Famine

Also given by

Spawn thing on damage: object 19

• Hookworm · item
• Infested Ears · mutation
• Infested Eyes · mutation
• Jar of Radiated Blood · item
• Lice · item
• Loose Meat · passive
• Maggot Tail · mutation
• Miner's Beard · item
• Money Bag Bod · mutation
• Money Bag head · mutation
• Pinworm · item
• Polyp · item
• and 7 more

Spawn thing on damage: good 9

• Infested Ears · mutation
• Infested Eyes · mutation
• Jar of Radiated Blood · item
• Maggot Tail · mutation
• Pinworm · item
• Rock Eyes · mutation
• Tattered Scrap · item
• Tie Dye Bandana · item
• Worm Lord · passive

Spawn thing on damage: chance 7

• Infested Ears · mutation
• Infested Eyes · mutation
• Maggot Tail · mutation
• Money Bag Bod · mutation
• Money Bag head · mutation
• Polyp · item
• Rock Eyes · mutation

Passing it to kittens

When one parent has this part and the other a normal one (ignoring the small chance the part is rerolled). Same rule for every mutation.