| Name | Icon | Left | Right | 
|---|---|---|---|
| Apex Pact |  | 50% less Resolve lost in Boss Rooms | 100% more Resolve lost in non-Boss Rooms | 
Accursed Pacts are unlocked in Act 7 after completing the quest Sanctum Temptations.
Accursed Pact rooms allow you to accept one of three random Accursed Pacts which grants both an upside and downside.
| Name | Icon | Left | Right | 
|---|---|---|---|
| Pyrrhic Pact |  | Resolve recovered is doubled | Maximum Resolve is lowered by 50% of recovered Resolve | 
| Doubling Pact |  | Guards are Twinned | Guards are Twinned | 
| Apex Pact |  | 50% less Resolve lost in Boss Rooms | 100% more Resolve lost in non-Boss Rooms | 
| Austerity Pact |  | Merchant prices are reduced by 50% | Monsters do not drop Aureus coins | 
| Indomitable Pact |  | Gain 30 Inspiration at the start of every room | Inspiration resets every room | 
| Upside | Icon | Downside | 
|---|---|---|
| Gain a specific Boon | Yellow nail | Lose 25% Maximum Resolve | 
| Gain a random Major Boon | Yellow spiky nail | Lose 50% Maximum Resolve | 
| Gain 2 random Minor Boons | Two yellow nails | Lose 50% Maximum Resolve | 
| Gain a random Minor Boon | Yellow/Purple twisted arrows | Gain a random Minor Affliction | 
| Remove a specific Affliction | Purple twisted arrow+Purple nail | Gain a random Minor Affliction | 
| Gain 200 Inspiration | Blue pentagram ⛦ | Lose 200 Resolve |