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Two Dominoes + Insight + Large Revolver = Win

The bullets that just kill 1 enemy aren't strong enough, you need at least pierce

I got to level 56, I only stopped because my wrist was breaking haha. I had mostly triple bombs and energy refills. The problem is if you're not completely on it then it gets pretty laggy as more enemies appear. You need to destroy them quick!

I also found that the "Next shot is bouncy" combined with the quad pierce shot is pretty OP but any build needs energy refill