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Worldwide - this product can be sent anywhere in the world.
The Binding of Isaac: Four Souls - Second Edition Product Description
The official Binding of Isaac multiplayer card game, about sacrifice, betrayal and hoarding.
2-4 players take turns playing loot cards and using items to kill monsters that yield more items, loot, and sometimes souls. The first player to end their turn with 4 souls is the winner. Cooperation, barter, and betrayal is encouraged.