Both conditions must be met for Eve to hold it; donating 439 coins before defeating Satan with Eve will wrongly state on Eve's profile on the Character Selection Screen that she has it equipped.
Eve starts with the Razor Blade if unlocked from the Greed Machine, even if Satan has not been defeated with Eve.
If Isaac has half a red heart left, Razor Blade will damage other heart types.
It is possible to die using Razor Blade if Isaac does not have enough hearts.
The effect stacks with itself and Red Patch, which provides a similar benefit.
Using the Razor Blade grants immunity frames; this allows access to Curse Rooms without losing soul hearts.
Using this item in the Ultra Greed boss room will remove 2-4 coins and drop 1-3 pennies on the floor, as if Isaac was hit by an enemy attack.
Using this item as The Lost will kill The Lost, even if the protective effect from Holy Mantle is still active.
Synergies[]
Invulnerability / Shield: The Razor can be used at no cost while invulnerability / shield is active, allowing damage to be significantly increased for the room.
Tainted Samson / Berserk!: The Razor Blade can be used in order to gain a massive damage boost in a room as long as there's a source of HP within reach.
The item itself is a reference to the act of cutting one's self, usually at the wrists, to inflict self-harm or to commit suicide by loss of blood.
Isaac's appearance after using the item is just like the Dople.
In the original The Binding of Isaac, Razor Blade was unlocked by defeating Mom's Heart/ It Lives as Eve.
Bugs[]
Bug!
As Eve, there is a very unlikely chance that using this to activate Whore of Babylon will not activate it, despite being at the correct health to do so.
Gallery[]
The icon of Razor Blade as seen on the lower 3DS screen.