Binding of Isaac: Rebirth Wiki

Added in Afterbirth †
Disambig.png This article is about the item. For the boss, see Little Horn.

Little Horn is a passive item added in The Binding of Isaac: Afterbirth †.


  • Removed in Repentance Adds a chance to fire piercing tears which will instantly kill any non-boss enemy.
  • Added in Repentance Adds a chance to fire a tear that summons Big Horn Big Horn's hand. It will grab and crush any non-boss enemy, killing them instantly, and attacks bosses 3 times for 12 damage each hit (even Big Horn Big Horn himself).
    • Big Horn Big Horn's hand is able to push projectiles of enemies away from the source of contact. These tears gain additional speed. This makes it especially difficult for the player to dodge while fighting Hush Hush, as it fires a lot of tears and many are propelled by a turning force.
  • The chance of firing a special tear is 5% at 0 luck and increases to a maximum of 20% with 15 luck.
  • Running into enemies deals 3.5 damage to them.
    • Damage is dealt up to twice per second per enemy.



  • Angelic Prism Angelic Prism: Little Horn tears can be split by the prism and will be quadrupled when they pass through it.
  • Evil Eye Evil Eye: Eyes can fire Little Horn tears. Little Horn tears won't destroy other eyes.
  • Added in RepentanceJacob's Ladder Jacob's Ladder: Enemies hit by Jacob's Ladder's arcs produced by a Little Horn tear will be hit by Big Horn's hand.
  • Kidney Stone Kidney Stone: The stone can have the Little Horn effect.
  • Soy Milk Soy Milk: Due to its high tear rate, the effect will trigger very often, even with average luck stats.
  • Added in RepentanceSaturnus Saturnus: Little Horn tears can orbit around Isaac upon entering a room.


  • Brimstone Brimstone: Overrides Little Horn.
    • Added in Repentance The laser may trigger the item's effect.
  • Dr. Fetus Dr. Fetus / Epic Fetus Epic Fetus: Black-tinted bombs can't summon Big Horn's hand to instantly kill non-boss enemies, but it can still be summoned for extra damage against bosses.
  • Lachryphagy Lachryphagy: If Little Horn tears are fed, they will burst into split tears with the same effect. If Little Horn tears feed normal tears, however, the effect is lost.
  • Mom's Knife Mom's Knife: Overrides Little Horn.
    • Added in Repentance Knife may occasionally trigger the item's effect.
  • Technology Technology: Overrides Little Horn.
    • Added in Repentance Occasionally fires a Little Horn laser beam.
  • Technology Zero Technology Zero: Electricity connected to Little Horn tears will not instantly kill enemies.
  • Tech X Tech X: Overrides Little Horn.
    • Added in Repentance Occasionally fires a Little Horn laser ring.

In-game Footage[]


  • This item might be a reference to Cutaneous horns, unusual keratinous skin tumors with the appearance of horns.
  • Little Horn was originally an unofficial item which was supposed to showcase the modding capabilities of Afterbirth+ in the PAX 2016 livestream. However, all items included in the demo were later added to the final game.
  • Removed in Repentance Prior to Repentance, this item's description was "Science!"
  • Added in Repentance Little Horn's description is a reference to George Orwell's novel Nineteen Eighty-Four.


Bug Bug! Added in Repentance The item's effect cannot be triggered on Mobile Hosts.