Binding of Isaac: Rebirth Wiki
Binding of Isaac: Rebirth Wiki

Added in Repentance

A Pound of Flesh is a passive item added in The Binding of Isaac: Repentance.



  • Buying shop items for health does not prevent Angel Rooms from appearing.
  • Taking a health consumable surrounded by spikes at half a heart will still result in Isaac's death.
  • Immunity to spikes does not prevent damage when taking consumables in shops.
  • When transformed into a ghost in Downpour Downpour II, shop consumables can't be taken even with 15►Holy Mantle Holy Mantle.
  • The item is not available to Keeper Keeper and Tainted Keeper Tainted Keeper normally. If acquired through 15►Spindown Dice Spindown Dice, 15►Death Certificate Death Certificate or such, it has no effect.


  • 15►Binge Eater Binge Eater: All shops become free stat-ups if the food item is chosen.
  • 15►Restock Restock: The price never increases, staying at one red heart container/three soul hearts for each item, and one full heart of damage for pickups.


  • Flat File Flat File: No effect. Spikes generated surrounding consumables will not be removed.
  • 15►Keeper's Box Keeper's Box: Items and pickups generated outside Devil Rooms will cost health, but items generated inside Devil Rooms will cost coins.
  • 15►Keeper's Sack Keeper's Sack: Because shop items no longer cost coins, stat bonuses are no longer gained from buying shop items.
  • The Lost The Lost: Only one item can be picked up from each shop; any other items will vanish. Consumables can be taken for free.
    • However, multiple items can be bought from Devil Deals.
    • With 15►Restock Restock, the Lost can buy items indefinitely.
  • 15►The Stairway The Stairway: Affects Angel Shops the same way it does regular shops.
  • 15►Steam Sale Steam Sale: Devil Deals will have their price reduced. Shop items will cost the same amount of health.

In-game footage[]


  • The name of this item is a reference to Shakespeare’s play The Merchant of Venice, where the Jewish moneylender Shylock asks the bankrupt Antonio for 'a pound of flesh' in payment for his debt.
  • The name of this item matches the description of the 15►Potato Peeler Potato Peeler, which also references the play.

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