Binding of Isaac: Rebirth Wiki

Isaac's Head is an unlockable trinket.


  • Isaac's severed head will follow him as a familiar firing piercing tears that deal 3.5 damage with each shot.
    • Removed in Repentance The head shoots once per second.
    • Added in Repentance The head shoots once every 3/4ths of a second.


  • While holding this trinket, if there's another familiar that follows Isaac's Head, dropping this trinket will move the familiar to the first familiar slot.
    • This resets upon quitting and re-entering the game.
    • This is useful with familiars that are more effective when closer to Isaac, such as Lil Brimstone Lil Brimstone and Added in AfterbirthIncubus Incubus.

In-game Footage[]


  • In the original Binding of Isaac, Isaac's Head was unlocked by beating ??? ??? as Isaac.