It Hurts
It Hurts Icon.png
Character Appearance
It Hurts App.png
Item Type
Passive Collectible
Item ID
Pickup Quote
No it doesn't
Item Pool
Treasure Room

It Hurts is a passive item.


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

In-game Footage


  • The item itself is a reference to a suture.
  • The item comes from the phrase "Sewing your mouth shut". It is a phrase used commonly by parents to threaten noisy children into silence.
  • This item acts very similar to Varicose Veins, which was added in Afterbirth+.
    • Varicose Veins merely triggers the Tammy's Head effect, granting a damage bonus to the tears spawned but not spawning red tears.
    • Varicose Veins does not decrease Isaac's tear delay; instead, it has a chance to activate the Anemic effect.
  • 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.
  • This item's appearance originated from the Binding of Isaac: Community Remix mod. The original item had a different effect.


AJJQ NHRX (First-floor treasure room)

4DP7 AJZC (First-floor treasure room)

SHXW BTG8 (First-floor treasure room)

HCTD Z1CM (First-floor treasure room)

Q78Z NY1Z (First-floor treasure room)

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