Binding of Isaac: Rebirth Wiki

Added in Afterbirth

Fruit Cake is a passive item added in The Binding of Isaac: Afterbirth.


Each tear that Isaac fires gains a random effect. The possible effects are:

  • The following tear effects when generated by Fruit Cake work differently than that of the base item:
    • Added in Afterbirth †Eye of Greed Eye of Greed: Isaac will not lose coins from this effect occurring.
    • Ipecac Ipecac: There is no associated damage up/poison effect/arcing.
    • My Reflection My Reflection: There is no associated shot speed up.
    • Polyphemus Polyphemus: Only the ability to pierce enemies on overkill damage is applied; there is no associated damage bonus with the tear.
    • Removed in RepentanceProptosis Proptosis : There is no associated damage multiplier, effectively decreasing damage dealt.
    • Added in RepentanceSerpent's Kiss Serpent's Kiss: This keeps the internal tear tag that makes enemies drop Black Hearts, despite the item itself losing this ability.
    • Tiny Planet Tiny Planet: There is no associated range up.
  • Added in Repentance The unique tear effects available to some wisps made by Book of Virtues Book of Virtues can also be used by Fruit Cake. This can include:
    • Drop hearts/coins/cards/runes on kill. The tear must deal the final hit; earlier hits do not flag enemies to drop the consumable on death.
    • Teleport enemies to a random location in the room. This cannot affect Bosses.
    • Transform enemies into Poop Poop (similarly to E. Coli E. Coli).
    • Transform enemies into random wisps.

Tear effects used in the pool of Fruit Cake do not need their base items unlocked in order to be used. This means that Fruit Cake can occasionally give previews of synergies that are locked.


In-game Footage[]



PC Normal and hard modes only 4FDK AX4S (Treasure Room Treasure Room adjacent to spawn)

PC VLM3 QQTV (First floor Treasure Room Treasure Room)

PC Added in Repentance V1V6 VLW7 (Treasure Room Treasure Room adjacent to spawn)

PC R473-06SL (First floor Treasure Room Treasure Room)