Binding of Isaac: Rebirth Wiki

Added in Repentance

Panic Button is a trinket added in The Binding of Isaac: Repentance.


  • Activates Isaac's active item just before damage would be taken.
    • This still uses the item's charges so if the item is not charged, the trinket will do nothing.
    • Single-use items will be consumed.


  • Because the automatic item activation takes place just before taking would-be damage, this trinket becomes very powerful when holding damage-negating active items.
  • Taking damage from explosions, enemy creep, spikes and spike rocks, Spiked Chest Spiked Chest and Mimic Chest Mimic Chest, the stomp attacks from Mom Mom and Satan Satan, Whipper Whipper and their variants, brimstone lasers (including angel lasers), electric lasers, self-damage items, Devil Beggar.png Devil Beggar, Hell Game.png Hell Game, Blood Donation Machine.png Blood Donation Machine, and Confessional.png Confessional will not trigger the effect.
  • Super-charged items will use both of their charges. This is NOT an effect by Mom's Box Mom's Box or the Golden Trinket Golden Trinket variant.
  • Does not activate items in a consumable slot (such as Tainted Bethany Tainted Bethany's Lemegeton Lemegeton or dice items granted by Dice Bag Dice Bag).
  • Will activate when touching Dark Esau Dark Esau while playing as Tainted Jacob Tainted Jacob, despite Dark Esau not technically dealing damage.
    • This effect still occurs even whilst he is chained by Anima Sola Anima Sola, when he deals no contact damage.


  • Any self-damaging item: Self-damage occurs before enemy damage, making it almost impossible to lose Devil/Angel Room chances.
    • For self-damaging items that deals only half a heart damage (such as Kamikaze! Kamikaze!), before chapter 4, it will also reduce enemy damage to half a heart, similarly to The Wafer The Wafer.
  • Blood Rights Blood Rights: Triggers the effect on hit, at the cost of every hit making Isaac take full-heart damage.
  • Book of Shadows Book of Shadows: Activates the item, giving Isaac the shield effect for 10 seconds.
  • Bursting Sack Bursting Sack: Even though the neutral spiders spawned by the item can't possibly hurt Isaac, the trinket still activates when contact is made with them.
  • Butter Bean Butter Bean / Wait What? Wait What?: Isaac farts before being hit, knocking back enemies and projectiles.
  • Dark Arts Dark Arts: Unlike many other items on this list, Dark Arts can be used to negate damage more than once per room, making it an excellent defensive item to use with Panic Button. Note that this does not work while playing as Tainted Judas Tainted Judas.
  • Dull Razor Dull Razor: Activates the item and gives Isaac invincibility frames before being hit, making it work similarly to Holy Mantle Holy Mantle every two rooms. If combined with 9 Volt 9 Volt or AAA Battery AAA Battery, works every room, just like Holy Mantle.
  • Glowing Hour Glass Glowing Hour Glass: If consumed with Void Void, every time Isaac is hit, if it's charged, he is sent back to the previous room without taking damage.
  • Holy Mantle Holy Mantle: Does not stop the trinket from activating, making Isaac still take damage from items such as IV Bag IV Bag, while bypassing Holy Mantle's shield.
    • The Lost The Lost can die this way should he carry self damaging items at the time of the hit.
  • How to Jump How to Jump: Makes Isaac immune to contact and tear damage while moving.
  • IV Bag IV Bag: Upon getting hit, activates the IV Bag instead, causing self-damage and producing money.
  • Kamikaze! Kamikaze!: Causes a highly-damaging explosion to occur every time Isaac is hit, similarly to Swallowed M80 Swallowed M80.
  • Razor Blade Razor Blade: Isaac gains a damage boost every time he's hit, acting similarly to Red Patch Red Patch, at the cost of every hit making Isaac take full-heart damage.
  • Spin to Win Spin to Win: Has a chance to spawn additional wheels upon taking damage that last only for the current room. This is most likely a bug.
  • Stitches Stitches: Isaac will teleport before damage is taken, making him much harder to hit.
  • Tainted Forgotten Tainted Forgotten: Triggers his active item whenever the body touches something that would damage The Soul, regardless of damage taken.
  • Telekinesis Telekinesis: Automatically blocks any incoming shots, but the push is not strong enough to prevent contact damage.
  • Yum Heart Yum Heart: Since the effect is triggered before taking damage, Panic Button will waste the charge with no benefit unless Isaac is already missing Red health.

In-game footage[]