The Binding of Isaac: Antibirth Wiki
The Pile
Boss The Pile.png
Base HP
725 (on Mausoleum)
Stage HP
Found In
Normal Enemy:
Dark Room
Dropped Items
Boss Pool

The Pile is one of the bosses that can appear in Chapter 3.


  • Pops out of the ground near the player 3 times and throws 5 bones each time.
  • Summons waves of spikes in the cardinal directions.
  • Charges towards the player at high speed. Upon colliding with a wall, bone projectiles and rock waves are sent in all directions.
  • Spawns Bonies.


  • The Pile is a posthumous form of Polycephalus,[1] similar to The Stain added in Afterbirth.
    • Despite the fact that The Stain was already in the game, the Pile was also added into Repentance, meaning Polycephalus has two posthumous forms.
  • A third skull can be seen in the background of The Pile's boss art.
  • Antibirth's artist, NotYourSagittarius, first posted a versus screen of this boss[2] and then a full mockup[3] in the Isaac subreddit both in January 2015, which was implemented by antibirth's developer Kilburn into a mod during the same month.[4]


Bosses Boss Baby Plum.png
Rebirth Chapters Baby PlumReap CreepThe Pile
Downpour BeelzeblubThe RainmakerWormwood
Mines Great GideonHornfelTuff Twins
Mausoleum Mausoleum MomThe HereticThe SirenThe Visage
Corpse ChimeraRotgutThe ScourgeThe Witness

Sacdag.png Antibirth Sacdag.png

Boss Baby Plum.png Bosses MainPageChallenges.png Challenges MainPageChapters.png Chapters Character.png Characters Book of Virtues.png Items
Dumpling.png Monsters Bucket.png Objects Immortal Heart.png Pickups Blessed Penny Icon.png Trinkets MainPageAchievements.png Unlockables