Binding of Isaac: Rebirth Wiki
Disambig.png This article is about the pickup. For the enemy, see Sack (Enemy).

Added in Afterbirth Grab Bag[]

Grab Bag.png

The Grab Bag will spawn 1-4 random pickups upon touching it. They will not drop any hearts, pills, or chests, and they have an increased chance to drop batteries. Sack Head Sack Head has a 33% chance to replace pickups with sacks. Added in Repentance Shops have a chance to sell sacks for seven coins.

Added in Repentance Black Sack[]

Black Sack.png

A Black Sack will spawn 2-3 pills, black or bone hearts, and/or bombs when collected. Only one heart can spawn from one sack, but there may be two pills or bombs.


  • Added in Repentance Bone hearts can spawn from Black Sacks even if they haven't been unlocked yet.