Binding of Isaac: Rebirth Wiki

Death's Touch is an unlockable passive item.



  • Added in Afterbirth †Haemolacria Haemolacria: Stat effects apply. Fired tears will retain piercing effect; however, burst tears will not. All other effects do not apply.
  • Ipecac Ipecac: Tears explode at their center, not where they touch the enemy, which means the very large size from Death's Touch may be detrimental. Piercing effect does not apply.
  • Added in Afterbirth †Trisagion Trisagion: Overrides Death's Touch. Only stat changes apply.
  • Added in RepentanceSpirit Sword Spirit Sword Overrides the scythe visual including the ranged attack.
  • Added in AfterbirthTech X Tech X: Overrides Death's Touch. Only stat changes apply.

In-game Footage[]


PC AQTN 1VQ8 (Treasure Room adjacent to spawn)

PCNormal mode only Added in Afterbirth H3YY 6MN9 (Treasure Room adjacent to spawn in Hard mode, first floor Treasure Room)

PC Added in Afterbirth † Y678 Q9NC (First floor Treasure Room)

PS4 Vita BV4D V8WV (Treasure Room adjacent to spawn)

PS4 VitaNormal mode onlyZEV7 VM6C 7G6P ZPPP (Treasure Room adjacent to spawn)

3DS 83EW YKRR (First floor Treasure Room)


  • The sound effect of the scythes hitting the ground is the same that was used in Super Meat Boy.
    • The sound effect was originally used when shooting sawblades were hitting the walls.