MOD EDIT: Split from here
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I hate dead cat. Some people swear its good, but I cant see it. Id much prefer the ankh over dead cat. if it respawned u with 1 more heart itd be great. Or if it respawned u in the room. the fact that u gotta do stuff like moms heart or double fallen with 1 heart 9 times over is what I think makes it terrible.
I had a really difficult run recently. First run ive died to mom in a long time. i got the adversary for the first time on Necropolis I, he rekt my shit.
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If it respawned you in the same room it would effectively give you 9 heart containers, which would be really lame. The Ankh is probably a better item, but if you get a chance to pick up Dead Cat free then there's never a time that you wouldn't. If it's a devil room trade then it's always a bit tough, but if I have some good soul heart generation items I'll almost always take it. Sometimes you can even backtrack through a level with the demon beggar or something and buff yourself a bit.
Also Dead Cat is much more common than The Ankh, given that it's in the devil room pool.