Why am I spawning random familiars as Lilith?

enter image description hereSo I'm playing as Lilith and for some reason I keep spawning random familiars. I picked up Little Steven but Succubus and the Leech are not familiars I acquired via shop or item room. Where did they come from?


Solution 1:

Lilith starts with Cambion Conception, an item that causes you to spawn familiars after taking a certain number of hits. The familiars awarded are random, so you'll see different familiars across different runs.