
She also starts with "The World" card and the item "Book of Genesis", which is a 6 room active item that creates friendly copies of up to 6 non-boss enemies in the room, it can be found by other characters in angel rooms and libraries. The more enemies you kill the more options you have for what to create, including pills, cards, trinkets, items, even extra lives! Killing a bunch of monsters will cause her flower to glow, when it does you can press the SWAP button to choose from a list of pickups to spawn.

While you may want to get the soul from The Bone as soon as possible, there's no reason to as it can be stolen or destroyed after becoming a soul card. The Forgotten has arguably the best ability in the game because of its sheer versatility. You pay with your counters to use the various ability's of The Bone, as with all Cost Type items, you can use your ability's as much as you like, as long as you can pay the price. The Forgotten's starting item, The Bone, starts with 0 "counters", every time you activate The Bone you get 1 more counter, counters can be anything, like dice, pennies, pieces of paper, anything really. The Forgotten is a playable character in The Binding of Isaac: Four Souls.

This can be done on any player's turn in response to any action.
