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When you start a new game, you can choose to use Isaac as the main character's name, or a new name that you choose. You can also enter names for Garet, Ivan, Mia, Felix, Jenna and Sheba. Note that all names entered here are limited to five characters.
To change Garet, Ivan, and Mia's names, press three times in a row and a chime will play. The code to change Felix, Jenna and Sheba's names is a little more complicated. Enter the following code: , , , , , , , , , , , , , . You'll hear a chime after this code to let you know that it was entered correctly.