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Since you aren't using Steam, you need to acquire the mod files directly: Alternative Sites: Platforms like The Modding of Isaac Nexus Mods host many popular mods. Workshop Downloaders:

Since the primary repository for Isaac mods is the Steam Workshop, non-Steam users must use external "bridge" tools to acquire the files. Workshop Downloader Tools : Sites like SteamWorkshopDownloader.io WorkshopDL the binding of isaac repentance mods no steam new

Many advanced script-based mods (like Repentance Plus or Fiend Folio forks) are hosted here. Since you aren't using Steam, you need to