Binding of Isaac: Rebirth Wiki

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

Monkey Paw is a trinket.


  • If Isaac has half a heart or less after taking damage, this trinket drops a Black Heart Black 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.


  • 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.
  • If Gulped or smelted, its effect still only triggers 3 times, then disappears.


  • Added in RepentanceGolden Trinket Golden Trinket / Added in AfterbirthMom's Box Mom's Box: The trinket will drop 2 black hearts instead of 1 (having both Mom's Box and the golden version won't further increase the effect).
  • Scapular Scapular: If Scapular's effect is triggered, the Soul Heart Soul Heart awarded will not cancel the effect of Monkey Paw.

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  • 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.