Item Tags nolostbr

Items in this pool will not spawn if The Lost has the item Birthright. It generally includes items that are useless to The Lost, ones that only grant health, flight, spectral tears or activate upon taking damage. It is similar, but not identical, to the item logic used by Tainted Lost.

Activated Collectibles

Name	ID	Icon	Quote	Description	Quality
Blood Rights	5.100.186		Mass enemy damage at a cost	Upon use, takes a full heart of health and deals 40 damage to all enemies in the room.	0
Book of Revelations	5.100.78		Reusable soul protection	Gives one Soul Heart, increases the chance for a Devil or Angel Room, and changes the boss of the current floor to a Harbinger if possible.	3
Breath of Life	5.100.326		Invincibility at a cost	Grants a brief moment of invincibility when the charge bar hits zero. If the spacebar is held for an additional second after hitting zero, Isaac will take damage.	0
Converter	5.100.296		Convert your soul	Converts two Soul Hearts into one full Heart Container. Converts one Soul or Black Heart into one full Heart Container.	1
Guppy's Paw	5.100.133		Soul converter	Upon use, converts one Heart Container into three Soul Hearts.	3
IV Bag	5.100.135		Portable blood bank	Upon use, Isaac loses half a heart of health (one in Womb onward) for a random amount of coins, similar to a Blood Donation Machine.	1
Kamikaze!	5.100.40		Become the bomb!	Creates an explosion around Isaac, damaging him and nearby enemies as well as destroying obstacles.	0
Prayer Card	5.100.146		Reusable eternity	Gives an Eternal Heart per use.	3
Razor Blade	5.100.126		Feel my pain	On use, takes one heart of health and grants +1.2 damage for the current room.	0
Satanic Bible	5.100.292		Reusable evil... but at what cost?	Gives one Black Heart. Replaces the boss room item on the current floor with a Devil deal.	4
The Jar	5.100.290		Save your life	When at full health, up to 4 extra Red Hearts can be stored in The Jar.	0
Yum Heart	5.100.45		Reusable regeneration	Restores one Red Heart of Isaac's health.	1
Clicker	5.100.482		Change	Transforms Isaac into a random character and removes the last item collected.	0
Potato Peeler	5.100.487		A pound of flesh	Removes a Heart Container, increases damage and range, and grants a Cube of Meat.	3
Yuck Heart	5.100.639		Gross!	Gives Isaac a Rotten Heart.	3

Passive Collectibles

Name	ID	Icon	Quote	Description	Quality
<3	5.100.15		HP up	Grants Isaac one Red Heart container and fully restores Isaac's health.	2
A Snack	5.100.346		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Anemic	5.100.214		Toxic blood	Increases range. After Isaac is damaged, a trail of red creep will be left behind him until he leaves the current room.	0
Ankh	5.100.161		Eternal life?	Upon death, the player will respawn as ??? with 3 Soul Hearts.	2
Aries	5.100.300		Ramming speed	+0.25 Speed. Running into enemies while at a high speed will deal damage. Does not prevent contact damage.	1
Black Lotus	5.100.226		HP up x3!	Grants one Red Heart, one Soul Heart, and one Black Heart.	2
Blood Bag	5.100.119		HP up	Grants one Red Heart container, restores 5 Red Hearts, and increases speed by 0.3.	2
Bloody Lust	5.100.157		RAGE!	Increases Isaac's damage whenever he takes damage, up to six times. The bonus resets when entering a new floor.	3
Breakfast	5.100.25		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Bucket of Lard	5.100.129		HP up	Grants two empty full Red Heart containers and heals Isaac by half a Red Heart, but decreases speed by 0.2.	1
Cancer	5.100.301		HP up + you feel protected	Adds 3 Soul Hearts. Grants The Wafer effect for the current room after taking damage.	3
Celtic Cross	5.100.162		Blessing of protection	Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 7 seconds.	1
Charm of the Vampire	5.100.62		Kills heal	Heals Isaac for half of a Red Heart for every 13 enemies killed. +0.3 damage.	0
Dead Bird	5.100.117		Protective buddy	After Isaac takes damage, spawns a flying familiar that chases enemies for the current room, dealing ~5 damage per second.	0
Dead Dove	5.100.185		Flight + spectral tears	Grants spectral tears and flight.	3
Dessert	5.100.24		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Dinner	5.100.23		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
E Coli	5.100.236		Turdy touch	Enemies that touch Isaac are transformed into poop.	1
Fanny Pack	5.100.204		Filled with goodies	Has a chance to drop a random pickup when Isaac takes damage.	1
Fate	5.100.179		Flight eternal	Grants flight and one Eternal Heart.	3
Gimpy	5.100.225		Sweet suffering	Gives chance of spawning a Soul Heart when taking damage. Enemies have a chance to drop a Half Red Heart after being killed.	2
Habit	5.100.156		Item martyr	When Isaac is hit, his active item gains 1 room's worth of charge.	3
Holy Grail	5.100.184		Flight + HP up	Grants flight and one Red Heart container.	3
Holy Water	5.100.178		Splash!	Spawns a bottle familiar that breaks when Isaac takes damage, leaving a puddle of blue creep. A bottle familiar that flies forward when Isaac shoots. It breaks upon hitting an enemy, leaving a puddle of blue creep that petrifies enemies.	0
Isaac's Heart	5.100.276		Protect it	Isaac himself is now immune to all damage, and a heart familiar follows him. If the heart is hurt, Isaac is hurt. The heart charges up as Isaac shoots, firing 8 blood shots, knocking back enemies, and leaving a puddle of creep when released.	0
Judas' Shadow	5.100.311		Sweet revenge	Adds an extra life; upon death, it respawns Isaac as Dark Judas with two Black Hearts.	4
Lazarus' Rags	5.100.332		Eternal life?	Upon dying, resurrect as Lazarus Risen in the current room with one heart container and Anemic.	1
Little C.H.A.D.	5.100.96		Gives kisses	Spawns a familiar who drops a Half Red Heart every 3 rooms.	2
Lord of the Pit	5.100.82		Demon wings	Grants flight and +0.3 speed.	3
Lunch	5.100.22		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Maggy's Bow	5.100.312		HP up + you feel healthy	Gives one Red Heart container and doubles the healing provided by Red Hearts.	2
Magic Scab	5.100.253		HP + luck up	Grants one full Red Heart container, +1 luck.	2
MEAT!	5.100.193		DMG + HP up	Grants one full Red Heart container, +0.3 damage.	2
Midas' Touch	5.100.202		Golden touch	Enemies that touch Isaac are temporarily petrified and turn to gold. Any enemy killed while in this state will drop coins.	2
Missing Page 2	5.100.262		Evil up. Your enemies will pay!	Grants one Black Heart. Upon taking damage that reduces Isaac's health to one heart or less, deals damage to all enemies in the room. Increases the damage of Black Hearts and The Necronomicon-like effects by 40.	0
Old Bandage	5.100.219		HP up	Grants an empty Red Heart container. Adds a chance of dropping a Red Heart after taking damage.	2
Ouija Board	5.100.115		Spectral tears	Grants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.	2
Piggy Bank	5.100.227		My life savings	Gives 3 pennies on pick-up. Every time Isaac is damaged, he will drop one additional penny.	1
Placenta	5.100.218		Regeneration + HP up	Grants one full Red Heart container, and a chance to regenerate a Half Red Heart of health every minute of gameplay.	2
Raw Liver	5.100.16		HP up	Grants 2 Red Heart containers and completely restores health.	2
Rosary	5.100.72		Tears + faith up	Adds 3 Soul Hearts. The Bible will appear in any item pool. Also a +0.5 tears up.	1
Rotten Meat	5.100.26		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Scapular	5.100.142		Pray for a miracle	Once per room, when Isaac is reduced to his last half heart, he is granted one Soul Heart.	2
Sharp Plug	5.100.205		Infinite charge... at a cost	Damages Isaac in exchange for fully recharging Isaac's current activated item.	1
Spiderbaby	5.100.211		Spider revenge	When hit, spawns 1-2 Blue Spiders. When hit, spawns 3-5 Blue Spiders.	1
Spirit of the Night	5.100.159		Scary	Grants spectral tears and flight.	3
Stem Cells	5.100.176		HP + shot speed up	Grants one full Red Heart container and +0.16 shot speed.	1
Super Bandage	5.100.92		+2 hearts	Grants one full Red Heart container and 2 Soul Hearts.	2
The Black Bean	5.100.180		Toot on touch	When taking damage, Isaac farts, causing poison damage to all enemies in range.	0
The Body	5.100.334		I feel all	Adds 3 Red Heart Containers.	3
The Ladder	5.100.60		Building bridges	Allows Isaac to walk across gaps one square across by automatically placing a ladder between the two walkable sections.	1
The Relic	5.100.98		Soul generator	Spawns a cross familiar that drops a Soul Heart every 5-6 rooms.	4
The Virus	5.100.13		Poison touch + speed up	Isaac poisons enemies on contact. -0.1 speed. +0.2 speed. Poisoned enemies have a chance to drop a black heart when killed.	0
The Wafer	5.100.108		Damage resistance	All sources of damage that would cause more than one-half heart of damage are reduced to one-half heart instead.	4
Thunder Thighs	5.100.314		HP up + speed down + you feel stompy	Destroys rocks upon contact with Isaac. Adds one Red Heart container and lowers Speed.	1
Transcendence	5.100.20		We all float down here...	Grants flight.	3
Athame	5.100.408		Call to the void	When Isaac takes damage, a black ring briefly appears around him, dealing damage to all nearby enemies.	2
Betrayal	5.100.391		Turn your enemy	Every time Isaac takes damage, a charm effect is applied to every enemy in the room, causing them to attack each other rather than Isaac.	0
Cambion Conception	5.100.412		Feed them hate	After taking damage a certain amount of times, a permanent demonic familiar spawns.	2
Crack Jacks	5.100.354		HP up. Don't swallow the prize!	Grants one full Red Heart container and drops a random trinket.	2
Curse of the Tower	5.100.371		Embrace chaos	Upon taking damage, spawns six Troll Bombs around the room, similar to the effect of XVI - The Tower.	1
Immaculate Conception	5.100.413		Feed them love	Upon picking up a certain amount of health, spawn a permanent angelic familiar.	1
Milk!	5.100.436		Don't cry over it...	Spawns a glass familiar that spills on the floor upon taking damage. After the milk spills, Isaac's tear delay is decreased by 2 for the current room.	1
My Shadow	5.100.433		Me! And my shaaaadow!	Each time Isaac takes damage, inflicts fear on all enemies in the room and spawns a black friendly Charger that will attack enemies. The Charger will be killed if it is damaged too much.	0
PJs	5.100.428		You feel cozy	Grants 4 Soul Hearts and fully restores Isaac's health.	2
Adrenaline	5.100.493		Panic = power	Increases damage based on how many empty Red Heart containers Isaac has.	1
Bozo	5.100.513		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
Brittle Bones	5.100.549		Everything hurts	Replaces all Red Hearts with 6 empty Bone Hearts. Upon losing a Bone Heart, Isaac fires bones in 8 directions and permanently gains a tears up.	3
Dark Prince's Crown	5.100.442		Loss is power	When at exactly one Red Heart, increases tears, range, tear height, and shot speed.	1
Hallowed Ground	5.100.543		Portable sanctuary	Spawns a white poop familiar, which turns into a white poop when Isaac is hurt. White poop has an aura that increases tear fire rate and can block enemy shots.	1
Leprosy	5.100.525		You're tearing me apart!	Upon taking damage, grants a body part as an orbital, which blocks enemy shots and deals 7 damage per tick to enemies it comes in contact with. The orbitals will be destroyed if they take enough damage from enemies or enemy shots.	1
Marrow	5.100.541		HP up?	Grants one bone heart and spawns three red heart pickups.	1
Midnight Snack	5.100.456		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Mystery Egg	5.100.539		Sacrificial insemination	Spawns an egg familiar, which cracks into a random friendly monster when Isaac is hurt. The egg regenerates upon entering a different room.	1
Varicose Veins	5.100.452		I'm leaking...	Taking damage releases a ring of 10 high damage tears.	2
Astral Projection	5.100.677		The true out-of-body experience!	Causes Isaac to turn into a ghost if he gets hit while in an uncleared room, giving him flight and spectral tears and blocking the next hit he takes.	2
Binge Eater	5.100.664		All you can eat	+1 red heart container and fully heals Isaac. Item pedestals cycle between their normal items and food, and collecting food grants a temporary damage boost and permanent bonuses to 2 stats.	3
Bird Cage	5.100.610		Fat buddy	The first time Isaac takes damage in a room, a familiar leaps on an enemy, dealing damage and releasing a rock wave. For the rest of the room, it chases enemies similar to Dead Bird.	1
Blood Oath	5.100.569		Bleed me dry	Stabs Isaac at the beginning of each floor, draining his red hearts. Increases damage and speed for the floor based on the amount drained.	2
Bloody Gust	5.100.695		May your rage bring haste	When Isaac takes damage, he gains speed and tears for the rest of the floor.	3
Candy Heart	5.100.671		Power of love	Gives Isaac a permanent stat boost whenever he heals with red heart pickups.	2
Cracked Orb	5.100.675		Shards of knowledge	Unlocks doors and reveals a random room on the map when Isaac takes damage.	1
Empty Heart	5.100.676		It multiplies	If Isaac has one red heart or less at the beginning of a floor, he gains an empty red heart container.	2
Giant Cell	5.100.658		Micro friends	Causes Isaac to spawn micro-Isaacs when he takes damage, which chase and shoot at nearby enemies.	1
Heartbreak	5.100.694		Eternal sorrow	Grants 3 broken hearts and +0.25 damage for every broken heart Isaac has. Every otherwise fatal hit will add 2 more until Isaac has nothing but broken hearts.	3
It Hurts	5.100.560		No it doesn't...	Releases a ring of tears and increases tears for the current room when Isaac takes damage.	1
Orphan Socks	5.100.571		Speed up + your feet feel stronger	Prevents creep and floor spikes from damaging Isaac. Also gives Isaac +0.3 speed and 2 soul hearts.	1
Sanguine Bond	5.100.692		He awaits your offering	Spawns a special set of spikes in the Devil Room. Taking damage from the spikes has a chance to grant a reward.	1
Supper	5.100.707		HP up	Grants one full Red Heart container. Heals 1 additional heart of health.	1
Vengeful Spirit	5.100.702		Hot blooded	After taking damage, spawns an orbital wisp that lasts for the entire floor, up to a maximum of six. They fire tears but do not block shots.	2