Does Little Steven only appear after fighting Steve

the-binding-of-isaac

The first time I defeated Steve, I got a message that said "Little Steven (the item) has appeared in the basement". Since then, I've only ever found Little Steven after defeating the boss Steve. Is he an item that can only be found under this particular circumstance or can he appear randomly in the basement?

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Best Answer

Little Steve can be found as a rare drop in any item room (or shop, or it can be rolled off of any other item with the D6) once he has been unlocked.

Steven also drops Little Steve when he is killed, most of the time (I think it's about a 90% chance).

If you already have Little Steve when you kill Steven, he will instead drop the buff item "Steven". He will also rarely drop "Steven" even if you don't have Little Steve.

Finally, here is some photographic evidence: Little Steven in item room