The Binding of Isaac: Antibirth Wiki
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Item Pool
Rebirth Treasure Room Shop Library Curse Room Boss Secret Room Devil Room Angel Room Golden Chest Red Chest Beggar Devil Beggar Key Master
Antibirth Treasure Room Shop Library Curse Room Boss Secret Room Devil Room Angel Room Golden Chest Red Chest Beggar Devil Beggar Key Master Planetarium

The treasure room item pool contains the majority of the game's items. All of the items in this pool are able to be found in the Treasure Room.

Activated Collectibles[ | ]

Name Icon Description Recharge
Anarchist CookbookAnarchist Cookbook IconSpawns six troll bombs around the room.3
The BeanThe Bean IconIsaac releases bad gas, poisoning any enemy in close vicinity.1
Best FriendBest Friend IconDeploys a decoy Isaac that eventually explodes with an increased blast radius.3
Blank CardBlank Card IconHas the same effect as the card or rune currently held by Isaac.4
Blood RightsBlood Rights IconDamages all enemies in the room, but deals a half-heart of damage to Isaac with each use.0
Bob's Rotten HeadBob's Rotten Head IconUpon use, Isaac holds a poison bomb which can be thrown towards any of the four cardinal points and explodes on impact.3
Book Of DespairBook Of Despair IconHalves tear delay for the current room.3
Book Of RevelationsFile:Book Of Revelations Icon.pngAdds 1 Soul Heart and increases the chance for the next boss to be a Horseman (except on XL floors and floors with fixed bosses such as Mom).6
Book Of SecretsFile:Book Of Secrets Icon.pngUpon use, gives the effect of Treasure Map, The Compass, or Blue Map for the duration of the current floor.6
Book Of ShadowsFile:Book Of Shadows Icon.pngUpon use, creates a protective shield nullifying all types of damage for 10 seconds.3
The Book Of SinFile:The Book Of Sin Icon.pngSpawns a random Pick Up, Pill, Card, or Trinket.4
Box Of SpidersFile:Box Of Spiders Icon.pngSummons 2-4 Blue Spiders.2
Butter BeanButter Bean IconIsaac farts and pushes back nearby enemies.3 seconds
Crack The SkyFile:Crack The Sky Icon.pngSummons multiple beams of light in random locations around the room, dealing a large amount of damage to any enemy that touches them.4
Crystal BallCrystal Ball IconReveals the map (except the Super Secret Room) and drops a random Tarot Card or Soul Heart.6
D100D100 IconUpon use, rerolls all passive items on Isaac like the D4, every pedestal item in the room like the D6 and every pickup like the D20.6
D10D10 IconRerolls the enemies in a room. Only rerolls enemies that are still alive (does not spawn new enemies).1
D12D12 Antibirth IconRe-rolls all rocks in the current room into other random objects, such as bomb rocks, metal blocks, TNT, or poop.3
D20D20 IconRerolls all pickups in the current room.6
D4D4 IconRerolls all upgrades on the player. (Does not reroll Azazel's brimstone).6
The D6The D6 IconAllows Isaac to re-roll collectible items in the current room into other items, depending on the current room's Item Pool.6
Dad's KeyDad's Key IconOpens all doors in the current room when activated, including doors which require a Key to open and entrances to secret rooms. Opens the big doors in the first room of both The Chest and The Dark Room.2
Dead Sea ScrollsDead Sea Scrolls IconTriggers the effect of a random activated item from a list of possible options (not every activated item is included).2
Deck Of CardsFile:Deck Of Cards Icon.pngGives Isaac a random Tarot Card.6
Doctor's RemoteDoctor's Remote IconSets a big red target on the ground (similar to the Epic Fetus item) which can be controlled with tear controls. After 6 seconds or by pressing space again, a huge explosive missile hits it, which damages all enemies caught in its blast radius.2
Eternal D6Eternal D6 IconRerolls all items in the room. Each item has a chance to disappear instead.3
Flush!Flush! IconChanges all enemies in the room into poop. Does not work on all enemies (Knights and bosses are immune). Instantly kills Dingle, Dangle, and Brownie.6
Forget Me NowForget Me Now IconWhen activated, the level ends and is freshly regenerated with new rooms, monsters, and items. Disappears after use.One time use
Fortune CookieFortune Cookie IconDisplays a random fortune, and has a chance to drop a soul heart, card, rune or trinket.2
Free LemonadeFree Lemonade IconCreates a large puddle of lemonade that damages enemies.4
The GamekidThe Gamekid IconUpon use, turns the character into a into a Pac-Man-like creature for 5 seconds, granting invulnerability and increased speed, inflicting fear on all enemies, and replenishing half a red heart container for every two enemies killed.6
The HourglassThe Hourglass IconUpon activation, enemies and their projectiles are slowed down for a short duration.2
How To JumpFile:How To Jump Icon.pngGives Isaac the ability to jump (over gaps, spikes, etc.).0
Isaac's TearsIsaac's Tears IconShoots 8 tears around Isaac, which retain the damage, shot speed, and special effects of his tears. Each tear shot by Isaac increases item charge by one.6
Kamikaze!Kamikaze! IconCreates an explosion in the same area as Isaac, dealing half a heart of damage to him and also damaging all enemies caught in the blast radius.0
Lemon MishapLemon Mishap IconCreates a small yellow pool of Creep, which damages enemies that cross it.2
Magic FingersMagic Fingers IconFor 1 Coin, damages all enemies in the room.0
Meat CleaverMeat Cleaver IconSplits all enemies in a room into 2 smaller versions of themselves with lower health.2
Mom's Bottle Of PillsFile:Mom's Bottle Of Pills Icon.pngGives Isaac a random Pill, and will cause him to drop any held Q-slot item (If any). The player will only receive six different pill types in one playthrough.6
Mom's BraMom's Bra IconUpon use, petrifies all enemies in the current room for approximately 4 seconds.3
Mom's PadMom's Pad IconUpon use, inflicts fear to all enemies in the room for 5 seconds.3
Monster ManualMonster Manual IconSummons a random familiar for the current room. Can summon familiars not yet unlocked.3
Monstro's ToothMonstro's Tooth IconMonstro jumps onto a random enemy, doing area damage. Can damage/kill the player if summoned in an room without enemies.3
Mr. BoomMr. Boom IconDrops a large bomb.2
My Little UnicornMy Little Unicorn IconUpon use, grants invulnerability and increased speed for five seconds, removing the ability to shoot tears and instead dealing contact damage to enemies.6
Notched AxeNotched Axe IconIsaac holds the axe above his head for as long as the spacebar button is held (or until he leaves the room). While holding the axe, Isaac can break any rock he touches, but cannot attack or pick up other items.3
The Pinking ShearsThe Pinking Shears IconSeparates Isaac's head and body for the current room. Isaac's head, which now has flight, will be under the player's control, while his body will seek out enemies to attack by contact damage.6
The PoopThe Poop IconSpawns a pile of poop where the character is standing and knocks nearby monsters back. May yield pickups like regular poop.1
Prayer CardPrayer Card IconGrants an Eternal Heart per use.6
Remote DetonatorRemote Detonator IconBombs you place explode only when you use this item. Gives 5 bombs.0
Satanic BibleSatanic Bible IconUpon activation, Isaac gains a black heart.6
ScissorsScissors IconUpon use, turns Isaac's head into a stationary familiar for the current room which fires normal tears that deal 3.5 damage.File:NoDLC Indicator.png6
File:DLC Indicator.png 2
The ScooperThe Scooper IconSummons a Peeper familiar for the current room, which leaves a trail of red creep.3
Shoop Da Whoop!Shoop Da Whoop! IconFires a laser from Isaac's mouth.2
Spider ButtSpider Butt IconDamages all enemies in the room and slows them and their projectiles down.2
StitchesStitches IconSpawns 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
Telepathy For DummiesFile:Telepathy For Dummies Icon.pngUpon activation, grants homing tears for the current room.2
TeleportFile:Teleport Icon.pngTeleports you to a random room on the level.2
UndefinedUndefined IconTeleports Isaac to either the Secret Room, Super Secret Room, Treasure Room, or I AM ERROR.6
Unicorn StumpUnicorn Stump IconUpon use, grants invulnerability and increased speed for five seconds, but removes the ability to shoot tears.1
Yuck HeartYuck Heart IconUpon use, grants a rotten heart.4
Yum HeartYum Heart IconRestores 1 whole Red heart.4

Passive Collectibles[ | ]

Name Icon Description
120 Volt120 Volt IconWhenever an enemy is shot, it will zap other enemies near them, dealing damage.
20/20File:20 20 Icon.pngGrants double shot.
3 Dollar BillFile:3 Dollar Bill Icon.pngGives Isaac a random tear effect every room. The effect given changes upon entering a room. File:DLC Indicator.png The effect changes every 3 seconds.
???'s Only FriendBlue Baby's Only Friend IconSummons a big attack fly that can be controlled with the shooting direction-keys.
A QuarterFile:A Quarter Icon.pngAdds 25 to Isaac's coin count, capping at 99.
AbelAbel IconA familiar that mirrors the player's movements and shoots in the opposite direction.
AkeldamaAkeldama IconWhile in an uncleared room, Isaac forms trails of bloody tears that drag behind him, bursting and dealing damage upon contact with enemies.
Almond MilkAlmond Milk IconUpgrades fire rate immensely but significantly decreases damage, and tears are given random worm effects.
AnemicAnemic Icon+5 Range. After Isaac is damaged, a trail of red creep will be left behind Isaac until he leaves the current room.
AnkhAnkh IconUpon death, the player will respawn as Blue Baby with 3 Soul Hearts.
Anti-GravityAnti-Gravity IconTears up. Tears float in position until firing ceases, after which they will fly off in the direction they were shot in.
AquariusAquarius IconA trail of blue creep is left behind Isaac, which damages enemies.
AriesAries Icon+0.25 Speed. Running into enemies while at a high speed will deal 18 points of damage. Does not prevent contact damage.
BBFBBF IconSpawns a familiar that flies around the room in a manner similar to the Boom Fly and explodes on contact with an enemy. Respawns after ten seconds.
Ball Of TarFile:Ball Of Tar Icon.pngAdds a chance to shoot slowing tears and the character leaves a trail of slowing creep behind as he moves, impeding enemies' speed.
Best BudBest Bud IconWhen hit, summons a white attack fly similar to Distant Admiration for the current room.
Big FanBig Fan IconSpawns a large orbital familiar that blocks enemy projectiles and deals slight contact damage to enemies.
Bird CageBird Cage IconThe first time Isaac takes damage in a room, the familiar leaps on an enemy, dealing damage and releasing a rock wave. For the rest of the room, it chases enemies similar to Dead Bird.
Bird's EyeBird's Eye IconAdds a chance to shoot a fire instead of a tear, which pierces and can block enemy shots, diminishing in size as it does.
The Black BeanThe Black Bean IconWhen taking damage, Isaac farts, causing poison damage to all enemies in range.
Blood BombsBlood Bombs IconGrants 1 heart container. Bombs create puddles of damaging red creep upon exploding. If Isaac has no bombs, bombs can be placed at the cost of half a heart.
Bloody LustBloody Lust IconIncreases damage as Isaac receives damage. Damage increase stays for the whole floor.
Blood Of The MartyrFile:Blood Of The Martyr Icon.pngIncreases Damage by 1, and turns Isaac's tears into blood tears.
Bob's BrainBob's Brain IconSpawns a familiar that charges forward when shooting tears, explodes upon contact with an enemy and poisons them. Respawns after few seconds.
Bob's CurseBob's Curse IconGives 5 bombs and grants all bombs poison effect.
Bobby-BombBobby-Bomb IconGives Isaac 5 Bombs, and causes all dropped bombs to home towards the closest enemy.
The BodyThe Body IconAdds 3 Heart Containers.
Boiled BabyBoiled Baby IconGrants a familiar similar to a Boil that periodically fires bursts of bullets.
Bomb BagBomb Bag IconIsaac is followed by a small bag that drops a Bomb, 1+1 Free, or a Troll Bomb every 3 rooms.
Boom!Boom! IconGives 10 bombs.
Bot FlyBot Fly IconGrants a familiar that fires shielded tears at incoming bullets.
Brother BobbyBrother Bobby IconFollows Isaac around shooting normal tears.
Bucket Of LardFile:Bucket Of Lard Icon.pngGrants two empty heart containers and heals Isaac by half a heart, but decreases speed by 0.2.
Bum FriendBum Friend IconA portable Beggar who follows Isaac, picks up coins for himself, and occasionally drops a Pickup after collecting a coin. Does not spawn Collectibles.
Butt BombsButt Bombs IconGives +5 Bombs and makes all bombs Butt Bombs that fill the room with gas, damaging and Confusing all enemies.
Cain's Other EyeCain's Other Eye IconSpawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeper and shoots normal tears in the same direction as Isaac.
CancerCancer IconAdds 3 Soul Hearts. Grants The Wafer effect for the current room upon taking damage.
CapricornCapricorn IconAll stats up.
Celtic CrossCeltic Cross IconGrants a chance to trigger the Book Of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 7 seconds.
Charm Of The VampireFile:Charm Of The Vampire Icon.pngHeals the character for half of a red heart for every 13 monsters killed.
Chemical PeelChemical Peel IconTears fired from left eye do increased damage.
Chocolate MilkChocolate Milk IconGrants charged tears that deal greater damage when fully charged.
The Common ColdThe Common Cold IconAdds a chance to shoot poison tears, dealing damage over time when inflicted.
Cricket's BodyCricket's Body IconIncreases Tears and reduces Range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose Range and Damage scale with Isaac's.
Cricket's HeadCricket's Head IconIncreases damage by 0.5, and multiplies it by 1.5x.
Cupid's ArrowCupid's Arrow IconGrants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them.
Cursed EyeCursed Eye IconGrants charged tears that can be fired in a tight burst of four. Getting hit while charging will teleport Isaac into another room.
Daddy LonglegsDaddy Longlegs IconDaddy Long Legs' shadow follows Isaac and stomps on enemies.
Dark BumDark Bum IconSpawns a familiar that follows Isaac around and collects Red Hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one Soul Heart, one hostile Spider or one friendly Blue Spider.
Dead BirdDead Bird IconSpawns a flying familiar for the current room that chases enemies whenever Isaac takes damage.
Dead OnionDead Onion IconGrants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed.
Death's TouchDeath's Touch IconIncreases Damage by 1.5, reduces Tears by 0.3 and increases tear size. Grants piercing tears. Tears are replaced by Death's scythes, which is a cosmetic effect only.
Demon BabyDemon Baby IconFollows Isaac and automatically fires at enemies in its reach.
Dirty MindDirty Mind IconDestroying poop spawns friendly Dips that follow Isaac and damage enemies. Destroying different types of poop spawns different Dips with special effects.
Distant AdmirationDistant Admiration IconA red attack fly circles further out than the Halo Of Flies/Pretty Flies, but closer than Forever Alone. Deals more damage than Forever Alone.
Donkey JawboneDonkey Jawbone IconIsaac does a spin attack that damages nearby enemies whenever he takes damage. Killed enemies have a chance to drop a red heart.
Dr. FetusDr. Fetus IconTears are replaced by bombs that benefit from bomb-enhancing effects and slide a fixed range after being fired.
Dry BabyDry Baby IconSpawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot it has a chance of triggering The Necronomicon effect.
E ColiE Coli IconGives "Turdy Touch" Effect. Enemies that touch Isaac are changed into Poop.
Enigma BombsEnigma Bombs IconGrants 5 bombs. Bombs explode with a random bomb effect.
Epic FetusEpic Fetus IconIsaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.
Eve's MascaraEve's Mascara IconDoubles damage, halves tears stat, and greatly reduces shot speed.
Experimental TreatmentExperimental Treatment IconRandomly increases and decreases some of the character's stats. There will always be at least one stat increase and one decrease and the same stats can be increased/decreased multiple times.
Eye SoreEye Sore IconFrequently fire tears in random directions in addition to regular tears. Can fire up to three extra tears.
Fire MindFire Mind IconGrants flaming tears that deal burning damage over time. Tears have a chance to explode on impact with an enemy, which creates a fire at the location of the explosion.
Forever AloneForever Alone IconSpawns a blue attack fly that orbits a long distance from Isaac.
Freezer BabyFreezer Baby IconGrants a familiar that fires shots that freeze enemies. Frozen enemies explode into ice shards when touched.
GeminiGemini (Item) IconSuture becomes attached to Isaac, and does touch damage to enemies within its attacking range.
Ghost BabyGhost Baby IconSpawns a familiar that follows Isaac around and fires spectral tears.
GimpyGimpy IconHas a chance of spawning a soul heart or black heart when taking damage. Enemies have a chance to drop a Half Red Heart after being killed.
Gnawed LeafGnawed Leaf IconAfter standing still and not shooting for a short time, Isaac turns invincible until he moves or shoots.
GuillotineGuillotine IconIsaac's head is removed from his body and floats around him. Increases Damage by 1 and Tears by 0.16.
The HaloThe Halo IconGrants one Heart Container, +0.3 Damage, +0.2 Tears, +0.25 Range, +0.3 Speed, and +0.5 Tear Height.
Halo Of FliesFile:Halo Of Flies Icon.pngSpawns two pretty fly familiars that block enemy shots and deal contact damage to enemies.
Harlequin BabyHarlequin Baby IconSpawns a familiar that follows Isaac around and fires two tears at once in a V-pattern.
Headless BabyHeadless Baby IconFamiliar that follows Isaac, leaving blood creep on the ground.
Holy MantleHoly Mantle IconAutomatically negates first taken damage in every room.
Holy WaterHoly Water IconWhen Isaac receives damage, the bottle breaks and a puddle of blue Creep forms, which damages non-flying enemies, similar to Lemon Mishap. The bottle is reformed upon entering a different room.
Hot BombsHot Bombs IconGrants 5 bombs. Isaac's bombs leave behind fire that damages enemies upon contact.
InfamyInfamy IconChance to block projectiles coming from any direction.
InfestationInfestation Icon1-3 Blue Flies randomly spawn every time Isaac gets hit.
Infestation 2Infestation 2 IconSpawns allied blue spiders from killed enemies.
The Inner EyeThe Inner Eye IconGrants triple shot but decreases tears.
The IntruderThe Intruder IconA familiar burrows in Isaac's head, firing 4 slowing tears. Upon taking damage, there's a chance it will burst out of Isaac's head, spawning blue spiders and chasing enemies for the current room.
IpecacIpecac IconReplaces tears with explosive and poisoning projectiles fired in an arc from the mouth.
Iron BarIron Bar IconIncreases damage by 0.3 and adds a chance to shoot concussive tears, causing enemies to walk around randomly.
Isaac's HeartIsaac's Heart IconIsaac himself is now immune to all damage, and a heart familiar appears and follows Isaac. If the heart is hurt, Isaac is hurt.
It HurtsIt Hurts IconTaking damage causes Isaac to release a ring of bloody tears and increases fire rate for current room.
Judas' ShadowJudas' Shadow IconAdds an extra life; upon death, it respawns Isaac as Black Judas with only two black hearts.
Juicy SackJuicy Sack IconA Familiar that follows behind Isaac. It drips a trail of creep, which slows enemies, and spawns 1-2 Blue Spiders after each room.
Knockout DropsKnockout Drops IconAdds a chance to fire fist tears, which have massive knockback and briefly stun enemies.
Lazarus' RagsLazarus' Rags IconUpon dying, resurrect as Revived Lazarus with one heart container and Anemic item.
LeechLeech IconSpawns a friendly familiar leech on the ground that hunts down enemies and heals you for half a heart each time it eats one.
LeoLeo IconAllows you to crush rocks when you walk over them.
LibraLibra IconGives 6 coins, 6 bombs and 6 keys and balances out all attributes.
Lil' BrimstoneFile:Lil' Brimstone Icon.pngA Familiar that shoots a small Brimstone beam. Must charge like the Brimstone Item before shooting.
Lil' DumpyLil' Dumpy IconGrants a familiar that loosely follows Isaac. It farts when hit by enemy attacks, poisoning or stunning enemies and sending it bouncing away.
Lil' HauntFile:Lil' Haunt Icon.pngA familiar that damages enemies by chasing them as well as inducing the fear effect.
Little C.H.A.D.Little C.H.A.D. IconA Familiar who will drop a half Heart every 2 rooms.
Little ChubbyLittle Chubby IconA Familiar that charges forward and deals touch damage to any enemies in its path.
Little GishLittle Gish IconSpawns a familiar that follows Isaac around and fires slowing tears, impeding enemies' speed.
Little StevenLittle Steven IconSpawns a familiar that follows Isaac around and fires homing tears.
LodestoneLodestone IconAdds a chance to fire magnetizing tears. Magnetized enemies attract other enemies, Isaac's tears, and enemy shots including their own.
Loki's HornsLoki's Horns IconGives a random chance for projectiles to fire in all 4 cardinal directions.
Lost ContactLost Contact IconEvery tear has a small shield which will allow it to block one enemy projectile.
Lost SoulLost Soul IconSpawns a Lost familiar that follows Isaac. It dies if hit by an enemy, regenerating on the next floor. If it survives an entire floor, it grants a random reward.
Lucky FootLucky Foot Icon+1 Luck. Increases chance of winning Shell Game Beggar. (Independent of luck stat)
The Ludovico TechniqueThe Ludovico Technique IconInstead of firing tears, Isaac controls one floating tear that hover over obstacles. This tear deals constant damage when held in place over an enemy.
Maggy's BowMaggy's Bow IconGives one heart container and doubles the healing provided by red hearts.
Magic MushroomMagic Mushroom IconIncreases all stats and enlargens Isaac
MagnetoMagneto IconPulls Pickups towards Isaac.
Member CardMember Card IconOpens a trapdoor with a ladder in every shop. The trapdoor leads to a special shop room, which sells multiple items or pickups for random prices. Sold collectibles don't have to be from the Shop pool.
Midas' TouchMidas' Touch IconEnemies that touch you are stunned and turn gold. Any enemy killed while in this state will drop a coin.
The MindThe Mind IconGrants the combined effects of the Blue Map, Treasure Map and The Compass, revealing the floor layout and all special rooms, including Secret Rooms and Super Secret Rooms.
Mini MushMini Mush IconIncreases Speed and Shot Height and decreases Isaac's size, but lowers Range.
MitreMitre IconGrants a chance of converting any red hearts pickups into soul hearts instead.
Mom's ContactsMom's Contacts IconAdds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up.
Mom's EyeshadowMom's Eyeshadow IconTears have a chance to charm enemies.
Mom's EyeMom's Eye IconAllows Isaac to fire tears from the back of his head.
Mom's KnifeMom's Knife IconIsaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.
Mom's PerfumeMom's Perfume IconAdds a chance to shoot fear tears and increases Tears by 0.16.
Mom's WigMom's Wig IconAdds a chance to spawn Blue Spiders when firing tears. Restores 1 red heart.
Money = PowerMoney = Power IconIncreases damage by 0.04 for every coin Isaac has up to +3.96 damage at 99 coins.
Mongo BabyMongo Baby IconSummons a familiar that copies the tears of Isaac's other familiars.
Monstro's LungMonstro's Lung IconIncreases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.
Mr. MegaMr. Mega IconGives Isaac 5 bombs, and makes all dropped bombs larger, which have an increased blast radius and increased damage.
MucormycosisMucormycosis IconEnemies release a cloud of gas upon death that damages and poisons other enemies.
The MulliganThe Mulligan IconTears have a 1/6 chance of spawning allied blue flies when they hit an enemy.
Mutant SpiderMutant Spider IconGrants quadruple shot but decreases tears.
My ReflectionMy Reflection IconGives Isaac's tears a boomerang effect, and increases range and shot speed.
Mysterious LiquidMysterious Liquid IconTears leave a small, short lasting pool of creep on impact or when their range is depleted.
Mystery SackMystery Sack IconSpawns a familiar that follows Isaac around and has a chance to drop a heart, coin, bomb, or key after clearing a room.
Number OneNumber One IconTears range is heavily decreased, but the fire rate is greatly increased.
Odd Mushroom (Large)Odd Mushroom (Large) IconGrants an empty heart container. Increases damage, range and shot height while reducing speed.
Odd Mushroom (Thin)Odd Mushroom (Thin) IconIncreases Tears and Speed while reducing Damage.
Orphan SocksOrphan Socks IconGrants +0.15 Speed and two Soul Hearts. Isaac can walk on harmful floor effects without taking damage.
Ouija BoardOuija Board IconGrants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.
The ParasiteThe Parasite IconIsaac's tears split in two when they hit something.
The PeeperThe Peeper IconSpawns a familiar that floats slowly around the room on a zig-zag pattern similar to boom flies damaging enemies it passes through.
PHDPHD IconConverts all bad pills into good pills, spawns one pill pickup and restores health. Identifies all pills upon pickup.
Piggy BankPiggy Bank IconGives 3 pennies on pick-up. Every time Isaac is damaged, he will drop one additional penny.
PiscesPisces IconIncreases tears, adds knock-back shots and increases tear size.
Playdoh CookiePlaydoh Cookie IconGrants multicolored tears, which can be normal, petrifying, homing, poisoning, or fear-inducing based on their color.
PolyphemusPolyphemus IconMakes Isaac shoot one huge tear. Also reduces Tears to minimum. Damage increased . If tear does more damage than an enemy's life, the tear continues to travel with the extra remaining damage.
ProptosisProptosis IconTears start out massive with high damage, and then shrink down and become weaker over a short range.
Punching BagPunching Bag IconSpawns a Mulligan Familiar that will wander the room randomly. Enemies will attack the Mulligan if it's closer.
PyromaniacPyromaniac IconIsaac heals 1 heart instead of taking damage by a explosive blast from source. Adds 5 bombs.
PyroPyro IconAdds 99 bombs.
Rainbow BabyRainbow Baby IconSpawns a familiar that follows Isaac around and fires tears with random effects.
The RelicThe Relic IconIsaac is followed by a small blue cross that will drop a Soul Heart every 4 rooms.
Robo-BabyRobo-Baby IconFollows Isaac around, shooting enemies with an eye laser similar to Technology.
Robo-Baby 2.0Robo-Baby 2.0 IconFires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears
Rocket In A JarRocket In A Jar IconGrants 5 bombs. Bombs become rockets that fly in the direction Isaac is currently looking.
Roid RageRoid Rage IconIncreases speed by 0.6, range by 5.25, and tear height by 0.5.
RosaryRosary IconAdds 3 Soul Hearts and increases the chance for The Bible to appear in any item pool.
Rotten BabyRotten Baby IconA familiar that spawns Blue Flies.
Rotten TomatoRotten Tomato IconTears have a chance to mark enemies. Marked enemies will be attacked by other enemies.
Rubber CementRubber Cement IconTears bounce off walls and obstacles (including enemies).
SMB Super FanSMB Super Fan IconIncreases all stats.
Sack Of PenniesFile:Sack Of Pennies Icon.pngIsaac is followed by a small bag that drops a coin every 2 rooms.
Sacrificial DaggerSacrificial Dagger IconDagger orbits Isaac, dealing very high damage.
Sad BombsSad Bombs Icon+5 Bombs. Upon exploding, bombs shoot 8 tears off in every direction, similar to Tammy's Head. The tears are affected by any tear modifiers Isaac has on his own tears.
The Sad OnionThe Sad Onion IconIncreases Tears by 0.7.
SagittariusSagittarius IconIncreases speed by +0.2 and grants piercing tears.
Samson's ChainsSamson's Chains IconPull a chain and ball behind you that will damage enemies on contact and is able to break stones.
ScapularScapular IconOnce per room, when Isaac is reduced to his last half red Heart, the aura around his head temporarily vanishes and he is granted one Soul Heart.
ScorpioScorpio IconGrants poison tears, which deal damage over time when inflicted.
Sissy LonglegsSissy Longlegs IconWanders about the room, occasionally spawning Blue Spiders.
Sister MaggySister Maggy IconA Familiar that follows Isaac around shooting blood tears.
Smart FlySmart Fly IconAfter Isaac takes damage, this fly will deal continuous touch damage to whatever enemy caused the damage until it is dead. The fly will then systematically attack 1 enemy at a time until the room is cleared.
The SoulThe Soul IconGrants two Soul Hearts. Isaac now repels enemy projectiles.
Soy MilkSoy Milk IconTears shrink and do much less damage, but fire in very rapid succession.
Speed BallSpeed Ball IconIncreases speed by 0.3 and shot speed by 20%.
Spelunker HatSpelunker Hat IconReveals type of adjacent rooms, including location for secret rooms and super secret rooms.
Spider BiteSpider Bite IconAdds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them.
Spider BabySpider Baby IconWhen hit, spawns up to 2 Blue Spiders.
Spoon BenderSpoon Bender IconGrants Isaac homing tears.
Stem CellsStem Cells IconAdds one filled Heart Container and increases Shot Speed.
StigmataStigmata IconIncreases damage, and adds 1 heart container.
Stone BombsStone Bombs IconGrants 5 bombs. Bombs release rock waves in the cardinal directions, which can damage enemies, destroy obstacles, and damage Isaac.
Strange AttractorStrange Attractor IconPickups, Trinkets and Monsters are magnetically attracted to Isaac's tears.
Super BandageSuper Bandage IconGrants one Heart Container and gives 2 Soul Hearts.
TaurusTaurus IconSpeed down, gains speed while in a room with enemies until gaining My Little Unicorn effect for a few seconds.
Tech.5Tech.5 IconGrants a unlimited range piercing laser with random rate of fire that does not replace tears. The laser might occasionally fire with the effect of a random item or trinket, such as Hook Worm, Spoon Bender or Tiny Planet.
Technology 2Technology 2 IconDecreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
TechnologyTechnology IconReplaces tears with a piercing laser with unlimited range.
Thunder ThighsThunder Thighs IconDestroys rocks upon contact with Isaac. Adds one heart container, and lowers Speed.
Tiny PlanetTiny Planet IconRange up and makes shot tears revolve around Isaac until they drop.
TinytomaTinytoma IconA large familiar slowly orbits Isaac. Upon taking enough damage, it splits into two smaller orbitals. If they take enough damage, they burst into blue spiders and the large orbital respawns.
Tough LoveTough Love IconAdds a chance to shoot a tooth instead of a tear, which deals greater damage than regular tears.
VirgoVirgo IconGrants a chance to trigger the Book Of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".
The VirusThe Virus IconInflicts poison to enemies who make contact with Isaac. Speed down.
The WaferThe Wafer IconAll sources of damage that would cause more than one half heart of damage are reduced to one half heart instead.
X-Ray VisionX-Ray Vision IconReveals and opens all Secret Room and Super Secret Room entrances.


Sacdag Antibirth Sacdag

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