Binding of Isaac: Rebirth Wiki

Questionmarkisaac For the trinket with a similar name, see The Left Hand.

Monkey Paw is a trinket.

Effects[ | ]

  • If Isaac has half a heart or less after taking damage, this trinket drops a Black HeartBlack Heart.
  • The effect can trigger up to three times, after which the trinket will disappear.
    • The fingers stuck out by the paw will change to display the number of triggers left.

Notes[ | ]

  • The effect can trigger more than once in the same room.
  • The effect does not trigger when picked up at half a heart or less.
  • (in Afterbirth † and Repentance) If Gulped or smelted, its effect still only triggers 3 times, then disappears.

Interactions[ | ]

  • (in Repentance)Golden Trinket Golden Trinket / Collectible Mom's Box iconMom's Box: Each effect allows Monkey Paw to drop 2 black hearts instead of 1 (this effect can’t be increased further by having both golden Monkey Paw and Mom's Box).
  • Monkey PawMonkey Paw: Each copy allows Monkey Paw to have a chance of dropping 1 extra black heart which can go beyond 2 black heart drops.
  • Collectible Scapular iconScapular: If Scapular's effect is triggered, the Soul HeartSoul Heart awarded will not cancel the effect of Monkey Paw.

In-game Footage[ | ]

Gallery[ | ]

Trivia[ | ]

  • This item is a reference to the supernatural short story The Monkey's Paw by W.W Jacobs. The title artifact could grant three wishes, but they frequently carried a most unpleasant price.