Originally Posted by A Tricky Carnie
As Edmund McMillen said on his formspring, the womb and everything after it is all about survival, no getting items and not exploring, just straight up survival.
And I'm okay with that, you got to buckle down and cut the crap when you get there.
Except you can and do get items in the Womb. 1) The boss of Womb 1 drops something. 2) Secret Rooms can still have items. 3) Arcades can still give their special items. 4) Beggars can give items. 5) Tinted Rocks can give items. 6) Challenge Rooms can still have items. 7) Sin Mini-bosses can still leave items. And probably more stuff I missed.