Binding of Isaac: Rebirth Wiki

Added in Afterbirth †

Black Tooth is a trinket added in The Binding of Isaac: Afterbirth †.


  • Adds a chance to fire a black tooth that poisons enemies.
    • Black teeth deal double Isaac's normal tear damage.
    • The chance scales with luck very slowly, with barely noticeable increase until close to 30 luck, and at 32 luck every tear is a tooth.

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