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Questionmarkisaac For the trinket with a similar name, see Monkey Paw.

The Left Hand is an unlockable trinket.

Effects[ | ]

Notes[ | ]

  • (except in Repentance) The effect includes Chests already spawned. Entering a room that previously contained other types of Chests while holding The Left Hand will turn them into Red Chests permanently.
    • (in Repentance) Chests that have already spawned are not converted into Red Chests.
  • It is advised to drop The Left Hand (by holding either CTRL key for few seconds, holding R2 or RT for 3 seconds on PS4 and Vita and Xbox One, respectively, or holding ZR on the New Nintendo 3DS / Nintendo Switch for a few seconds) before entering ChestChest, as non-Red Chests always contain item pedestals on this floor, especially the 4 located in the starting room.
    • (except in Repentance) Isaac may prefer Red Chests for their possible Soul HeartSoul Hearts or Red Chest items, at the expense of guaranteed items.
    • (in Repentance) Locked ChestLocked Chests converted in ChestChest's starting room will contain Devil Deals, potentially allowing for more powerful items, but at the cost of Hearts.
      • Red Chests found past the starting rooms of either ChestChest or Dark RoomDark Room will contain regular Red Chest drops. Dropping the trinket before leaving the starting room is advised.
  • (in Repentance) Bomb ChestBomb Chests are affected by The Left Hand. (in Repentance) Old ChestOld Chests and (in Repentance) Mega ChestMega Chests are not affected.

Interactions[ | ]

  • (in Repentance)Gilded KeyGilded Key: Overridden by The Left Hand.
  • (in Repentance)Collectible Sharp Key iconSharp Key: Enemies killed by keys will only give the contents of red chests allowing items to be obtained through Sharp Key more consistently.

In-game Footage[ | ]

Trivia[ | ]

  • The Left Hand is a reference to occult beliefs in which the "The left hand path" is associated to black magic.
  • The Left Hand is the only item in the game with 2 separate conditions for unlocking it, being unlocked by killing Ultra PrideUltra Pride, or by defeating Boss ??? ingame??? in ChestChest as Character Judas iconJudas


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