Just got Meat Boy. As Isaac, I rerolled into Epic Fetus and found Habit in the shop. Along the way, I found a Sun card, and then made my way to the Chest. Rerolled the four items you get and found Blank Card, and eventually found a pedestal outside of that first room. Then the process became:
- Bomb myself with Epic Fetus to charge the D6 until I had five health left.
- Pick up Blank Card, bomb myself to one health, use Blank Card to copy The Sun. Now I'm at full health.
- Repeat until D6 is charged, reroll the four items.
- Repeat 1-3 until I found Monster Manual.
- Repeat 1-3 except with MM instead of the D6.
- Cry as 40 minutes of my life disappear.
- Eventually get Meat Boy after spawning something like three Bob's Brains, four Infested Babies, two ???'s Only Friends, two Gemini, and one of every other familiar in the game.
Still beats doing run after run only to get Conquest instead of Death on the Womb, I guess. Now I'm missing just two items that I've never picked up: Transcendence and Guardian Angel. As soon as I find those two, it's all over.