- While held, acts as one of the three items needed for the Guppy transformation.
- The effect is lost if Kid's Drawing is dropped.
- This includes instantly losing the transformation if it was obtained and three Guppy items are no longer present after the trinket is dropped.
- If multiple copies of the trinket are obtained, they will each count as a Guppy item.
- The Golden Trinket will count as holding 2 Guppy items.
- Dead Cat
- Guppy's Collar
- Guppy's Eye
- Guppy's Hair Ball
- Guppy's Head
- Guppy's Paw
- Guppy's Tail
- Kid's Drawing
|The Binding of Isaac: Rebirth|
|Achievements||Attributes||Bosses||Cards and Runes||Challenges||Chapters|