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Trinkets

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; Collectible Mom's Purse icon.png Mom's Purse and Dlc a† indicator.png Collectible Belly Button icon.png Belly Button allow two trinkets to be held at once, Dlc a† indicator.png and trinkets can be absorbed by Dlc a† indicator.png Collectible Smelter icon.png Smelter, Dlc a† indicator.png Collectible Marbles icon.png 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.

Dlc r indicator.png All trinkets have a chance to be Golden Trinkets.

Notes

  • 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 Trinket Tick icon.png Tick.)
  • While held, Dlc a indicator.png Collectible Mom's Box icon.png Mom's Box doubles the effect of most trinkets.
    • Dlc r indicator.png 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.
  • Dlc nr indicator.png 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.
  • Dlc r indicator.png Multiples of the same trinkets generally stack as expected, and two copies of the same trinket can be held simultaneously with Collectible Belly Button icon.png Belly Button or Collectible Mom's Purse icon.png Mom's Purse.
  • Dlc r indicator.png Trinkets cannot be duplicated with items such as Dlc a indicator.png Collectible Diplopia icon.png Diplopia and Dlc a† indicator.png Collectible D1 icon.png D1 or the Jera Icon.png Rune of Jera.

All Trinkets

Name ID Icon Quote Description
???'s Soul 5.350.57 Trinket Blue Baby's Soul icon.png Imaginary Friend Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to Collectible The Peeper icon.png The Peeper and fires spectral and homing tears.
A Missing Page 5.350.48 Trinket A Missing Page icon.png It glows with power 5% chance to induce Collectible The Necronomicon icon.png The Necronomicon's effect upon taking damage. Dlc r indicator.png Adds +40 damage to Black Hearts and The Necromonicon-like effects.
AAA Battery 5.350.3 Trinket AAA Battery icon.png Trickle charge Automatically recharges the last energy slot of an activated item, effectively reducing recharge rates by one.
Ace of Spades 5.350.45 Trinket Ace of Spades icon.png 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 Trinket Bible Tract icon.png Faith up Increases the chance of Eternal Hearts appearing.
Black Lipstick 5.350.17 Trinket Black Lipstick icon.png Evil Up Increases the chance of Black Hearts appearing.
Bloody Penny 5.350.49 Trinket Bloody Penny icon.png Wealth of health Gives a chance to drop a Half Red Heart when a coin is collected.
Broken Ankh 5.350.28 Trinket Broken Ankh icon.png Eternal life? When held, Isaac has a 22.22% chance to be revived as Character ??? (Character) icon.png ??? in the most recent non-hostile room. Can occur multiple times in the same run.
Broken Magnet 5.350.6 Trinket Broken Magnet icon.png It kinda works! Pulls coins towards Isaac, but ignores other pickups.
Broken Remote 5.350.4 Trinket Broken Remote icon.png It's broken Triggers the Collectible Teleport! icon.png Teleport! effect whenever an activated item is used.
Burnt Penny 5.350.50 Trinket Burnt Penny icon.png Wealth of chaos Gives a chance to drop a bomb when a coin is collected.
Butt Penny 5.350.24 Trinket Butt Penny icon.png 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 Trinket Cain's Eye icon.png May you see your destination When starting a floor, 25% chance to gain the effect of Collectible The Compass icon.png The Compass for the duration of the floor.
Callus 5.350.14 Trinket Callus icon.png Your feet feel stronger Prevents damage from creep and spikes.
Cancer 5.350.39 Trinket Cancer icon.png Yay, cancer! -2 tear delay (effectively increases fire rate of tears).
Cartridge 5.350.8 Trinket Cartridge icon.png I remember these Chance to trigger Collectible The Gamekid icon.png The Gamekid effect upon taking damage.
Child's Heart 5.350.34 Trinket Child's Heart icon.png 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 Trinket Counterfeit Penny icon.png Wealth of wealth Gives a 50% chance of increasing the value of every coin pickup by one.
Cursed Skull 5.350.43 Trinket Cursed Skull icon.png 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 Trinket Curved Horn icon.png DMG up Increases damage by 2.
Daemon's Tail 5.350.22 Trinket Daemon's Tail icon.png Evil up Most non-specific heart drops become Black Hearts, but heart drops are significantly less common.
Eve's Bird Foot 5.350.60 Trinket Eve's Bird Foot icon.png Revenge from beyond 5% chance to spawn a Collectible Dead Bird icon.png Dead Bird familiar for the current room each time an enemy dies.
Fish Head 5.350.29 Trinket Fish Head icon.png It stinks Spawns a Blue Fly every time Isaac takes damage.
Flat Penny 5.350.51 Trinket Flat Penny icon.png Wealth of answers Gives a chance to drop a key when a coin is collected.
Flat Worm 5.350.12 Trinket Flat Worm icon.png Blub blub! Isaac's tears take on an oblong appearance. They also push enemies back.
Goat Hoof 5.350.37 Trinket Goat Hoof icon.png Speed up +0.15 speed.
Hook Worm 5.350.26 Trinket Hook Worm icon.png 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 Trinket Isaac's Fork icon.png 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 Trinket Isaac's Head icon.png Dead friend Spawns Isaac's severed head as a tear-firing familiar. Fires piercing tears.
Judas' Tongue 5.350.56 Trinket Judas' Tongue icon.png Payment Received Items in the Devil Room only cost 1 heart. Soul heart trades still cost 3 soul hearts.
Liberty Cap 5.350.32 Trinket Liberty Cap icon.png Touch Fuzzy, Get Dizzy Dlc nr indicator.png Adds a chance when entering a room to gain Collectible Mini Mush icon.png Mini Mush, Collectible Odd Mushroom (Large) icon.png Odd Mushroom, Collectible Odd Mushroom (Thin) icon.png Odd Mushroom, or Collectible The Compass icon.png The Compass for one room.
Dlc r indicator.png Adds a chance when entering a room to gain a random passive mushroom item for one room.
Lucky Rock 5.350.15 Trinket Lucky Rock icon.png There's something inside it Rocks and their variants drop 1 penny when destroyed.
Lucky Toe 5.350.42 Trinket Lucky Toe icon.png 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 Trinket Maggy's Faith icon.png Faith's reward Gives an eternal heart at the start of every floor.
Match Stick 5.350.41 Trinket Match Stick icon.png 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 Trinket Missing Poster icon.png ??? Dlc na indicator.png If Isaac dies to a Sacrifice Room Icon.png Sacrifice Room's spikes, a puzzle piece will appear on his last will.
Dlc a indicator.png Dying in Sacrifice Room Icon.png Sacrifice Room while holding it unlocks Character The Lost icon.png The Lost. If The Lost is unlocked, revives Isaac as The Lost on death, then disappears.
Mom's Pearl 5.350.38 Trinket Mom's Pearl icon.png 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 Trinket Mom's Toenail icon.png ??? Once a minute, Mom's foot randomly stomps down somewhere in the room.
Monkey Paw 5.350.20 Trinket Monkey Paw icon.png 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 Trinket Mysterious Candy icon.png Uh-oh! Isaac farts or poops at random intervals. Getting hit can also trigger the effect.
Mysterious Paper 5.350.21 Trinket Mysterious Paper icon.png ??? Has a chance to replicate the effects of Trinket A Missing Page icon.png A Missing Page, Collectible The Polaroid icon.png The Polaroid, Collectible The Negative icon.png The Negative, or Trinket Missing Poster icon.png Missing Poster.
Paper Clip 5.350.19 Trinket Paper Clip icon.png Master of lockpicking Golden Chests can be opened without using a Key.
Petrified Poop 5.350.2 Trinket Petrified Poop icon.png It feels lucky? Greatly increases the chances of a pickup dropping when destroying poop.
Pinky Eye 5.350.30 Trinket Pinky Eye icon.png Poison shots Adds a 10% chance to shoot a poison tear, dealing damage over time when inflicted.
Pulse Worm 5.350.9 Trinket Pulse Worm icon.png Wub wub! Tears pulsate in size as they travel.
Purple Heart 5.350.5 Trinket Purple Heart icon.png Challenge up Increases the chance of encountering champion enemies and bosses.
Push Pin 5.350.31 Trinket Push Pin icon.png Piercing shots Adds a 10% chance to shoot a piercing and spectral tear.
Red Patch 5.350.40 Trinket Red Patch icon.png Your rage grows Grants a chance of increasing damage by 1.8 for the current room upon taking damage.
Ring Worm 5.350.11 Trinket Ring Worm icon.png Woop woop! Isaac fires in a fast spiraling pattern. Dlc r indicator.png Also grants spectral tears.
Rosary Bead 5.350.7 Trinket Rosary Bead icon.png 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 Trinket Rusted Key icon.png 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 Trinket Safety Cap icon.png 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 Trinket Samson's Lock icon.png 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 Trinket Store Credit icon.png YES! The next Shop Icon.png Shop purchase is free. The trinket disappears after purchasing anything there.
Swallowed Penny 5.350.1 Trinket Swallowed Penny icon.png Gulp! Upon taking damage, Isaac drops a coin.
The Left Hand 5.350.61 Trinket The Left Hand icon.png The left-hand path reaps dark rewards Replaces all types of Chests with Red Chests.
Tick 5.350.53 Trinket Tick icon.png 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 Dlc a indicator.png Trinket Match Stick icon.png Match Stick).
Umbilical Cord 5.350.33 Trinket Umbilical Cord icon.png Fetal Protection When brought down to only a Half Red Heart, spawns a Collectible Little Steven icon.png Little Steven familiar for the current room. Dlc r indicator.png Adds a high chance to spawn a Collectible Gemini icon.png Gemini familiar for the current room after taking damage.
Whip Worm 5.350.27 Trinket Whip Worm icon.png Wooosh! Increases shot speed by 0.5, increasing effective range.
Wiggle Worm 5.350.10 Trinket Wiggle Worm icon.png Wiggle waggle! Isaac's tears travel in a wave-like pattern. +0.4 Tears up. Dlc r indicator.png Also grants spectral tears.
Dlc a indicator.png Black Feather 5.350.80 Trinket Black Feather icon.png With darkness comes power Increases Isaac's damage by 0.2 for each 'evil' item and trinket he possesses.
Dlc r indicator.png Increases Isaac's damage by 0.5 each instead.
Dlc a indicator.png Blasting Cap 5.350.73 Trinket Blasting Cap icon.png Pop! Pop! Exploding bombs have a chance to drop another Bomb pickup.
Dlc a indicator.png Blind Rage 5.350.81 Trinket Blind Rage icon.png Blind to damage Increases invincibility time after getting hit.
Dlc a indicator.png Blister 5.350.77 Trinket Blister icon.png Bounce back! Increases knockback of tears.
Dlc a indicator.png Bob's Bladder 5.350.71 Trinket Bob's Bladder icon.png Creepy bombs Leaves a pool of green creep under all bombs Isaac places, which damages enemies that walk over it.
Dlc a indicator.png Brown Cap 5.350.90 Trinket Brown Cap icon.png Fartoom! Poop explodes upon being destroyed.
Dlc a indicator.png Child Leash 5.350.89 Trinket Child Leash icon.png Keep your friends close... Causes familiars to stay closer to each other.
Dlc a indicator.png Cracked Dice 5.350.67 Trinket Cracked Dice icon.png You feel cursed... kinda. Activates the effect of Collectible The D6 icon.png The D6, Collectible D8 icon.png D8, Collectible D12 icon.png D12, or Collectible D20 icon.png D20 whenever Isaac takes damage.
Dlc a indicator.png Endless Nameless 5.350.79 Trinket Endless Nameless icon.png I'm stuck in a loop... Has a 25% chance of creating a duplicate of any pill, card, or rune Isaac uses.
Dlc a indicator.png Error 5.350.75 Trinket Error icon.png Effect not found? Gives a random trinket effect each room.
Dlc a indicator.png Faded Polaroid 5.350.69 Trinket Faded Polaroid icon.png You feel faded Occasionally causes Isaac to blend into the ground, which briefly confuses all enemies in the room.
Dlc a indicator.png Golden Horse Shoe 5.350.82 Trinket Golden Horse Shoe icon.png Feel lucky? +15% chance for Treasure Rooms to have two items. Only one item can be taken.
Dlc a indicator.png Karma 5.350.85 Trinket Karma icon.png 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.
Dlc a indicator.png Lazy Worm 5.350.66 Trinket Lazy Worm icon.png Pft Increases range by 4 and decreases shot speed by .4.
Dlc a indicator.png Lil Larva 5.350.86 Trinket Lil Larva icon.png The poop is moving... Spawns a Blue Fly from every pile of poop that Isaac destroys.
Dlc a indicator.png Louse 5.350.70 Trinket Louse icon.png Itchy, tasty... Occasionally spawns a Blue Spider.
Dlc a indicator.png Mom's Locket 5.350.87 Trinket Mom's Locket icon.png You feel her love Grants half a red heart each time a key is used. Converts half red heart pickups into full red hearts.
Dlc a indicator.png NO! 5.350.88 Trinket NO! icon.png Never again! Prevents active items from being generated, if possible.
Dlc a indicator.png Poker Chip 5.350.76 Trinket Poker Chip icon.png 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.
Dlc a indicator.png Rainbow Worm 5.350.64 Trinket Rainbow Worm icon.png Bleep Bloop Blop Isaac's tears gain a worm effect that changes every 3 seconds.
Dlc a indicator.png Rib of Greed 5.350.84 Trinket Rib of Greed icon.png Feels greedy Prevents Greed and Super Greed from appearing in shops and secret rooms, and makes coin drops after clearing rooms more likely.
Dlc a indicator.png Safety Scissors 5.350.63 Trinket Safety Scissors icon.png Fuse Cutter Troll bombs turn into Bomb pickups before they explode. Mega troll bombs turn into double bombs before they explode.
Dlc a indicator.png Second Hand 5.350.78 Trinket Second Hand icon.png Extended stat effect time! Increases the time that status effects stay on enemies.
Dlc a indicator.png Shiny Rock 5.350.62 Trinket Shiny Rock icon.png It shines for its brothers Tinted rocks and rocks with Crawl Space Icon.png Crawl Spaces underneath flash white upon entering the room and every 10 seconds afterward.
Dlc a indicator.png Store Key 5.350.83 Trinket Store Key icon.png Stores are open Shop Icon.png Shops can be opened without using Keys.
Dlc a indicator.png Stud Finder 5.350.74 Trinket Stud Finder icon.png The ground below feels hollow... Increases the chance to find a Crawl Space.
Dlc a indicator.png Super Magnet 5.350.68 Trinket Super Magnet icon.png It Pulls Pulls enemies and pickups towards Isaac.
Dlc a indicator.png Tape Worm 5.350.65 Trinket Tape Worm icon.png Floooooooooop! Doubles Isaac's range and halves his tear height.
Dlc a indicator.png Watch Battery 5.350.72 Trinket Watch Battery icon.png Lil charge Increased chance of batteries spawning. Has a chance to add an extra charge to Isaac's activated item upon completing a room.
Dlc a† indicator.png Baby-Bender 5.350.127 Trinket Baby-Bender icon.png Feed them magic! Grants Isaac's familiars homing shots.
Dlc a† indicator.png Bag Lunch 5.350.105 Trinket Bag Lunch icon.png I wonder what it is Taking damage has a small chance to destroy the trinket and spawn Collectible Lunch icon.png Lunch.
Dlc a† indicator.png Bat Wing 5.350.118 Trinket Bat Wing icon.png They are growing... Upon killing an enemy, has a chance to grant flight for the rest of the room.
Dlc a† indicator.png Black Tooth 5.350.95 Trinket Black Tooth icon.png It looks dead Adds a chance to fire a black tooth that deals double damage and poisons enemies.
Dlc a† indicator.png Bloody Crown 5.350.111 Trinket Bloody Crown icon.png Drips with blood... Treasure Rooms appear in chapter 4.
Dlc a† indicator.png Butter! 5.350.122 Trinket Butter! icon.png 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.
Dlc a† indicator.png Cracked Crown 5.350.92 Trinket Cracked Crown icon.png Stat booster Dlc nr indicator.png Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by ~33%.
Dlc r indicator.png Improves the effectiveness of other stat upgrades by ~20%.
Dlc a† indicator.png Crow Heart 5.350.107 Trinket Crow Heart icon.png Drain me Red Heart damage will be taken before Soul Heart, Black Heart, and Dlc r indicator.png Rotten Heart damage.
Dlc a† indicator.png Dim Bulb 5.350.101 Trinket Dim Bulb icon.png I think it's broken Provides a boost to all stats when Isaac's active item is completely uncharged.
Dlc a† indicator.png Door Stop 5.350.124 Trinket Door Stop icon.png Hold the door! The last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
Dlc a† indicator.png Duct Tape 5.350.109 Trinket Duct Tape icon.png Stuck! Holds Isaac's familiars in place relative to his position.
Dlc a† indicator.png Equality! 5.350.103 Trinket Equality! icon.png = Turns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal.
Dlc a† indicator.png Extension Cord 5.350.125 Trinket Extension Cord icon.png Charged friends Bolts of electricity arc between Isaac and his familiars, damaging any enemies between them.
Dlc a† indicator.png Filigree Feather 5.350.123 Trinket Filigree Feather icon.png Angelic spoils Angels drop Angel Room items instead of key pieces when defeated.
Dlc a† indicator.png Finger Bone 5.350.128 Trinket Finger Bone icon.png It looks brittle Grants a chance to gain a bone heart upon taking damage.
Dlc a† indicator.png Fish Tail 5.350.94 Trinket Fish Tail icon.png It also stinks! Items and trinkets that generate Blue Flies or locusts will generate twice as many.
Dlc a† indicator.png Fragmented Card 5.350.102 Trinket Fragmented Card icon.png Double moon Makes two Secret Rooms spawn on each floor.
Dlc a† indicator.png Hairpin 5.350.120 Trinket Hairpin icon.png Danger charge Fully recharges Isaac's active item upon entering a boss fight.
Dlc a† indicator.png Locust of Conquest 5.350.117 Trinket Locust of Conquest icon.png I bring Conquest Upon entering a room with enemies, spawns 2-5 White Locusts which damage enemies.
Dlc a† indicator.png Locust of Death 5.350.116 Trinket Locust of Death icon.png I bring Death Upon entering a room with enemies, spawns a Black Locust that does a very high amount of damage.
Dlc a† indicator.png Locust of Famine 5.350.115 Trinket Locust of Famine icon.png I bring Famine Upon entering a room with enemies, spawns a Yellow Locust that damages and slows enemies.
Dlc a† indicator.png Locust of Pestilence 5.350.114 Trinket Locust of Pestilence icon.png I bring Pestilence Upon entering a room with enemies, spawns a Green Locust which damages and poisons enemies.
Dlc a† indicator.png Locust of War 5.350.113 Trinket Locust of War icon.png I bring War Upon entering a room with enemies, spawns a Red Locust which detonates upon impact with enemies.
Dlc a† indicator.png Lost Cork 5.350.106 Trinket Lost Cork icon.png Uncorked Increases the radius of any creep produced by Isaac.
Dlc a† indicator.png Meconium 5.350.91 Trinket Meconium icon.png Eww Black poop can drop black hearts when destroyed. Poop has a chance to turn into black poop.
Dlc a† indicator.png Nose Goblin 5.350.98 Trinket Nose Goblin icon.png Seems magic... Chance to fire a homing booger that sticks to enemies and deals damage over time.
Dlc a† indicator.png Ouroboros Worm 5.350.96 Trinket Ouroboros Worm icon.png Foop foop! Tears travel in a large spiral pattern and become spectral, with a small chance to home.
Dlc a† indicator.png Pay to Win 5.350.112 Trinket Pay to Win icon.png ... Restock boxes always spawn in Item Rooms.
Dlc a† indicator.png Rotten Penny 5.350.126 Trinket Rotten Penny icon.png Wealth of flies Spawns a Blue Fly every time a coin is picked up.
Dlc a† indicator.png Silver Dollar 5.350.110 Trinket Silver Dollar icon.png Feels lucky... Shops appear in Chapter 4.
Dlc a† indicator.png Stem Cell 5.350.119 Trinket Stem Cell icon.png Regen! Dlc nr indicator.png Heals Isaac for half a heart upon traveling to the next floor.
Dlc r indicator.png 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.
Dlc a† indicator.png Super Ball 5.350.99 Trinket Super Ball icon.png Boing! Makes tears have a chance to bounce off enemies and obstacles.
Dlc a† indicator.png Tonsil 5.350.97 Trinket Tonsil icon.png Sick... When hit, there is a small chance a removed tonsil familiar starts following Isaac, blocking enemy shots.
Dlc a† indicator.png Used Diaper 5.350.93 Trinket Used Diaper icon.png You stink Grants the Collectible Skatole icon.png Skatole effect in some rooms.
Dlc a† indicator.png Vibrant Bulb 5.350.100 Trinket Vibrant Bulb icon.png It needs power Provides a boost to all stats when Isaac's active item is fully charged.
Dlc a† indicator.png Walnut 5.350.108 Trinket Walnut icon.png That's a hard nut to crack! Being hit by explosions will eventually destroy the trinket and spawn various pickups.
Dlc a† indicator.png Wish Bone 5.350.104 Trinket Wish Bone icon.png Make a wish Taking damage has a small chance to destroy the trinket and spawn a random item.
Dlc a† indicator.png Wooden Cross 5.350.121 Trinket Wooden Cross icon.png My faith protects me Grants a shield that negates the first damage taken once per floor.
Dlc r indicator.png 'M 5.350.138 Trinket 'M icon.png t's broken9Reroll your dest Using an activated item rerolls it.
Dlc r indicator.png A Lighter 5.350.135 Trinket A Lighter icon.png Watch the world burn Adds a chance for enemies to burn upon entering a room.
Dlc r indicator.png Adoption Papers 5.350.184 Trinket Adoption Papers icon.png Give them a home Shops can sell familiars, which will always be at a discounted price.
Dlc r indicator.png Apollyon's Best Friend 5.350.186 Trinket Apollyon's Best Friend icon.png Attack buddy Spawns an attack locust familiar which will fly forward while Isaac shoots.
Dlc r indicator.png Apple of Sodom 5.350.140 Trinket Apple of Sodom icon.png 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.
Dlc r indicator.png Azazel's Stump 5.350.162 Trinket Azazel's Stump icon.png Unleash your inner demon When clearing a room, adds a chance to turn into Azazel until clearing another.
Dlc r indicator.png Beth's Essence 5.350.182 Trinket Beth's Essence icon.png Virtue's reward Upon entering an Angel Room, spawns 5 wisp orbitals. Giving money to beggars can spawn wisps.
Dlc r indicator.png Beth's Faith 5.350.142 Trinket Beth's Faith icon.png My faith protects me At the beginning of each floor, spawn 4-8 wisps that orbit Isaac and fires tears alongside him.
Dlc r indicator.png Blessed Penny 5.350.131 Trinket Blessed Penny icon.png Wealth of purity Gives a chance to drop a Half Soul Heart when a coin is collected.
Dlc r indicator.png Blue Key 5.350.150 Trinket Blue Key icon.png 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 Stage Blue Womb icon.png ???, with a few monsters.
Dlc r indicator.png Brain Worm 5.350.144 Trinket Brain Worm icon.png Ding! Tears snap 90 degrees to target enemies that they may have missed.
Dlc r indicator.png Broken Glasses 5.350.187 Trinket Broken Glasses icon.png 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.
Dlc r indicator.png Broken Padlock 5.350.136 Trinket Broken Padlock icon.png Bombs are key Locks can be opened with explosions.
Dlc r indicator.png Broken Syringe 5.350.132 Trinket Broken Syringe icon.png Mystery medicine Grants a chance to gain a random syringe effect for the current room.
Dlc r indicator.png Charged Penny 5.350.147 Trinket Charged Penny icon.png Wealth of power Picking up coins has a chance to give an Active Item charge.
Dlc r indicator.png Chewed Pen 5.350.130 Trinket Chewed Pen icon.png It's leaking Adds a chance to fire tears that slow enemies.
Dlc r indicator.png Cricket Leg 5.350.185 Trinket Cricket Leg icon.png Infested Adds a chance to spawn a random locust when killing an enemy.
Dlc r indicator.png Crystal Key 5.350.170 Trinket Crystal Key icon.png Call to the other side Whenever Isaac clears a room, has a chance to open a neighboring Red Room Icon.png Red Room.
Dlc r indicator.png Cursed Penny 5.350.172 Trinket Cursed Penny icon.png Wealth of misery Picking up coins teleports Isaac to a random room.
Dlc r indicator.png Devil's Crown 5.350.146 Trinket Devil's Crown icon.png His special customer Treasure Rooms are replaced with unique Red Treasure Rooms, offering a Deal with the Devil in place of an item.
Dlc r indicator.png Dice Bag 5.350.154 Trinket Dice Bag icon.png Bonus roll When Isaac enters a new room, has a chance to give him a Dice item as a consumable for the current room.
Dlc r indicator.png Dingle Berry 5.350.163 Trinket Dingle Berry icon.png Oops! Spawns a Dip Familiar upon clearing a room.
Dlc r indicator.png Expansion Pack 5.350.181 Trinket Expansion Pack icon.png Fun extras Once per room, using an active item triggers another random active item effect.
Dlc r indicator.png Flat File 5.350.151 Trinket Flat File icon.png No more spikes Causes all spikes to retract, making them harmless. Also affects the doors to Curse Rooms.
Dlc r indicator.png Forgotten Lullaby 5.350.141 Trinket Forgotten Lullaby icon.png Sing for your friends Improves the fire rate of Isaac's familiars.
Dlc r indicator.png Found Soul 5.350.180 Trinket Found Soul icon.png 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.
Dlc r indicator.png Friendship Necklace 5.350.148 Trinket Friendship Necklace icon.png Gather round Causes familiars to orbit Isaac.
Dlc r indicator.png Gigante Bean 5.350.134 Trinket Gigante Bean icon.png Mega farts Increases the size of Isaac's farts.
Dlc r indicator.png Gilded Key 5.350.159 Trinket Gilded Key icon.png Less is more Replaces all new chests, except Mega Chests, with Locked Chests.
Dlc r indicator.png Hollow Heart 5.350.168 Trinket Hollow Heart icon.png A brittle blessing Grants an empty bone heart upon entering a new floor.
Dlc r indicator.png Holy Crown 5.350.155 Trinket Holy Crown icon.png Walk the path of the saint A Treasure Room and Shop appears in the Stage Cathedral icon.png Cathedral.
Dlc r indicator.png Ice Cube 5.350.188 Trinket Ice Cube icon.png Stay frosty Adds a chance to petrify enemies when entering the room. Killing the petrified enemy freezes it.
Dlc r indicator.png Jawbreaker 5.350.129 Trinket Jawbreaker icon.png Don't chew on it Adds the chance to fire teeth that deal 3.2x damage; mechanically identical to the passive item Collectible Tough Love icon.png Tough Love.
Dlc r indicator.png Keeper's Bargain 5.350.171 Trinket Keeper's Bargain icon.png Money talks Adds a chance for Devil Deals to cost money instead of health.
Dlc r indicator.png Kid's Drawing 5.350.169 Trinket Kid's Drawing icon.png Looks familiar... While held, counts towards the Guppy transformation.
Dlc r indicator.png Lil Clot 5.350.176 Trinket Lil Clot icon.png Mini friend Spawns a clot familiar that mimics Isaac's movements and tears. It dies for the current room after taking too much damage.
Dlc r indicator.png Lucky Sack 5.350.160 Trinket Lucky Sack icon.png Free goodies! Spawns a Grab Bag upon traveling to the next floor.
Dlc r indicator.png Modeling Clay 5.350.166 Trinket Modeling Clay icon.png ??? Grants the effect of a random passive Item each room.
Dlc r indicator.png Mom's Lock 5.350.153 Trinket Mom's Lock icon.png A piece of her love Grants the effects of a random Mom item each room.
Dlc r indicator.png Mother's Kiss 5.350.156 Trinket Mother's Kiss icon.png HP up Grants one heart container.
Dlc r indicator.png Myosotis 5.350.137 Trinket Myosotis icon.png Forget me not... When entering a new floor, up to four uncollected pickups from the previous floor spawn in the starting room.
Dlc r indicator.png Nuh Uh! 5.350.165 Trinket Nuh Uh! icon.png Don't want! Replaces keys and coins that spawn in Chapter 4 and beyond with more useful pickups.
Dlc r indicator.png Number Magnet 5.350.174 Trinket Number Magnet icon.png 6 Increases the chance of earning a Devil Room Icon.png Devil Room by 10%, prevents Krampus from spawning, and generates special Devil Room layouts.
Dlc r indicator.png Old Capacitor 5.350.143 Trinket Old Capacitor icon.png 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.
Dlc r indicator.png Panic Button 5.350.149 Trinket Panic Button icon.png Push in case of emergency Activates Isaac's active item just before he takes damage.
Dlc r indicator.png Perfection 5.350.145 Trinket Perfection icon.png Luck way up. Don't lose it! +10 Luck. If Isaac takes damage, the trinket is destroyed and its effect is removed.
Dlc r indicator.png Polished Bone 5.350.167 Trinket Polished Bone icon.png Friends from beyond After clearing a room, adds a chance to spawn a friendly Bony.
Dlc r indicator.png RC Remote 5.350.179 Trinket RC Remote icon.png Controllable buddies! Instead of trailing behind Isaac, familiars are directly controlled by the same inputs as Isaac's.
Dlc r indicator.png Ring Cap 5.350.164 Trinket Ring Cap icon.png Twice the bang! Placing a bomb spawns an extra bomb for free.
Dlc r indicator.png Short Fuse 5.350.133 Trinket Short Fuse icon.png Faster explosions Bombs placed by Isaac explode quicker.
Dlc r indicator.png Sigil of Baphomet 5.350.189 Trinket Sigil of Baphomet icon.png Revel in death Grants an invulnerability shield for 1 second after killing an enemy.
Dlc r indicator.png Strange Key 5.350.175 Trinket Strange Key icon.png What could it open? Unlocks the passageway to Stage Blue Womb icon.png ??? and the Hush fight, regardless of the run duration. Using Collectible Pandora's Box icon.png Pandora's Box grants it a special effect, consuming the key.
Dlc r indicator.png Swallowed M80 5.350.178 Trinket Swallowed M80 icon.png Bang! Isaac explodes upon taking damage.
Dlc r indicator.png Teardrop Charm 5.350.139 Trinket Teardrop Charm icon.png It feels lucky Luck-based tear effects have a higher chance of occurring.
Dlc r indicator.png Telescope Lens 5.350.152 Trinket Telescope Lens icon.png Seek the stars Increases the chance for Planetariums to spawn even if one has been visited and allows Planetariums to spawn in Chapter 4.
Dlc r indicator.png Temporary Tattoo 5.350.177 Trinket Temporary Tattoo icon.png You feel braver Spawns a chest after clearing a mob Challenge Room, or an item after clearing a boss Challenge Room.
Dlc r indicator.png The Twins 5.350.183 Trinket The Twins icon.png I'm seeing double... Adds a chance to duplicate one of Isaac's familiars when entering a new room.
Dlc r indicator.png Torn Card 5.350.157 Trinket Torn Card icon.png Death awaits Every 15 shots, Isaac shoots an Collectible Ipecac icon.png Ipecac + Collectible My Reflection icon.png My Reflection tear.
Dlc r indicator.png Torn Pocket 5.350.158 Trinket Torn Pocket icon.png A hole in your pocket Upon taking damage, Isaac drops 2 random Pickups from among those he's currently holding.
Dlc r indicator.png Wicked Crown 5.350.161 Trinket Wicked Crown icon.png Walk the path of the wicked A Treasure Room and Shop appears in Stage Sheol icon.png Sheol.
Dlc r indicator.png Your Soul 5.350.173 Trinket Your Soul icon.png Give it to me Can be used to pay for a Devil deal without losing hearts, and is then consumed.

Trivia

  • Collectible The Polaroid icon.png The Polaroid was originally a trinket in the original Binding of Isaac, but it was changed into an item.
    • Trinket Wiggle Worm icon.png 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.
  • Dlc a† indicator.png 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.

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