Mysterious Paper

Has a chance to replicate the effects of A Missing Page, The Polaroid, The Negative, or Missing Poster.

Quote

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Effects

• On every frame, it has a random chance to grant the effect of one of the following items/trinkets:
• • The Polaroid
  • The Negative
  • A Missing Page
  • Missing Poster
• If Isaac does not already have the item/trinket, then he will be given the item (but only for that particular frame). This means that Isaac has a chance to go to The Chest or the Dark Room without The Polaroid or The Negative, he has a chance to revive as The Lost upon death, and so forth.