Binding of Isaac: Rebirth Wiki
Binding of Isaac: Rebirth Wiki

Added in Afterbirth †

Pointy Rib is an unlockable passive item added in Booster Pack #5.


  • Spawns a bone familiar that can be aimed with the fire buttons in all directions and does contact damage.
    • The familiar will continuously hover back and forth in the direction that it is pointing in.
  • The damage is equal to Isaac's tear damage and is dealt 6 times per second.
    • Being hurt boosts the damage slightly for a short moment.
  • The familiar will damage poop and fire.

In-game Footage[]


  • The item is possibly a reference to the Genesis story where God created Eve by removing a rib from Adam.