Little Horn has multiple actions in which he will perform during the battle. They are as follows:
- Little Horn will cough up a homing black ball that deals contact damage.
- Little Horn will shoot out multiple portals that Isaac can fall in, in which he would take damage.
- Little Horn will teleport through a portal.
- Little Horn will drop either a Troll Bomb or a Super Troll Bomb through a portal near Isaac.
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