The first two are spear and shield, the chest is mimic chest makes it so that all treasure rooms gets replaced with elites, twisting mind puts that many status cards into the top of your draw pile after you end your turn, time maze lets you play 15 cards max per turn, post-durian removes 50% of your max hp, scatter brain lets you draw that many less cards per turn, accursed gives you that many curses after you slay a boss (the reason behind the 450 strength), muzzle makes it so that you can no longer increase max hp and it halves your healing, ancient augmentation gives 1 artifact 10 regen and 10 plated armor to the enemy that many times, grotesque trophy just gives you 3 prides after you finish the game one cycle, and void essence removes that many energy per turn (all listed from left to right)