefore valuable against high-HP targets. Interaction with bosses is currently unconfirmed due to conflicting community reports.
“Tick” = the interval at which the curse deals damage. For Cursed Doll this is currently every 1 second.
Unlock requirement: Die 10 times (cumulative across runs). Once unlocked, Cursed Doll becomes available in your future runs’ item pool.