How did Pills get into Isaac as a design choice? Between all those bible themes and monsters, pills look like a very grounded design choice. And when I think of things kids learn not to do, I don't think of "Pills are dangerous, don't eat them!" first.

in crawl and most other old school rogielikes there were “potions”, option were unknown and had random effects that could sometimes be negative, i tried to recreate that with pills.

in the 80s there was alot of tv stuff about kids eating pills, i once swallowed a ton of my moms pills thinkig it was funny when iwas 4 and had my stomach pumped.. so theres that too