My favorite so far. The dreaded feeling of having to pray for 1 extra bullet is pretty unlucky if you ask me. The "thing" got me, also does screaming actually do anything? lol. Maybe have a choice to have charms give you bullets instead of health? Could be a separate merchant for bullets. Loved it!
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On a technical level, Scream has a chance to skip an enemy's turn (thereby preventing you from being punished on a successful scream) and permanently lowers the monster's luck by 1 point, which makes it harder for them to hit you. Almost all enemies start with 0 luck. When an enemy screams at you the same thing occurs, except your luck resets after battle to be -3 + the number of charms you have.
A little secret for ya: you get a little bonus to your screams when you are below half health!