Binding of Isaac: Rebirth Wiki
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 / 15►Brimstone Brimstone: Isaac will fire powered-up Brimstone lasers in all directions.
    • Added in Repentance The Lasers do not have a damage bonus.
  • Added in Afterbirth15►Car Battery Car Battery: Shoots 20 tears in a circle around Isaac.
  • 15►Chocolate Milk Chocolate Milk: The size and damage of tears shot depends on how far Chocolate Milk is charged.
  • Added in Repentance15►Eye 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.
    • Eye of the Occult + Added in Repentance15►4.5 Volt 4.5 Volt: When attacking enemies with high enough health and with moderate tear damage, Tammy's Head will recharge almost instantly as long as enough tears hit, allowing it to be spammed.
  • 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.


  • Added in Repentance15►Book 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.
  • 15►Dr. Fetus Dr. Fetus / 15►Ipecac Ipecac: Tears are replaced by bombs or exploding shots, which may result in self-damage.
  • 15►Epic Fetus Epic Fetus: Fires only normal tears.
  • 15►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 Repentance15►Trisagion Trisagion: Trisagion blasts, like Brimstone beams, do not get a damage bonus.

In-game Footage[]

Unlockable Achievements[]


  • Tammy's Head is named after one of Edmund McMillen's cats.
  • Added in Repentance The Crane Game is the only way to obtain Tammy's Head outside of Greed Mode, without using items that would dip into other item pools like Added in Afterbirth15►Chaos Chaos.



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

PC Hard mode only TVM6 6STZ (Golden Chest in room right of spawn)

PS4 Normal mode only SN8SEJBA (Cursed room on first floor)

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

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


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