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Trinket icon
Table dividing line 1.png
Trinket ID
Added in Afterbirth †

Tonsil is a trinket added in Afterbirth †.

Effects[edit | edit source]

  • After taking 12-20 hits, a removed tonsil familiar starts following Isaac, blocking enemy shots.
    • The effect can happen twice, after which the trinket will be destroyed.
    • The familiar does not deal damage to enemies.

Notes[edit | edit source]

Item icon
Item altar
Table dividing line 1.png
Item ID
Table dividing line 2.png
Item Pool
Table dividing line 3.png
Collection Grid
(page 4, column 9, row 6)
Added in Afterbirth † / Removed in Repentance
  • When the familiar is generated, Isaac will gain the familiar permanently as a passive item. This allows Isaac to drop the trinket while keeping the familiar.
    • The passive Tonsil item does not exist in any item pool; thus, this is the only way to find it and make it appear in the Collection Page aside from starting with it as Eden.
  • If Eden starts with the passive tonsil item and picks up the trinket, the trinket will spawn only one familiar before being consumed.
  • Sources of self-inflicted damage, like 15►IV Bag IV Bag or Blood Donation Machines, can spawn a familiar.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • Tonsils are soft tissue located near the back of the throat which, in the event of inflammation to the point of obstructing the throat, can be removed without much noticeable difference.
  • Added in Repentance The Tonsil collectible is removed from the collection page since it was never intended to be there in the first place.

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