Questionmarkisaac.png For the other Angel item with a similar name, see Sacred Heart.

Immaculate Heart is a passive item added in The Binding of Isaac: Repentance.


  • Isaac will frequently fire extra spectral tears that orbit around him until they hit the ground, similar to Collectible Tiny Planet icon.png Tiny Planet. These tears mimic Isaac's in most cases.
  • x1.2 damage multiplier. This multiplier does not stack with multiple Immaculate Hearts.
  • Adds one Red Heart Container and fully replenishes Isaac's health.
  • This item belongs to the Seraphim set. Collecting three items from this set will transform Isaac into an angel.


  • Collectible Angelic Prism icon.png Angelic Prism: The extra tears share the same orbit as Angelic Prism, making them very easy to split.
  • Collectible Chemical Peel icon.png Chemical Peel: Some of the orbiting tears will gain Chemical Peel's 2 flat damage bonus.
  • Collectible Death's Touch icon.png Death's Touch: Death's Touch tear modification will also affect the orbiting tears.
  • Collectible Haemolacria icon.png Haemolacria: The orbiting tears will be affected by Haemolacria but the tears created upon hit will not orbit.
  • Collectible Lachryphagy icon.png Lachryphagy: Lachryphagy will affect the orbiting tears and become bigger when in contact with other tears. The Lachryphagy tears will split upon hit and the split shots will orbit around the point where the original tear had split.
  • Collectible The Ludovico Technique icon.png The Ludovico Technique: Immaculate Heart will shoot orbiting tears at all times.
  • Collectible Urn of Souls icon.png Urn of Souls: Each individual flame shot from the Urn has a chance to spawn an orbiting tear.



PC Greed Mode Indicator.png DEQJ QGR6 ( Character Eden icon.png Eden)

Community content is available under CC BY-NC-SA 3.0 unless otherwise noted.