Binding of Isaac: Rebirth Wiki

Tammy's Head is an activated item.


  • Shoots 10 tears in a circle around Isaac.
  • The tears retain the Shot Speed and special effects (such as poison) of Isaac's tears.
  • Each tear will do Isaac's current damage and a flat +25 damage bonus on top.


  • Azazel Azazel / Brimstone Brimstone: Isaac will fire Brimstone lasers in all directions. Removed in Repentance Each laser is given bonus damage.
    • This will deal a substantial amount of damage near the center of the effect due to how lasers overlap the closer you get to Isaac.
  • Added in RepentanceBook of Virtues Book of Virtues: Spawns pale wisps in the outer ring. The wisps' tears deal 1.5 damage, but fire twice as fast as standard wisps. Tears are inaccurate and fire in a spread.
  • Added in AfterbirthCar Battery Car Battery: Shoots 20 tears in a circle around Isaac.
  • Removed in RepentanceChocolate Milk Chocolate Milk: The size and damage of tears shot depends on how far Chocolate Milk is charged.
  • Tainted Azazel Tainted Azazel: Although Tainted Azazel's Brimstone beams do not have a damage bonus, they also do not have the normal damage penalty and still deal double damage to enemies that have been sneezed on.


  • Dr. Fetus Dr. Fetus / Ipecac Ipecac: Tears are replaced by bombs or exploding shots, which may result in self-damage.
  • Epic Fetus Epic Fetus: Fires only normal tears.
  • Added in RepentanceEye of the Occult Eye of the Occult: The tears quickly lose their outward momentum and can now be controlled all at once, making it easy to make the tears hit enemies.
  • Mom's Knife Mom's Knife: The tears are replaced with knives that deal double Isaac's damage, but move very quickly, have a small hitbox, and don't return to Isaac.
  • Added in RepentanceTrisagion Trisagion: Trisagion blasts, like Brimstone beams, do not get a damage bonus.

In-game Footage[]

Unlockable Achievements[]




PC Normal mode only M3XZ Q39X (Locked Chest on first floor)

PC Hard mode only TVM6 6STZ (Locked Chest in room east of spawn)

PS4 Normal mode only SN8SEJBA (Curse Room Curse Room on first floor)

XboxOne Normal mode only TB9W GQ18 (Secret Room Secret Room in Womb Womb II)

Switch Greedier mode only M30B L64X (First Golden Treasure Room Treasure Room)


Bug Bug! Removed in Repentance With the Mom's Knife Mom's Knife synergy, the Blindfolded condition prevents Tammy's Head from shooting knives and makes the item useless.