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Item icon
Item altar
"Tears + shot speed up"
Table dividing line 1.png
Item ID
Character Appearance
Character appearance
Table dividing line 2.png
Item Pool
Normal and hard modes only Boss Boss
Added in Afterbirth Greed and greedier modes only Boss Boss
Table dividing line 3.png
Collection Grid
Removed in Afterbirth(page 2, column 10, row 8)
Added in Afterbirth(page 2, column 20, row 3)

Toothpicks is a passive item.

Effects[edit | edit source]

Interactions[edit | edit source]

Added in Repentance15►Spindown Dice Spindown Dice: Turns into 15►Sacred Heart Sacred Heart when rerolled by Spindown Dice.

In-game Footage[edit | edit source]

Seeds[edit | edit source]

PC GR9M Z8TY (First floor Boss Room)

PC Added in Afterbirth † Greed mode only VL6B WR3V (First Silver Treasure Room)

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