Binding of Isaac: Rebirth Wiki
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Binding of Isaac: Rebirth Wiki
Added in Repentance

When playing as Tainted Lost Tainted Lost, only items that have this tag can spawn. Note that not all items with the tag are purely offensive as per the definition of the word.

Activated Collectibles[]

Name ID Icon Quote Description Quality
A Pony 5.100.130
A Pony
2 rooms
Flight + dash attack Passively gives flight and increases speed to 1.5 whether or not it has charges. Upon use, Isaac charges in the direction the pony is facing, giving invincibility during the charge and dealing Removed in Repentance 40 damage.
Added in Repentance Now deals 4 times Isaac's damage, plus a flat 28 damage.
2
Anarchist Cookbook 5.100.65
Anarchist Cookbook
3 rooms
Summon bombs Spawns six Troll Bombs around the room. 1
Best Friend 5.100.136
Best Friend
3 rooms
Friends 'till the end Spawns a decoy Isaac that explodes after 5 seconds, dealing Removed in Repentance 110 Added in Repentance 185 damage. Enemies will always target the decoy and ignore Isaac. 1
Blank Card 5.100.286
Blank Card
Variable
Card mimic Removed in Repentance Copies the effect of the card or rune currently held by Isaac.
Added in Repentance No longer copies the effects of runes.
2
Bob's Rotten Head 5.100.42
Bob's Rotten Head
2 rooms
Reusable ranged bomb Upon use, Isaac holds a poison bomb which can be thrown in the cardinal directions and explodes on impact. 1
Book of Secrets 5.100.287
Book of Secrets
6 rooms
Tome of knowledge Gives the effect of 15►Treasure Map Treasure Map, 15►The Compass The Compass, or 15►Blue Map Blue Map for the duration of the current floor. 0
Book of Shadows 5.100.58
Book of Shadows
3 rooms
Temporary invincibility Creates a protective shield, nullifying all types of damage in the current room for 10 seconds. 2
Box of Spiders 5.100.288
Box of Spiders
2 rooms
It's a box of spiders Removed in Repentance Spawns 1-4 Blue Spiders that deal 2.5x damage to enemies.
Added in Repentance Spawns 4-8 Blue Spiders that deal 2x damage to enemies.
1
Butter Bean 5.100.294
Butter Bean
3 seconds
Reusable knock-back Upon use, Isaac farts and knocks back nearby enemies Added in Afterbirth and projectiles. Added in Repentance Enemies pushed into walls or obstacles take 12 damage. 0
Crack the Sky 5.100.160
Crack the Sky
4 rooms
Holy white death Summons 5 beams of light in random locations on the ground, dealing large amounts of damage to any enemies that touch them. 2
Crystal Ball 5.100.158
Crystal Ball
6 rooms
I see my future Upon use, reveals the map (except the Super Secret Room) and drops a Soul Heart or random card/rune. 2
D10 5.100.285
D10
1 rooms
Reroll enemies Rerolls the monsters in the room. Only rerolls monsters that are still alive (does not spawn new enemies). 0
D100 5.100.283
D100
6 rooms
REEROLLLLL! Removed in Repentance Combines the effects of 15►D4 D4, 15►The D6 The D6, and 15►D20 D20.
Added in Repentance Combines the effects of 15►D1 D1, 15►D4 D4, 15►The D6 The D6, 15►D7 D7, 15►D8 D8, 15►D10 D10, 15►D12 D12, and 15►D20 D20.
3
D20 5.100.166
D20
6 rooms
Reroll the basics Rerolls all pickups in the current room. 2
D4 5.100.284
D4
6 rooms
Reroll into something else Rerolls all of Isaac's passive items. 3
Dad's Key 5.100.175
Dad's Key
2 rooms
Opens all doors... Opens all doors in the current room when activated, including doors which require a key to open and entrances to Secret Rooms. Opens the big doors in the first room of both Chest Chest and the Dark Room Dark Room. 1
Dead Sea Scrolls 5.100.124
Dead Sea Scrolls
2 rooms
It's a mystery Triggers the effect of a random activated item from a list of possible options (not every activated item is included). 1
Deck of Cards 5.100.85
Deck of Cards
6 rooms
Reusable card generator Gives Isaac a random card. 1
Doctor's Remote 5.100.47
Doctor's Remote
2 rooms
Reusable air strike Creates a crosshair on the ground that can be aimed with tear controls. A missile strikes the spot after 2 seconds, creating a heavy damage explosion. 1
Flush! 5.100.291
Flush!
4 rooms
... Turns all non-boss monsters in the room into poop. Instantly kills poop-themed bosses. 1
Forget Me Now 5.100.127
Forget Me Now
One time use
I don't remember... On use, re-generates the current floor with a new layout. Isaac loses Forget Me Now, but keeps other items and consumables picked up on the original floor. 3
Guppy's Head 5.100.145
Guppy's Head
1 rooms
Reusable fly hive Spawns 2-4 friendly Blue Flies that damage enemies. 3
Head of Krampus 5.100.293
Head of Krampus
3 rooms
Krampus rage Removed in Afterbirth / Re-added in Afterbirth † Fires a powerful 15►Brimstone Brimstone beam in four cardinal directions, much like Krampus shoots.

Added in Afterbirth / Removed in Afterbirth † Fires a powerful 15►Brimstone Brimstone beam in four cardinal directions, much like Krampus shoots with a 50% chance to rotate all beams around Isaac 90 degrees.

2
Isaac's Tears 5.100.323
Isaac's Tears
6 rooms
Collected tears Fires 8 tears around Isaac, which retain the damage, range, shot speed, and special tear effects. Each tear shot by Isaac increases item charge by one. 0
Lemon Mishap 5.100.56
Lemon Mishap
2 rooms
Oops... Creates a tiny pool of yellow creep, damaging enemies that cross it. 1
Magic Fingers 5.100.295
Magic Fingers
Unlimited
Pay to win Uses 1 coin to deal a large amount of damage to all enemies in the room. 1
Mom's Bottle of Pills 5.100.102
Mom's Bottle of Pills
6 rooms
Reusable pill generator Gives Isaac a random pill. 1
Mom's Bra 5.100.39
Mom's Bra
3 rooms
Mass paralysis Petrifies all enemies in the current room for around 4 seconds. 1
Mom's Pad 5.100.41
Mom's Pad
3 rooms
Mass fear Inflicts fear to all enemies in the room for 5 seconds. 0
Monster Manual 5.100.123
Monster Manual
6 rooms
Temporary buddy generator Removed in Repentance Spawns a familiar from a specific selection for the current room.
Added in Repentance Spawns a familiar from a specific selection for the current floor.
0
Monstro's Tooth 5.100.86
Monstro's Tooth
3 rooms
Summon Monstro A friendly Monstro jumps on a random enemy, dealing 120 area damage. Lands on Isaac if used in a room without enemies. 1
Mr. Boom 5.100.37
Mr. Boom
2 rooms
Reusable bomb buddy Places a Mr. Mega bomb that deals 110 damage. 1
My Little Unicorn 5.100.77
My Little Unicorn
4 rooms
Temporary badass Gives invulnerability and +0.28 speed for six seconds, removing the ability to shoot tears and replacing it with the ability to deal 40 contact damage to enemies. 1
Notched Axe 5.100.147
Notched Axe
Unlimited
Rocks don't stand a chance Removed in Repentance Isaac destroys obstacles and opens Secret Rooms by walking into them, but cannot shoot or pick up items until it's cancelled.
Added in Repentance Toggles between tears and the pickaxe, which can be swung to attack and break obstacles. Using it depletes the charge, and it can't be used until next floor once the charge runs out.
0
Pandora's Box 5.100.297
Pandora's Box
One time use
?? Upon use, spawns specific pickups or items depending on the floor it is used on. Disappears after use. 2
Portable Slot 5.100.177
Portable Slot
Unlimited
Gamble 24/7 Upon use, consumes 1 penny and has a chance to drop a random pickup, like a Slot Machine. 0
Red Candle 5.100.289
Red Candle
4 seconds
Flame on Throws a flame that that can pass over gaps (but not through obstacles). The flame damages everything in its path, diminishing in size as it hits enemies or blocks shots. 2
Remote Detonator 5.100.137
Remote Detonator
Unlimited
Remote bomb detonation Bombs placed by Isaac only explode when Remote Detonator is used. Gives 5 bombs. 1
Scissors 5.100.325
Scissors
4 rooms
Lose your head Turns Isaac's head into a stationary familiar for the current room which fires tears automatically. Added in Repentance Isaac's body also shoots a controllable fountain of blood shots for the room. 0
Shoop Da Whoop! 5.100.49
Shoop Da Whoop!
2 rooms
BLLLARRRRGGG! Fires a laser from Isaac's mouth. 1
Spider Butt 5.100.171
Spider Butt
2 rooms
Mass enemy slowdown + damage Deals 10 damage to all enemies in the room and slows them for 4 seconds. Added in Repentance Enemies killed by Spider Butt spawn Blue Spiders. 1
Tammy's Head 5.100.38
Tammy's Head
1 rooms
Reusable tear burst Shoots 10 tears in a circle around Isaac, which retain the Damage, Shot Speed, and special effects (such as poison) of Isaac's tears. 3
Telepathy for Dummies 5.100.192
Telepathy for Dummies
2 rooms
Temporary psychic shot Gives homing tears for the current room. Added in Repentance Also gives +3 range. 0
Teleport! 5.100.44
Teleport!
2 rooms
Teleport! Teleports Isaac to a random room on the current floor. 0
The Bean 5.100.111
The Bean
1 rooms
Toot on command Isaac farts, poisoning any enemy in close range. 0
The Bible 5.100.33
The Bible
4 rooms
Temporary flight On use, Isaac gains flight for the current room. Instantly kills Mom, Mom's Heart, and It Lives when activated, but kills Isaac when used on Satan. 1
The Book of Belial 5.100.34
The Book of Belial
3 rooms
Temporary DMG up +2 damage for the current room.
Removed in Afterbirth Guarantees a Devil Room Devil Room or Angel Room Angel Room will be open after beating a boss while holding it. Added in Afterbirth Increases the chance by 12.5%.
3
The Book of Sin 5.100.97
The Book of Sin
4 rooms
Reusable item generator Generates a random pickup, pill, card, or rune. 2
The Boomerang 5.100.338
The Boomerang
2 seconds
It will never leave you Throws a boomerang which retrieves pickups, as well as damages and petrifies enemies hit for 2 seconds. 1
The Candle 5.100.164
The Candle
4 seconds
Reusable flames Throws out a temporary flame that can pass over gaps (but not through rocks). The flame damages anything in its path. 2
The D6 5.100.105
The D6
6 rooms
Reroll your destiny Re-rolls all items in the current room into other items, depending on the current room's Item Pool. 4
The Gamekid 5.100.93
The Gamekid
4 rooms
Temporary Man-Pac Turns Isaac into a into a Pac-Man-like creature for 6 seconds, granting invulnerability, inflicting fear on all enemies, and replenishing a Half Red Heart for every two enemies killed. 2
The Hourglass 5.100.66
The Hourglass
2 rooms
Temporary enemy slowdown All enemies in the room are slowed for 8 seconds. 1
The Necronomicon 5.100.35
The Necronomicon
4 rooms
Mass room damage Deals 40 damage to every enemy in the room. 1
The Pinking Shears 5.100.107
The Pinking Shears
4 rooms
Cut and run Gives flight for the current room, while turning Isaac's body into a fast, high damage familiar. 3
Undefined 5.100.324
Undefined
6 rooms
Undefined Teleports Isaac to the Secret Room, Super Secret Room, Treasure Room, or I AM ERROR. 2
We Need to Go Deeper! 5.100.84
We Need to Go Deeper!
6 rooms
Reusable level skip Creates a trapdoor to go to the next floor. 0
White Pony 5.100.181
White Pony
2 rooms
Flight + holy death Passively gives flight and increases speed to 1.5. Upon use, Isaac charges in the direction the pony is facing, giving invulnerability during the charge and dealing 40 damage while also casting the effect of Crack the Sky. 2
Box of Friends 5.100.357
Box of Friends
3 rooms
Double your friends Duplicates all of Isaac's familiars for the current room. If Isaac has no familiars, spawns a 15►Demon Baby Demon Baby for the room instead. 1
D12 5.100.386
D12
3 rooms
Rerolls rocks Re-rolls all rocks in the current room into other random objects, such as bomb rocks, metal blocks, TNT, or poops. 0
D7 5.100.437
D7
3 rooms
Roll again Restarts the current room and brings back all enemies, allowing more rewards to be acquired by completing the room. 1
D8 5.100.406
D8
4 rooms
Reroll stats Re-rolls Isaac's damage, tears, range, and speed. 2
Diplopia 5.100.347
Diplopia
One time use
Double item vision Duplicates all pickups and item pedestals in the room. 3
Friendly Ball 5.100.382
Friendly Ball
2 rooms
Gotta fetch 'em all! Throwing the ball at a monster instantly kills and captures it. The captured enemy can later be released and will be friendly, fighting for Isaac and persisting between rooms. 1
Glass Cannon 5.100.352
Glass Cannon
4 seconds
Be gentle... Removed in Repentance Fires a high-damage piercing spectral tear, but lowers Isaac's health to half a heart.
Added in Repentance Fires a high-damage piercing spectral tear. If Isaac takes damage while holding this, he takes extra damage and it becomes 15►Broken Glass Cannon Broken Glass Cannon.
1
Glowing Hour Glass 5.100.422
Glowing Hour Glass
3 rooms
Turn back time Rewinds time, putting Isaac back in the previous room and undoing anything that happened in the current room. 1
Jar of Flies 5.100.434
Jar of Flies
Unlimited
Bug catcher Killing an enemy adds a fly to the jar, up to a maximum of 20. On use, releases Blue Flies equal to the number of flies in the jar. 2
Kidney Bean 5.100.421
Kidney Bean
1 rooms
Love toots! Isaac farts, charming all nearby enemies. 0
Mega Bean 5.100.351
Mega Bean
3 rooms
Giga fart! Petrifies all enemies in the current room for a couple of seconds, poisons any enemies near Isaac, and sends a rock wave across the room in the direction Isaac is facing. 1
Mega Blast 5.100.441
Mega Blast
12 rooms
Laser breath Upon use, Isaac fires a laser similar to the one used by Mega Satan. This laser deals massive damage, lasts for approximately 15 seconds, and persists between rooms. Isaac is pushed backwards by the force of the laser while it is active. 4
Mine Crafter 5.100.427
Mine Crafter
1 rooms
Booom! Places an explosive TNT barrel that can be pushed and used to destroy rocks or damage enemies when used. If used a second time in the same room while the previous TNT barrel is still intact, it will remotely explode the TNT. 1
Mom's Box 5.100.439
Mom's Box
4 rooms
What's inside? Increases Luck by 1 and doubles the effects of trinkets while held. When used, drops a random trinket on the ground. 3
Placebo 5.100.348
Placebo
Variable
Pill mimic When used, copies the effect of the pill Isaac is currently holding without consuming it. Does not copy the effects of cards or runes. 2
Tear Detonator 5.100.383
Tear Detonator
16 seconds
Remote tear detonation! When used, will detonate any tears currently on the screen and cause each one to split into 6 more tears which will fire in a circle, similar to Tammy's Head. 1
Teleport 2.0 5.100.419
Teleport 2.0
4 rooms
I-Teleport! Teleports Isaac to a room that has not been explored yet. Normal rooms are prioritized over special rooms, and common special rooms take priority over rarer ones. 2
Ventricle Razor 5.100.396
Ventricle Razor
Unlimited
Short cutter Can be used to place an orange portal and a blue portal. Upon entering a portal, Isaac is teleported to the other portal. 1
Wooden Nickel 5.100.349
Wooden Nickel
1 rooms
Flip a coin When used, has a 50% chance to drop a random coin. 1
Black Hole 5.100.512
Black Hole
4 rooms
Nothing can escape Throws a black hole on the ground which sucks in and damages enemies. 1
Book of the Dead 5.100.545
Book of the Dead
6 rooms
Rise from the grave Upon use, creates a friendly Bony, Black Bony, or an orbital bone for each enemy killed in the current room.
Added in Repentance Can also create a friendly Bone Fly or Revenant.
2
Broken Shovel 5.100.550
Broken Shovel
4 rooms
It feels cursed While held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel. 4
Brown Nugget 5.100.504
Brown Nugget
7 seconds
Friendly fly Spawns a stationary fly turret that fires tears at nearby enemies. 0
Compost 5.100.480
Compost
2 rooms
Gain more friends! Doubles Isaac's Blue Flies and Blue Spiders, or spawns one if Isaac has none. Converts pickups in the current room into Blue Flies or Blue Spiders. 2
Coupon 5.100.521
Coupon
6 rooms
Allow 6 weeks for delivery While held, guarantees one item in every Shop will be on sale. On use, makes a random item in the current room free. 2
Crooked Penny 5.100.485
Crooked Penny
4 rooms
50/50 Spawns a penny and has a 50% chance to double all items and pickups in the room. If the effect fails, the items and pickups disappear. 1
D Infinity 5.100.489
D Infinity
Variable
Reroll forever Removed in Repentance Grants a random die item that changes each use.
Added in Repentance Acts as any die item, and can by cycled by pressing the drop key.
1
D1 5.100.476
D1
4 rooms
What will it be? Duplicates a random pickup in the room. 2
Dataminer 5.100.481
Dataminer
4 rooms
109 Displaces enemy sprites for the current room, randomly increases one stat and decreases another. 0
Delirious 5.100.510
Delirious
12 rooms
Unleash the power! Spawns Delirium as a random friendly boss that fights for Isaac. 1
Eden's Soul 5.100.490
Eden's Soul
12 rooms
... Spawns two item pedestals then is consumed. Begins with no charges. 3
Mama Mega! 5.100.483
Mama Mega!
One time use
BOOOOOOOOOM! Damages all enemies and destroys all obstacles. The effect occurs every time a new room is entered for the rest of the floor. Opens the doors to the floor's Secret Room Secret Rooms and Super Secret Room Super Secret Rooms. 3
Metronome 5.100.488
Metronome
2 rooms
Waggles a finger Grants a random item effect for the current room. 0
Mom's Shovel 5.100.552
Mom's Shovel
4 rooms
Lost but not forgotten Spawns a trapdoor that leads to the next floor upon activation. Unlocks The Forgotten when used on a mound of dirt that appears in Dark Room Dark Room. 4
Moving Box 5.100.523
Moving Box
4 rooms
Pack and unpack If the box is empty, picks up all items and pickups in a room and stores them. If the box is not empty, places all stored items and pickups in the current room. 1
Mr. ME! 5.100.527
Mr. ME!
4 rooms
Caaan do! Summons a controllable ghost that can perform various tasks depending on what it targets. 3
Mystery Gift 5.100.515
Mystery Gift
One time use
Wrapped up nice for you! Upon use, spawns a random item from the current room's item pool, with a chance to spawn A Lump of Coal or The Poop instead. 3
Pause 5.100.478
Pause
2 rooms
Stop! Freezes all enemies until a fire button is pressed. 1
Plan C 5.100.475
Plan C
One time use
My last resort Kills all enemies in the room, then kills Isaac three seconds later. 0
Sacrificial Altar 5.100.536
Sacrificial Altar
One time use
He demands a sacrifice Sacrifices up to 2 familiars and spawns an item from the Devil Room pool for each familiar sacrificed. Converts all friendly spiders and flies into coins. 2
Sharp Straw 5.100.507
Sharp Straw
10 seconds
More blood! Damages all enemies in the room. Has a chance to drop a half red heart Removed in Repentanceor half soul heart if an enemy is hit. 2
Smelter 5.100.479
Smelter
6 rooms
Trinket melter! Consumes Isaac's currently held trinket and applies its effect permanently. 3
Sprinkler 5.100.516
Sprinkler
4 rooms
Sprinkles. Upon use, creates a stationary sprinkler that rotates and fires tears in 8 directions. The tears copy Isaac's stats and most tear effects. 2
Telekinesis 5.100.522
Telekinesis
3 seconds
Power of the mind Upon use, for the next two seconds, any enemy shots that come near Isaac are held in place. After the charge is depleted, they are fired back as tears. 1
Void 5.100.477
Void
6 rooms
Consume Consumes all pedestal items in the room. Active items will have their effects added to Void, and passive items will grant random stat upgrades. 4
Wait What? 5.100.484
Wait What?
10 seconds
I can't believe it's not butter bean! Isaac farts, sending out rock waves. 0
Abyss 5.100.706
Abyss
4 rooms
Come forth from the depths Destroys all items in the room and gives Isaac a unique locust familiar for each item destroyed. Some items generate locusts with special effects. 4
Alabaster Box 5.100.585
Alabaster Box
12 rooms
A sacred offering Spawns three Soul Hearts and two Angel Room Angel Room items and is consumed. Starts with no charges, and can only be charged by picking up 6 Soul Hearts. 2
Anima Sola 5.100.722
Anima Sola
15 seconds
Repent Chains down the nearest enemy for 5 seconds, preventing them from acting. 2
Berserk! 5.100.704
Berserk!
With damage dealt
Rip and tear Causes Isaac to go berserk for 5 seconds, greatly increasing his speed, tears, and damage, but restricting him to using a melee weapon instead of his tears. This item charges by dealing damage to enemies instead of clearing rooms. 3
Book of Virtues 5.100.584
Book of Virtues
4 rooms
Spiritual companionship On use, spawns a destroyable orbiting Wisp familiar that fires tears and deals contact damage. Also acts as a passive item that causes other active items to spawn themed Wisps. 3
Clear Rune 5.100.263
Clear Rune
Variable
Rune mimic Has the same effect as the rune or soul stone currently held by Isaac. 2
Damocles 5.100.577
Damocles
One time use
A king's fortune... but at what cost? Spawns a sword above Isaac's head, which doubles all item pedestals. After Isaac takes damage, the sword can randomly fall at any point, instantly killing him. 2
Dark Arts 5.100.705
Dark Arts
6 seconds
One with the shadows Makes Isaac invulnerable and intangible for one second. When the effect ends, all enemies Isaac ran through take damage and Isaac temporarily gains +1 damage for each one. 2
Decap Attack 5.100.729
Decap Attack
4 seconds
Chuck away! Throws Isaac's head, which is still able to fire tears at the spot it lands. Reactivating the item or stepping on the head reattaches it. 2
Eraser 5.100.638
Eraser
1 rooms
Erase thy enemy Throws an eraser that instantly kills the first monster it hits, and prevents that monster from spawning for the rest of the run. Can only be used once per floor. 2
Esau Jr. 5.100.703
Esau Jr.
1 rooms
Lost brother Swaps between the current character and Esau Jr., who has +2 flat damage and flight. Characters have independent items and health. Dying as either character ends the run. 2
Eternal D6 5.100.609
Eternal D6
2 rooms
??? Rerolls all items in the room. Each item has a 30% chance to disappear instead. 2
Everything Jar 5.100.720
Everything Jar
12 rooms
Anything is possible Spawns certain pickups based on how many charges it has. If fully charged, instead has one of many unique effects. 2
Fortune Cookie 5.100.557
Fortune Cookie
2 rooms
Reusable fortunes Gives Isaac a fortune, Soul Heart, Card, Rune, or trinket, similar to a Fortune Telling Machine. Fortunes are much more likely to be given than anything else. 2
Free Lemonade 5.100.578
Free Lemonade
4 rooms
Party time! Creates a large pool of yellow creep beneath Isaac. 2
Friend Finder 5.100.687
Friend Finder
4 rooms
Best friends forever! Spawns a random friendly monster that mimics Isaac's movements and attacks. 3
Gello 5.100.728
Gello
2 rooms
Demonic gestation Spawns a demon familiar that's attached to Isaac and moves and fires in the direction Isaac shoots, using Isaac's damage, tears, range, shot speed, and special tear effects. 2
Genesis 5.100.622
Genesis
One time use
In the beginning Removes all of Isaac's items and pickups and takes him to a unique Bedroom with some pickups and Chests and a trapdoor to the next floor. For every item Isaac lost, he gets to take an item from a set of three. 2
Golden Razor 5.100.555
Golden Razor
Unlimited
Pain from gain Spends five coins to increase Isaac's damage by 1.2 for the current room. 2
Jar of Wisps 5.100.685
Jar of Wisps
12 rooms
Your faith grows Spawns random wisps that shoot various tears, block shots, and deal contact damage. The number of wisps spawned increases every time the jar is used. 2
Keeper's Box 5.100.719
Keeper's Box
4 rooms
Portable shop Spawns a random shop item or pickup which can be bought for its normal price. 3
Lemegeton 5.100.712
Lemegeton
6 rooms
Item summoner Spawns a wisp representing a random passive item, which orbits Isaac but can be destroyed. While the wisp is alive, Isaac gains that item's effects. The item wisp generated depends on the item pool of the room Isaac is currently in. 3
Magic Skin 5.100.642
Magic Skin
6 rooms
All your desires fulfilled Consumes one heart container or two soul hearts to spawn an item and give Isaac a broken heart container that can never be filled. If Magic Skin isn't being held after being used, it is very likely to replace any future items. 2
Meat Cleaver 5.100.631
Meat Cleaver
2 rooms
Slice but no dice Splits all enemies in the room into two smaller versions of themselves with much less health. 1
Mega Mush 5.100.625
Mega Mush
12 rooms
I'm a big boy now! Gigantifies Isaac for 30 seconds, increasing damage and range while lowering tears, granting invulnerability, and allowing Isaac to crush enemies and obstacles he walks on. The effect persists between rooms. 4
Mom's Bracelet 5.100.604
Mom's Bracelet
Unlimited
Mother's strength Lets Isaac pick up and throw rocks, TNT, poops, and other obstacles. 2
Plum Flute 5.100.650
Plum Flute
4 rooms
Play time! Summons the boss Baby Plum to fight for Isaac in the current room. 2
R Key 5.100.636
R Key
One time use
Time to start over Brings Isaac back to the first floor of a new run, retaining all of his items. 4
Red Key 5.100.580
Red Key
4 rooms
Explore the other side Creates a Red Room Red Room adjacent to a viable wall, indicated by the outline of a door. These rooms have a 10% chance to be a special room. 3
Sharp Key 5.100.623
Sharp Key
Unlimited
Open your enemies Adds 5 keys on pickup. Allows Isaac to throw his keys to deal damage to enemies, destroy obstacles, and open doors. 1
Spindown Dice 5.100.723
Spindown Dice
6 rooms
-1 Transforms all items in the room by decreasing their internal ID number. 4
Stitches 5.100.635
Stitches
3 seconds
Bait and switch Passively spawns a familiar that moves in the direction Isaac shoots. On use, Isaac swaps places with the familiar. 1
Sulfur 5.100.556
Sulfur
3 rooms
Temporary demon form Grants 15►Brimstone Brimstone for the current room. 2
The Scooper 5.100.605
The Scooper
3 rooms
Plop! Summons a Peeper familiar for the current room, which leaves a trail of red creep. 0
Urn of Souls 5.100.640
Urn of Souls
Unlimited
Unleash their sorrow Spews a stream of damaging flame. Gains Soul Charges each time an enemy dies, which are used to fuel the urn. 3
Vade Retro 5.100.653
Vade Retro
Unlimited
Begone! While held, enemies leave behind ghosts on death. Using the item causes the ghosts to explode, dealing damage to nearby enemies. Stronger enemies leave bigger ghosts. 3
Wavy Cap 5.100.582
Wavy Cap
0.5 seconds
Tears up. A mind changing experience! Increases tears, decreases speed, and distorts the screen. All effects become more pronounced with repeated use, and wear off by clearing rooms. 1
Yuck Heart 5.100.639
Yuck Heart
6 rooms
Gross! Gives Isaac a Rotten Heart. 3

Passive Collectibles[]

Name ID Icon Quote Description Quality
???'s Only Friend 5.100.320 ???'s Only Friend Controlled friend Spawns a controllable familiar that deals 37.5 damage per second on touch. It can be moved using the shooting directional keys 2
20/20 5.100.245 20/20 Double shot Isaac fires two tears at once, one from each eye.
Added in Repentance 0.75x damage multiplier.
4
3 Dollar Bill 5.100.191 3 Dollar Bill Rainbow tears Removed in Afterbirth Gives Isaac a random tear effect every room.
Added in Afterbirth Gives Isaac a random tear effect every few seconds.
2
9 Volt 5.100.116 9 Volt Quicker charge Reduces the charge of any activated item by 1. Any 1 charge items instead have timed recharges. 2
A Lump of Coal 5.100.132 A Lump of Coal My Xmas present The more distance tears travel, the more damage they will do. 3
A Quarter 5.100.74 A Quarter +25 coins Gives Isaac 25 coins. 2
Abaddon 5.100.230 Abaddon Evil + DMG up + fear shot Removed in Repentance +1.5 damage, +0.2 speed. Removes all Red Heart containers, grants six Black Hearts, and adds a chance to shoot fear tears.
Added in Repentance +1.5 damage, +0.2 speed. Grants two Black Hearts, converts all Red Heart Containers into Black Hearts, and adds a chance to shoot fear tears.
4
Abel 5.100.188 Abel Mirrored buddy Spawns a familiar that mirrors Isaac's movements and shoots in the opposite direction. 0
Anti-Gravity 5.100.222 Anti-Gravity Anti-gravity tears + tears up -2 Tear Delay. Tears float in position until firing ceases, after which they will fly off in the direction they were shot in. 3
Aquarius 5.100.308 Aquarius Trail of tears A trail of blue creep is left behind Isaac, which damages enemies. 0
Aries 5.100.300 Aries Ramming speed +0.25 Speed. Running into enemies while at a high speed will deal damage. Removed in Repentance Does not prevent contact damage. 1
Ball of Bandages 5.100.207 Ball of Bandages Gotta lick 'em all! Spawns an orbital familiar that blocks enemy shots, dealing 105 damage per second. Collecting additional copies gives it the ability to shoot charm tears, then chase enemies, then increases the damage. 2
Ball of Tar 5.100.231 Ball of Tar Sticky feet... Adds a chance to shoot slowing tears. Isaac leaves a trail of slowing creep behind as he moves, impeding enemies' speed. 2
BBF 5.100.272 BBF Big Beautiful Fly Spawns a familiar that flies around the room in a zig-zag pattern and explodes on contact with an enemy. Respawns after ten seconds. 1
Best Bud 5.100.274 Best Bud Sworn protector When hit, spawns a quickly orbiting attack fly similar to 15►Forever Alone Forever Alone for the current room dealing Removed in Repentance75 Added in Repentance150 damage per second. 0
BFFS! 5.100.247 BFFS! Your friends rule! Increases the size and effectiveness of most familiars. 2
Black Candle 5.100.260 Black Candle Curse immunity + evil up Prevents curses. Grants one Black Heart. Increases the chance for a Devil or Angel Room to appear. 3
Blood Clot 5.100.254 Blood Clot DMG + range up Tears fired from the left eye have +1 flat damage, +5 range, and +0.5 tear height. 2
Blood of the Martyr 5.100.7 Blood of the Martyr DMG up Increases damage by 1, and turns Isaac's tears into blood tears. 3
Blue Cap 5.100.342 Blue Cap HP + tears up + shot speed down Gives one full Red Heart container, +0.7 tears, and -0.16 shot speed. Added in Repentance Heals 2 additional hearts of health. 3
Blue Map 5.100.246 Blue Map Secrets Reveals the locations of Secret Room Secret Rooms and Super Secret Room Super Secret Rooms on the map. 2
Bob's Brain 5.100.273 Bob's Brain Explosive thoughts Spawns a familiar that charges forward when shooting tears and explodes upon contact with an enemy, damaging and poisoning them. The familiar respawns after a few seconds. 1
Bob's Curse 5.100.140 Bob's Curse +5 poison bombs Gives 5 bombs and grants Isaac's bombs a poison effect. Added in Repentance Gives Isaac immunity to poison. 1
Bobby-Bomb 5.100.125 Bobby-Bomb Homing bombs! +5 bombs. Bombs gain a homing effect, slowly moving towards the nearest enemy. 2
Bogo Bombs 5.100.250 Bogo Bombs 1+1 BOOM! All Bomb pickups become Double Bombs. 1
Bomb Bag 5.100.131 Bomb Bag Gives bombs Spawns a familiar that drops a bomb every 3 rooms. 2
Boom! 5.100.19 Boom! 10 bombs Grants 10 bombs. 0
Box 5.100.198 Box Stuff Spawns various pickups: 1 coin, 1 key, 1 bomb, 1 Red Heart, 1 card/rune, 1 pill and 1 trinket. 1
Brimstone 5.100.118 Brimstone Blood laser barrage Tears are replaced by a laser beam that pierces through all enemies and obstacles in its path and deals high damage. Can only be fired after a short charge-up period. 4
Brother Bobby 5.100.8 Brother Bobby Friends 'till the end A familiar that follows Isaac around shooting normal tears. 0
Bum Friend 5.100.144 Bum Friend He's greedy Spawns a familiar that picks up coins for himself, giving random pickups in return. Does not spawn collectibles. 0
Butt Bombs 5.100.209 Butt Bombs Toxic blast +5 bombs +5 bombs. Bombs now cloud up the screen, briefly damaging and confusing all enemies. 2
Caffeine Pill 5.100.340 Caffeine Pill Speed up + size down Grants +0.3 speed, reduces character size, and gives a random pill. 1
Cain's Other Eye 5.100.319 Cain's Other Eye Near-sighted friend Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeper and shoots normal tears in the same direction as Isaac. 0
Capricorn 5.100.307 Capricorn All stats up Adds 1 Red Heart Container, gives +0.5 Damage, +0.1 Speed, Removed in Repentance +1.5 / Added in Repentance +0.75 Range, and -1.0 Tear Delay, and gives 1 Bomb, Coin, and Key. 3
Cat-O-Nine-Tails 5.100.165 Cat-O-Nine-Tails Shot speed + damage up +1 damage, +0.23 shot speed. 3
Ceremonial Robes 5.100.216 Ceremonial Robes DMG + evil up Grants 3 Black Hearts, and +1 damage. 3
Champion Belt 5.100.208 Champion Belt DMG + challenge up Increases damage, but also increases the chance of champion enemies appearing. 3
Chemical Peel 5.100.154 Chemical Peel DMG up Tears fired from the left eye have +2 flat damage. 1
Chocolate Milk 5.100.69 Chocolate Milk Charge shots Grants charged tears that deal greater damage when fully charged. 3
Contract From Below 5.100.241 Contract From Below Wealth... but at what cost? Doubles the number of most room clear awards, but reduces the overall chance of getting one by 1/3. 3
Cricket's Body 5.100.224 Cricket's Body Bursting shots + tears up Grants -1 tear delay and reduces range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose range and damage scale with Isaac's. 3
Cricket's Head 5.100.4 Cricket's Head DMG up Increases Damage by 0.5, and increases damage multiplier by x1.5. 4
Cube of Meat 5.100.73 Cube of Meat Gotta meat 'em all! Spawns an orbital familiar that blocks enemy shots, dealing 105 damage per second. Collecting additional copies grants it the ability to shoot, then chase enemies, then increases the damage. 2
Cupid's Arrow 5.100.48 Cupid's Arrow Piercing shots Grants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them. 3
Cursed Eye 5.100.316 Cursed Eye Cursed charge shot Grants charged tears that can be fired in a tight burst. Getting hit while charging will teleport Isaac to another room. 0
Daddy Longlegs 5.100.170 Daddy Longlegs Daddy's love Daddy Long Legs' shadow follows Isaac and occasionally stomps enemies for 40 damage total. 3
Dark Bum 5.100.278 Dark Bum He wants to take your life Spawns a familiar that follows Isaac around and collects Red Hearts. For every 1½ Red Hearts collected, Dark Bum will give a reward. 4
Dark Matter 5.100.259 Dark Matter DMG up + fear shot +1 damage, adds a chance to shoot fear tears. 3
Dead Onion 5.100.336 Dead Onion Toxic aura tears Grants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed. 3
Death's Touch 5.100.237 Death's Touch Piercing shots + DMG up +1.5 damage, -0.3 tears. Tears are replaced with large piercing scythes. 3
Demon Baby 5.100.113 Demon Baby Auto-turret friend Spawns a familiar that follows Isaac and automatically fires at enemies in its reach. 2
Distant Admiration 5.100.57 Distant Admiration Attack fly Spawns an attack fly that circles further out than 15►Halo of Flies Halo of Flies, but closer than 15►Forever Alone Forever Alone, dealing 75 damage per second. 2
Dr. Fetus 5.100.52 Dr. Fetus ??? Tears are replaced by bombs that benefit from bomb-enhancing effects and slide for a fixed time after being fired. 4
Epic Fetus 5.100.168 Epic Fetus On-demand air strike Isaac's tears are replaced with guided missiles, like those used by the 15►Doctor's Remote Doctor's Remote. 4
Eve's Mascara 5.100.310 Eve's Mascara DMG up, tears + shot speed down Doubles damage, halves tears stat, and greatly reduces shot speed. 1
Experimental Treatment 5.100.240 Experimental Treatment Some stats up, some stats down Removed in Afterbirth † Randomly increases and decreases some of Isaac's stats.
Added in Afterbirth † Increases four random stats and decreases the other two.
1
Fire Mind 5.100.257 Fire Mind Flaming tears Grants flaming tears that deal burning damage over time. Tears have a chance to explode on impact with an enemy, which creates a fire at the location of the explosion. 2
Forever Alone 5.100.128 Forever Alone Attack fly Spawns an attack fly that orbits a long distance from Isaac, dealing 30 damage per second. 1
Gemini 5.100.318 Gemini Conjoined friend Spawns a conjoined familiar which chases enemies close to Isaac, dealing ~8 damage per second. 1
Ghost Baby 5.100.163 Ghost Baby Spectral buddy Spawns a familiar that follows Isaac around and fires spectral tears. 1
Goat Head 5.100.215 Goat Head He accepts your offering A Devil Room / Angel Room will always spawn after every boss fight, excluding the first floor and floors after Chapter 4. 3
Godhead 5.100.331 Godhead God tears Grants homing tears with a damaging halo. +0.5 damage, -0.3 tears, +1.2 range, -0.3 shot speed, +0.8 tear height. 4
Growth Hormones 5.100.70 Growth Hormones Speed + DMG up Removed in Repentance +1 damage, +0.4 speed.
Added in Repentance +1 damage, +0.2 speed.
3
Guillotine 5.100.206 Guillotine DMG + tears up. An out-of-body experience! Isaac's head is removed from his body and floats around him as an orbital. Gives +1 damage and grants -1 tear delay. 3
Guppy's Hair Ball 5.100.187 Guppy's Hair Ball Swing it Spawns a familiar that loosely follows behind Isaac, which blocks shots can be swung like a flail to damage enemies. Grows bigger by killing enemies. 1
Guppy's Tail 5.100.134 Guppy's Tail Cursed? Room Clear Awards have a 1/3 chance of being replaced with a Chest and a 1/3 chance being replaced with nothing. 2
Harlequin Baby 5.100.167 Harlequin Baby Double shot buddy Spawns a familiar that follows Isaac around and fires two tears at once in a V-pattern. 1
Headless Baby 5.100.269 Headless Baby Bloody friend Spawns a familiar that follows Isaac, leaving blood creep on the ground. 1
Hive Mind 5.100.248 Hive Mind Giant spiders and flies Increases the size of Blue Spiders and Blue Flies and doubles the amount of damage they deal. Added in Repentance Also increases the effectiveness of fly and spider familiars. 2
Hot Bombs 5.100.256 Hot Bombs Burning blast +5 bombs Grants 5 bombs. Isaac's bombs leave behind fire that damages enemies upon contact. 1
Humbling Bundle 5.100.203 Humbling Bundle 1+1 free 4Evar Removed in Repentance Replaces all regular red hearts, pennies, keys, and bombs with double versions worth twice as much.
Added in Repentance Regular red hearts, pennies, keys, and bombs have a chance to be replaced with double versions worth twice as much.
3
Infestation 2 5.100.234 Infestation 2 Infestation shot Spawns allied Blue Spiders from killed enemies. 4
Ipecac 5.100.149 Ipecac Explosive shots Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth. 4
Iron Bar 5.100.201 Iron Bar DMG up + concussive tears Increases damage by 0.3 and adds a chance to shoot concussive tears, causing enemies to walk around randomly. 3
Jesus Juice 5.100.197 Jesus Juice Damage + range up +0.5 damage, +0.25 range, +0.5 tear height. 2
Juicy Sack 5.100.266 Juicy Sack Sticky babies Spawns a familiar that follows Isaac and drips a trail of slow creep, spawning 1-2 Blue Spiders after each room. 2
Key Piece 1 5.100.238 Key Piece 1 ??? Combined with Key Piece 2, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan. 0
Key Piece 2 5.100.239 Key Piece 2 ??? Combined with Key Piece 1, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan. 0
Latch Key 5.100.343 Latch Key Luck up Grants 1 Soul Heart and +1 luck. Spawns 2 Keys. 2
Leech 5.100.270 Leech Blood sucker Spawns a leech familiar that chases enemies, dealing ~3 damage per second. Heals a Half Red Heart whenever Leech kills an enemy. 1
Libra 5.100.304 Libra You feel balanced Gives 6 coins, 6 bombs, and 6 keys and balances out all attributes. 1
Lil Brimstone 5.100.275 Lil Brimstone Evil friend Grants a familiar that charges a thin 15►Brimstone Brimstone laser while Isaac is shooting. 3
Lil Haunt 5.100.277 Lil Haunt Fear him Spawns a familiar that chases down enemies, dealing 4 damage per second and inflicting fear. 1
Little Baggy 5.100.252 Little Baggy Extra pill room Isaac can hold 2 pills at once and all cards and runes are replaced by pills. 1
Little Chubby 5.100.88 Little Chubby Attack buddy Spawns a charger familiar that charges forward and deals contact damage to any enemies in its path. 1
Little Gish 5.100.99 Little Gish Sticky friend Spawns a familiar that follows Isaac around and fires slowing tears, impeding enemies' speed. 2
Little Steven 5.100.100 Little Steven Psychic friend Spawns a familiar who follows Isaac around and fires homing tears. 1
Loki's Horns 5.100.87 Loki's Horns Cross tears Gives a random chance for projectiles to fire in all 4 cardinal directions. 1
Lost Contact 5.100.213 Lost Contact Shielded tears Isaac's tears can hit and destroy enemy projectiles. -0.16 shot speed. 2
Lucky Foot 5.100.46 Lucky Foot Luck up +1 luck. Increases chance of winning Shell Games and Fortune Tellers (independent from the luck stat).
Added in Repentance Converts all bad pills into good pills, without identifying them.
2
Magic 8 Ball 5.100.194 Magic 8 Ball Shot speed up +0.16 shot speed, spawns a random tarot card. Added in Repentance Increases the chance of finding a Planetarium. 1
Magic Mushroom 5.100.12 Magic Mushroom All stats up! Makes Isaac bigger. Adds one Red Heart container, +0.3 damage, x1.5 damage multiplier, +5.25 range, and +0.3 speed. Restores all health on pickup. 4
Match Book 5.100.344 Match Book Evil up Grants Isaac one Black Heart, spawns two or three Bombs. 1
Mini Mush 5.100.71 Mini Mush Speed + range up Decreases Isaac's size, making him less likely to be hit. Removed in Repentance+0.3 speed, +1.5 tear height, -4.25 range (effective range is increased). Added in Repentance +0.3 speed, +1.50 range. 2
Missing No. 5.100.258 Missing No. Syntax error Randomizes all passive items and stats upon pickup and at the start of each succeeding floor. 2
Mom's Coin Purse 5.100.195 Mom's Coin Purse What's all this...? Spawns 4 random pills near Isaac. 1
Mom's Contacts 5.100.110 Mom's Contacts Freeze effect +0.25 range. Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. 3
Mom's Eye 5.100.55 Mom's Eye Eye in the back of your head Gives Isaac a chance to fire tears from the back of his head. 1
Mom's Eyeshadow 5.100.200 Mom's Eyeshadow Charm tears Tears have a chance to charm enemies. 1
Mom's Heels 5.100.30 Mom's Heels Range up +5.25 range, +0.5 tear height. Added in Repentance Enemies that touch Isaac take 12 damage. 1
Mom's Key 5.100.199 Mom's Key Better chest loot +2 keys Adds 2 keys. Chests will drop additional pickups. 3
Mom's Knife 5.100.114 Mom's Knife Stab stab stab Isaac's tears are replaced by a knife that pierces enemies, can travel through obstacles and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power. 4
Mom's Lipstick 5.100.31 Mom's Lipstick Range up +5.25 range, +0.5 tear height. Added in Repentance Spawns one random heart. 1
Mom's Perfume 5.100.228 Mom's Perfume Fear shot + tears up Adds a chance to shoot fear tears and decreases tear delay by 1. 2
Mom's Purse 5.100.139 Mom's Purse More trinket room Allows Isaac to hold 1 additional trinket. 3
Mom's Underwear 5.100.29 Mom's Underwear Range up +5.25 range, +0.5 tear height. Added in Repentance Spawns 3-6 Blue Flies on pickup. 1
Mom's Wig 5.100.217 Mom's Wig You feel itchy... Adds a chance to spawn Blue Spiders when firing tears. Restores 1 red heart. 3
Money = Power 5.100.109 Money = Power $$$ = DMG Increases damage by 0.04 for every coin Isaac has, up to +3.96 damage at 99 coins. 3
Mongo Baby 5.100.322 Mongo Baby Mongo friend Spawns a familiar that copies the tears of Isaac's other familiars. 2
Monstro's Lung 5.100.229 Monstro's Lung Charged burst attack Replaces normal tears with a charged shot that fires 14 tears in the same fashion as Monstro. 2
Mr. Mega 5.100.106 Mr. Mega Bigger boom Grants 5 bombs, and makes all dropped bombs larger, which have an increased blast radius and increased damage. 2
Mutant Spider 5.100.153 Mutant Spider Quad shot Grants quadruple shot but decreases tears. 3
My Reflection 5.100.5 My Reflection Boomerang tears Gives Isaac's tears a boomerang effect. +1.5 range, +1 tear height, x1.6 shot speed multiplier. 0
Mysterious Liquid 5.100.317 Mysterious Liquid Toxic splash damage Tears leave a small, short lasting pool of creep on impact or when their range is depleted. 1
Mystery Sack 5.100.271 Mystery Sack ? Spawns a familiar that drops a Heart, coin, bomb, or key every 5-6 rooms. 2
Number One 5.100.6 Number One Tears up + range down Grants +1.5 tears, but severely reduces range. 2
Odd Mushroom 5.100.121 Odd Mushroom HP + DMG up, speed down Grants one empty Heart container, +0.3 damage, +0.25 range, +0.5 tear height, and -0.1 speed. 2
Odd Mushroom 5.100.120 Odd Mushroom Tears + speed up, DMG down +1.7 tears, +0.3 speed, slightly reduces damage. 3
Pageant Boy 5.100.141 Pageant Boy Ultimate grand supreme Spawns seven random coins around Isaac. 0
Pentagram 5.100.51 Pentagram DMG up +1 damage, increases Devil Room / Angel Room chance by 10%. 3
PHD 5.100.75 PHD Better pills Converts all bad pills into good pills, spawns one pill pickup, and identifies all pills. Restores two Red Hearts and increases the payout of Blood Donation Machines. 2
Pisces 5.100.309 Pisces Tears up + knock-back shots -1 Tear Delay, adds knock-back shots and increases tear size. 2
Polyphemus 5.100.169 Polyphemus Mega tears Isaac fires huge tears that deal massive damage, but fire rate is greatly decreased. If a tear kills an enemy, it travels on with any leftover damage. 4
Proptosis 5.100.261 Proptosis Short range mega tears Tears start out massive with high damage, and then shrink down and become weaker over a short range. 4
Pyro 5.100.190 Pyro 99 bombs Grants 99 Bombs. 3
Rainbow Baby 5.100.174 Rainbow Baby Random buddy Spawns a familiar that follows Isaac around and fires tears with random effects. 1
Robo-Baby 5.100.95 Robo-Baby Friends 'till the bbbbzzzt Spawns a familiar that shoots 15►Technology Technology lasers. 1
Robo-Baby 2.0 5.100.267 Robo-Baby 2.0 We worked out all the kinks Spawns a familiar that fires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears. 0
Roid Rage 5.100.14 Roid Rage Speed and range up Removed in Repentance +0.6 speed, +5.25 range, +0.5 tear height.
Added in Repentance +0.3 speed, +1.50 range, +0.5 tear height.
2
Rotten Baby 5.100.268 Rotten Baby Infested friend Spawns a familiar that spawns a Blue Fly when Isaac shoots. It can only have one Fly at a time. 3
Rubber Cement 5.100.221 Rubber Cement Bouncing tears Tears bounce off walls, enemies, and environmental objects. 3
Sack of Pennies 5.100.94 Sack of Pennies Gives money Spawns a familiar that drops a coin every 2 rooms. 1
Sacred Heart 5.100.182 Sacred Heart Homing shots + DMG up Grants homing tears, x2.3 damage multiplier, +1 flat damage, +4.125 range, +0.75 tear height, -0.4 tears, -0.25 shot speed, a red Heart Container and replenishes all Red Hearts. 4
Sad Bombs 5.100.220 Sad Bombs Tear blasts +5 bombs +5 Bombs. Upon exploding, bombs shoot 10 tears around them, affected by tear modifiers. 3
Safety Pin 5.100.339 Safety Pin Evil + range + shot speed up Grants one Black Heart, +5.25 range, +0.5 tear height, +0.16 shot speed. 1
Sagittarius 5.100.306 Sagittarius Piercing shots + speed up Increases speed by +0.2 and grants piercing tears. 3
Scorpio 5.100.305 Scorpio Poison tears Grants poison tears, which deal damage over time when inflicted. 2
Screw 5.100.255 Screw Tears + shot speed up +0.5 tears, +0.2 shot speed. 3
Sissy Longlegs 5.100.280 Sissy Longlegs She loves you Spawns a familiar that wanders randomly, occasionally spawning Blue Spiders. 1
Sister Maggy 5.100.67 Sister Maggy Friends 'till the end Spawns a familiar that follows Isaac around shooting normal tears. 0
Skeleton Key 5.100.17 Skeleton Key 99 keys Gives Isaac 99 Keys. 3
SMB Super Fan 5.100.189 SMB Super Fan All stats up +1 Red Heart container, +0.3 damage, +0.2 tears, +0.2 speed, +0.5 range, +1 tear height. Fully restores all red hearts. 3
Soy Milk 5.100.330 Soy Milk DMG down + tears way up Tears are smaller and do much less damage, but fire in very rapid succession. 2
Speed Ball 5.100.143 Speed Ball Speed + shot speed up +0.3 speed, +0.2 shot speed. 2
Spelunker Hat 5.100.91 Spelunker Hat See-through doors Reveals type of adjacent rooms, including location for Secret Rooms and Super Secret Rooms. 2
Spider Bite 5.100.89 Spider Bite Slow effect Adds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them. 2
Spoon Bender 5.100.3 Spoon Bender Homing shots Grants Isaac homing tears. 3
Squeezy 5.100.196 Squeezy Tears up Increases tears by 0.4, spawns 2 Soul Hearts. 3
Starter Deck 5.100.251 Starter Deck Extra card room Isaac can hold 2 cards at once and all pills are replaced by cards. 2
Steam Sale 5.100.64 Steam Sale 50% off Reduces all Shop prices by 50%, rounded down to 7 coins for an item, rounded up to 2-3 coins for a pickup. 2
Steven 5.100.50 Steven DMG up Increases damage by 1. 3
Strange Attractor 5.100.315 Strange Attractor Magnetic tears Pickups, trinkets, and monsters are magnetically attracted to Isaac's tears. 0
Synthoil 5.100.345 Synthoil DMG + range up +1 damage, +5.25 range, +0.5 tear height. 3
Tech.5 5.100.244 Tech.5 It's still being tested... Isaac occasionally fires an unlimited range piercing laser alongside his normal tears. The laser can glitch, mimicking the effects of certain items and trinkets. 3
Technology 5.100.68 Technology Laser tears Replaces tears with a piercing laser with unlimited range. 3
Technology 2 5.100.152 Technology 2 Extra laser Decreases Removed in Repentance damage and replaces the tears fired from Isaac's right eye with a rapidly firing and piercing laser.
Added in Repentance Reduces the tears of Isaac's left eye; damage is unaffected.
2
The Battery 5.100.63 The Battery Stores energy Activated collectibles can store an extra level of charge, allowing them to be used twice in one room. 2
The Belt 5.100.28 The Belt Speed up Increases speed by 0.3. 2
The Common Cold 5.100.103 The Common Cold Poison damage Adds a chance to shoot poison tears, dealing damage over time when inflicted. 1
The Compass 5.100.21 The Compass The end is near Reveals the locations and types of all special rooms on the map, except Secret Room Secret Rooms and Invalid room type in template. 2
The Halo 5.100.101 The Halo All stats up Grants one full Red Heart container, +0.3 damage, +0.2 tears, +0.25 range, +0.3 speed, and +0.5 tear height. 2
The Inner Eye 5.100.2 The Inner Eye Triple shot Grants triple shot but decreases tears. 2
The Ludovico Technique 5.100.329 The Ludovico Technique Controlled tears Instead of firing tears, Isaac controls one floating tear that hover over obstacles. This tear deals constant damage when held in place over an enemy. 3
The Mark 5.100.79 The Mark DMG + speed up Grants one Soul Heart, +1 damage, and +0.2 speed. 3
The Mind 5.100.333 The Mind I know all Reveals the entire map, including all special rooms and Secret Rooms. 3
The Mulligan 5.100.151 The Mulligan They grow inside Tears have a 1/6 chance of spawning allied Blue Flies when they hit an enemy. 3
The Negative 5.100.328 The Negative Fate chosen If Isaac has half a red heart or no red hearts after taking damage, all enemies in the room take significant damage. Allows entrance into the Dark Room Dark Room. Added in Repentance Also allows access to Home Home. 1
The Pact 5.100.80 The Pact DMG + tears up Removed in Repentance Grants two Soul Hearts, +0.5 damage, and +0.7 tears.
Added in Repentance Grants two Black Hearts, +0.5 damage, and +0.7 tears.
3
The Parasite 5.100.104 The Parasite Split shot Isaac's tears split in two when they hit something. 2
The Peeper 5.100.155 The Peeper Plop! Spawns a familiar that floats slowly around the room on a zig-zag pattern, damaging enemies it passes through. 0
The Polaroid 5.100.327 The Polaroid Fate chosen If Isaac has half a red heart or no red hearts after taking damage, he gains a shield that nullifies all types of damage for 5 seconds. Allows entrance into Chest Chest. Added in Repentance Also allows access to Home Home. 2
The Sad Onion 5.100.1 The Sad Onion Tears up Increases tears by 0.7. 3
The Small Rock 5.100.90 The Small Rock DMG up Increases damage by 1, increases tears by 0.2, and decreases speed by 0.2. 3
The Soul 5.100.335 The Soul I am all Grants two Soul Hearts. Isaac gains a pulsing aura that repels enemies and projectiles. 3
There's Options 5.100.249 There's Options More options Two items appear after defeating a Boss. Only one can be taken; the other will disappear. 3
Tiny Planet 5.100.233 Tiny Planet Orbiting tears + range up Range up and makes shot tears revolve around Isaac until they drop. 0
Toothpicks 5.100.183 Toothpicks Tears + shot speed up +0.7 tears, +0.16 shot speed. 3
Torn Photo 5.100.341 Torn Photo Tears + shot speed up +0.7 tears, +0.16 shot speed. 3
Tough Love 5.100.150 Tough Love Tooth shot Adds a chance to shoot a tooth instead of a tear, which deals x3.2 Isaac's damage. 3
Treasure Map 5.100.54 Treasure Map Full visible map Reveals the map of each floor. It does not identify special rooms and does not reveal the locations of Secret Room Secret Rooms / Super Secret Room Super Secret Rooms. 2
Whore of Babylon 5.100.122 Whore of Babylon Curse up Grants +1.5 damage and +0.3 speed whenever Isaac has half a red heart or less (one red heart for Eve), ignoring any Soul or Black Hearts. 2
Wire Coat Hanger 5.100.32 Wire Coat Hanger Tears up Increases tears by 0.7. 3
Wooden Spoon 5.100.27 Wooden Spoon Speed up Increases speed by 0.3. 1
X-Ray Vision 5.100.76 X-Ray Vision I've seen everything Reveals and opens all Secret Room and Super Secret Room entrances. 2
8 Inch Nails 5.100.359 8 Inch Nails Stick it to 'em! +1.5 damage. Replaces Isaac's tears with nails, which have increased knockback. 3
Binky 5.100.438 Binky Tears up Grants one Soul Heart, +0.75 tears and decreases Isaac's size. 3
Black Powder 5.100.420 Black Powder Spin the black circle! Isaac leaves a trail of black powder on the floor. Walking in a circle will spawn a pentagram symbol on the floor, which deals 10 damage per tick to any enemies inside it. 1
Bomber Boy 5.100.353 Bomber Boy Cross blast + 5 bombs +5 bombs. Isaac's bombs will now explode in a large cross-shaped pattern (roughly 5 bombs explosions wide). This also affects player-spawned Troll Bombs. 2
Bumbo 5.100.385 Bumbo Bumbo want coin! Spawns a beggar familiar which picks up any nearby coins, leveling up after collecting several coins. At level 2, Bumbo gains a body. At level 3, it begins to fire tears. At level 4, Bumbo follows enemies and gains contact damage. 1
Bursting Sack 5.100.377 Bursting Sack Spider love Spider enemies no longer target or deal contact damage to Isaac. 1
Car Battery 5.100.356 Car Battery Active power up Causes Isaac's activated item to activate twice on each use. 3
Censer 5.100.387 Censer Peace be with you Spawns a familiar which creates a circular aura that slows down enemies and enemy shots inside. 3
Chaos 5.100.402 Chaos !!! Drops 1-6 random pickups on the floor. Causes items to be chosen from random item pools. 3
Charged Baby 5.100.372 Charged Baby Bbbzzzzzt! Spawns a familiar that occasionally drops a Lil' Battery, gives an active item charge, or petrifies all enemies in the room. 3
Continuum 5.100.369 Continuum Transcendent tears Grants spectral tears and increases range. Tears travel through walls and appear at the opposite side of the room. 2
Crown of Light 5.100.415 Crown of Light The untainted gain power +2 soul hearts. While Isaac has no empty red hearts, grants 2x damage, +5.25 range, and -0.3 shot speed. Regardless of health, the crown deactivates for the current room when Isaac takes damage. 4
Dead Eye 5.100.373 Dead Eye Accuracy brings power! Isaac's damage increases each time an enemy is hit. Damage is reset upon missing a shot. 3
Deep Pockets 5.100.416 Deep Pockets More money! Removed in Repentance Allows Isaac to carry two cards or pills (or a combination of both) at the same time.
Added in Repentance Increases the coin cap to 999. If a room would otherwise yield no reward, 1-3 coins will spawn.
2
Eden's Blessing 5.100.381 Eden's Blessing Tears up + your future shines brighter +0.7 tears up. Grants a random item at the start of the next run. 3
Epiphora 5.100.368 Epiphora Intensifying tears Shooting in one direction increases Isaac's rate of fire until the cap is reached. As soon as Isaac changes direction or stops shooting, rate of fire is reset to its normal amount. 1
Evil Eye 5.100.410 Evil Eye Eye shot! Adds a chance to fire a slow-moving eye that fires tears in the same direction as Isaac. The eye will be destroyed if it hits an enemy or obstacle. 2
Explosivo 5.100.401 Explosivo Sticky bomb shot! Isaac's tears have a chance to stick to enemies and explode. 1
Fate's Reward 5.100.361 Fate's Reward Your fate beside you A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage. 2
Friend Zone 5.100.364 Friend Zone Friendly fly Spawns a white attack fly that orbits somewhere between 15►Distant Admiration Distant Admiration and 15►Forever Alone Forever Alone, dealing 45 damage per second. 1
Fruit Cake 5.100.418 Fruit Cake Rainbow effects! Isaac's tears gain a random effect that changes every shot. 2
GB Bug 5.100.405 GB Bug Double tap glitch Removed in Repentance Spawns a familiar that bounces diagonally around the room, applying a random status effect to enemies it hits and has a chance to re-roll pickups it passes over.
Added in Repentance Spawns a familiar that follows Isaac. Double tapping the fire button launches it forward, causing it to reroll the first monster or pickup it hits.
0
Glitter Bombs 5.100.432 Glitter Bombs Prize bombs! +5 bombs. Bombs have a chance to drop random pickups or charm enemies when they explode. 2
God's Flesh 5.100.398 God's Flesh Shrink shot! Tears have a chance to shrink enemies, making them run away from Isaac. Shrunk enemies can be crushed and killed by walking over them. 1
Head of the Keeper 5.100.429 Head of the Keeper Penny tears! Isaac's tears become coins and now have a chance to drop Pennies on the floor upon successfully hitting an enemy. 2
Holy Light 5.100.374 Holy Light Holy death shot Adds a chance to fire holy tears, which will create a damaging light beam in the area if they hit an enemy. 3
Incubus 5.100.360 Incubus Dark friend Spawns a demonic familiar that shoots tears identical to Isaac's in terms of damage, tears, and tear effects. 4
Key Bum 5.100.388 Key Bum He wants your keys! Spawns a familiar that follows Isaac and collects Keys for himself, giving random Chests in return. 0
Kidney Stone 5.100.440 Kidney Stone Matt's kidney stone Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. The burst of tears also includes a kidney stone, which deals a lot of damage. 1
Lil Chest 5.100.362 Lil Chest What's in the box? Spawns a chest familiar that spawns a random pickup (25% chance) or trinket (10% chance) upon clearing a room. 2
Lil Gurdy 5.100.384 Lil Gurdy A gurd of your own! A Gurdy Jr. familiar that charges up while Isaac is firing, bouncing around the room when released and dealing contact damage based on its speed. 1
Lil Loki 5.100.435 Lil Loki 4-way buddy! Spawns a Loki familiar that follows Isaac and fires 4 tears in a cross pattern. 1
Lost Fly 5.100.365 Lost Fly Lost protector Spawns fly familiar that moves in a straight line and circles around the first wall or obstacle it hits, dealing 105 damage per second on contact. 0
Lusty Blood 5.100.411 Lusty Blood Their blood brings rage! Isaac's damage increases for the current room each time he kills an enemy. 3
Marked 5.100.394 Marked Directed tears Isaac will automatically fire tears directed at a red target on the ground. The target can be moved with tear controls. +0.7 tears, +3.15 range. 0
Maw of the Void 5.100.399 Maw of the Void Consume thy enemy! Charged by firing for 2.5 seconds and when released, creates a black ring around Isaac that rapidly deals damage. Removed in Repentance +1 damage, the ring can cause enemies to drop Black Hearts. 4
Mom's Pearls 5.100.355 Mom's Pearls Range + luck up +1.25 range, +0.5 tear height, +1 luck. Added in Repentance Grants one Soul Heart. 2
More Options 5.100.414 More Options There's options Two items spawn in every Treasure Room. Only one can be taken; the other will disappear. 3
Mr. Dolly 5.100.370 Mr. Dolly Range + tears up +0.7 tears, +5.25 range, +0.5 tear height, spawns 3 random types of Hearts on the floor when picked up. 3
Multidimensional Baby 5.100.431 Multidimensional Baby ydduB Buddy Spawns a familiar that will follow Isaac's movements on a 2.5-second delay. Tears that pass through the baby will be doubled and increase in speed. 1
Night Light 5.100.425 Night Light Scared of the dark? A cone of light shines in the direction Isaac is moving that slows enemies and enemy shots. 2
No. 2 5.100.378 No. 2 Uh oh... Continuously firing tears for three seconds causes Isaac to drop a Butt Bomb, which damages and confuses all enemies in the room when it explodes. 2
Obsessed Fan 5.100.426 Obsessed Fan Follows my every move... Spawns a familiar that follows Isaac's movements on a 3 second delay and deals 30 contact damage per second to enemies.
Added in Repentance The fly follows Isaac on a 0.66 second delay.
0
Papa Fly 5.100.430 Papa Fly Turret follower Spawns a familiar that follows Isaac's movements on a 3 second delay, firing tears at nearby enemies. 1
Pay to Play 5.100.380 Pay to Play Money talks +5 coins. Turns doors that require a single Key into doors which need a coin to enter instead. 2
Pupula Duplex 5.100.379 Pupula Duplex Wide shot Gives Isaac spectral tears and gives his tears a wide arc shape, increasing their size. 2
Purity 5.100.407 Purity Aura stat boost Boosts one of Isaac's stats depending on the color of the aura around him. The aura disappears upon taking damage and reappears with a random color upon entering a new room. Red boosts damage, blue boosts tears, yellow boosts speed, and orange boosts range. 2
Restock 5.100.376 Restock Never ending stores! Causes shops to instantly restock their items when they are bought. Added in Repentance Outside of Greed Mode, the restocked item's cost is increased after each purchase. 3
Rune Bag 5.100.389 Rune Bag Rune generator Spawns a familiar that drops a random rune every Removed in Repentance 5-6 (Added in Repentance 7-8) rooms. 3
Sack Head 5.100.424 Sack Head More sacks! Coins, bombs, keys, cards, runes and batteries have a chance to become sacks. 3
Scatter Bombs 5.100.366 Scatter Bombs We put bombs in your bombs! Adds 5 bombs. Isaac's bombs explode into 2-4 tiny bombs. 1
Seraphim 5.100.390 Seraphim Sworn friend Spawns an angel familiar which follows Isaac and fires homing tears which deal 10 damage and have 75% shot speed. 3
Serpent's Kiss 5.100.393 Serpent's Kiss The kiss of death Tears have a chance to apply a poison effect to enemies. Isaac poisons enemies on contact. Poisoned enemies have a chance to drop a black heart when killed. 4
Spear of Destiny 5.100.400 Spear of Destiny Your destiny In addition to tears, Isaac holds a spear in front of him which deals contact damage equal to 2x his tear damage, and occasionally inflicts fear. 1
Sticky Bombs 5.100.367 Sticky Bombs Egg sack bombs! +5 bombs. Bombs stick to enemies and spawn 2-4 Blue Spiders if they kill an enemy. 1
Succubus 5.100.417 Succubus Damage booster Spawns a flying familiar that bounces around the room with a black aura, dealing rapid damage to any enemies inside it. While standing in the aura, Isaac gains a 1.5x tear damage multiplier. 3
Tech X 5.100.395 Tech X Laser ring tears Tears are replaced with laser rings that pierce through enemies and deal damage to enemies within them. Can be charged to increase the effectiveness of the ring. 4
The Wiz 5.100.358 The Wiz Double wiz shot! Tears simultaneously fire out of both eyes diagonally, similar to the effect of the R U a Wizard? pill. Isaac's tears also travel above all obstacles. 1
Toxic Shock 5.100.350 Toxic Shock Mass poison Upon entering a room, poisons all enemies, dealing double Isaac's tear damage. Killing enemies leaves a small, short-lasting pool of green creep on the ground. 3
Tractor Beam 5.100.397 Tractor Beam Controlled tears Increases Tears, Range, and Shot Speed. Isaac emits a beam from his face that his tears are bound to. 2
Zodiac 5.100.392 Zodiac The heavens will change you Gives Isaac a random zodiac item effect that changes every floor. 1
7 Seals 5.100.526 7 Seals Lil harbingers! Spawns a random Harbinger familiar that changes every 10 seconds. Harbingers have different behaviors and spawn themed Locusts. 2
Acid Baby 5.100.491 Acid Baby Pills pills pills! Spawns a familiar that drops a random pill every 3 rooms. Upon using a pill, all enemies in the room are poisoned. 2
Analog Stick 5.100.465 Analog Stick 360 tears! +0.35 tears up. Allows Isaac to fire tears diagonally. 2
Angelic Prism 5.100.528 Angelic Prism Eclipsed by the moon Spawns an orbital familiar with a large orbital radius. Tears that pass through the prism split into four multi-colored tears. 3
Angry Fly 5.100.511 Angry Fly He's violent Spawns a fly familiar that orbits around a random enemy and deals 30 damage per second to enemies it comes in contact with. 1
Apple! 5.100.443 Apple! Trick or treat? Increases tears. Adds a chance to fire a high-damage razor blade. 3
Backstabber 5.100.506 Backstabber Watch your back! Isaac's tears deal double damage and inflict bleeding on enemies if they're facing away from Isaac. 1
Belly Button 5.100.458 Belly Button What's in there? Drops a random trinket. Grants a second trinket slot. 3
Big Chubby 5.100.473 Big Chubby Chub chub Spawns a familiar that follows Isaac and charges across the room when Isaac fires, blocking shots and dealing 40.5 damage per second on contact. 1
Blanket 5.100.535 Blanket You feel Safe Grants one Soul Heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears. 1
Bloodshot Eye 5.100.509 Bloodshot Eye Bloody friend Spawns an orbital familiar that deals 30 damage per second and fires a randomly angled tear every 2 seconds. 1
Bozo 5.100.513 Bozo Party time! +0.1 flat damage, grants a Soul Heart. Enemies can randomly become briefly charmed or feared. Taking damage has a chance to spawn a rainbow poop. 2
Broken Modem 5.100.514 Broken Modem Lag! Enemies, enemy shots, tears, and pickups will briefly freeze in place at random intervals. 1
Broken Shovel 5.100.551 Broken Shovel It feels cursed One of two parts necessary to create Mom's Shovel. 4
Buddy in a Box 5.100.518 Buddy in a Box What could it be?! Spawns a familiar with a random tear effect. The familiar is randomized at the start of each floor. 2
Camo Undies 5.100.497 Camo Undies Camo kid Isaac becomes camouflaged at the beginning of each room. Until he shoots, all non-boss enemies will be confused. 0
Compound Fracture 5.100.453 Compound Fracture Bone tears! Increases range. Tears turn into bones, which shatter into 1-3 bone shards upon hitting an enemy or obstacle. 2
Contagion 5.100.466 Contagion Outbreak! The first enemy killed in a room explodes and poisons nearby enemies. Poisoned enemies will also explode upon death. 2
Dad's Lost Coin 5.100.455 Dad's Lost Coin I remember this... +1.5 range. Drops a Lucky Penny. 2
Dad's Ring 5.100.546 Dad's Ring Father's blessing Creates a ring of light around Isaac that petrifies enemies in contact. 3
Dead Tooth 5.100.446 Dead Tooth Toxic breath While firing, Isaac gains a green aura that poisons nearby enemies. 1
Death's List 5.100.530 Death's List Just hope you're not next... Grants a pickup or stat upgrade if all enemies in a room are killed in the order they are marked. 2
Depression 5.100.469 Depression :( Spawns a familiar that leaves a trail of creep that damages enemies at 6 damage per second. Has a chance to spawn damaging beams of light onto enemies that touch the cloud. 1
Divorce Papers 5.100.547 Divorce Papers Tears up + you feel empty Grants one Bone Heart, +0.7 tears, spawns a Mysterious Paper. 2
Dog Tooth 5.100.445 Dog Tooth Bark at the moon! +0.3 damage, +0.1 speed. Plays a howl or bark sound when entering a room with undiscovered Secret Rooms or Crawl Spaces. 1
Duality 5.100.498 Duality You feel very balanced Whenever a Devil or Angel Room would spawn after defeating a boss, both rooms spawn. Only one can be entered. 1
Eucharist 5.100.499 Eucharist Peace be with you An Angel Room door will always spawn after every boss fight, excluding the first floor and floors after Womb Womb II/Utero Utero II/. 3
Euthanasia 5.100.496 Euthanasia Needle shot Adds a chance to fire needles that instantly kill basic enemies and deal triple damage to bosses. If a needle kills an enemy, it bursts into more tears/needles. 3
Eye of Belial 5.100.462 Eye of Belial Possessed tears! Grants piercing tears. After piercing one enemy, tears start homing and deal double damage. 3
Eye of Greed 5.100.450 Eye of Greed Gold tears! Every 20 tears, Isaac loses 1 coin and shoots an additional gold tear that petrifies enemies and turns them into gold. Any enemy killed while in this state will drop coins. 2
Fast Bombs 5.100.517 Fast Bombs Rapid bomb drops Grants 7 bombs and allows bombs to be placed rapidly. 1
Finger! 5.100.467 Finger! Watch where you point that! Spawns a finger familiar that points at enemies, dealing scaling damage. 1
Flat Stone 5.100.540 Flat Stone Skipping tears Tears bounce off the floor, creating splashes. Splashes deal 25% of Isaac's tear damage to all enemies in a small area. 2
Ghost Pepper 5.100.495 Ghost Pepper Flame tears Removed in RepentanceGives a chance to shoot fires alongside tears that block enemy shots and deal damage to enemies that touch them.
Added in RepentanceGives a chance to shoot blue fires alongside tears that become smaller as they travel.
2
Glaucoma 5.100.460 Glaucoma Blind tears! Adds a chance to shoot tears that confuse enemies for an extremely long time. 2
Glyph of Balance 5.100.464 Glyph of Balance A gift from above Grants 2 Soul Hearts and modifies drops from Champion monsters based on certain conditions. Added in Repentance Also modifies room clear drops. 1
Haemolacria 5.100.531 Haemolacria I'm seeing red... Tears are now fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay. 2
Hushy 5.100.470 Hushy Lil hush! Spawns a Hush familiar that bounces diagonally around the room and deals contact damage. While firing tears, it stops moving. 0
Jacob's Ladder 5.100.494 Jacob's Ladder Electric tears Tears fire sparks of electricity in random directions upon hitting an obstacle or enemy. 2
Jaw Bone 5.100.548 Jaw Bone Fetch! Spawns a familiar that flies through the room while firing, dealing a flat 7 contact damage to enemies and retrieving pickups. 1
Jumper Cables 5.100.520 Jumper Cables Bloody recharge Grants an active item charge every 15 enemies killed. 3
King Baby 5.100.472 King Baby Hail to the king baby Spawns a familiar that follows Isaac and makes other familiars follow it. While firing tears, other familiars stop moving. 0
Lachryphagy 5.100.532 Lachryphagy Feed them! Isaac's tears decelerate as they travel. Upon stopping or hitting an obstacle, they burst into 8 tears in all directions. Tears can be fired into other tears to feed them, increasing their damage. 2
Large Zit 5.100.502 Large Zit Creep shots Adds a chance to fire a creep shot that deals double damage and leaves a trail of slowing white creep. 1
Lead Pencil 5.100.444 Lead Pencil He's a bleeder! After every 15 tears fired, Isaac will fire a high-damage cluster of tears. 3
Lil Delirium 5.100.519 Lil Delirium Delirious friend Grants a familiar that transforms into another random familiar every 10 seconds. 2
Lil Monstro 5.100.471 Lil Monstro Ain't he cute? Spawns a familiar that fires clusters of tears. Must be charged before shooting. 2
Lil Spewer 5.100.537 Lil Spewer Puking buddy Drops a random pill, and spawns a familiar that charges up and fires creep. Using pills changes the creep type. 1
Linger Bean 5.100.447 Linger Bean Crying makes me toot Constantly shooting causes Isaac to release gas clouds that can be pushed by his tears and damage nearby enemies. 0
Little Horn 5.100.503 Little Horn Big brother is watching Removed in Repentance Adds a chance to fire a piercing tear that instantly kills any enemy that it touches.
Added in Repentance Adds a chance to fire a tear that summons Big Horn's hand to crush the first enemy it hits, instantly killing monsters or greatly damaging bosses.
3
Mom's Razor 5.100.508 Mom's Razor It's sharp! Spawns an orbiting razor that deals contact damage and inflicts bleeding on enemies, causing them to slowly take damage over time. 1
Parasitoid 5.100.461 Parasitoid Egg tears! Adds a chance to fire an egg sack which creates slowing creep and spawns a Blue Fly or Blue Spider upon hitting an enemy. 3
Pointy Rib 5.100.544 Pointy Rib Stabbing time Spawns a bone familiar that hovers back and forth in front of Isaac, dealing damage equal to Isaac's damage. 2
Poke Go 5.100.505 Poke Go Gotta catch em... Upon entering a room with enemies in it, has a chance to spawn a random friendly enemy that persists across rooms. 0
Polydactyly 5.100.454 Polydactyly Hold me! Allows Isaac to carry two cards, pills, or any combination of both. Spawns one random card, rune, or pill. 2
Pop! 5.100.529 Pop! Eyeball tears! Replaces Isaac's tears with eyeballs that can bounce off of each other. The eyeballs are not limited by range, and will instead dissipate when they stop moving or when hitting an enemy or obstacle. 2
Sack of Sacks 5.100.500 Sack of Sacks Gives sacks Spawns a familiar that drops a sack every 5-6 rooms cleared. 3
Schoolbag 5.100.534 Schoolbag Extra active item room Allows Isaac to hold two active items. 3
Shade 5.100.468 Shade It follows Spawns a shadow familiar that follows Isaac's movements on a 1 second delay and deals contact damage to enemies. After dealing enough damage, it is absorbed by Isaac and spawns friendly Chargers. 0
Sinus Infection 5.100.459 Sinus Infection Booger tears! Adds a chance to fire a booger that sticks to enemies and deals damage over time. 3
Slipped Rib 5.100.542 Slipped Rib Projectile shield Spawns a bone familiar that circles around Isaac and reflects enemy shots. 2
Sulfuric Acid 5.100.463 Sulfuric Acid Acid tears! +0.3 damage. Adds a chance to fire acidic tears which can destroy obstacles. 2
Tarot Cloth 5.100.451 Tarot Cloth I see the future Drops a random card or rune. Removed in Repentance Doubles the effects of most cards and runes. Added in Repentance Doubles the effects of tarot cards. 3
Technology Zero 5.100.524 Technology Zero Static tears! Connects Isaac's tears with electricity that can damage enemies. 3
Trisagion 5.100.533 Trisagion Smite thy enemy Damage down. Tears are replaced with piercing white blasts of light that can damage the same enemy multiple times. 2
YO LISTEN! 5.100.492 YO LISTEN! Yo listen! +1 luck. Spawns a fairy familiar that points out Secret Rooms, Crawl Space entrances, and tinted rocks. 2
120 Volt 5.100.559 120 Volt Zap! Repeatedly zaps enemies that are close to Isaac. 3
2Spooky 5.100.554 2Spooky 4me Enemies near Isaac are afflicted with fear. 2
4.5 Volt 5.100.647 4.5 Volt Beat the juice out of them! Active items don't charge when clearing rooms. Instead, they're charged by dealing damage to enemies. 2
A Bar of Soap 5.100.564 A Bar of Soap Tears + shot speed up Gives Isaac +0.5 Tears and +0.2 Shot Speed. 3
Act of Contrition 5.100.601 Act of Contrition Tears up, you feel forgiven Increases tears and grants an Eternal Heart. Allows Angel Rooms to appear even if a Devil deal has been taken before. Greatly boosts Devil/Angel Deal chance if Isaac has taken Red Heart damage. 3
Akeldama 5.100.641 Akeldama Spill your guts While in an uncleared room, Isaac forms a trail of bloody tears that drags behind him, bursting and dealing damage upon contact with enemies. 2
Almond Milk 5.100.561 Almond Milk DMG down + tears up + you feel nutty Quadruples fire rate, with x0.3 damage multiplier. Tears are given random worm trinket effects. 1
Azazel's Rage 5.100.699 Azazel's Rage Ancient power Isaac builds rage every time a room is cleared. After four rooms, fires a large 15►Brimstone Brimstone laser when entering the next room. 3
Battery Pack 5.100.603 Battery Pack Instant energy! Recharges Isaac's currently held active item and drops 2-4 batteries. 1
Birthright 5.100.619 Birthright ??? Has a different effect for each character. 2
Blood Bombs 5.100.614 Blood Bombs Bloody blast + HP up Grants a Red Heart container and restores 5 hearts. Bombs leave behind damaging red creep. Isaac can place bombs at the cost of half a heart if he doesn't have any. 1
Boiled Baby 5.100.607 Boiled Baby Messy friend Gives Isaac a familiar that fires chaotic bursts of tears in all directions. 1
Bone Spurs 5.100.683 Bone Spurs Break your enemies Enemies spawn floating bones on death, which block shots and damage/repel enemies that touch them. 2
Booster Pack 5.100.624 Booster Pack Collect them all! Spawns 5 random cards. 1
Brimstone Bombs 5.100.646 Brimstone Bombs Demon blast +5 bombs Gives Isaac +5 bombs and causes his bombs to fire 15►Brimstone Brimstone lasers in the cardinal directions upon exploding. 3
C Section 5.100.678 C Section Fetus shots Not fully implemented. 4
Card Reading 5.100.660 Card Reading A link to your future Spawns two portals at the beginning of each floor that each lead to either the Boss Room, Secret Room, or Treasure Room. 3
Consolation Prize 5.100.644 Consolation Prize +1 to lowest stat Increases Isaac's lowest stat and drops either 3 coins, 1 bomb, or 1 key depending on what Isaac has the least of. 1
Dirty Mind 5.100.576 Dirty Mind Filthy friends Destroying poop spawns Dip Familiars that follow Isaac and damage enemies. Destroying different types of poop spawns different Dips with special effects. 2
Dream Catcher 5.100.566 Dream Catcher Sweet dreams During the transition between floors, Isaac's nightmare shows the floor's Treasure Room item and boss. Grants half a soul heart when entering a new floor. 2
Echo Chamber 5.100.700 Echo Chamber I can see see the future future future When Isaac uses a card, pill, or rune, he also uses a copy of every card/pill/rune he used after picking up Echo Chamber. 2
Evil Charm 5.100.632 Evil Charm Luck up + you feel protected Increases luck by 2.0. Provides immunity to burn, confusion, fear, and poison. 1
Eye Drops 5.100.600 Eye Drops Tears up Lowers the tear delay in Isaac's left eye, causing his eyes to fire at different rates. 3
Eye of the Occult 5.100.572 Eye of the Occult DMG up + range up + controlled tears Isaac's tears are now controlled mid-flight with tear controls. Also increases damage and range, but decreases shot speed. 3
Eye Sore 5.100.558 Eye Sore More eyes Causes Isaac to occasionally fire extra tears in random directions while shooting. 2
False PHD 5.100.654 False PHD Worse pills + evil up Converts good pills into bad pills and identifies all pills. Bad pills now have secondary positive effects. Grants one Black Heart. 2
Freezer Baby 5.100.608 Freezer Baby Iced iced baby Spawns a shooting familiar that has a chance to petrify enemies, and Freezes monsters upon killing them. 2
Fruity Plum 5.100.649 Fruity Plum Bouncy friend Gives Isaac a miniature Baby Plum familiar that propels itself diagonally around the room, firing tears behind itself as it travels. 1
Ghost Bombs 5.100.727 Ghost Bombs Spooky blast +5 bombs +5 bombs. Bombs become spectral and spawn ghosts that deal contact damage to enemies and explode after 10 seconds. 2
Glitched Crown 5.100.689 Glitched Crown ????? Before being picked up, item pedestals cycle between 5 random items. 4
Hemoptysis 5.100.726 Hemoptysis Double tap sneeze Double-tapping a fire button causes Isaac to sneeze blood, dealing damage to enemies in front of him. 3
Hungry Soul 5.100.684 Hungry Soul Out for blood Enemies have a chance to spawn ghosts on death, which chase and deal contact damage to enemies and explode after a short time. 3
IBS 5.100.725 IBS Your stomach rumbles Causes Isaac to throw poop, create buffing creep, or drop bombs while fighting enemies. 2
Immaculate Heart 5.100.573 Immaculate Heart Halo of tears Adds one Red Heart Container and fully restores health. x1.2 damage multiplier. Isaac will occasionally fire extra tears that orbit around him. 3
Isaac's Tomb 5.100.701 Isaac's Tomb Buried memories Spawns an Old Chest at the start of each floor. 3
Jupiter 5.100.594 Jupiter You're a gas giant! +2 red Heart containers, -0.3 speed. Isaac builds speed while standing still, and releases poison gas clouds when he moves afterwards. 3
Keeper's Kin 5.100.717 Keeper's Kin Under a rock Rocks and props spawn blue spiders over time while in a room with enemies, and spawn two blue spiders when destroyed. 2
Keeper's Sack 5.100.716 Keeper's Sack Spending power Gives range, speed, or damage when buying things from a shop. Also spawns three coins and a key on pickup. 3
Knockout Drops 5.100.637 Knockout Drops They pack a punch! Adds a chance to shoot a fist tear that has extremely high knockback and confuses enemies. 3
Lil Abaddon 5.100.679 Lil Abaddon Abyssal friend Spawns a familiar that charges a miniature 15►Maw of the Void Maw of the Void attack while Isaac shoots. 3
Lil Dumpy 5.100.615 Lil Dumpy Puffy buddy Gives Isaac a Dumpy familiar that pushes, confuses, or poisons nearby enemies and flies in a random direction after taking damage. 0
Lil Portal 5.100.681 Lil Portal It hungers A familiar that flies forward, consuming pickups in its path. Each one will increase its size and damage and spawn a Blue Fly. Every four pickups, it opens a portal that leads to an unexplored room. 1
Lodestone 5.100.617 Lodestone Magnetizing tears Gives Isaac the chance to fire tears that magnetize enemies they hit, causing them to attract nearby pickups and enemies, as well as tears/shots from all sources. 3
Luna 5.100.589 Luna The moon's blessing shines upon you Adds an extra Secret Room and Super Secret Room to each floor. Secret Rooms contain a beam of light that increases tears for the current floor and gives half a soul heart. 2
Mars 5.100.593 Mars Double tap dash Dash by double-tapping the movement key, becoming invulnerable and damaging enemies. There's a short cooldown before Isaac can dash again. 2
Member Card 5.100.602 Member Card Exclusive access! Adds a trapdoor to every shop that leads to a second shop with a unique stock and marked-up prices. 1
Mercurius 5.100.590 Mercurius Speed up + you feel elusive +0.4 speed. Doors stay open after entering a room, even in rooms with enemies. 3
Monstrance 5.100.574 Monstrance Purifying light Isaac gains an aura that deals damage to enemies inside it. 2
Montezuma's Revenge 5.100.680 Montezuma's Revenge Oh no... While firing, Isaac charges up a short-ranged 15►Brimstone Brimstone-like diarrhea beam that shoots behind him. 3
Nancy Bombs 5.100.563 Nancy Bombs Random blast +5 bombs Gives Isaac +5 bombs and gives his bombs random bomb synergies. 1
Neptunus 5.100.597 Neptunus Open the floodgates Isaac's mouth fills with tears over time while not firing, up to a cap. Holding the fire button will release all stored tears in rapid succession. 3
Ocular Rift 5.100.606 Ocular Rift Stare into the abyss Gives Isaac the chance to fire tears that create rifts where they land, which damage nearby enemies and pull in enemies, pickups, and tears/shots from all sources. 3
Options? 5.100.670 Options? There might be options If a room gives a reward when cleared, there will be two different rewards to chose from. Taking one causes the other to disappear. 2
Paschal Candle 5.100.567 Paschal Candle Keep the flame burning Gives Isaac a candle familiar that grants a Tears bonus of +0.4 for each room cleared in a row without taking damage, which stacks up to 5 times, represented by how brightly the flame burns. Starts at 1 stack, and resets to zero if damage is taken. 3
Playdough Cookie 5.100.570 Playdough Cookie Tasty rainbow Grants multicolored tears. Each color comes with a different status or tear effect. 3
Pluto 5.100.598 Pluto Size down Significantly shrinks Isaac, allowing him to squeeze between objects and makes some enemy shots pass over him. Also gives +0.7 tears. 3
Psy Fly 5.100.581 Psy Fly Flamboyant protector Spawns a fly orbital familiar that chases and deflects enemy shots and converts them into homing tears that deal 2 damage. Turns some Fly enemies into friendly Blue Flies if it touches them while deflecting shots. 3
Quints 5.100.661 Quints They lurk inside The first five enemies killed in a room will spawn stationary shooting familiars where they died. 1
Red Stew 5.100.621 Red Stew Full HP + temporary DMG up Refills all heart containers. Grants an enormous damage boost that wears off over time. 0
Redemption 5.100.673 Redemption Deliver me from evil Gives Isaac a soul heart and +1 damage if he goes into a Devil Room but doesn't take anything from it. 2
Revelation 5.100.643 Revelation Awaken your faith Grants flight and two soul hearts. In addition to tears, Isaac can charge up and fire a powerful holy laser. 4
Rock Bottom 5.100.562 Rock Bottom It's only up from there Locks Isaac's attributes to their highest values reached. 2
Rocket in a Jar 5.100.583 Rocket in a Jar Rocket propulsion +5 bombs +5 bombs. If Isaac is currently moving, placing a bomb will instead shoot a fast-moving, explosive rocket in the direction he's facing. 2
Rotten Tomato 5.100.618 Rotten Tomato Delicious! Adds a chance to fire tears that Mark enemies. Marked enemies are attacked by other enemies. 1
Sacred Orb 5.100.691 Sacred Orb Destined for greatness Prevents low-quality items from spawning, greatly increasing the quality of items received from all item pools. 4
Salvation 5.100.696 Salvation Divine protection Gives Isaac a halo that summons beams of light on enemies inside it. The halo grows larger the more times Isaac has taken damage this floor. 2
Saturnus 5.100.595 Saturnus Ring of tears Upon entering a room, a circle of tears orbits Isaac. Enemy tears have a chance to be caught in orbit, turning them friendly. 1
Sausage 5.100.669 Sausage All stats up Adds a Red Heart Container, fully heals Isaac, and gives +0.2 Speed, +0.5 Damage, +0.5 Tears, +1.5 Range, +0.2 Shot Speed, and +1.0 Luck. 3
Sol 5.100.588 Sol Radiant victory Reveals the location of the Boss room. Upon defeating a boss, activates XIX - The Sun, fully recharges Isaac's active item, grants bonus damage and luck for the rest of the floor, and removes curses. 2
Spirit Sword 5.100.579 Spirit Sword Divine blade Instead of tears, Isaac swings a sword. Charging does a spin attack and fires a projectile, and a projectile is sometimes fired with normal swings if Isaac has no empty red hearts. 3
Stapler 5.100.708 Stapler DMG up +1 damage. Prevents Isaac from firing tears from one eye, like Cain. 3
Star of Bethlehem 5.100.651 Star of Bethlehem Follow the light Spawns a star familiar that slowly travels towards the Boss Room, giving an aura that increases damage and tears and grants homing tears. 2
Terra 5.100.592 Terra Born to rock Replaces tears with rocks that deal variable damage, have increased knockback, and can destroy obstacles. 3
The Intruder 5.100.575 The Intruder Invasive friend A familiar burrows in Isaac's head, firing 4 slowing tears. Upon taking damage, there's a chance it will burst out of Isaac's head, spawning blue spiders and chasing enemies for the current room. 3
The Stairway 5.100.586 The Stairway May you get what you came for Generates a ladder at the start of every floor that leads to a unique Angel Room shop. 3
TMTRAINER 5.100.721 TMTRAINER ZZaZZ ZZdZZiZZmZZhZZ ZZvZZ ZZoZZ ZZ ZZsZZlZZhZZsZZoZZaZZiZZ Causes all future items to be "glitched", granting them completely random effects. 2
Tooth and Nail 5.100.663 Tooth and Nail You feel prickly Isaac periodically turns into a spiked statue, briefly becoming invulnerable and dealing contact damage. 2
Tropicamide 5.100.659 Tropicamide Tear size + range up +1.5 range, Increases tear size. 1
Twisted Pair 5.100.698 Twisted Pair Double trouble! Spawns two familiars that float on either side of Isaac and fire tears that use his tears, range, shot speed, and tear effects, and scale with damage. 4
Uranus 5.100.596 Uranus Ice tears Isaac shoots ice tears, which slow enemies and freeze monsters they kill. Frozen enemies slide away and explode into ice shards when touched. 3
Vasculitis 5.100.657 Vasculitis Clogged enemies Enemies explode into tears upon death, which inherit the effects of Isaac's tears. 2
Venus 5.100.591 Venus HP up + you feel pretty Adds one red Heart container. Enemies near Isaac become charmed. 1
Voodoo Head 5.100.599 Voodoo Head Extra curse rooms Spawns an additional curse room on each floor. 1
Worm Friend 5.100.682 Worm Friend Clingy buddy Gives Isaac a Nerve Ending familiar that burrows out of the ground to grab and deal damage to enemies over time. 2


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