Karma is an unlockable trinket added in The Binding of Isaac: Afterbirth expansion.
- Donating to a donation machine has a chance to do one of the following:
- Heal Isaac for a full red heart
- Spawn a beggar
- Get a penny back, directly added to Isaac's total
- Increases the chance that donating to a Donation Machine will increase Isaac's luck.
- The Symbol is a Triskelion, also known as a Triskele, which is often used to represent karma.
||This trinket can be obtained through a fortune teller machine even if it is not unlocked yet.