Starter Deck

Starter Deck is a passive item.

Effects[edit | edit source]

Allows Isaac to carry two cards or runes at once. Cycle through cards by pressing the Control key (PC), R2 (PlayStation), RT (Xbox), or ZR (Switch, 3DS).
Replaces all pills with cards. Pills already on the ground will be converted to cards or runes upon picking up Starter Deck.
Spawns a random card.
- Runes, soul stones, and other cardlike consumables are also possible.

When picking up Starter Deck in a shop that has a pill for purchase, the pill can still be purchased and used. If the pill is dropped, it will be turned into a card.

Acid Baby: Spawns cards or runes instead of pills. Using cards or runes will not trigger the room-wide poisoning effect.
Caffeine Pill: A pill drops normally, but if it is picked up and dropped, or left on the ground while visiting other rooms, it becomes a card.
Little Baggy: Overrides the effect of Little Baggy (switch from receiving only pills to only cards).
- Having both items allow both cards and pills to appear again.
- Picking up Little Baggy while already holding Starter Deck will turn any held cards or runes into pills for one time.
Mom's Bottle of Pills: Gives a card instead of a pill, essentially becoming equivalent to a Deck of Cards.
XIV - Temperance?: Forces Isaac to eat pills even with Starter Deck.

The Starter Deck will paint a five-color pentagram on Isaac's head, which is a reference to the Magic: The Gathering logo.
This item is used in It's in the Cards (challenge #14).
Starter Deck also appears in Cantripped! (challenge #43) with a unique function of increasing the number of item cards that Tainted Cain can carry at once. It replaces all Boss Room rewards in this challenge.

Inventory Expansion Items

Active items