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The Super Secret Room is a room type added in the expansion, Wrath of the Lamb. 

Behavior

It is similar to the Secret Room in the way that they are not shown on the map when adjacent to it without the Spelunker Hat, and have to be opened either with explosives or the XRay Vision item.

Additionally, instead of being located in the typical horseshoe pattern with at least 2 or 3 rooms adjacent to it, this room type can only border one other regular room (but not a non-regular room, such as the Item Room). While adjacent to only one regular room, it can still also be next to the regular Secret Room. Note that the Super Secret Room can be next to a Spike Sacrifice Room.

The room is available on every floor.

Notably, the room will not become visible on the mini map even if you have items that would reveal the regular Secret Room, such as the Treasure Map and map-revealing Tarot Cards (XXI The World or XIX The Sun). Once discovered, the map icon is displayed, similar to the icon for the Secret Room but with a darker, faded question mark.

Contents

The contents of the Super Secret Room differ from the common Secret Room. Depending on what you find inside, the room will also have a specific appearance.

• Sheol Room

Backdrop: Sheol

Contains: One or two Red Chests

Special Features : Anything that makes something with a possibility of dropping a random item, such as Justice, Portable Slot, Wheel of Fortune, or Judgement will spawn an item specific to Devil Rooms.

• Cathedral Room

Backdrop: Cathedral/Catacombs

Contains: One Eternal Heart

Special Features: Anything that drops a random heart drop, such as Justice, Portable Slot, or a regular slot machine spawned by Wheel of Fortune, will spawn an Eternal Heart when used in this room.

• Heart Room

Backdrop: The Womb / Utero

Contains: Seven to eight normal Hearts

Special Feature: Anything that drops a random heart drop, such as Justice, Portable Slot, or a regular slot machine spawned by Wheel of Fortune, will spawn a full Heart when used in this room.

• Trinket Room

Backdrop: Cellar

Contains: One Trinket

• Fortune Room

Backdrop: Necropolis

Contains: Fortune Telling Machine

Special Feature: The Tarot Card Wheel of Fortune will spawn Fortune Telling Machines while in this room.

• Card Room

Backdrop: Library

Contains: Random Tarot Card

• Void Room

Backdrop: Dark room

Contains: Black Heart

• Pill Room:

Backdrop: Basement

Contains: 5 random Pills

Finding the Super Secret Room

Despite the difficulty of discovering the Super Secret Room, there are various strategies and circumstances that can make finding one easier.

• When level is generated, the Super Secret Room is counted as generic “special” room (Treasure, Boss room etc.) and will be at the end of the “branches” of the level.
• Try to bomb the walls of any room with a side that would not share a perimeter with any other room, except if it is the regular secret room. In most cases, it is located at the edge of the map.

• Some rooms have monsters that can be exploited into creating a hole in the wall, like Boils, Vomit Grimaces and Gurgles.

• If the Curse Room borders with the Super Secret Room, it automatically reveals the room with a spiked entrance to it (as with the regular secret room).

• Any random teleportation method (pills, teleport etc.) has a chance of teleporting the player to a Super Secret Room.

• Items that replace the player’s shots with explosive shots (Dr. Fetus, IPECAC etc.) can be extremely helpful in finding Super Secret rooms by exhaustively checking each wall surface with explosions.

• Any explosive Activated Item (Kamikaze!, Mr. Boom) can be helpful as well, although less so due to the health loss or the recharge needed to repeatedly use them.

• The room can be spotted with X-Ray Vision. If a player enters the regular Secret Room and this room is adjacent to it, the Super Secret Room will not be shown on the minimap. However, since X-Ray Vision opens up all possible connections to adjacent rooms, the room can still be found without use of the minimap. Once you walk into the room, it will be revealed on the minimap and the usual sound will be played (also works with Spelunker Hat).
  • The Rebirth pill effect “I Can See Forever” acts as a single-floor version of X-Ray Vision, and will thus also reveal the room.

• As of Wrath of the Lamb 1.3/1.33, a different sound plays when the Super Secret Room is revealed to that corresponding to the Secret Room. This allows the player to know which variety of room has been revealed before entering it.
• As with all normal end rooms, the super secret room has a chance of bordering the normal secret room. If you have found the normal secret room and it only borders two other rooms, there is a small chance that the secret room also borders with a super secret room as well.
• In rare conditions the Super Secret Room borders the Secret Room to the one and a “special” room to the other side instead of a normal room.

Notes

• The Tarot Card XVIII The Moon has a low chance of teleporting the player to the Super Secret Room.
• The Treasure Map and Tarot Card XIX The Sun will not reveal the Super Secret Room.
• All regular chests in the Super Secret Room will turn to red chests, identically to the Left Hand trinket.
• As of Rebirth, just like Secret Rooms, the Super Secret Room does not close upon leaving. This can be used to your advantage at times – for example, to farm a Blood Donation Machine without needing to use multiple bombs to return and pick up hearts.

Trivia

• If you have Spelunker Hat or X-Ray Vision and you come into a room with both a Secret Room and a Super Secret Room next to it both sounds will play and overlap.

Gallery

Rooms
Unlocked Rooms
Boss Room Curse Room Sacrifice Room Devil Room Angel Room
Locked Rooms
Treasure Room Shop Arcade Library
Hidden Rooms
Secret Room Super Secret Room I AM ERROR
Barred Rooms
Challenge Room Boss Challenge Room