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Blighted Ovum is a dead-looking, gory version of the Gemini boss. He was added to The binding of Isaac on its DLC "Wrath of the Lamb". He has a higher chance of spawning in any boss room as if you have defeated its "alive" counterpart, Gemini, in the current run.
The older sibling appears as mangled and zombie looking humanoid that has part of his head missing. He leaves a trail of blood behind him that damages Isaac if he steps on it. Unlike Gemini, he will continue chasing the player all the time, and will never stop to catch his breath. The younger, ghost-like sibling is pretty much passive unless Isaac walks in his line of sight. In that case, it will shot a brimstone-like laser. It follows the older sibling with a delay.
Duke of Flies | Gemini | Monstro | Larry Jr. | Famine | Steven | Widow | Pin | Blighted Ovum | Gurdy Jr. | Fistula | Gurdy | Peep | Chub | Pestilence) | C.H.A.D. | The Carrion Queen | The Husk | The Hollow | The Wretched | Monstro II | Loki | Gish | Mom | Mask of Infamy | Daddy Long Legs | Triachnid | The Bloat | War | Scolex | Blastocyst | Conquest | Teratoma | Lokii | Satan | The Fallen | Headless Horseman | Krampus