C Section

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C   Section
Item icon
Item altar
"Fetus shots"
Table dividing line 1.png
Item ID
Table dividing line 2.png
Item Pool
Table dividing line 3.png
Collection Grid
(page 6, column 6, row 4)
Unlock Method
C Section Defeat The Beast as Lilith
Added in Repentance

C Section is a passive item added in The Binding of Isaac: Repentance. It is available solely for Tainted Lilith as her starting item.

Effects[edit | edit source]

  • Instead of tears, Lilith launches a baby attached via umbilical cord out of her stomach, dealing x3 damage to enemies it hits.
    • The delay between the baby launching is limited by tear delay, so items that increase tear delay like 15►The Inner Eye The Inner Eye may make this item much less effective.
  • The baby will fire tears while the fire button is held, and moves in the direction of the fire buttons. It returns to Tainted Lilith once fire is released. The baby is not restricted to cardinal directions, and with a gamepad can be controlled with the right analog stick.
  • The baby has flight and can only move a limited distance away from Tainted Lilith.

Interactions[edit | edit source]

  • The baby follows the same combos as if it were Isaac. There are a few unique interactions:
    • 15►BFFS! BFFS!: Increases the damage of baby's tears, but the launch attack is unaffected.
    • 15►The Ludovico Technique The Ludovico Technique: Spawns a Ludovico tear when Lilith launches the baby. The tear disappears when the baby returns to Lilith's belly.
    • 15►Brimstone Brimstone: The baby charges up the laser and when released shoots it and retracts back to Lilith. It should be noted that this item makes Lilith launch baby less frequently, due to an increase in tear delay.
    • 15►Mom's Knife Mom's Knife: The baby carries a knife in his hands that points in the direction of where the tears would be firing, and the baby will no longer retreat back into Tainted Lilith's stomach.
    • 15►Marked Marked: The baby will not return to Lilith's stomach, and will try to follow where the Mark is. The baby will return when Marked is deactivated with the Drop button.
    • 15►Tractor Beam Tractor Beam: Tears will begin firing in front of Tainted Lilith from the point where the baby would reach furthest out, regardless of the baby's current location.
    • 15►Spirit Sword Spirit Sword: The baby wields a sword that can be swung multiple times before returning to Lilith. If the fire button is held, the sword will deal damage once before disappearing until the baby is sent out again. The spin attack functions normally, but will immediately return the baby.

Trivia[edit | edit source]

  • Caesarean Section, or C Section for short, is a surgical procedure by which a baby is delivered through an incision in the mother's abdomen.
  • The item is unavailable for anyone except Tainted Lilith, and if acquired through cheating, does not work properly.
    • After it is unlocked by defeating The Beast as Lilith it can become one of the starting items for Eden, but still won't work.

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