True Lilith

True Lilith is unlocked by beating The Combined as Lilith or Tainted Lilith

Lilith Starts with no items except for the blind fold and she spawns in Balance choosing the Angel room grants her Angel wings that allow her to fly and summon beams of light from the sky instead of tears similar to the Crack the sky effect combined with Epic Fetus. Choosing the Devil Room grants her Demon wings that allow her to fly and shoot Brimstone