When used, First Page spawns a clone of the player's character in a similar fashion to Strawman's spawned Keeper. The clone can be controlled with the same commands as Jacob & Esau and gets all the passive items the player has; its health will also be an exact copy of the player's.
Like Strawman, First Page's clone can be used to pay out Sacrifice Rooms without harming the player.
Trivia
The description and item look in general is a reference to intro of The Binding of Isaac, which starts with the famous words "Isaac and his mother lived in a small house on a hill".
It may also be a reference to the Isaac and his Isaac meme popularized throughout the Binding of Isaac community, with the ability of the item being summoning another Isaac referring to how every major detail in the story was replaced by the word 'Isaac'.
The sprite for First Page was temporarily changed in order to act as a step in Tarnished Lost's ARG, in which it acted as a data matrix code.
Video Showcase
Gallery
An unused version of First Page's sprite from prior to Wave 1's release.
The first public version of First Page's sprite
The edited First Page sprite used during Tarnished Lost's ARG