Items

Items are an integral part of game-play in The Binding of Isaac: Rebirth. They modify Isaac's Attributes, grant or modify Tear Effects, and much more. Antibirth adds over 90 new items.

Name	Icon	Description	Recharge
Mucormycosis		Upon enemies' death, they release a cloud of gas that damages and poisons other enemies.
2Spooky		Enemies near Isaac will be inflicted with Fear, causing them to flee from him.
Schoolbag		Grants an extra active item slot.
Sulfur		Grants Brimstone for the current room.	3
Fortune Cookie		Displays a random fortune, and has a chance to drop a soul heart, card, rune or trinket.	2
Eye Sore		Frequently fire tears in random directions in addition to regular tears. Can fire up to three extra tears.
120 Volt		Whenever an enemy is shot, it will zap other enemies near them, dealing damage.
It Hurts		Taking damage causes Isaac to release a ring of bloody tears and increases fire rate for current room.
Almond Milk		Upgrades fire rate immensely but significantly decreases damage, and tears are given random worm effects.
Rock Bottom		All stats down. Prevents stats from being lowered the rest of the run.
Enigma Bombs		Grants 5 bombs. Bombs explode with a random bomb effect.
A Bar Of Soap		Increases tears and shot speed.
Book Of Despair		Increases tears for the current room.	3
D12		Re-rolls obstacles into other obstacles.
Paschal Candle		Increases stats for each room completed without taking damage. Resets on taking damage.
Bowl of Tears		Fires a cluster of tears. Each tear shot by Isaac increases item charge by one.	6
Blood Oath		Stabs Isaac at the beginning of each floor, draining all but half a heart of his heart containers. Increases damage and speed.
Playdoh Cookie		Adds random effects to tears.
Orphan Socks		Isaac gains 2 spirit hearts and can walk on harmful floor effects.
Eye Of The Occult		Increases damage. Tears can be controlled mid-flight using the fire keys.
Immaculate Heart		Fire orbiting tears along with normal tears.
Monstrance		Isaac emits an aura that damages nearby enemies.
The Intruder		Isaac will now fire four slowing tears in addition to normal tears. Upon taking damage multiple times in one room, Isaac's head will pop, spawning friendly spiders and a familiar that leaps at enemies.
Dirty Mind		Destroying poop spawns friendly Dips that follow the player and damage enemies. Destroying different types of poop spawns different Dips with special effects.
Damocles		Spawns a sword above Isaac's head. After a period of time, it will instantly kill him. While he is alive, he receives bonus items from bosses and treasure rooms	One time use
Free Lemonade		Creates a large puddle of lemonade that damages enemies.	4
Spirit Sword		Replaces Isaac's tears with a sword he can swing in front of him. Holding an attack button charges a spin attack. If Isaac is at full health, it also shoots a projectile when swung. Only one projectile can be active at once.
Red Key		Creates a red colored room on the map near Isaac's current position. The room can be anything from a regular encounter room to a Devil Room.	3
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Black Mushroom		Reduces tear delay but distorts the screen for a length of time. Can be used multiple times to stack the effect. Tear delay is reset on changing rooms; however, the distortion persists.	? seconds
Rocket In A Jar		Grants 5 bombs. Bombs become rockets that fly in the direction Isaac is currently looking.
Book Of Virtues		Summons a temporary flame familiar that fires spectral tears, deal contact damage to enemies and blocks enemy shots. Flames are consumed after taking a certain amount of damage or touching enemies. A maximum of 16 flames can be active at once: one inner ring of eight and an outer ring of eight.	2
Alabaster Box		Gains charges through soul, black, and white hearts. After 6 full hearts are absorbed, it will spawn varying amounts of consumables and items from the Angel room pool.	One time use, 12 charges to use
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Menorah		Spawns a menorah familiar with one candle lit. Each time Isaac is hit, another candle is lit, and he fires an additional tear, up to 7-shot tears. Being hit an additional time will reset the menorah.
Sol		Activates the Sun tarot card upon defeating a boss.
Luna		Adds one extra Secret Room and one Super Secret Room on each floor.
Mercurius		Doors stay open after entering a room, even with enemies in it, allowing Isaac to leave any time. Increases speed.
Venus
Terra		Isaac's tears become rocks. The tears can also destroy rocks.
Mars		Gain the ability to charge by double-tapping in a direction. Isaac is invincible during the charge and deals significant damage. Can be used multiple times per room with a short recharge time.
Saturnus		Isaac is surrounded by an aura which grants 7 orbiting tears when entering a new room and has a chance to absorb incoming enemy tears.
Uranus		Isaac shoots ice tears.
Pluto		Decreases Isaac's size to the point where many tears will fly over Isaac. Increases tears and speed, and decreases range.
Voodoo Head		Additional curse rooms can spawn each floor.
Eye Drops		Increases tears. Tears fire at different rates from each of Isaac's eyes.
Act Of Contrition		Grants an Immortal Heart and increases tears.
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Battery Pack		Recharges Isaac's currently held active item and drops 2-4 batteries.
Mom's Bracelet		Allows the player to grab obstacles and throw them, damaging enemies.	0
The Scooper		On use, summons a familiar the same as The Peeper that floats around the room.	3
Oculus Rift		Adds a chance to fire tears that summon rifts wherever they land. Rifts attract enemies, enemy shots, Isaac's tears, and pickups. They also deal contact damage to enemies caught in them.
Boiled Baby		Grants a familiar similar to a Boil that periodically fires bursts of bullets.
Freezer Baby		Grants a familiar that fires shots that freeze enemies. Frozen enemies explode into ice shards when touched.
Eternal D6		Rerolls items with chance of disappearing.	3
Bird Cage		Upon taking damage the first time in a room, the familiar leaps from Isaac's head, targets an enemy, and lands on them, dealing damage and releasing a rock wave. For the rest of the room, the familiar targets and attacks enemies similar to Dead Bird.
Donkey Jawbone		Whenever Isaac takes damage, a spin attack will damage enemies around him.
Lost Soul		Spawns a familiar version of The Lost that follows Isaac. Upon being hit, it instantly dies, regenerating on the next floor. If it survives an entire floor, it grants a random reward.
Blood Bombs		Grants 5 bombs. Bombs create puddles of damaging red creep upon exploding. If Isaac has no bombs, bomb can be placed at the cost of half a heart.
Lil' Dumpy		Grants a familiar that loosely follows the player. Farts when hit by enemy attacks.
Bird's Eye		Adds a chance to spit a large fire whenever Isaac fires a tear.
Lodestone		Adds a chance to fire magnetizing tears. Magnetized enemies attract other enemies, Isaac's tears, and enemy shots including their own.
Rotten Tomato		Tears have a chance to mark enemies. Marked enemies will be attacked by other enemies.
Birthright		Grants different effects depending on which character you're playing as.
Voodoo Pin		Hurts Isaac without actually damaging him, activating any items that would trigger upon taking damage.	2
Red Stew		Restores all red heart containers. Grants an enormous damage boost that wears off over time.
Sausage		All stats up.
Sharp Key		Allows Isaac to consume keys and fire them at enemies. Adds 5 keys.	0
Booster Pack		Spawns 3 tarot cards.
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Knife Piece 1		Has no effect on its own. Picking up all three pieces grants a knife familiar that damages enemies and grants access to the Corpse.
Knife Piece 2		Has no effect on its own. Picking up all three pieces grants a knife familiar that damages enemies and grants access to the Corpse.
Knife Piece 3		Has no effect on its own. Picking up all three pieces grants a knife familiar that damages enemies and grants access to the Corpse.
Bot Fly		Grants a familiar that fires shielded tears at incoming bullets.
Meat Cleaver		Splits all enemies in a room into 2 smaller versions of themselves with lower health.	2
Evil Charm		Grants +3 luck.
Stone Bombs		Grants 5 bombs. Bombs release rock waves in the cardinal directions, which can damage enemies, destroy obstacles, and damage Isaac.
Stitches		Spawns a familiar that flies diagonally across the room, switching direction upon hitting walls. Activating the item swaps the positions of Isaac and Stitches.	3 seconds
R Key		Single use. Upon use, restarts the game to the first floor, keeping all previously collected items. Game timer does not restart. Allows angels rooms to be found even if the previous run included devil deals.	One time use
Knockout Drops		Adds a chance to fire fist tears, which have massive knockback and briefly stun enemies.
Eraser		Prevents an enemy from appearing for the rest of the run.
Yuck Heart		Upon use, grants a rotten heart.	4
Akeldama		Whenever Isaac fires a shot, a bloody tear will spawn behind him. Multiple tears will form a trail of tears that drags behind Isaac as he moves, bursting and dealing damage upon contact with enemies. Multiple trails can be formed.
Magic Skin		Generates one item from the current room's item pool and gives Isaac a broken heart, which permanently decreases the maximum health limit.	6
Revelation		Adds 2 Immortal Hearts, grants flight, decreases range and increases shot speed.
Consolation Prize		Raises Isaac's current lowest stat. Can also drop a consumable for whichever Isaac has the least of.
Tinytoma		A large orbital that slowly orbits Isaac. Upon taking enough tear or contact damage, the orbital splits into two smaller ones that orbit opposite of each other. If the small orbitals take enough damage, they burst into a few blue spiders, and the large orbital respawns.