Most of the Bloat's abilities are reskins of Peep's own. The one exception is the Blood Beam attack. All names are given based on what the Bloat does and not from any actual canon.
- Blood Beam - The Bloat will fire two blood beams from both his eye sockets. The Bloat will only do this if Isaac is standing directly in front or to the sides of him. There is no reaction time or clear indication when he uses this attack.
- Blood Spray - A spray attack that sends globs of blood flying out in a radial burst pattern.
- Launch - A launcher that brings him crashing down on the location he last saw Isaac standing in. Much like the next ability, a puddle of blood is created where he lands.
- Blood Puddle - Spawning a puddle of blood that damages Isaac if he stand in it. This goes away after 5–6 seconds.
This variant launches 3 IPECAC bombs randomly instead of blood shots upon landing from a launch attack. It also spawns 2 Charger when spawning a blood puddle. This variant has a little less health, but still fires the blood beams from its eyes.