However, as of the Wrath of the Lamb expansion, it can move over Pits.įistula appears regularly as a Mini-Boss starting from The Caves to Sheol. It is also advised to kill the Charger before moving onto the next part, if possible.ĭespite floating in the air, Fistula and its parts cannot move over Rocks. That way, the movement of the parts is more predictable, making the parts easier to dodge.
Because of this, it is recommended to leave bigger parts intact for as long as possible, and focus on one part at a time. Pieces can also collide with each other, which changes their direction. The smaller a piece becomes, the faster it moves around. However, unlike Envy, when reduced to the lowest size, the sections become Chargers. It resembles Envy in how it behaves, beginning as a single entity before splitting into four smaller entities upon taking damage, which then each split into two with further damage. In Edmund's artwork (and including the one from Rebirth), a few Chargers can be seen peeking out from the holes. It sports with several hair strings, warts, and holes.
Fistula's appearance is extremely grotesque-looking, made of pieces of rotten flesh (with red fleshy skins from the inside) sewn together with thick stitches to form a large sphere.