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 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.
  • Trinkets cannot be duplicated with items such as Diplopia Diplopia and 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 15►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 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.
Bible Tract 5.350.18 Bible Tract Faith up Increases the chance of Eternal Hearts appearing.
Black Lipstick 5.350.17 Black Lipstick Evil Up Increases the chance of Black Hearts appearing.
Bloody Penny 5.350.49 Bloody Penny Wealth of health Gives a chance to drop a 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 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 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 15►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 heart pickup dropping after clearing a room, and the chance of finding a heart when opening a 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 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 heart drops become 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 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 to range (effective range remains about the same).
Isaac's Fork 5.350.46 Isaac's Fork Consume thy enemy Isaac has a chance to heal for 1/2 a 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 only cost 1 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 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, 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 at the start of every floor.
Match Stick 5.350.41 Match Stick Tastes like burning Increases the chance of bombs dropping after clearing a room, and the chance of finding Bombs when opening a 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.
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. 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 Golden Chests can be opened without using a Key.
Petrified Poop 5.350.2 Petrified Poop It feels lucky? Greatly increases the chances of a pickup dropping when destroying 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 spectral tears.
Rosary Bead 5.350.7 Rosary Bead Faith up Increases the chance of Angel Rooms appearing, as well as the chance to find The Bible in the Library and Shop.
Rusted Key 5.350.36 Rusted Key It feels lucky? Increases the chance of keys dropping after clearing a room, and the chance of finding keys when opening a 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.
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 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 when entering an uncleared 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, spawns a 15►Little Steven Little Steven familiar for the current room. Added in Repentance Adds a high chance to spawn a 15►Gemini Gemini familiar for the current room after taking damage.
Whip Worm 5.350.27 Whip Worm Wooosh! Increases shot speed by 0.5, Removed in Repentance increasing effective range.
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.
Black Feather 5.350.80 Black Feather With darkness comes power Increases Isaac's Damage by Removed in Repentance +0.2 Added in Repentance +0.5 for each of the following items or trinkets he possesses:
Blasting Cap 5.350.73 Blasting Cap Pop! Pop! Exploding bombs have a chance to drop another Bomb pickup.
Blind Rage 5.350.81 Blind Rage Blind to damage Increases invincibility time after getting hit.
Blister 5.350.77 Blister Bounce back! Increases knockback of tears.
Bob's Bladder 5.350.71 Bob's Bladder Creepy bombs Leaves a pool of green creep under all bombs Isaac places, which damages enemies that walk over it.
Brown Cap 5.350.90 Brown Cap Fartoom! Poop explodes upon being destroyed.
Child Leash 5.350.89 Child Leash Keep your friends close... Causes familiars to stay closer to each other.
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.
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.
Error 5.350.75 Error Effect not found? Gives a random trinket effect each room.
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.
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.
Karma 5.350.85 Karma Karma up Donating to a donation machine has a chance to heal Isaac for a full red heart or spawn a beggar. Increases the chance that donating to a Donation Machine will increase Isaac's luck.
Lazy Worm 5.350.66 Lazy Worm Pft Increases range by 4 and decreases shot speed by .4.
Lil Larva 5.350.86 Lil Larva The poop is moving... Spawns a Blue Fly from every pile of poop that Isaac destroys.
Louse 5.350.70 Louse Itchy, tasty... Occasionally spawns a Blue Spider.
Mom's Locket 5.350.87 Mom's Locket You feel her love Grants half a red heart each time a key is used. Converts half red heart pickups into full red hearts.
NO! 5.350.88 NO! Never again! Prevents active items from being generated, if possible.
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.
Rainbow Worm 5.350.64 Rainbow Worm Bleep Bloop Blop Isaac's tears gain a worm effect that changes every 3 seconds.
Rib of Greed 5.350.84 Rib of Greed Feels greedy Prevents Greed and Super Greed from appearing in shops and secret rooms, and makes coin drops after clearing rooms more likely.
Safety Scissors 5.350.63 Safety Scissors Fuse Cutter Troll bombs turn into Bomb pickups before they explode. Mega troll bombs turn into double bombs before they explode.
Second Hand 5.350.78 Second Hand Extended stat effect time! Increases the time that status effects stay on enemies.
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.
Store Key 5.350.83 Store Key Stores are open Shop Shops can be opened without using Keys.
Stud Finder 5.350.74 Stud Finder The ground below feels hollow... Increases the chance to find a Crawl Space.
Super Magnet 5.350.68 Super Magnet It Pulls Pulls enemies and pickups towards Isaac.
Tape Worm 5.350.65 Tape Worm Floooooooooop! Doubles Isaac's range and halves his tear height.
Watch Battery 5.350.72 Watch Battery Lil charge Increased chance of batteries spawning. Has a chance to add an extra charge to Isaac's activated item upon completing a room.
Baby-Bender 5.350.127 Baby-Bender Feed them magic! Grants Isaac's familiars homing shots.
Bag Lunch 5.350.105 Bag Lunch I wonder what it is Taking damage has a small chance to destroy the trinket and spawn 15►Lunch Lunch.
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.
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.
Bloody Crown 5.350.111 Bloody Crown Drips with blood... Treasure Rooms appear in chapter 4.
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.
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%.
Crow Heart 5.350.107 Crow Heart Drain me Red Heart damage will be taken before Soul Heart, Black Heart, and Added in Repentance Rotten Heart damage.
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.
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.
Duct Tape 5.350.109 Duct Tape Stuck! Holds Isaac's familiars in place relative to his position.
Equality! 5.350.103 Equality! = Turns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal.
Extension Cord 5.350.125 Extension Cord Charged friends Bolts of electricity arc between Isaac and his familiars, damaging any enemies between them.
Filigree Feather 5.350.123 Filigree Feather Angelic spoils Angels drop Angel Room items instead of key pieces when defeated.
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.
Fish Tail 5.350.94 Fish Tail It also stinks! Items and trinkets that generate Blue Flies or locusts will generate twice as many.
Fragmented Card 5.350.102 Fragmented Card Double moon Makes two Secret Rooms spawn on each floor.
Hairpin 5.350.120 Hairpin Danger charge Fully recharges Isaac's active item upon entering a boss fight.
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.
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.
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.
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.
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.
Lost Cork 5.350.106 Lost Cork Uncorked Increases the radius of any creep produced by Isaac.
Meconium 5.350.91 Meconium Eww Black poop can drop black hearts when destroyed. Poop has a chance to turn into black poop.
Nose Goblin 5.350.98 Nose Goblin Seems magic... Chance to fire a homing booger that sticks to enemies and deals damage over time.
Ouroboros Worm 5.350.96 Ouroboros Worm Foop foop! Tears travel in a large spiral pattern and become spectral, with a small chance to home.
Pay to Win 5.350.112 Pay to Win ... Restock boxes always spawn in Item Rooms.
Rotten Penny 5.350.126 Rotten Penny Wealth of flies Spawns a Blue Fly every time a coin is picked up.
Silver Dollar 5.350.110 Silver Dollar Feels lucky... Shops appear in Chapter 4.
Stem Cell 5.350.119 Stem Cell Regen! Removed in Repentance Heals Isaac for half a heart upon traveling to the next floor.
Added in Repentance Heals Isaac's 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.
Super Ball 5.350.99 Super Ball Boing! Makes tears have a chance to bounce off enemies and obstacles.
Tonsil 5.350.97 Tonsil Sick... When hit, there is a small chance a removed tonsil familiar starts following Isaac, blocking enemy shots.
Used Diaper 5.350.93 Used Diaper You stink Grants the 15►Skatole Skatole effect in some rooms.
Vibrant Bulb 5.350.100 Vibrant Bulb It needs power Provides a boost to all stats when Isaac's active item is fully charged.
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.
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.
Wooden Cross 5.350.121 Wooden Cross My faith protects me Grants a shield that negates the first damage taken once per floor.
'M 5.350.138 'M t's broken9Reroll your dest Using an activated item rerolls it.
A Lighter 5.350.135 A Lighter Watch the world burn Adds a chance for enemies to burn upon entering a room.
Adoption Papers 5.350.184 Adoption Papers Give them a home Shops can sell familiars, which will always be at a discounted price.
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.
Apple of Sodom 5.350.140 Apple of Sodom It feels empty Picking up red hearts, even while at full health, can convert them into blue spiders. The effect may consume hearts needed for healing.
Azazel's Stump 5.350.162 Azazel's Stump Unleash your inner demon When clearing a room, adds a chance to turn into Azazel until clearing another.
Beth's Essence 5.350.182 Beth's Essence Virtue's reward Upon entering an Angel Room, spawns 5 wisp orbitals. Giving money to beggars can spawn wisps.
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.
Blessed Penny 5.350.131 Blessed Penny Wealth of purity Gives a chance to drop a Half Soul Heart when a coin is collected.
Blue Key 5.350.150 Blue Key Look between the rooms Doors can be unlocked without using keys. Opening a door this way brings Isaac to an in-between room that resembles ??? ???, with a few monsters.
Brain Worm 5.350.144 Brain Worm Ding! Tears snap 90 degrees to target enemies that they may have missed.
Broken Glasses 5.350.187 Broken Glasses Double vision? Gives a 33% chance to add a '?' item to Treasure Rooms. Only one item can be taken. The extra items on the alt path are revealed instead.
Broken Padlock 5.350.136 Broken Padlock Bombs are key Locks can be opened with explosions.
Broken Syringe 5.350.132 Broken Syringe Mystery medicine Grants a chance to gain a random syringe effect for the current room.
Charged Penny 5.350.147 Charged Penny Wealth of power Picking up coins has a chance to give an Active Item charge.
Chewed Pen 5.350.130 Chewed Pen It's leaking Adds a chance to fire tears that slow enemies.
Cricket Leg 5.350.185 Cricket Leg Infested Adds a chance to spawn a random locust when killing an enemy.
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.
Cursed Penny 5.350.172 Cursed Penny Wealth of misery Picking up coins teleports Isaac to a random room.
Devil's Crown 5.350.146 Devil's Crown His special customer Treasure Rooms are replaced with unique Red Treasure Rooms, offering a Deal with the Devil in place of an item.
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.
Dingle Berry 5.350.163 Dingle Berry Oops! Spawns a Dip Familiar upon clearing a room.
Expansion Pack 5.350.181 Expansion Pack Fun extras Once per room, using an active item triggers another random active item effect.
Flat File 5.350.151 Flat File No more spikes Causes all spikes to retract, making them harmless. Also affects the doors to Curse Rooms.
Forgotten Lullaby 5.350.141 Forgotten Lullaby Sing for your friends Improves the fire rate of Isaac's familiars.
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.
Friendship Necklace 5.350.148 Friendship Necklace Gather round Causes familiars to orbit Isaac.
Gigante Bean 5.350.134 Gigante Bean Mega farts Increases the size of Isaac's farts.
Gilded Key 5.350.159 Gilded Key Less is more Replaces all new chests, except Mega Chests, with Locked Chests.
Hollow Heart 5.350.168 Hollow Heart A brittle blessing Grants an empty bone heart upon entering a new floor.
Holy Crown 5.350.155 Holy Crown Walk the path of the saint A Treasure Room and Shop appears in the Cathedral Cathedral.
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.
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 15►Tough Love Tough Love.
Keeper's Bargain 5.350.171 Keeper's Bargain Money talks Adds a chance for Devil Deals to cost money instead of health.
Kid's Drawing 5.350.169 Kid's Drawing Looks familiar... While held, counts towards the Guppy transformation.
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.
Lucky Sack 5.350.160 Lucky Sack Free goodies! Spawns a Grab Bag upon traveling to the next floor.
Modeling Clay 5.350.166 Modeling Clay ??? Grants the effect of a random passive Item each room.
Mom's Lock 5.350.153 Mom's Lock A piece of her love Grants the effects of a random Mom item each room.
Mother's Kiss 5.350.156 Mother's Kiss HP up Grants one heart container.
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.
Nuh Uh! 5.350.165 Nuh Uh! Don't want! Replaces keys and coins that spawn in Chapter 4 and beyond with more useful pickups.
Number Magnet 5.350.174 Number Magnet 6 Increases the chance of earning a Devil Room Devil Room by 10%, prevents Krampus from spawning, and generates special Devil Room layouts.
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 when clearing a room, independent of the room's original drop.
Panic Button 5.350.149 Panic Button Push in case of emergency Activates Isaac's active item just before he takes damage.
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.
Polished Bone 5.350.167 Polished Bone Friends from beyond After clearing a room, adds a chance to spawn a friendly Bony.
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.
Ring Cap 5.350.164 Ring Cap Twice the bang! Placing a bomb spawns an extra bomb for free.
Short Fuse 5.350.133 Short Fuse Faster explosions Bombs placed by Isaac explode quicker.
Sigil of Baphomet 5.350.189 Sigil of Baphomet Revel in death Grants an invulnerability shield for 1 second after killing an enemy.
Strange Key 5.350.175 Strange Key What could it open? Unlocks the passageway to ??? ??? and the Added in Afterbirth Hush Hush fight, regardless of the run duration. Using Pandora's Box Pandora's Box grants it a special effect, consuming the key.
Swallowed M80 5.350.178 Swallowed M80 Bang! Isaac explodes upon taking damage.
Teardrop Charm 5.350.139 Teardrop Charm It feels lucky Luck-based tear effects have a higher chance of occurring.
Telescope Lens 5.350.152 Telescope Lens Seek the stars Increases the chance for Planetariums to spawn even if one has been visited and allows Planetariums to spawn in Chapter 4.
Temporary Tattoo 5.350.177 Temporary Tattoo You feel braver Drops a chest after clearing a Challenge Room Challenge Room, or an extra Boss item after clearing a Boss Challenge Room Boss Challenge Room.
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.
Torn Card 5.350.157 Torn Card Death awaits Every 15 shots, Isaac shoots an Ipecac Ipecac + My Reflection My Reflection tear.
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.
Wicked Crown 5.350.161 Wicked Crown Walk the path of the wicked A Treasure Room and Shop appears in Sheol Sheol.
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.
  • 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.