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

Questionmarkisaac.png For the other Angel item with a similar name, see Immaculate Heart.

Sacred Heart is a passive item.



  • Removed in Repentance Sacred Heart is a special item.
  • Sacred Heart has the highest damage multiplier of all passive items.
  • The flat damage gained by this item is not affected by its damage multiplier. However, other flat damage upgrades (such as those gained by Curved Horn Curved Horn or Added in Afterbirth †15►Void Void) will be affected normally.
  • Removed in Repentance Although this item increases range, the reduction of shot speed results in a slight decrease in effective range, not accounting for homing.
    • Added in Repentance The item now results in a range up, as shot speed no longer affects range.
  • Added in Repentance15►Spindown Dice Spindown Dice rerolls 15►Toothpicks Toothpicks into Sacred Heart.

In-game Footage[]


  • The Sacred Heart (also known as the Most Sacred Heart of Jesus) is a devotion practiced in Catholicism, which represents "the heart of Jesus Christ God, pierced on the cross", and God's "boundless and passionate love for mankind".


PC K4X2 K1K0 (4th floor Angel Room)

PC Added in Afterbirth Normal and hard modes only KM30 AQGX (1st floor Angel Room via Sacrifice Room adjacent to spawn) [Check ingame]

PC Added in Afterbirth MJ0A X38C (4th floor Angel Room)

PC Added in Afterbirth 6FR2 46G3 (4th floor Angel Room)

The Binding of Isaac: Rebirth The Binding of Isaac: Rebirth The Binding of Isaac: Rebirth
Achievements Achievements Attributes Attributes Bosses Bosses TarotCard.png Cards and Runes Challenges Challenges Chapters Chapters
Characters Characters MainPageBabies.png Co-op Items Items Item pools Item pools Monsters Monsters Objects Objects
Pickups Pickups Pills Pills Rooms Rooms Seeds Seeds Transformations Transformations Trinkets Trinkets