GeezerVison

Curses are modifiers designed to be debuffs that change gameplay in various ways. Some curses can have positive effects that make them useful. Curse icons are differentiated by their pink border with a hex code of #FF00EF.

There are also Greater Curses that are less frequent with drastic effects, unable to be removed by the Altar of Purification.

Some Curses are exclusive to Chaos Mode. Like Greater Curses, they are listed on their own separate page.

Most curses have minimum level requirements or require another thing to be present (such as an enemy or in some cases other curses or greater curses). Picking a curse will remove it from the pool; However, some curses can also be stacked multiple times. The Altar of Purification is also able to remove curses, this however will bring them back into the curse pool.

Permanent Curses are curses that stay across levels.

Permanent curse shops appear on even-numbered levels, presenting 3 pedestals, assigned an available permanent curse. A selection must be made to continue but choices can be re-rolled.
These shops appear after Enemies and before Upgrades if present, but won’t appear if Greater Curses is present.
Amount of rerolls start off at 3 with an additional reroll every 7 levels.

Permanent curses can also be obtained through different methods (like Desire and Medal curses selections if Overconfidence is present in the run).

Temporary curses are identical to curses in function, however they will expire after enough levels have passed. These curses appear half-transparent in the top-bar, and the time until expiration can be viewed when hovering over them. When playing in Fast Track, the game will count the skipped over levels as passed levels for the sake of the temporary curses' lengths.

Unlike normal curses, temporary curses will not contribute to any other requirements (ex. obtaining Scorched Earth temporarily will not make Magic Missile available). Additionally, when the Altar of Purification is used, they will be automatically cleansed at no cost; However, the Altar of Purification has a limit on how many temporary curses it can remove. It also does not prevent the curse in question from appearing in selections; When a curse is obtained again that way, the temporary status of the curse will be removed and it will become permanent.

The time period in which a temporary curse will stay is variable, usually informed to the player when interacting with a mechanic that gives temporary curses (such as Medal or the Altar of Curses). This period can then be further changed by delusions such as Perseverance or Ignorance (which lengthen and shorten temporary curse length, respectively). Temporary curses will also become permanent by default upon picking up via Overconfidence.

Temporary curses can be obtained via the aforementioned Medal and Altar of Curses, alongside Mania and the Altar of Perfection.

• As of Patch 5.1, there are 64 obtainable and 18 unobtainable/removed Curses, making 82 in total.

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