Health stacking Pygmalien is a very viable strategy that likes to have some specific buffs and enchantments. Some of the combination of enchantments and skills in this build can make it actually unstoppable.
Even though Pufferfish was disabled, there are some Dooley Monitor Lizard builds ramping up in popularity and it’s very rare to find Vanessa and Pyg Weapons builds that ramp up damage during combat. As a result, health stacking is still a very good option to counter the post- Pufferfish meta, especially because Snowflake was disabled (Freeze is a tough matchup for one-shot single weapon builds).
In today’s build, Kripp almost pulls off the strongest build in the game after Balcony's redesign. With a combination of great economy play and the right build, maybe you can pull this off! Here's what he said about the build:
Redesigned Balcony lets you use it with Stained Glass Window to quadruple the value of a stacked Pawn Shop, which allows you to start combat below half health since these both activate in combat only.
This allows you to instantly trigger a Shielded Double Whammyif you have the use highest Shield item when going to half health skill. I didnt pull it off but came super close. Its more of a concept, but it is likely the most unbeatable build in the game