Binding of Isaac: Rebirth Wiki

3 Dollar Bill is a passive item.


  • Grants Isaac random tear effects. The possible effects are:
  • Removed in Afterbirth The type of randomized tear is determined upon entering a room.
  • Added in Afterbirth The type of randomized tear changes every 2–3 seconds. The item appears to select two tear effects at once, perhaps staggering the times at which each of those effects change.
  • Added in Repentance While not directly a tear effect, 3 Dollar Bill may rotate through Lucky Foot Lucky Foot, which may be used to take only positive pills.
  • Added in Repentance 3 Dollar Bill may also rotate through Magneto Magneto.


  • Removed in Afterbirth If a run is quit, and then continued, 3 Dollar Bill will have a new random tear effect for the current room.
  • Items that are required to charge like Brimstone Brimstone or Monstro's Lung Monstro's Lung can have their charge amount change when gaining a new tear effect, depending on Isaac's new Tears stat. This can cause fully-charged items to need more charge time.
  • Removed in Afterbirth † The Proptosis Proptosis effect is bugged for 3 Dollar Bill, and will only fire half the range it would normally (damage is increased normally).
  • Added in Afterbirth Unlike Fruit Cake Fruit Cake, which can only modify individual tears, 3 Dollar Bill can modify stats as well.

In-game Footage[]


  • This item is a reference to an old expression "queer as a three dollar bill".
  • This item is used in Added in Afterbirth PRIDE DAY! (challenge #28).


PC WGGT XJVV (Treasure Room adjacent to spawn)

PC VPA3 1ACC (Treasure Room adjacent to spawn)

PS4 LZP9 9BSP (Treasure Room adjacent to spawn)

Vita VMT4 AF81 (Treasure Room adjacent to spawn)

Switch A274 6339 (Treasure Room adjacent to spawn)