The Binding of Isaac: Rebirth Guide

Every trinket in Rebirth/AB/AB+/Repentance for The Binding of Isaac: Rebirth

Every trinket in Rebirth/AB/AB+/Repentance

Overview

This is a basic guide about the trinkets in Rebirth/AB/AB+/RepentanceJust search a trinket by simply pressing CTRL + FLike and favorite if you enjoy the guide, awards are also always appreciated :)You found any spelling mistakes? Please write them in the comments.Source[platinumgod.co.uk]Other guides : Every consumable + misc in Rebirth/AB/AB+/Repentance + Dice Rooms and How to unlock every Character in Rebirth/AB/AB+/Repentance

Rebirth Trinkets (38/60)

???’S SOUL

TrinketID: 57
“Imaginary friend”
• Creates a familiar which moves around the room in a similar fashion to The Peeper, shooting tears in the same direction as Isaac.
UNLOCK: Unlock this item by beating the Dark Room with Blue Baby.

AAA BATTERY

TrinketID: 3
“Trickle charge”
• Lowers your spacebar item charge rate by 1.
• Cannot lower the charge of your spacebar item below 1 room.
• For example, you will now be able to use a 3 room charge item after 2 rooms instead.

ACE OF SPADES

TrinketID: 45
“Luck of the draw”
• Gives Isaac a higher chance to find Tarot cards after clearing a room or from chests.

BIBLE TRACT

TrinketID: 18
“Faith up”
• Gives you a higher chance of eternal hearts.
• Contrary to popular belief, the Bible Tract doesn’t allow Angel Rooms to appear after paying for a Devil Deal.

BLACK LIPSTICK

TrinketID: 17
“Evil up”
• Increases the chance for Black hearts to spawn.
UNLOCK: Unlock this item by beating the Dark Room with Eve.

BLOODY PENNY

TrinketID: 49
“Wealth of health”
• Everytime you pick up a penny, you have a chance to spawn a red heart on the floor.
UNLOCK: Unlock this item by beating the Chest with Samson.

BROKEN MAGNET

TrinketID: 6
“It kinda works”
• Has a partial Magneto effect and will attract coins, pulling them into Isaac from a distance.
• Does not attract other pickups like the full Magneto item does.

BROKEN ANKH

TrinketID: 28
“Eternal life?”
• Has a chance (roughly 20%) to respawn with 3 Soul hearts as Blue Baby when you die.
UNLOCK: Unlock this item by beating Satan with Lazarus.

BROKEN REMOTE

TrinketID: 4
“It’s broken”
• Does the teleport effect every time you use your current spacebar item.
• Can be used infinitely every room if you have Guppy’s Paw and no red heart containers (Can be exploited to get to the boss room without clearing any other rooms).

BURNT PENNY

TrinketID: 50
“Wealth of chaos”
• Everytime you pick up a coin, you have a chance to spawn a bomb on the floor
UNLOCK: Unlock this item by beating Challenge #13 (Beans!).

BUTT PENNY

TrinketID: 24
“Wealth of gas”
• Everytime you pick up a coin, you fart.

CAIN’S EYE

TrinketID: 59
“May you see your destination
• Gives a 25% chance to reveal map icons at the start of a new floor (The same effect as the Compass).
UNLOCK: Unlock this item by beating the Chest with Cain.

CALLUS

TrinketID: 14
“Your feet feel stronger”
• Isaac no longer takes damage from walking over spikes and blood creep while this trinket is held.

CANCER

TrinketID: 39
“Yay, cancer!”
• -2 Tear Delay (Tears Up).
• The fire rate increase is applied in such a way that the higher your tear stat is, the more effective Cancer is.
• Breaks the normal fire rate cap, allowing you to fire faster than the normal maximum.

CARTRIDGE

TrinketID: 8
“I remember these”
• When Isaac takes damage, there is a chance he will gain the Gamekid effect, turning him invincible and dealing contact damage to any enemies he touches.
• The chance to activate the invincibility effect is affected by your luck stat and at +38 Luck it will activate every time you get hit.

CHILD’S HEART

TrinketID: 34
“It calls out to its brothers”
• Gives Isaac a higher chance to find hearts from drops after clearing a room and from chests.

COUNTERFEIT PENNY

TrinketID: 52
“Wealth of wealth”
• When picking up a coin, you have a chance to automatically gain one more coin
UNLOCK: Unlock this item by playing the shell game in the arcade 100 times.

CURSED SKULL

TrinketID: 43
“Cursed?”
• When you take damage while on 1/2 a heart, you are teleported back to the previous room.

CURVED HORN

TrinketID: 35
“DMG up”
• +2 Damage Up
UNLOCK: Unlock this item by beating the Dark Room with Judas.

DAEMON’S TAIL

TrinketID: 22
“Evil up”
• When Daemon’s Tail is held, most future Heart drop will be rerolled into something else, with a certain chance to be rerolled into a Black Heart.
• Every type of heart will be affected (except for hearts spawned in Super Secret Rooms) and causes Mitre, Bible Tract, Mom’s Pearl to become useless.
• Upon entering a new room that already has hearts on the ground, they will all be converted into Black Hearts.
• Hearts that spawn after clearing a room, opening a chest or playing a slot machine/beggar will be re-rolled into another possible pickup that could appear. This essentially means you are sacrificing your heart drops for a higher chance of all other pickups
UNLOCK: Unlock this item by beating Satan with Azazel.

EVE’S BIRD FOOT

TrinketID: 60
“Revenge from beyond”
• When you kill an enemy, you have a chance to spawn a transparent Dead Bird familiar.
• The Dead Bird familiar deals 2 damage per tick to enemies while in contact with them.
UNLOCK: Unlock this item by beating the Isaac boss with Eve.

FISH HEAD

TrinketID: 29
“It stinks”
• Everytime Isaac takes damage, one blue fly will spawn.

FLAT PENNY

TrinketID: 51
“Wealth of answers”
• Everytime you pick up a coin, you have a chance to spawn a key.

FLAT WORM

TrinketID: 12
“Blub blub!”
• Tears become flat and disc shaped giving them a larger hitbox.
• Higher knockback effect with your tears.

GOAT HOOF

TrinketID: 37
“Speed up”
• +0.15 Speed Up.

HOOK WORM

TrinketID: 26
“Zip zoop!”
• Tears now move forwards at right angles, shifting left and right across the room.
• Increases your range stat by +10.0 while held but due to the fire pattern, your tears travel a similar distance to normal.

ISAAC’S FORK

TrinketID: 46
“Consume thy enemy”
• After clearing a room, you have a chance to heal for half a red heart.

ISAAC’S HEAD

TrinketID: 54
“Dead friend”
• While held, this trinket gives Isaac a familiar that shoots piercing tears that deal 3.5 damage.
UNLOCK: Unlock this item by beating the Boss Rush with Isaac.

JUDAS’ TONGUE

TrinketID: 56
“Payment received”
• Items which cost 2 heart containers in a deal with the devil are reduced to only cost 1 heart.
UNLOCK: Unlock this item by beating Satan with Judas.

THE LEFT HAND

TrinketID: 61
“The left hand path reaps dark rewards”
• Replaces chest spawns with red chests.
UNLOCK: Unlock this item by beating Ultra Pride.

LIBERTY CAP

TrinketID: 32
“Touch fuzzy, get dizzy!”
• While held, this trinket gives a random mushroom effect each room
• Possible mushrooms include: Mini Mush, Odd Mushroom (Thin), Odd Mushroom (Thick), The Compass.

LUCKY ROCK

TrinketID: 15
“There’s something inside”
• Rocks now drop money when broken.
UNLOCK: Unlock this item by destroying 100 rocks.

LUCKY TOE

TrinketID: 42
“Luck up!”
• +1 Luck Up while held.
UNLOCK: Unlock this item by blowing up 20 shop keepers (this includes the ones in secret rooms.)

MAGGY’S FAITH

TrinketID: 55
“Faith’s reward”
• At the start of a new floor, you get an eternal heart.
UNLOCK: Unlock this item by beating the Dark Room with Maggy.

MATCH STICK

TrinketID: 41
“Tastes like burning”
• Gives Isaac a higher chance to find bombs.
• Picking up the Match Stick is the only way to remove the Tick trinket.

A MISSING PAGE

TrinketID: 48
“It glows with power”
• When taking damage, Isaac has a chance to deal damage to the entire room in a Necronomicon style effect.
• The chance to damage enemies is affected by your luck stat and at +50 or more Luck it will activate 50% of the time.

MOM’S PEARL

TrinketID: 38
“It emanates purity”
• Grants a secondary chance of any non-specific heart drop turning into a soul heart.

Rebirth Trinkets (60/60)

MOM’S TOENAIL

TrinketID: 16
“???”
• Mom’s Leg will now appear every 60 seconds and stomp down randomly in the room dealing 300 damage to enemies, similar to how Daddy Longlegs works but less frequent.
• Be warned though, Mom’s leg can also stomp and hurt Isaac too!

MONKEY’S PAW

TrinketID: 20
“Wish granted”
• When you reach half a heart of life remaining, a black heart will spawn.
• After three black hearts have spawned, the trinket dissapears.

MYSTERIOUS CANDY

TrinketID: 25
“Uh-oh!”
• Causes Isaac to create poops randomly.

MYSTERIOUS PAPER

TrinketID: 21
“???”
• Imitates the behaviours of some of the other ‘paper’ items/trinkets.
• A Missing Page: When taking damage, Isaac has a chance to deal damage to the entire room in a Necronomicon style effect.
• Has a chance to trigger the Polaroid or Negative effect every time you take damage with half a red heart or less.
• Missing Poster: Dying in a sacrifice room while holding this trinket will reveal a puzzle piece on the death screen. Finding all the puzzle pieces will help you to reveal the final secret, unlocking the hidden character ‘The Lost’.
• If held when you touch the chest after the Satan or Isaac fight and you don’t have the relevant item to go to the next floor (Polaroid or Negative), you have a small chance to be taken there anyway.
UNLOCK: Unlock this item by beating the Chest with Eden.

PAPER CLIP

TrinketID: 19
“Master of lockpicking”
• Allows you to unlock golden chests without needing a key.
• Does not work on locked rooms.

PETRIFIED POOP

TrinketID: 2
“It feels lucky?”
• While held, Isaac has a significantly higher chance to find drops when breaking poops.

PINKY EYE

TrinketID: 30
“Poison shots”
• Isaac’s tears have a chance to poison enemies.
• The poison effect leaves a damage over time, which deals 4 or 6 damage per tick.
• The chance to poison enemies is affected by your luck stat and at +18 Luck it will activate every time.

PULSE WORM

TrinketID: 9
“Wub wub!”
• Tears shrink and grow in size as they go across the room.
• Does not appear to affect your damage and only the hitbox size of tears.

PURPLE HEART

TrinketID: 5
“Challenge up”
• Higher chance for champion enemies while held.

PUSH PIN

TrinketID: 31
“Piercing shots”
• Isaac now has a chance to make a spectral and piercing tear.
• The chance to fire a piercing tear is affected by your luck stat and at +18 Luck it will activate every time.

RED PATCH

TrinketID: 40
“Your rage grows”
• You have a chance when taking damage to gain +1.8 Damage Up for the rest of the room.

RING WORM

TrinketID: 11
“Woop woop!”
• While held, tears move in a spiral pattern across the screen at high speed.
• Effectively increases your range due to the tear pattern.

ROSARY BEAD

TrinketID: 7
“Faith up”
• Increases your chances to find an Angel Room instead of a Devil Room.
• Normally there is a 50%/50% chance of a Angel or Devil room with if a door spawns after the boss. The Rosary Bead changes this to a 75%/25% chance of an angel or devil room (respectively).

RUSTED KEY

TrinketID: 36
“It feels lucky?”
• Gives Isaac a higher chance to find keys and chests.

SAFETY CAP

TrinketID: 44
“Don’t swallow it”
• Gives Isaac a higher chance to find pills.

SAMSON’S LOCK

TrinketID: 58
“Your rage grows”
• When you kill an enemy, you have a chance to get +0.5 damage up for the current room.
UNLOCK: Unlock this item by beating the Dark Room with Samson.

STORE CREDIT

TrinketID: 13
“YES!”
• While this trinket is held, all items in the Shop cost 0 coins.
• After buying any 0 cent item in the Shop, the trinket disappears.
UNLOCK: Unlock this item by beating the Chest with Lazarus.

SWALLOWED PENNY

TrinketID: 1
“Gulp!”
• Each time you get hit, you drop a coin or two.
UNLOCK: Unlock this item by beating Challenge #15 (Slow Roll).

TICK

TrinketID: 53
“Well, that’s not coming off”
• When you enter a boss room, immediately remove 15% health from the boss and restore 1 red heart.
• This trinket can only be removed by picking up the Match Stick trinket, meaning you are otherwise unable to take any more trinkets unless you get the Mom’s Purse item.

UMBILICAL CORD

TrinketID: 33
“Fetal protection”
• If you take damage which leaves you at 1/2 a heart, you gain a Little Steve familiar that follows you and shoots homing tears.

WHIP WORM

TrinketID: 27
“Wooosh!”
• +0.5 Shot Speed Up.
• Your tears now whip across the room at a very high shot speed.
• Shot speed gives your tears more effective range, but doesn’t increase your range stat directly

WIGGLE WORM

TrinketID: 10
“Wiggle wiggle!”
• Tears now move in a wave fashion across the room.

Afterbirth Trinkets (29/29)

SHINY ROCK

TrinketID: 62
“It shines for it’s brothers”
• While held, tinted rocks and rocks with a crawlspace below them will flash white every 10 seconds.

SAFETY SCISSORS

TrinketID: 63
“Fuse cutter”
• Turns all troll bombs into bombs which you can pick up and use.
• Super Troll bombs turn into 1+1 free double bomb pickups.

RAINBOW WORM

TrinketID: 64
“Bleep bloop blop”
• Gives your tears a random worm effect every few seconds.
• The possible tear effects include: Whip Worm, Ring Worm, Wiggle Worm, Flat Worm, Hook Worm, Pulse Worm, Tape Worm and Lazy Worm

TAPE WORM

TrinketID: 65
“Floooooooooop!”
• While held, Tape Worm doubles your range stat and halves your tear height stat.

LAZY WORM

TrinketID: 66
“Pft”
• -0.4 Shot Speed Down.
• +4.0 Range Up.
• +2.0 Tear Height.

CRACKED DICE

TrinketID: 67
“You feel cursed… kinda.”
• Every time you get hit, you have a chance to activate the D6, D20, D8 or D12 effect
UNLOCK: Unlock this item by beating Greed Mode with ???.

SUPER MAGNET

TrinketID: 68
“It pulls”
• While held this trinket causes all pickups and enemies to move slowly towards you.
• Will also attract the Mom’s Foot and Ultra Greed door entities..

FADED POLAROID

TrinketID: 69
“You feel faded”
• Randomly Isaac will gain a camouflage for a few seconds and all enemies in the current room will have a confused status effect applied to them.

LOUSE

TrinketID: 70
“Itchy, tasty…”
• Gives a small chance to spawn a friendly attack spider while in a hostile room with enemies.

BOB’S BLADDER

TrinketID: 71
“Creepy bombs”
• Leaves a pool of green creep under all bombs you place, which damages enemies that walk over it.

WATCH BATTERY

TrinketID: 72
“Lil charge”
• Gives you an increased chance of finding battery consumables.
• Has a chance to add an extra charge to your active item upon completing a room.

BLASTING CAP

TrinketID: 73
“Pop! Pop!”
• Exploding bombs now have a chance to drop another bomb that you can pick up.

STUD FINDER

TrinketID: 74
“The ground below feels hollow…”
• Higher chance to find crawl spaces when exploding rocks.
UNLOCK: Unlock this card by beating Challenge #27 (Brains).

ERROR

TrinketID: 75
“Effect not found?”
• Gives a different trinket effect per room, randomly choosing between any of the other available trinkets in the game.
• Each room is locked to a specific trinket effect, meaning if you exit and re-enter a room, that specific room will always have the same effect.

POKER CHIP

TrinketID: 76
“It’s double down time!”
• Chests now have a 50/50 chance to either pay out with extra consumables or nothing/an enemy.
UNLOCK: Unlock this card by beating Challenge #26 (I Rule).

BLISTER

TrinketID: 77
“Bounce back!”
• Tears have a stronger knockback effect while this trinket is held

SECOND HAND

TrinketID: 78
“Extended stat effect time”
• Increases the time that status effects stay on enemies. e.g. With poison effects, the damage over time poison will last for much longer.

ENDLESS NAMELESS

TrinketID: 79
“I’m stuck in a loop…”
• While held there is a small chance when using a tarot card or pill that a copy of it will be dropped on the floor next to you.

BLACK FEATHER

TrinketID: 80
“With darkness comes power”
• +0.2 Damage Up for each ‘evil’ item you have.
• Items classed as evil in this case are Black Candle, Ceremonial Robes, Abaddon, Goat Head, Match Book, Missing Page 2, Safety Pin.
UNLOCK: Unlock this item by beating Greed Mode with Eve.

BLIND RAGE

TrinketID: 81
“Blind to damage”
• Invincibility lasts longer after getting hit (Increased i-frames)
• This makes it possible to use the Blood Donation machine twice from one hit of damage.
UNLOCK: Unlock this item by beating Blue Womb (Hush) with Samson.

GOLDEN HORSE SHOE

TrinketID: 82
“Feel lucky?”
• +15% chance to get a double item room to spawn on the next floor.
• If the effect activates, two items spawn in your item room, however only one can be taken (Same effect as the More Options item)
• The chance doubles to +30% with the effect from Mom’s Box.

STORE KEY

TrinketID: 83
“Stores are open”
• Automatically opens all shop room doors for free.
UNLOCK: Unlock this trinket by donating 666 coins to the Greed Donation Machine.
UNLOCK: Keeper starts with this trinket after beating Satan with Keeper.

RIB OF GREED

TrinketID: 84
“Feels greedy”
• Forces the Greed and Super Greed mini bosses to no longer appear in shops or secret rooms.
UNLOCK: Unlock this trinket by beating Ultra Greed with Keeper.

KARMA

TrinketID: 85
“Karma up”
• Donating to a Donation Machine has a chance to heal Isaac for a full red heart or spawn a Beggar.
UNLOCK: Unlock this item by beating The Lamb boss with Keeper.

LIL LARVA

TrinketID: 86
“the poop is moving…”
• Destroying poops now gives you a blue fly

MOM’S LOCKET

TrinketID: 87
“you feel her love”
• While held, you heal for half a red heart every time you use a key to open a door or golden chest.
• Changes all half red hearts into full hearts.

NO!

TrinketID: 88
“Never again!”
• While this trinket is held you have a significantly lower chance to find spacebar/active items.
• It will cause passive items to spawn except when the game cannot generate any more passive items and will then instead choose spacebar/active items.
• Some hard coded spacebar items from bosses and mini-bosses (i.e. Krampus Head) can still spawn.
• Bible drops caused by the Rosary item are not prevented by this trinket.

CHILD LEASH

TrinketID: 89
“Keep your friends close…”
• Causes your familiars to stay closer to each other.

BROWN CAP

TrinketID: 90
“Fartoom!”
• Poop in the environment will now explode when destroyed.

Afterbirth+ Trinkets (29/29)

MECONIUM

TrinketID: 91
“Eww”
• While held you have an increased chance for Black Poops to spawn, which deal damage to all enemies in the room when destroyed
• Gives The Poop active item a chance to spawn a Black Poop too
UNLOCK: Unlock this trinket by defeating Greedier Mode with ???.

CRACKED CROWN

TrinketID: 92
“Boost Stats”
• Gives you extra stat upgrades based on the items you’ve already collected that have stat increases, at roughly +30% of the item’s original increase
• Also gives you a tears up if you don’t already have an item that increases your tears stat

USED DIAPER

TrinketID: 93
“You Stink”
• While held, gives the Skatole effect only in certain rooms, which will turn hostile flies to neutral and stop others from shooting.
• Attack, Dart and Ring Flies turn into neutral Black Flies and Pooters and Fat Flies will no longer fire at you.

FISH TAIL

TrinketID: 94
“It also stinks!”
• Items and trinkets which generate blue flies and spiders will have double the effect, causing twice as many to spawn

BLACK TOOTH

TrinketID: 95
“It looks dead”
• Some tears will randomly become a black tooth, that can poison enemies

OUROBOROS WORM

TrinketID: 96
“Foop foop!”
• Tears now have a giant arcing behaviour which moves quickly in a spiral pattern across the room

TONSIL

TrinketID: 97
“Sick…”
• Every time you take damage you have a very small chance to gain a Tonsil familiar, which follows you and blocks enemy projectiles
• This effect can happen twice before the Tonsil trinket is destroyed
• The Tonsil familiar counts as a passive item but does not appear in any item pools, meaning this trinket is the only way to find it (aside from starting with it as Eden) and make it appear in your Items Collection page.

NOSE GOBLIN

TrinketID: 98
“Seems magic…”
• Your tears have a random chance to become booger tears
• Booger tears stick on to enemies and deal periodic poison damage until they die or 60 seconds passes. Each tick of poison damage is equal to your normal tear damage

SUPER BALL

TrinketID: 99
“Boing!”
• Some random tears will gain the Rubber Cement effect and become bouncy

VIBRANT BULB

TrinketID: 100
“It needs power”
• This trinket will give you +1 to all stats for as long as you are holding a fully charged active item

DIM BULB

TrinketID: 101
“I think it’s broken”
• Grants +0.5 Speed, +1.5 Range, +0.3 Shot Speed, +0.4 Tears, +1.5 Damage when Isaac’s active item is completely uncharged

FRAGMENTED CARD

TrinketID: 102
“Double moon”
• Gives you another secret room on each future floor while held
• Does not spawn more than one super secret room, only the normal secret room

EQUALITY!

TrinketID: 103
“=”
• Gives a chance for half consumables to turn into their doubled version

WISH BONE

TrinketID: 104
“Make a wish”
• Every time you take damage you have a very small chance to spawn a random pedestal item
• When the effect triggers, the trinket is destroyed

BAG LUNCH

TrinketID: 105
“I wonder what it is”
• Every time you take damage you have a very small chance to spawn the Lunch item, which gives +1 HP up
• When the effect triggers, this trinket is destroyed

LOST CORK

TrinketID: 106
“Uncorked”
• Increases the radius of any creep you produce

CROW HEART

TrinketID: 107
“Drain me”
• While held, any damage taken will ignore spirit hearts and black hearts, causing your red heart containers to be depleted first
• While at 1/2 of a red heart, it will begin to remove your soul hearts and black hearts on damage again.
UNLOCK: Unlock this item by beating Greedier mode with Eve.

WALNUT

TrinketID: 108
“Thats a hard nut to crack!”
• When you take damage, the walnut cracks and drops a random trinket, coin, heart and key
• The Walnut trinket is destroyed once the effect activates
• Walking over a dead shopkeeper corpse will trigger the effect

DUCT TAPE

TrinketID: 109
“Stuck!”
• Causes any orbitals you have to stop moving while held
• This includes Lilith’s Incubus familiar

SILVER DOLLAR

TrinketID: 110
“Feels lucky…”
• While held, shops will now appear on the womb floors
UNLOCK: Unlock this item by defeating Delirium in The Void floor with Cain.

BLOODY CROWN

TrinketID: 111
“Drips with blood…”
• While held, item rooms now appear on the womb floors
UNLOCK: Unlock this item by defeating Delirium in The Void floor with Samson.

PAY TO WIN

TrinketID: 112
“…”
• While held, restock boxes will always spawn in item rooms

LOCUST OF WRATH

TrinketID: 113
“I Bring Wrath”
• At the start of each new hostile room you will spawn an orange attack fly, which will target a nearby enemy and explode when it touches it
UNLOCK: Unlock this trinket by defeating Isaac in the Cathedral as Apollyon.

LOCUST OF PESTILENCE

TrinketID: 114
“I Bring Pestilence”
• At the start of each new hostile room you spawn a green attack fly, which will target a nearby enemy, deal double your tear damage and then poison them
UNLOCK: Unlock this item by beating Satan with Apollyon.

LOCUST OF FAMINE

TrinketID: 115
“I bring Famine”
• At the start of each new hostile room you spawn a yellow attack fly, which will target a nearby enemy, deal double your tear damage and apply a slowing effect to it
UNLOCK: Unlock this trinket by defeating ??? in The Chest as Apollyon.

LOCUST OF DEATH

TrinketID: 116
“I bring Death”
• At the start of each new hostile room you spawn 1 black attack fly. The fly will target a nearby enemy and deal double your tear damage to it, with a random chance to deal the damage twice
UNLOCK: Unlock this trinket by defeating The Lamb as Apollyon.

LOCUST OF CONQUEST

TrinketID: 117
“I Bring Conquest”
• At the start of each new hostile room you spawn 2-5 white attack flies, which will target a nearby enemy and deal double your tear damage to it
UNLOCK: Unlock this trinket by defeating Boss Rush as Apollyon.

BAT WING

TrinketID: 118
“They Are Growing…”
• After taking damage, you have a very small chance to grow wings and gain the ability to fly for the rest of the room.
UNLOCK: Unlock this trinket by defeating Greedier Mode with Azazel.

STEM CELL

TrinketID: 119
“Regen!”
• Heals you for 1/2 a red heart after travelling down to the next floor
UNLOCK: Unlock this trinket by defeating Greedier Mode with Samson.

Afterbirth+ Booster Pack Trinkets (9/9)

HAIRPIN

TrinketID: 120
“Poke that power outlet! Bosses charge you”
• Fully recharges your active item at the start of each boss fight.

WOODEN CROSS

TrinketID: 121
“My faith protects me”
• Gives you the Holy Mantle shield effect at the start of every new floor, which protects you from the next hit of damage you take.
• Does not recharge until the start of the next floor.

BUTTER!

BUTTER!
TrinketID: 122
“Can’t hold it!”
• Using your active item while holding this trinket will drop it back on a pedestal on the ground.
• Also after taking damage, you have a very small chance to drop one of your passive items.
• One-time use active items will be consumed and not dropped.

FILIGREE FEATHER

TrinketID: 123
“Angelic spoils!”
• Holding this trinket will cause the Angel mini bosses to drop normal items instead of Key Pieces.

DOOR STOP

“Hold the door!”
• While held, the last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
• This trinket works on boss rooms and devil rooms containing Krampus, allowing you to exit out mid-fight.

EXTENSION CORD

TrinketID: 125
“Charged friends”
• After being picked up, a yellow laser chain now flows through Isaac’s familiars.
• Added as part of the Afterbirth+ Booster Pack #4 and based on the Steam Workshop mod created by Strawrat and Aczom

ROTTEN PENNY

TrinketID: 126
“Wealth of flies”
• While held, spawns +1 friendly blue fly every time you pick up a coin.
• Added as part of the Afterbirth+ Booster Pack #5. Based on the Steam Workshop mod created by Eufuu
UNLOCK: Unlock this trinket by having a lot of blue flies at once.

BABY-BENDER

TrinketID: 127
“Feed them magic!”
• While held this trinket gives your familiars homing shots.
• Added as part of the Afterbirth+ Booster Pack #5. Based on the Steam Workshop mod created by Ink Tears
UNLOCK: Unlock this item by having two items or effects that grant homing shots at once (e.g. Spoon Bender, Telepathy for Dummies, I – The Magician).

FINGER BONE

TrinketID: 128
“It looks brittle”
• While held, gives you a small chance to gain a bone heart everytime you take damage.
• Added as part of the Afterbirth+ Booster Pack #5
UNLOCK: Unlock this trinket by defeating Ultra Greed as The Forgotten.

Repentance Trinkes (35/61)

JAWBREAKER

TrinketID: 129
“Don’t chew on it”
• Tears have a chance to become a tooth, dealing more than triple damage.

CHEWED PEN

TrinketID: 130
“It’s leaking”
• Tears have a chance to slow enemies.

BLESSED PENNY

TrinketID: 131
“Wealth of purity”
• Chance to spawn half a soul heart when picking up a coin.
• Picking up nickels and dimes can spawn multiple half soul hearts.
UNLOCK: Unlock this trinket by defeating ??? as Bethany.

BROKEN SYRINGE

TrinketID: 132
“Mystery medicine”
• Gives you a random syringe effect every room.
• The effect can be The Virus, Roid Rage, Speed Ball, Experimental Treatment, Synthoil or Growth Hormones

EXPLODED FIRECRACKER

TrinketID: 133
“Short fuse”
• Placed bombs explode almost instantly.

GIGANTE BEAN

TrinketID: 134
“Mega farts”
• Farts produced by Isaac or familiars will be twice as large.

A LIGHTER

TrinketID: 135
“Watch the world burn”
• Chance for enemies to burn when entering a room
• The chance for this effect to activate is effected by your Luck stat

BROKEN PADLOCK

TrinketID: 136
“Bombs are key”
• Explosions can open locked doors
• This includes the doors to the Antibirth floors: Downpour, Mines and Mausoleum, but not the Corpse floor

MYOSOTIS

TrinketID: 137
“Forget me not…”
• Pickups left on current floor will appear in the starting room of the next floor, up to a maximum of 8 pickups

‘M

TrinketID: 138
“t’s broken9Reroll your dest “
• Active items will be rerolled upon using them.
• Breath of Life is not rerolled by this trinket.
UNLOCK: Unlock this trinket by defeating The Witness as Eden.

TEARDROP CHARM

TrinketID: 139
“It feels lucky”
• Tear-based effects have an extra chance of occurring.

APPLE OF SODOM

TrinketID: 140
“It feels empty”
• Picking up red hearts now has a high chance to spawn 1-4 blue attack spiders, instead of giving you health back.
• This effect also works while fully healed, giving a guaranteed chance of getting spiders.

FORGOTTEN LULLABY

TrinketID: 141
“Sing for your friends”
• Gives your familiars improved rate of fire while held.
• In Antibirth this trinket was called Song of the Siren.
UNLOCK: Unlock this trinket by bombing the skull left by The Siren boss after her death.

BETH’S FAITH

TrinketID: 142
“My faith protects me”
• While held at the start of each floor, this trinket spawns four wisp familiar orbitals around Isaac
• These wisps are the same as the ones created by the Book of Virtues item
UNLOCK: Unlock this item by beating the Boss Rush as Bethany.

OLD CAPACITOR

TrinketID: 143
“Voltage starving”
• Your active item no longer gains charges, but battery drops become much more common
UNLOCK: Unlock this item by blowing up 10 Charge Machines.

BRAIN WORM

TrinketID: 144
“Ding!”
• Missed tears will redirect themselves and travel sideways towards enemies.

PERFECTION

TrinketID: 145
“Luck way up. Don’t lose it!”
• +10 Luck while held, trinket is destroyed when damage is taken
• Can be dropped in order to avoid breaking it

DEVIL’S CROWN

TrinketID: 146
“His special customer”
• Treasure Rooms are replaced with Red Treasure Rooms, which contain a deal with the devil in place of a regular item pedestal.
• If an item room as not yet been entered, it can be transformed to either a regular or Red Treasure Room by picking up or dropping this trinket before entering
UNLOCK: Unlock this item by defeating The Witness as Azazel.

CHARGED PENNY

TrinketID: 147
“Wealth of power”
• Every time you pick up a coin, you have a small chance to gain 1 bar of charge on your active item.
• In Antibirth this trinket was called Electric Penny.
UNLOCK: Unlock this trinket by donating to a battery beggar until he rewards 4.5 Volt

FRIENDSHIP NECKLACE

TrinketID: 148
“Gather round”
• While held, your familiars will now orbit around Isaac instead of following behind him.

PANIC BUTTON

TrinketID: 149
“Push in case of emergency”
• If your active item is fully charged, when you take damage it will automatically activate.
• It doesn’t activate for free – the charges are used up as normal if this effect activates.

BLUE KEY

TrinketID: 150
“Look between the rooms”
• Doors can be opened without using up a key.
• However, when entering the door you are taken to a blue womb room with enemies to defeat. This room will always drop a reward at the end, then allow you to exit back to the real floor.
UNLOCK: Unlock this trinket by defeating The Beast as Tainted Cain

FLAT FILE

TrinketID: 151
“No more spikes”
• While held this trinket causes spikes to retract into the floor.
• Works for curse rooms – you no longer take damage entering or leaving.

TELESCOPE LENS

TrinketID: 152
“Seek the stars”
• Allows a second Planetarium to spawn
• Planetarium have a base 1% chance to appear, which increases by +20% whenever you skip an Item Room (Must not enter to count as skipped)
UNLOCK: Unlock this trinket by collecting three of the following in the same run: Magic 8 Ball, Tiny Planet, Crystal Ball or any of the Zodiac items (e.g. Aries, Cancer, Capricorn, Leo etc.)

MOM’S LOCK

TrinketID: 153
“A piece of her love”
• Has a high chance to give you the effect of a random Mom item every room
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Isaac

DICE BAG

TrinketID: 154
“Bonus roll”
• Every time you enter a brand new room, you have a chance to get a random one-time use Dice (e.g. D6, D6, D20 etc.)
UNLOCK: Unlock this trinket by defeating Mother as Tainted Isaac

HOLY CROWN

TrinketID: 155
“Walk the path of the saint”
• Causes Item rooms to appear in the Cathedral
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Magdalene

MOTHER’S KISS

TrinketID: 156
“HP up”
• While held you get +1 HP Up.
• The first time you pick this trinket up, the heart container will be filled. This effect can’t be abused – next time it will be empty if dropped.

TORN CARD

TrinketID: 157
“Death awaits”
• Every 15 shots you will shoot an Ipecac + My Reflection shot
• The tear will fly in the air for about 3 seconds and follows Isaac until it falls and explodes. You need to move out of the way or it will hurt Isaac, but can be used to open anything requiring a bomb e.g. Secret Rooms
UNLOCK: Unlock this trinket by defeating Mother as Tainted Lazarus

TORN POCKET

TrinketID: 158
“A hole in your pocket”
• Every time you take damage, you drop up to 2 different types of consumables on the ground.
• Dropped consumables can be any variant of its kind – e.g. a bomb can become a troll bomb, or a dropped coin can become a dime.
• Does nothing if you have no consumables.
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Lazarus

GILDED KEY

TrinketID: 159
“Less is more”
• All new chests become locked Golden chests
UNLOCK: Unlock this t

LUCKY SACK

TrinketID: 160
“Free goodies!”
• Spawns a sack at the start of each new floor
UNLOCK: Unlock this trinket by defeating Mother as Tainted Cain

WICKED CROWN

TrinketID: 161
“Walk the path of the wicked”
• Causes Item rooms to appear in Sheol
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Azazel

AZAZEL’S STUMP

TrinketID: 162
“Unleash your inner demon”
• Small chance to become Azazel and gain his short-range Brimstone laser for the current room.
• Exact condition for triggering is unknown
UNLOCK: Unlock this trinket by defeating Mother as Tainted Azazel

DINGLE BERRY

TrinketID: 163
“Oops!”
• Spawns 2 friendly Dips upon clearing a room
Dips that spawn after killing a Squirt turn friendly
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Blue Baby

Repentance Trinkets (59/61)

RING CAP

TrinketID: 164
“Twice the bang!”
• Drops 2 bombs at once (only 1 bomb is removed from your total)
UNLOCK: Unlock this trinket by defeating Mother as Tainted Blue Baby

NUH UH!

TrinketID: 165
“Don’t want!”
• Beyond the womb floor, all pickups are replaced with a random pickup as follows:
• Bomb – 26.6% chance. Heart – 26.6% chance
• Pill – 26.6% chance. Card – 26.6% chance
• Trinket – 26.6% chance. Battery – 26.6% chance
• Essentially just removes keys from the drop table
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Eden

MODELING CLAY

TrinketID: 166
“???”
• Each brand new room, this trinket has a chance to transform into a copy of a random passive item, which gives you the effect for the duration of this room
UNLOCK: Unlock this trinket by defeating Mother as Tainted Eden

POLISHED BONE

TrinketID: 167
“Friends from beyond”
• Gives a small chance to spawn a friendly Bony when clearing a room, which will throw bones at enemies until it takes enough damage to die. Max 3 Bonys at once
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Forgotten

HOLLOW HEART

“A brittle blessing”
• Gives you +1 Bone Heart every time you enter a new floor
UNLOCK: Unlock this trinket by defeating Mother as Tainted Forgotten
KID’S DRAWING[/h1]
TrinketID: 169
“Looks familiar…”
• Counts as 1 of 3 cat items needed towards the Guppy transformation
• Dropping this trinket again removes the transformation if you dont have 3 other Guppy items
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Lost

CRYSTAL KEY

TrinketID: 170
“Call to the other side”
• Sometimes creates Red Key rooms, which appear in gaps on the map
• This room can be of many types, including but not limited to any regular room from that floor, treasure rooms, curse rooms or devil rooms
UNLOCK: Unlock this trinket by defeating Mother as Tainted Lost

KEEPER’S BARGAIN

TrinketID: 171
“Money talks”
• Has a decent chance for Devil Deals to cost money instead of Health
• The conversion rate is 1 heart container to 15 coins
• Items can be on discount similar to the shop, making it 1 heart container = 7 coins instead
• Can be dropped to disable this effect while in the room
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Keeper

CURSED PENNY

TrinketID: 172
“Wealth of misery”
• While held, you will be teleported to a random room everytime you pick up a coin
UNLOCK: Unlock this trinket by defeating Mother as Tainted Keeper

YOUR SOUL

TrinketID: 173
“Give it to me”
• Allows you to pay for a devil deal with this trinket
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Judas

NUMBER MAGNET

TrinketID: 174
“6”
• +10% devil room chance while held
UNLOCK: Unlock this trinket by defeating Mother as Tainted Judas

STRANGE KEY

TrinketID: 175
“What could it open?”
• Opens the door to the Blue Womb, regardless of whether you meet the 30 minute speed timer
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Eve

LIL CLOT

TrinketID: 176
“Mini friend”
• A small clot friend will hug Isaac, following his exact movements (similar to how Jacob & Esau work) and shooting tears when he does
• The clot can be moved around by collision with an object/wall, allowing you to re-position it
• The clot’s damage is roughly 1/3 of your tear damage
• If it takes a few hits it will die, and respawn in the next room
UNLOCK: Unlock this trinket by defeating Mother as Tainted Samson

TEMPORARY TATTOO

TrinketID: 177
“You feel braver”
• Spawns a random chest after completing a regular Challenge Room
• Spawns a pedestal item after completing a boss Challenge Room
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Samson

SWALLOWED M80

TrinketID: 178
“Bang!”
• When taking damage you have a chance to explode and deal 185 damage to all enemies around you (Same damage as a Mr. Mega bomb)
UNLOCK: Unlock this trinket by defeating Mother as Tainted Samson

RC REMOTE

TrinketID: 179
“Controllable buddies!”
• Familiars follow Isaac’s exact movements, (similar to how Jacob & Esau work) instead of following loosely like they usually do
• Holding the drop button (Ctrl on Steam version) causes them to stop moving
• Doesn’t affect some familiars with specific movement patterns, e.g. Abel
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Jacob

FOUND SOUL

TrinketID: 180
“Finally!”
• Gives you a familiar that follows Isaac’s exact movements (similar to how Jacob & Esau work) and shoots spectral tears
• Similar to Jacob and Esau, positions can be altered by running it into objects, or holding the drop button (Ctrl on Steam version)
• When you place a bomb, the Found Soul will drop one too
• If it takes any damage, it will die and not respawn until the next floor
UNLOCK: Unlock this trinket by defeating Mother as Tainted Jacob

EXPANSION PACK

TrinketID: 181
“Fun extras”
• Everytime you use your active item, you have a chance to activate another random active item
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Bethany

BETH’S ESSENCE

TrinketID: 182
“Virtue’s reward”
• Taking damage gives you a chance to spawn a flame orbital, similar to the ones created by Book of Virtues
• Entering an Angel Room gives you +5 flame orbitals. The angel room spawned by The Stairway item also counts
• Giving money to a beggar gives a flame orbital
UNLOCK: Unlock this trinket by defeating Mother as Tainted Bethany

THE TWINS

TrinketID: 183
“I’m seeing double…”
• Chance to spawn either Brother Bobby or Sister Maggy when entering each new room
• Only lasts for the current room
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Lilith

ADOPTION PAPERS

TrinketID: 184
“Give them a home”
• All shops only sell familiars while holding this trinket
• If you enter a shop while holding this trinket, the effect won’t undo by dropping it until you move to a new floor
UNLOCK: Unlock this trinket by defeating Mother as Tainted Lilith

CRICKET LEG

TrinketID: 185
“Infested”
• Every time an enemy dies you have a chance to gain a random Locust
• Different color Locusts correspond to the horsemen. Each of them deal double your tear damage, similar to how standard blue flies work
• War (Red) – Explodes when touching the enemy. The actual explosion deals flat 60 damage
• Pestilence (Green) – Poisons the enemy it attacks
• Famine (Brown) – Applies a slowing effect
• Death (Black) – Deals x4 damage instead of x2
• Conquest (White) – Spawns 2-5 at once
UNLOCK: Unlock this trinket by defeating Isaac, ???, Satan and The Lamb as Tainted Apollyon

APOLLYON’S BEST FRIEND

TrinketID: 186
“Attack buddy”
• Gives you a red attack fly, that will charge at enemies in the same direciton you are shooting
• Deals damage equal to your current tear damage
• Stops charging once it hits an enemy and returns to Isaac’s side
UNLOCK: Unlock this trinket by defeating Mother as Tainted Apollyon

BROKEN GLASSES

TrinketID: 187
“Double vision?”
• Gives a 33% chance to spawn an extra blind pedestal item in all future item rooms. This one will be a hidden question mark
• Allows you to see what both items are on alternative path floors (Downpour/Dross, Mines/Ashpit, Gehenna/Mausoleum)
UNLOCK: Unlock this trinket by defeating challenge #40 (Seeing Double)

Repentance Trinket (61/61)

ICE CUBE

TrinketID: 188
“Stay frosty”
• Gives a small chance for your tears to freeze enemies in place
• Frozen enemies can be pushed into obstacles where they shatter on contact and fire ice shards around them. Any other enemies hit by these shards will become frozen too
• Frozen enemies are considered dead by the game, and won’t unfreeze or move again. The room doors will open if only frozen enemies remain
UNLOCK: Unlock this trinket by defeating challenge #41 (Pica Run)

SIGIL OF BAPHOMET

TrinketID: 189
“Revel in death”
• Every time you kill an enemy you get an invincibility shield for 2 seconds
UNLOCK: Unlock this trinket by defeating challenge #37 (Bloody Mary)

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