So, I've unlocked It Lives! before getting all the endings for beating Mom's Heart. Is there any way to unlock them now, or is it no longer possible?
How to get the “Mom’s heart” endings after unlocking “It Lives!”
the-binding-of-isaac-rebirth
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Best Answer
As far as I know, after killing Mom's heart 11 times it will be permanently replaced by It Lives. So if you've unlocked It Lives! you should already have the first 11 endings.
From Endings:
But if you mean that you still miss Mom's Heart related achievements, you can unlock them also beating It Lives!, as you can see here It Lives! has the same bunch of achievements for Mom's Heart.