Binding of Isaac: Rebirth Wiki
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'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 himself).
  • 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.