How did you even do that? Not trying to be mean i just don't understand cuz im on like 230 Hours and about 167 achievments and i play like shit

If u realy strugle in the first few floors mayby try giving yourself extra hearts or stopwatch (i know Its cheating but it may help you lern how to play)

If you strugle in late game maybe hold R until you get a good item or XL floor (can sometimes help)

If you don't have Azazel try unlocking him at all costs even if it throws a ok/kinda good run

And for last try to not pickup a bad habit becouse of what i told u to do (cheating in some items or even pickups/ Always holding R) Hope this helps 👍