Binding of Isaac: Rebirth Wiki
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Little Baggy is a passive item.

Effects[ | ]

  • Allows Isaac to carry two pills. Tapping the Drop button will cause a cycle through the two pills.
  • Spawns a random pill.
  • (except in Repentance) Changes all card and rune drops into pills.
  • (in Repentance) Changes all card drops into pills. Existing Runes will not be converted, but new Runes will only appear through forced drops (such as from (in Repentance)Collectible Mom's Ring iconMom's Ring or (in Repentance)Collectible Clear Rune iconClear Rune).

Notes[ | ]

  • Any Tarot card or (except in Repentance)rune held when picking this item up will change into a pill.
    • (in Afterbirth and Afterbirth †) Dice ShardDice Shard counts as a card and will be converted.
    • (in Repentance) If playing as Character Jacob and Esau iconJacob and Esau, if one character picks up Little Baggy while the other character holds a card, that card will remain until used or dropped.
  • (in Repentance) Blowing up the skull marked with a small "X" in DepthsDepths will drop Telepills instead of 0 - The Fool0 - The Fool.
    • If The Fool has already been generated, it will not be guaranteed to be replaced with a Telepills.
  • (in Repentance) Tainted Characters who have an active item in the consumable slot will be allowed a third slot for pills.

Interactions[ | ]

  • Collectible Blank Card iconBlank Card: All cards are replaced by pills, rendering Blank Card useless unless Isaac also has Collectible Starter Deck iconStarter Deck.
  • Collectible Crystal Ball iconCrystal Ball: Generates pills instead of cards upon use.
  • Collectible Deck of Cards iconDeck of Cards: The item becomes functionally identical to Collectible Mom's Bottle of Pills iconMom's Bottle of Pills.
    • (in Repentance) During multiplayer, if Little Baggy is held by one player, other players can still spawn cards using Deck of Cards. Dropping the card will convert it into a pill.
  • (in Repentance)Collectible False PHD iconFalse PHD: Since all cards turn to pills, there is potential for a lot of damage ups.
  • (in Repentance)Collectible Lucky Foot iconLucky Foot: Most negative pills will be converted to their positive counterparts.
  • Collectible PHD iconPHD/Collectible Virgo iconVirgo: Most negative pills will be converted to their positive counterparts.
  • (except in Repentance) Collectible Starter Deck iconStarter Deck: Overrides Little Baggy. Pills may still be for sale in shops, but dropping them turns them into cards.
    • (in Repentance) Having both items allows both cards and pills to appear again.
      • Picking up Starter Deck while already holding Little Baggy will turn any held pills into cards.

In-game Footage[ | ]

Bugs[ | ]

Bug Bug! (in Repentance) Patch V1.7.5 stated that "Little Baggy no longer affects pocket items that are neither pills nor cards (such as runes)", even though that is not the case.


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