Hypomania

Description
A 20 minute timer is displayed throughout the run. If the timer runs out, you automatically loose the game.

Effects
The 20 minute timer is clearly visible at the left-side of the screen; It reduces the size of the entire screen, by putting it inside a simulated overlay. This makes the game more difficult by forcing the player to play quicker, and therefore worse.

Unlock Condition
Make The Joker loose patience.

The Joker looses patience when you refuse to play his games, or play them wrong on purpose; The amount needed is random between 5 and 10, meaning that the best way to unlock this relic is by getting as many defensive/utility items as possible, and luck.

Trivia

 * This relic's icon and effect is a reference to LiveSplit, a speedrunning timer for speedrunners.