Binding of Isaac: Rebirth Wiki

Trinkets are a kind of collectible with their designated slot that provide passive bonuses. Only one trinket can be carried at a time and must be dropped if you wish to carry another. Some of these limitations can be bypassed with certain items; Mom's Purse Mom's Purse and Added in Afterbirth †Belly Button Belly Button allow two trinkets to be held at once, Added in Afterbirth † and trinkets can be absorbed by Added in Afterbirth †Smelter Smelter, Added in Afterbirth †Marbles Marbles, or Gulp!. Absorbed trinkets do not take up a trinket slot and act as permanent passive effects.

The original Binding of Isaac DLC 'The Wrath of the Lamb' introduced Trinkets as a mechanic and had 33 trinkets. Rebirth has a total of 60 trinkets. Afterbirth added 29 new trinkets, for a total of 89 trinkets. Afterbirth † added 38 new trinkets, for a total of 127 trinkets. Repentance added 61 new trinkets, for a total of 188 trinkets.

Added in Repentance All trinkets have a chance to be Golden Trinkets.


  • It is possible to drop a trinket by holding down the key or button bound to the "Drop" function for three seconds. (Doing this is not possible with the Tick Tick.)
  • While held, Added in AfterbirthMom's Box Mom's Box doubles the effect of most trinkets.
    • Added in Repentance A Golden Trinket with Mom's Box will have a tripled effect.
  • Trinkets appear in a set order based on the run's seed, and each trinket can usually only be encountered once.
  • Removed in Repentance If two of the same trinket are gathered, then they can have both by using Gulp! on one and then picking up the other. This rarely has any useful purpose.
  • Added in Repentance Multiples of the same trinkets sometimes stack as expected, and two copies of the same trinket can be held simultaneously with Belly Button Belly Button or Mom's Purse Mom's Purse. However, a large number of trinkets don't stack, especially the ones that are more complicated than a simple stat up.
  • Added in Repentance Trinkets cannot be duplicated with items such as Added in AfterbirthDiplopia Diplopia and Added in Afterbirth †D1 D1 or the Rune of Jera Rune of Jera.

All Trinkets

Name ID Icon Quote Description
???'s Soul 5.350.57 ???'s Soul Imaginary Friend Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeper The Peeper and fires spectral and homing tears.
A Missing Page 5.350.48 A Missing Page It glows with power 5% chance to induce The Necronomicon The Necronomicon's effect upon taking damage. Added in Repentance Adds +40 damage to Black Heart Black Hearts and The Necromonicon-like effects.
AAA Battery 5.350.3 AAA Battery Trickle charge Automatically recharges the last energy slot of an activated item, effectively reducing recharge rates by one.
Ace of Spades 5.350.45 Ace of Spades Luck of the draw Increases the chance of tarot cards or playing cards dropping after clearing a room, and the chance of finding cards when opening a Chest Chest.
Bible Tract 5.350.18 Bible Tract Faith up Increases the chance of Eternal Heart Eternal Hearts appearing.
Black Lipstick 5.350.17 Black Lipstick Evil Up Increases the chance of Black Heart Black Hearts appearing.
Bloody Penny 5.350.49 Bloody Penny Wealth of health Gives a chance to drop a Half Red Heart Half Red Heart when a coin is collected.
Broken Ankh 5.350.28 Broken Ankh Eternal life? When held, Isaac has a 22.22% chance to be revived as ??? ??? in the most recent non-hostile room. Can occur multiple times in the same run.
Broken Magnet 5.350.6 Broken Magnet It kinda works! Pulls coins towards Isaac, but ignores other pickups.
Broken Remote 5.350.4 Broken Remote It's broken Triggers the Teleport! Teleport! effect whenever an activated item is used.
Burnt Penny 5.350.50 Burnt Penny Wealth of chaos Gives a chance to drop a Bomb Bomb when a coin is collected.
Butt Penny 5.350.24 Butt Penny Wealth of gas Isaac will fart when he picks up a coin. Coins have a higher chance to drop from Poop Poops.
Cain's Eye 5.350.59 Cain's Eye May you see your destination When starting a floor, 25% chance to gain the effect of The Compass The Compass for the duration of the floor.
Callus 5.350.14 Callus Your feet feel stronger Prevents damage from creep and spikes.
Cancer 5.350.39 Cancer Yay, cancer! -2 tear delay (effectively increases fire rate of tears).
Cartridge 5.350.8 Cartridge I remember these Chance to trigger The Gamekid The Gamekid effect upon taking damage.
Child's Heart 5.350.34 Child's Heart It calls out to its brothers Increases the chance of a Red Heart Heart dropping after clearing a room, and the chance of finding a heart when opening a Chest Chest.
Counterfeit Penny 5.350.52 Counterfeit Penny Wealth of wealth Gives a 50% chance of increasing the value of every coin pickup by one.
Cursed Skull 5.350.43 Cursed Skull Cursed? If Isaac has less than one full Red Heart Red Heart after taking damage, he will be immediately teleported to the last cleared room he was in.
Curved Horn 5.350.35 Curved Horn DMG up Increases damage by 2.
Daemon's Tail 5.350.22 Daemon's Tail Evil up Most non-specific Red Heart Heart drops become Black Heart Black Hearts, but heart drops are significantly less common.
Eve's Bird Foot 5.350.60 Eve's Bird Foot Revenge from beyond 5% chance to spawn a Dead Bird Dead Bird familiar for the current room each time an enemy dies.
Fish Head 5.350.29 Fish Head It stinks Spawns a Blue Fly every time Isaac takes damage.
Flat Penny 5.350.51 Flat Penny Wealth of answers Gives a chance to drop a Key Key when a coin is collected.
Flat Worm 5.350.12 Flat Worm Blub blub! Isaac's tears take on an oblong appearance. They also push enemies back.
Goat Hoof 5.350.37 Goat Hoof Speed up +0.15 speed.
Hook Worm 5.350.26 Hook Worm Zip zoop! Tears move shifting left to right on a square-wave-like path. +10 Range (effective Range remains about the same). Added in Repentance +0.4 Tears, +1.5 Range (effective Range is slightly lower).
Isaac's Fork 5.350.46 Isaac's Fork Consume thy enemy Isaac has a chance to heal for a Half Red Heart Half Red Heart upon clearing a room.
Isaac's Head 5.350.54 Isaac's Head Dead friend Spawns Isaac's severed head as a tear-firing familiar. Fires piercing tears.
Judas' Tongue 5.350.56 Judas' Tongue Payment Received Items in the Devil Room Devil Room only cost 1 heart. Soul Heart Soul Heart trades still cost 3 soul hearts.
Liberty Cap 5.350.32 Liberty Cap Touch Fuzzy, Get Dizzy Removed in Repentance Adds a chance when entering a room to gain Mini Mush Mini Mush, Odd Mushroom Odd Mushroom, Odd Mushroom Odd Mushroom, or The Compass The Compass for one room.
Added in Repentance Adds a chance when entering a room to gain a random passive mushroom item for one room.
Lucky Rock 5.350.15 Lucky Rock There's something inside it Rocks and their variants drop 1 Penny Penny when destroyed.
Lucky Toe 5.350.42 Lucky Toe Luck up! +1 Luck. Adds a chance to drop an extra pickup when opening a Chest Chest, destroying a machine, or blowing up a tinted rock.
Maggy's Faith 5.350.55 Maggy's Faith Faith's reward Gives an Eternal Heart Eternal Heart at the start of every floor.
Match Stick 5.350.41 Match Stick Tastes like burning Increases the chance of Bomb Bombs dropping after clearing a room, and the chance of finding Bombs when opening a Chest Chest.
Missing Poster 5.350.23 Missing Poster ??? Removed in Afterbirth If Isaac dies to a Sacrifice Room Sacrifice Room's spikes, a puzzle piece will appear on his last will.
Added in Afterbirth Dying in Sacrifice Room Sacrifice Room while holding it unlocks The Lost The Lost. If The Lost is already unlocked, revives Isaac as The Lost if he dies anywhere, then disappears.
Mom's Pearl 5.350.38 Mom's Pearl It emanates purity Grants a secondary 10% chance of any non-specific heart drop turning into a Soul Heart Soul Heart.
Mom's Toenail 5.350.16 Mom's Toenail ??? Once a minute, Mom's foot randomly stomps down somewhere in the room.
Monkey Paw 5.350.20 Monkey Paw Wish granted If the character has half a heart after taking damage, it drops a Black Heart Black Heart. The effect can trigger up to three times, after which the trinket will disappear.
Mysterious Candy 5.350.25 Mysterious Candy Uh-oh! Isaac farts or poops at random intervals. Getting hit can also trigger the effect.
Mysterious Paper 5.350.21 Mysterious Paper ??? Has a chance to replicate the effects of A Missing Page A Missing Page, The Polaroid The Polaroid, The Negative The Negative, or Missing Poster Missing Poster.
Paper Clip 5.350.19 Paper Clip Master of lockpicking Locked Chest Locked Chests can be opened without using a Key Key.
Petrified Poop 5.350.2 Petrified Poop It feels lucky? Greatly increases the chances of a pickup dropping when destroying Poop Poop.
Pinky Eye 5.350.30 Pinky Eye Poison shots Adds a 10% chance to shoot a poison tear, dealing damage over time when inflicted.
Pulse Worm 5.350.9 Pulse Worm Wub wub! Tears pulsate in size as they travel.
Purple Heart 5.350.5 Purple Heart Challenge up Increases the chance of encountering champion enemies and bosses.
Push Pin 5.350.31 Push Pin Piercing shots Adds a 10% chance to shoot a piercing and spectral tear.
Red Patch 5.350.40 Red Patch Your rage grows Grants a chance of increasing damage by 1.8 for the current room upon taking damage.
Ring Worm 5.350.11 Ring Worm Woop woop! Isaac fires in a fast spiraling pattern. Added in Repentance Also grants +0.4 Tears and spectral tears.
Rosary Bead 5.350.7 Rosary Bead Faith up Increases the chance of Angel Room Angel Rooms appearing, as well as the chance to find The Bible The Bible in the Library Library and Shop Shop.
Rusted Key 5.350.36 Rusted Key It feels lucky? Increases the chance of Key Keys dropping after clearing a room, and the chance of finding keys when opening a Chest Chest.
Safety Cap 5.350.44 Safety Cap Don't swallow it Improves the chance of pills dropping after clearing a room, and the chance of finding a pill when opening a Chest Chest.
Samson's Lock 5.350.58 Samson's Lock Your rage grows 1/15 chance to increase damage by 0.5 for the current room each time an enemy dies.
Store Credit 5.350.13 Store Credit YES! The next Shop Shop purchase is free. The trinket disappears after purchasing anything there.
Swallowed Penny 5.350.1 Swallowed Penny Gulp! Upon taking damage, Isaac drops a coin.
The Left Hand 5.350.61 The Left Hand The left-hand path reaps dark rewards Replaces all types of Chests with Red Chest Red Chests.
Tick 5.350.53 Tick Well, that's not coming off Drains 15% health from enemies with more than 60 HP. Restores one Red Heart Red Heart when entering an uncleared Boss Room Boss Room. The Tick cannot be dropped or swapped for another trinket (except for Added in AfterbirthMatch Stick Match Stick).
Umbilical Cord 5.350.33 Umbilical Cord Fetal Protection When brought down to only a Half Red Heart Half Red Heart, spawns a Little Steven Little Steven familiar for the current room. Added in Repentance Adds a high chance to spawn a Gemini Gemini familiar for the current room after taking damage.
Whip Worm 5.350.27 Whip Worm Wooosh! Increases shot speed by 0.5.
Wiggle Worm 5.350.10 Wiggle Worm Wiggle waggle! Isaac's tears travel in a wave-like pattern. +0.4 Tears up. Added in Repentance Also grants spectral tears.
Added in Afterbirth Black Feather 5.350.80 Black Feather With darkness comes power Increases Isaac's Damage for each 'evil' item or trinket he possesses.
Added in Afterbirth Blasting Cap 5.350.73 Blasting Cap Pop! Pop! Exploding Bomb Bombs have a chance to drop another Bomb pickup.
Added in Afterbirth Blind Rage 5.350.81 Blind Rage Blind to damage Increases invincibility time after getting hit.
Added in Afterbirth Blister 5.350.77 Blister Bounce back! Increases knockback of tears.
Added in Afterbirth Bob's Bladder 5.350.71 Bob's Bladder Creepy bombs Leaves a pool of green creep under all Bomb Bombs Isaac places, which damages enemies that walk over it.
Added in Afterbirth Brown Cap 5.350.90 Brown Cap Fartoom! Poop Poops explodes upon being destroyed.
Added in Afterbirth Child Leash 5.350.89 Child Leash Keep your friends close... Causes familiars to stay closer to each other.
Added in Afterbirth Cracked Dice 5.350.67 Cracked Dice You feel cursed... kinda. Activates the effect of The D6 The D6, Added in AfterbirthD8 D8, Added in AfterbirthD12 D12, or D20 D20 (chosen randomly) whenever Isaac takes damage.
Added in Afterbirth Endless Nameless 5.350.79 Endless Nameless I'm stuck in a loop... Has a 25% chance of creating a duplicate of any pill, card, or rune Isaac uses.
Added in Afterbirth Error 5.350.75 Error Effect not found? Gives a random trinket effect each room.
Added in Afterbirth Faded Polaroid 5.350.69 Faded Polaroid You feel faded Occasionally causes Isaac to blend into the ground, which briefly confuses all enemies in the room. Added in Repentance Can be used to open the Strange Door in The Depths to Mausoleum Mausoleum/Gehenna Gehenna II, instead of The Polaroid The Polaroid or The Negative The Negative, causing the trinket to disappear.
Added in Afterbirth Golden Horse Shoe 5.350.82 Golden Horse Shoe Feel lucky? +15% chance for Treasure Room Treasure Rooms to have two items. Only one item can be taken.
Added in Afterbirth Karma 5.350.85 Karma Karma up Donating to a Donation Machine.png Donation Machine has a chance to heal Isaac for a full Red Heart Red Heart or spawn a Beggar.png Beggar. Increases the chance that donating to a Donation Machine will increase Isaac's luck.
Added in Afterbirth Lazy Worm 5.350.66 Lazy Worm Pft Increases range by 4 and decreases shot speed by .4.
Added in Afterbirth Lil Larva 5.350.86 Lil Larva The poop is moving... Spawns a Blue Fly from every pile of Poop Poop that Isaac destroys.
Added in Afterbirth Louse 5.350.70 Louse Itchy, tasty... Occasionally spawns a Blue Spider.
Added in Afterbirth Mom's Locket 5.350.87 Mom's Locket You feel her love Grants a Half Red Heart Half Red Heart each time a Key Key is used. Converts Half Red Heart Half Red Heart pickups into Red Heart Red Hearts.
Added in Afterbirth NO! 5.350.88 NO! Never again! Prevents active items from being generated, if possible.
Added in Afterbirth Poker Chip 5.350.76 Poker Chip It's double down time! Chests have a 50% chance of paying out with extra pickups and a 50% chance of paying out with nothing or enemies.
Added in Afterbirth Rainbow Worm 5.350.64 Rainbow Worm Bleep Bloop Blop Isaac's tears gain a worm effect that changes every 3 seconds.
Added in Afterbirth Rib of Greed 5.350.84 Rib of Greed Feels greedy Prevents Greed Greed and Super Greed Super Greed from appearing in Shop Shops and Secret Room Secret Rooms, and makes coin drops after clearing rooms more likely.
Added in Afterbirth Safety Scissors 5.350.63 Safety Scissors Fuse Cutter Troll Bomb Troll Bombs turn into Bomb Bomb pickups before they explode. Mega Troll Bomb Mega Troll Bombs turn into Double Bomb Double Bombs before they explode.
Added in Afterbirth Second Hand 5.350.78 Second Hand Extended stat effect time! Increases the time that status effects stay on enemies.
Added in Afterbirth Shiny Rock 5.350.62 Shiny Rock It shines for its brothers Tinted rocks and rocks with Crawl Space Crawl Spaces underneath flash white upon entering the room and every 10 seconds afterward.
Added in Afterbirth Store Key 5.350.83 Store Key Stores are open Shop Shops can be opened without using Key Keys.
Added in Afterbirth Stud Finder 5.350.74 Stud Finder The ground below feels hollow... Increases the chance to find a Crawl Space Crawl Space.
Added in Afterbirth Super Magnet 5.350.68 Super Magnet It Pulls Pulls enemies and pickups towards Isaac.
Added in Afterbirth Tape Worm 5.350.65 Tape Worm Floooooooooop! Doubles Isaac's range and halves his tear height.
Added in Afterbirth Watch Battery 5.350.72 Watch Battery Lil charge Increased chance of Lil' Battery Lil' Batteries spawning. Has a chance to add an extra charge to Isaac's activated item upon completing a room.
Added in Afterbirth † Baby-Bender 5.350.127 Baby-Bender Feed them magic! Grants Isaac's familiars homing shots.
Added in Afterbirth † Bag Lunch 5.350.105 Bag Lunch I wonder what it is Taking damage has a small chance to destroy the trinket and spawn Lunch Lunch.
Added in Afterbirth † Bat Wing 5.350.118 Bat Wing They are growing... Upon killing an enemy, has a chance to grant flight for the rest of the room.
Added in Afterbirth † Black Tooth 5.350.95 Black Tooth It looks dead Adds a chance to fire a black tooth that deals double damage and poisons enemies.
Added in Afterbirth † Bloody Crown 5.350.111 Bloody Crown Drips with blood... Treasure Room Treasure Rooms appear in chapter 4.
Added in Afterbirth † Butter! 5.350.122 Butter! Can't hold it! Using an active item will drop it onto a pedestal on the ground. Taking damage may result in dropping a passive item.
Added in Afterbirth † Cracked Crown 5.350.92 Cracked Crown Stat booster Removed in Repentance Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by ~33%.
Added in Repentance Improves the effectiveness of other stat upgrades by ~20%.
Added in Afterbirth † Crow Heart 5.350.107 Crow Heart Drain me Red Heart Red Heart damage will be taken before Soul Heart Soul Heart, Black Heart Black Heart, and Added in Repentance Rotten Heart Rotten Heart damage.
Added in Afterbirth † Dim Bulb 5.350.101 Dim Bulb I think it's broken Provides a boost to all stats when Isaac's active item is completely uncharged.
Added in Afterbirth † Door Stop 5.350.124 Door Stop Hold the door! The last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
Added in Afterbirth † Duct Tape 5.350.109 Duct Tape Stuck! Holds Isaac's familiars in place relative to his position.
Added in Afterbirth † Equality! 5.350.103 Equality! = Turns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal.
Added in Afterbirth † Extension Cord 5.350.125 Extension Cord Charged friends Bolts of electricity arc between Isaac and his familiars, damaging any enemies between them.
Added in Afterbirth † Filigree Feather 5.350.123 Filigree Feather Angelic spoils Angels drop Angel Room items instead of key pieces when defeated.
Added in Afterbirth † Finger Bone 5.350.128 Finger Bone It looks brittle Grants a chance to gain a Added in Afterbirth † Bone Heart Bone Heart upon taking damage.
Added in Afterbirth † Fish Tail 5.350.94 Fish Tail It also stinks! Items and trinkets that generate Blue Flies or locusts will generate twice as many.
Added in Afterbirth † Fragmented Card 5.350.102 Fragmented Card Double moon Makes two Secret Room Secret Rooms spawn on each floor.
Added in Afterbirth † Hairpin 5.350.120 Hairpin Danger charge Fully recharges Isaac's active item upon entering a boss fight.
Added in Afterbirth † Locust of Conquest 5.350.117 Locust of Conquest I bring Conquest Upon entering a room with enemies, spawns 2-5 White Locusts which damage enemies.
Added in Afterbirth † Locust of Death 5.350.116 Locust of Death I bring Death Upon entering a room with enemies, spawns a Black Locust that does a very high amount of damage.
Added in Afterbirth † Locust of Famine 5.350.115 Locust of Famine I bring Famine Upon entering a room with enemies, spawns a Yellow Locust that damages and slows enemies.
Added in Afterbirth † Locust of Pestilence 5.350.114 Locust of Pestilence I bring Pestilence Upon entering a room with enemies, spawns a Green Locust which damages and poisons enemies.
Added in Afterbirth † Locust of War 5.350.113 Locust of War I bring War Upon entering a room with enemies for the first time, spawns a Red Locust which detonates upon impact with enemies.
Added in Afterbirth † Lost Cork 5.350.106 Lost Cork Uncorked Increases the radius of any creep produced by Isaac.
Added in Afterbirth † Meconium 5.350.91 Meconium Eww Added in Afterbirth Black Poop Black Poops can drop Black Heart Black Hearts when destroyed. Poop Poop has a chance to turn into Black Poop Black Poop.
Added in Afterbirth † Nose Goblin 5.350.98 Nose Goblin Seems magic... Chance to fire a homing booger that sticks to enemies and deals damage over time.
Added in Afterbirth † Ouroboros Worm 5.350.96 Ouroboros Worm Foop foop! Tears travel in a large spiral pattern and gain spectral, with a small chance to gain homing. Added in Repentance Also adds +0.4 Tears.
Added in Afterbirth † Pay to Win 5.350.112 Pay to Win ... Added in Afterbirth Shop Restock Machine.png Shop Restock Machines always spawn in Item Rooms.
Added in Afterbirth † Rotten Penny 5.350.126 Rotten Penny Wealth of flies Spawns a Blue Fly every time a coin is picked up.
Added in Afterbirth † Silver Dollar 5.350.110 Silver Dollar Feels lucky... Shop Shops appear in Chapter 4.
Added in Afterbirth † Stem Cell 5.350.119 Stem Cell Regen! Removed in Repentance Heals Isaac for a Half Red Heart Half Red Heart upon traveling to the next floor.
Added in Repentance Heals Isaac's Red Heart Red Heart health to 50% of maximum upon traveling to the next floor. If his health is already equal to or above 50%, it heals half a Red Heart instead.
Added in Afterbirth † Super Ball 5.350.99 Super Ball Boing! Makes tears have a chance to bounce off enemies and obstacles.
Added in Afterbirth † Tonsil 5.350.97 Tonsil Sick... When hit, there is a small chance a removed tonsil familiar starts following Isaac, blocking enemy shots.
Added in Afterbirth † Used Diaper 5.350.93 Used Diaper You stink Grants the Skatole Skatole effect in some rooms.
Added in Afterbirth † Vibrant Bulb 5.350.100 Vibrant Bulb It needs power Provides a boost to all stats when Isaac's active item is fully charged.
Added in Afterbirth † Walnut 5.350.108 Walnut That's a hard nut to crack! Being hit by explosions will eventually destroy the trinket and spawn various pickups.
Added in Afterbirth † Wish Bone 5.350.104 Wish Bone Make a wish Taking damage has a small chance to destroy the trinket and spawn a random item.
Added in Afterbirth † Wooden Cross 5.350.121 Wooden Cross My faith protects me Grants a shield that negates the first damage taken once per floor.
Added in Repentance 'M 5.350.138 'M t's broken9Reroll your dest Using an activated item rerolls it.
Added in Repentance A Lighter 5.350.135 A Lighter Watch the world burn Adds a chance for enemies to burn upon entering a room.
Added in Repentance Adoption Papers 5.350.184 Adoption Papers Give them a home Shop Shops can sell familiars, which will always be at a discounted price.
Added in Repentance Apollyon's Best Friend 5.350.186 Apollyon's Best Friend Attack buddy Spawns an attack locust familiar which will fly forward while Isaac shoots.
Added in Repentance Apple of Sodom 5.350.140 Apple of Sodom It feels empty Picking up Red Heart Red Hearts, even while at full health, can convert them into blue spiders. The effect may consume hearts needed for healing.
Added in Repentance Azazel's Stump 5.350.162 Azazel's Stump Unleash your inner demon When clearing a room, adds a chance to turn into Azazel Azazel until clearing another.
Added in Repentance Beth's Essence 5.350.182 Beth's Essence Virtue's reward Upon entering an Angel Room Angel Room, spawns 5 wisp orbitals. Giving money to Beggar.png Beggars can spawn wisps.
Added in Repentance Beth's Faith 5.350.142 Beth's Faith My faith protects me At the beginning of each floor, spawn 4-8 wisps that orbit Isaac and fires tears alongside him.
Added in Repentance Blessed Penny 5.350.131 Blessed Penny Wealth of purity Gives a chance to drop a Half Soul Heart Half Soul Heart when a coin is collected.
Added in Repentance Blue Key 5.350.150 Blue Key Look between the rooms Doors can be unlocked without using Key Keys. Opening a door this way brings Isaac to an in-between room that resembles ??? ???, with a few monsters.
Added in Repentance Brain Worm 5.350.144 Brain Worm Ding! Tears snap 90 degrees to target enemies that they may have missed.
Added in Repentance Broken Glasses 5.350.187 Broken Glasses Double vision? Gives a 33% chance to add a '?' item to Treasure Room Treasure Rooms. Only one item can be taken. The extra items on the alt path are revealed instead.
Added in Repentance Broken Padlock 5.350.136 Broken Padlock Bombs are key Locks can be opened with explosions.
Added in Repentance Broken Syringe 5.350.132 Broken Syringe Mystery medicine Grants a chance to gain a random syringe effect for the current room.
Added in Repentance Charged Penny 5.350.147 Charged Penny Wealth of power Picking up coins has a chance to give an Active Item charge.
Added in Repentance Chewed Pen 5.350.130 Chewed Pen It's leaking Adds a chance to fire tears that slow enemies.
Added in Repentance Cricket Leg 5.350.185 Cricket Leg Infested Adds a chance to spawn a random locust when killing an enemy.
Added in Repentance Crystal Key 5.350.170 Crystal Key Call to the other side Whenever Isaac clears a room, has a chance to open a neighboring Red Room Red Room.
Added in Repentance Cursed Penny 5.350.172 Cursed Penny Wealth of misery Picking up coins teleports Isaac to a random room.
Added in Repentance Devil's Crown 5.350.146 Devil's Crown His special customer Treasure Room Treasure Rooms are replaced with unique Red Treasure Rooms, offering a Deal with the Devil in place of an item.
Added in Repentance Dice Bag 5.350.154 Dice Bag Bonus roll When Isaac enters a new room, has a chance to give him a Dice item as a consumable for the current room.
Added in Repentance Dingle Berry 5.350.163 Dingle Berry Oops! Spawns a Dip Familiar upon clearing a room.
Added in Repentance Expansion Pack 5.350.181 Expansion Pack Fun extras Once per room, using an active item triggers another random active item effect.
Added in Repentance Flat File 5.350.151 Flat File No more spikes Causes all spikes to retract, making them harmless. Also affects the doors to Curse Room Curse Rooms.
Added in Repentance Forgotten Lullaby 5.350.141 Forgotten Lullaby Sing for your friends Improves the fire rate of Isaac's familiars.
Added in Repentance Found Soul 5.350.180 Found Soul Finally! Spawns a familiar that copies Isaac's movements and scales with damage and tears. If it takes damage, it will die and respawn on the next floor.
Added in Repentance Friendship Necklace 5.350.148 Friendship Necklace Gather round Causes familiars to orbit Isaac.
Added in Repentance Gigante Bean 5.350.134 Gigante Bean Mega farts Increases the size of Isaac's farts.
Added in Repentance Gilded Key 5.350.159 Gilded Key Less is more Replaces all new chests, except Mega Chest Mega Chests and Old Chest Old Chests, with Locked Chest Locked Chests. Grants one Key Key on pickup.
Added in Repentance Hollow Heart 5.350.168 Hollow Heart A brittle blessing Grants an empty Bone Heart Bone Heart upon entering a new floor.
Added in Repentance Holy Crown 5.350.155 Holy Crown Walk the path of the saint A Treasure Room Treasure Room and Shop Shop appears in the Cathedral Cathedral.
Added in Repentance Ice Cube 5.350.188 Ice Cube Stay frosty Adds a chance to petrify enemies when entering the room. Killing the petrified enemy freezes it.
Added in Repentance Jawbreaker 5.350.129 Jawbreaker Don't chew on it Adds the chance to fire teeth that deal 3.2x damage; mechanically identical to the passive item Tough Love Tough Love.
Added in Repentance Keeper's Bargain 5.350.171 Keeper's Bargain Money talks Adds a chance for Devil Deals to cost money instead of health.
Added in Repentance Kid's Drawing 5.350.169 Kid's Drawing Looks familiar... While held, counts towards Guppy Guppy.
Added in Repentance Lil Clot 5.350.176 Lil Clot Mini friend Spawns a clot familiar that mimics Isaac's movements and tears. It dies for the current room after taking too much damage.
Added in Repentance Lucky Sack 5.350.160 Lucky Sack Free goodies! Spawns a Grab Bag Grab Bag upon traveling to the next floor.
Added in Repentance Modeling Clay 5.350.166 Modeling Clay ??? Grants the effect of a random passive Item each room.
Added in Repentance Mom's Lock 5.350.153 Mom's Lock A piece of her love Grants the effects of a random Mom item each room.
Added in Repentance Mother's Kiss 5.350.156 Mother's Kiss HP up Grants one heart container.
Added in Repentance Myosotis 5.350.137 Myosotis Forget me not... When entering a new floor, up to four uncollected pickups from the previous floor spawn in the starting room.
Added in Repentance Nuh Uh! 5.350.165 Nuh Uh! Don't want! Replaces Key Keys and coins that spawn in Chapter 4 and beyond with more useful pickups.
Added in Repentance Number Magnet 5.350.174 Number Magnet 6 Increases the chance of earning a Devil Room Devil Room by 10%, prevents Krampus Krampus from spawning, and generates special Devil Room layouts.
Added in Repentance Old Capacitor 5.350.143 Old Capacitor Voltage starving Active items don't charge when clearing rooms. Adds a chance to spawn a Lil' Battery Lil' Battery when clearing a room, independent of the room's original drop.
Added in Repentance Panic Button 5.350.149 Panic Button Push in case of emergency Activates Isaac's active item just before he takes damage.
Added in Repentance Perfection 5.350.145 Perfection Luck way up. Don't lose it! +10 Luck. If Isaac takes damage, the trinket is destroyed and its effect is removed.
Added in Repentance Polished Bone 5.350.167 Polished Bone Friends from beyond After clearing a room, adds a chance to spawn a friendly Bony Bony.
Added in Repentance RC Remote 5.350.179 RC Remote Controllable buddies! Instead of trailing behind Isaac, familiars are directly controlled by the same inputs as Isaac's.
Added in Repentance Ring Cap 5.350.164 Ring Cap Twice the bang! Placing a Bomb Bomb spawns an extra bomb for free.
Added in Repentance Short Fuse 5.350.133 Short Fuse Faster explosions Bomb Bombs placed by Isaac explode quicker.
Added in Repentance Sigil of Baphomet 5.350.189 Sigil of Baphomet Revel in death Grants an invulnerability shield for 1 second after killing an enemy.
Added in Repentance Strange Key 5.350.175 Strange Key What could it open? Unlocks the passageway to ??? ??? and the Hush Hush fight, regardless of the run duration. Using Pandora's Box Pandora's Box grants it a special effect, consuming the key.
Added in Repentance Swallowed M80 5.350.178 Swallowed M80 Bang! Isaac explodes upon taking damage.
Added in Repentance Teardrop Charm 5.350.139 Teardrop Charm It feels lucky Luck-based tear effects have a higher chance of occurring.
Added in Repentance Telescope Lens 5.350.152 Telescope Lens Seek the stars Increases the chance for Planetarium Planetariums to spawn even if one has been visited and allows Planetariums to spawn in Chapter 4.
Added in Repentance Temporary Tattoo 5.350.177 Temporary Tattoo You feel braver Drops a Chest Chest after clearing a Challenge Room Challenge Room, or an extra Boss item after clearing a Boss Challenge Room Boss Challenge Room.
Added in Repentance The Twins 5.350.183 The Twins I'm seeing double... Adds a chance to duplicate one of Isaac's familiars when entering a new room.
Added in Repentance Torn Card 5.350.157 Torn Card Death awaits Every 15 shots, Isaac shoots an Ipecac Ipecac + My Reflection My Reflection tear.
Added in Repentance Torn Pocket 5.350.158 Torn Pocket A hole in your pocket Upon taking damage, Isaac drops 2 random Pickups from among those he's currently holding.
Added in Repentance Wicked Crown 5.350.161 Wicked Crown Walk the path of the wicked A Treasure Room Treasure Room and Shop Shop appears in Sheol Sheol.
Added in Repentance Your Soul 5.350.173 Your Soul Give it to me Can be used to pay for a Devil deal without losing hearts, and is then consumed.


  • The Polaroid The Polaroid was originally a trinket in the original Binding of Isaac, but it was changed into an item.
    • Wiggle Worm Wiggle Worm was an item in the original Binding of Isaac; however, in Rebirth, it was changed into a trinket. Interestingly, these changes keep the count of items and trinkets from the original game the same.
  • Added in Afterbirth † Afterbirth+'s original trinket count was 29. The Booster Packs added 9 trinkets.
  • The Game Squid is the only item that was in the original Binding of Isaac that wasn't implemented into Rebirth, let alone any of its DLCs. The reason is most likely that it was an item that was added as a result of the Eternal Edition update for the original Binding of Isaac, which was implemented a while after the release of the Binding of Isaac: Rebirth.
    • The Chewed Pen, a trinket added in Repentance, has a near identical effect to the Game Squid.