Binding of Isaac: Rebirth Wiki

Added in Repentance

Heartbreak is an unlockable passive item added in The Binding of Isaac: Repentance.


  • Grants +0.25 damage for every broken heart Isaac has.
  • Immediately grants 3 broken hearts. Every otherwise fatal hit will instead add 2 more, replacing other types of hearts if necessary, and deal 40 damage to all enemies in the room.
    • Once Isaac has no non-broken hearts left, he dies. Extra lives will apply at this point.
    • The effect does not save Isaac from fatal devil deals.


  • Found Soul Found Soul: The ghost gains 2 extra hits per floor and every hit they take will damage all enemies in a room as well.
  • Guppy's Collar Guppy's Collar: Guppy's collar has a chance to respawn Isaac with an extra half soul heart on death, even if Isaac has already reached 12 broken hearts.
  • Keeper Keeper: Keeper will gain 1 broken heart instead of 3. Taking fatal damage will only grant Keeper 1 broken heart.
  • The Lost The Lost / Tainted Lost Tainted Lost: The Lost has full benefit of the item. This lets him survive 4 extra hits, each hit adding 1 damage, and the 5th is fatal.
  • Plan C Plan C/ Suicide King Suicide King: Upon use no broken hearts are gained and Isaac dies.

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