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Keeper sprite

The Stain (ザ・ステイン Za Sutein) is a boss added to the Afterbirth DLC. It is the posthumous version of Polycephalus.

Though being a pile of guts with 3 skulls and flesh slightly growing over them, looking at the bottom of one of the head's mouth, you will see it looks like a horseshoe.

The Binding of Isaac Afterbirth "The Stain" boss fight

The Binding of Isaac Afterbirth "The Stain" boss fight

Bosses
The Binding of Isaac / Rebirth
Regular bosses Original: BlastocystChubDuke of FliesThe FallenFistulaGeminiGurdyLarry Jr.LokiMonstroPeepScolex
(Wrath of the Lamb: Daddy Long LegsGurdy Jr.Mask of InfamyPinWidow)

Rebirth: Dark OneDingleGurglingsThe HauntMama GurdyMega FattyMega MawMr. FredPolycephalus
(Afterbirth: BrownieDangleLittle HornRag ManTurdlings)
(Afterbirth †: Big HornRag Mega)

Posthumous Bosses Original: Monstro II
(Wrath of the Lamb: The Blighted OvumThe BloatCarrion QueenThe HollowThe HuskLokiiTeratomaThe Wretched)

Rebirth: The AdversaryThe CageThe Gate
(Afterbirth: The ForsakenThe FrailThe Stain)

Alternative Bosses Original: C.H.A.D.GishSteven
(Wrath of the Lamb: Triachnid)

Rebirth: Sisters Vis (Afterbirth †)

Harbingers Original: WarFamineDeathPestilenceHeadless Horseman

(Wrath of the Lamb: Conquest)

Final Bosses Original: It LivesMomMom's HeartSatan
(Wrath of the Lamb: ???Isaac)

Rebirth: The LambMega Satan
(Afterbirth: HushUltra Greed)
(Afterbirth †: Delirium)

Seven Deadly Sins EnvyGluttonyGreedLustPrideSlothWrath
Seven Super Deadly Sins Super EnvySuper GluttonySuper GreedSuper LustSuper PrideSuper SlothSuper WrathUltra Pride
Angels / Demons Original: Krampus

Rebirth: GabrielUrielFallen Angels

The Legend of Bum-bo
Regular bosses BygoneDuskGibsGizzardaLoafPeeperPyreSangreShy GalThe Duke
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