The Binding of Isaac: Antibirth Wiki

It Hurts is a passive item.


  • Taking damage releases a ring of bloody tears and increases tears for the current room.


  • The item itself is a reference to a suture, or stitches.
  • The item comes from the phrase "Sewing your mouth shut". It is a phrase used commonly by parents to threaten noisy children into silence.
  • The phrase "It Hurts" may be a reference to Earthbound, Chzo Mythos or Ruby Quest, different works in which the phrase is used in an iconic horrific context.


AJJQ NHRX (First floor treasure room)

4DP7 AJZC (First floor treasure room)