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This is the 269-Card The Binding of Isaac: Four Souls Requiem Expansion retail version.
The Expansion Includes:
- 269 Requiem Expansion Cards
- 12 rebalance cards for your copy of The Binding of Isaac: Four Souls Base Game 1st edition.
You must own a copy of The Binding of Isaac: Four Souls 1st or 2nd Edition to play Requiem.