The Binding of Isaac: Antibirth Wiki
The Binding of Isaac: Antibirth Wiki
Immaculate Heart
Immaculate Heart Icon.png
Character Appearance
Immaculate Heart App.png
Tear Appearance
Immaculate Heart Tears.png
Item Type
Passive Collectible
Item ID
Pickup Quote
Halo of tears
Item Pool
Angel Room

Immaculate Heart is a passive item.


  • +1 Red Heart container.
  • x1.2 damage multiplier.
  • In addition to regular tears, Isaac fires tears that orbit around him.
    • The tears are spectral and have the same stats and tear effects as regular tears.


  • Unlike orbiting tears fired by Tiny Planet, the tears from Immaculate Heart follow the character without delay and stay at a constant distance.


  • Menorah: When you have enough candles lit, Isaac no longer fires tears that orbit around him but instead seems to fire a barrage of tears at random intervals.
  • Mom's Knife: The orbiting tears continue to fire as normal.
  • Brimstone: Orbiting tears become bloody tears, but fire normally.
  • Chocolate Milk: Orbiting tears continually grow larger and larger as long as the fire button is held down, leading to room covering massive damage tears.
  • The Ludovico Technique: Orbiting tears will only be generated while the fire button is held; orbiting tears won't be generated if the Ludovico tear is stationary.

In-game Footage[]