Immaculate Heart

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.

Effects

Isaac will frequently fire tears that orbit around him until they hit the ground, similar to Tiny Planet.
- x1.2 damage multiplier on orbiting tears. This multiplier does not stack with multiple Immaculate Hearts.
Adds one red heart container and fully restores Isaac's health.
In addition to normal tears, Isaac will occasionally fire extra spectral tears that orbit around him.
This item belongs to the Seraphim set. Collecting three items from this set will transform Isaac into an angel.

Angelic Prism: The extra tears share the same orbit as Angelic Prism, making them very easy to split.
Compound Fracture: The orbiting tears will turn into bones, which upon hit create 1-3 bone fragments which also orbit around the player.
Chemical Peel: Some of the orbiting tears will gain Chemical Peel's 2 flat damage bonus.
Cricket's Body: The orbiting tears will split on hit, with the split shots also orbiting until they hit.
Death's Touch: Death's Touch tear modification will also affect the orbiting tears.
Haemolacria: The orbiting tears will be affected by Haemolacria but the tears created upon hit will not orbit.
Sacred Heart: The orbiting tears will gain every modification from Sacred Heart, including homing.
The Ludovico Technique: Immaculate Heart will shoot orbiting tears at all times.
The Parasite: Orbiting tears will split on hit, generating a large number of split shots.
Trisagion: The orbiting tears will become trisagion lasers.
Urn of Souls: Each individual flame shot from the Urn has a chance to spawn an orbiting tear.
8 Inch Nails: The orbiting tears will become nails, also granting them extra knockback on hit.
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.