i hate ipecac it is horrible and it should be removed from the game due to stufftiness
Oh your funny.
Ability to go though the game without relying on bombs is awesome.
Moms heart/it lives is easy, becasue ipecoc tears though the mobs she spawns.
Max damage on isaac without him spraying tons of tears at you.
I love that item, same for Epic Fetus, so much easier to find secret/top secret rooms.