The Binding of Isaac: Rebirth Guide

The Bindening™ - A Comprehensive Guide to Everything Isaac: Rebirth for The Binding of Isaac: Rebirth

The Bindening™ – A Comprehensive Guide to Everything Isaac: Rebirth

Overview

This guide is a follow-up to a guide created by Two of Diamonds/スydonia called “The Bindening™: A Comprehensive Guide to Everything Isaac” which explained everything about the original The Binding Of Isaac. This guide will be focusing on TBoI: Rebirth, Afterbirth, Afterbirth+ and Repentance

ANNOUNCEMENTS

This is the main hub for news regarding upcoming/done massive changes to this guide, and the other ones. I recommend to check this section from time to time.


2021-06-09

Announcements flushed.
For a period, which may last between 2 days to the end of the month, the whole item section will be nigh-unusable, possibly even gone entirely, due to the renovation. The same will apply to the trinkets section

2021-06-14

Some of you may have already noticed, but Fandom, the service responsible for hosting and managing all of the wikis for various games, has pushed out a new UI, which is set by default from this day for all users of the service.
If you do not like the new UI, and want to go back to the old one, you can go to your preferences, navigate to the Appearance tab, and change the theme from FandomDesktop to HydraDark (AFAIK, this requires you to have a Fandom account).
Saving the preferences will revert the changes made by the new UI.

2021-06-18

The items section is almost finished. Still need to add special items. Should be done in a while.
Either way, all items are catalogued in the guide and ready to be looked up.
Please report any mistakes.

2021-06-28

The renovation is officially DONE! New visuals, repentance content, everything. It’s all done.
Frequent guide updates will most likely cease from now on, and I’ll only return whenever I feel like there’s something that needs an update. It’s certainly been an interesting journey. Farewell.

Note

This guide is literally my attempt of compressing an entire wiki into a single Steam guide.
To search for the thing you need, use the search function by clicking CTRL+F

Please report any mistakes in the guide comments, since there are bound to be some; I’m only a human after all. By reporting mistakes, you’re helping out the guide by a ton

Introduction

This is a guide that aims to explain everything in the game, including content from DLCs.
From the environment and characters to items and bosses. The guide has it all… or should, at least.

This guide automatically assumes that you have all DLC installed.
For obvious reasons, there will be spoilers for all the endings, bosses etc.; you have been warned

The information in this guide is partially based on my own experience with Isaac and information from the official The Binding Of Isaac: Rebirth Wiki[bindingofisaacrebirth.gamepedia.com]

Steam allows sections inside guides to have a maximum of 8’000 characters. This has forced me to split certain sections into parts. This is especially noticeable in large sections, like Items, Trinkets, or Achievements

Because of the guide’s size, some images may not load correctly. This issue seems fairly rare though.

Index

Here you can take a quick look on what will be looked over in the guide

Basics:
  • Environment
    Things such as rocks, poops, or fires than can block your way or hurt you.

  • Pickups
    Different pickups and chests.

  • Consumables
    A different type of pickup which disappears after use.

  • Attributes
    Different stats and an explanation on what they do.

  • Characters
    An in depth look at different stats the various characters have and what makes them unique.

  • Floors
    All of the floors in the game, along with their general themes, rules, enemies and what not

  • Special Rooms
    All of the special rooms in the game and what they contain

  • Deal Rooms
    An overview of a subdivision of special rooms which appear after defeating the floor’s boss

  • Curses
    Different curses which can hinder the player during their run

  • The Map
    Quick overview of the in-game minimap and its contents

  • Victory Laps
    What victory laps are, and how to start them

  • Modes
    Different modes, which make the game harder.

  • Machines
    Machines and beggars the player can use that can either benefit them or hinder their progress

  • Rooms
    A quick explanation on the different special rooms.

  • Deal Rooms
    Rules of Deal Rooms, what they are, and what they require to spawn.

  • Tear Effects
    Different effects your tears may have, whether they may be positive or negative.

Items:
  • Item Pools
    An explanation on what Item Pools are and how they work

  • Items
    A list of EVERY item in the game sorted alphabetically and by their item pool

  • Trinkets
    A list of every trinket in the game sorted alphabetically

  • Transformations
    Different abilities characters acquire after picking up a certain set of items sorted alphabetically

Bestiary:
  • Champions
    An explanation, on what champion monsters are

  • Enemies
    A list of every common enemy in the game sorted by the category they belong in

  • Mini-Bosses
    A list of every mini-boss and their super version sorted alphabetically

  • Bosses
    A list of every boss in the game with places where to find them and how they attack

  • Final Bosses
    A list of every final boss in the game with places where to find them and how they attack

Achievements:
  • Achievements
    A list of all achievements, and their unlock requirements

  • Challenges
    A quick look at all of the challenges, what they start you with and what you unlock for beating them

  • Completion Marks
    A section, which explains the post-it notes on each character, and why would you want to fill them all up.

Other:
  • Secret Seeds
    Inputting some special seeds in the main menu unlocks special effects that you can use in your run. This section lists all of the 72 secret seeds

  • Debug Console
    A mini-guide on how to activate the debug console, and what commands you can type in it

  • Note Dump
    A section hosting notes, tips or trivia pieces which could not be fit into the guide

  • Special Thanks
    Credits to people/websites that helped me with this guide

  • Changelog
    List of changes made to the guide

Environment – Introduction

Environmental objects are obstacles and other things found throughout each room in the game. Some hinder your progress, some may help you out. All of them are listed down below.

Environment – Rocks

Rocks are the most common obstacle you’ll find in the game. There are multiple types of them, including:

  • Normal rocks
  • Tinted Rocks
  • Super Secret Rocks
  • Bomb Rocks
  • Spiked Rocks
  • Pots
  • Buckets
  • Mushrooms
  • Skulls
  • Marked Skulls
  • Polyps

Their apperances, properties and habitats are listed in the table below

All of the rocks below block the player and their tears. This can be bypassed by having flight and spectral tears respectively. All of the rocks below can be destroyed by explosions, and can fill gaps unless specified otherwise. These notes have been added to avoid needless clutter in the table

Name
Appearance
Properties
Found in:
Additional notes
Rock
All floors
Appearance varies with floor.
Visual differences include a
different tint and/or a different
model
Marked Rock
Drops a variety of loot when destroyed, including:

  • Soul Hearts
  • Keys of any type
  • Bombs of any type
  • Golden Chests (only one)
  • Normal Chests (rare) (only one)
  • The Small Rock item (if unlocked)
Rarely replaces a normal rock
A visible “X” appears on the rock.
Appearance varies with floor.
Differences listed in the gallery
at the end of the section
Super Secret Rocks
Drops twice the amount of loot a normal marked rock would give.
Requires two explosions to destroy
Very rarely replaces a
normal rock
The “X” is significantly smaller
in comparison to normal marked
rocks. This does not apply for
Super Secret Rocks in chapters
III, IV and the ??? floor, where
the Super Secret Rocks are
identical in appearance to normal
marked rocks
Bomb Rocks
Explodes when destroyed
Often replaces normal
rocks
Appearance varies with floor.
Differences include a different
tint and/or model.
Can’t fill gaps
Spiked Rocks
Hurts the player upon contact
Pre-defined spawn, most
commonly in chapters II, III
and IV
Appearance varies with floor.
Differences include a different
tint and/or model.
Gaps filled with these rocks act as regular spikes
Pot
Occasionally spawns either of the following when destroyed:

  • Pennies
  • 1-3 Spiders
  • The Swallowed Penny trinket (rare)
  • The Quarter item (very rare)
Chapter I, Cathedral,
Angel Rooms
Tint of the sprite varies with floor
Buckets
Occasionally spawns either of the following when destroyed:

  • 1-3 spiders
  • 1-3 leeches
  • A few coins
  • The Swallowed Penny trinket (rare)
  • The Leech item (very rare)
  • A small burst of tears (if the bucket contains water)
Downpour/Dross
Mushroom
Occasionally spawns either of the following when destroyed:

  • A hurtful gas cloud
  • A pill
  • The Liberty Cap trinket (uncommon)
  • The Mini Mush item (rare)
  • The Magic Mushroom item (extremely rare)
Chapter II (including alt paths)
Skull
Occasionally spawns either of the following when destroyed:

  • A Host enemy
  • A Tarot card
  • A black heart (uncommon)
  • A rune (uncommon)
  • The Ghost Baby item (rare)
  • The Dry Baby item (rare)
Chapter III (including alt paths),
Sacrifice Rooms
Marked Skull
Drops the 0 – The Fool tarot card when destroyed
Always in Depths II
after the Strange Door
has been unlocked
Polyp
Occasionally spawns either of the following when destroyed:

  • A burst of 6 tears and a small puddle of creep
  • Red Hearts
  • The Blood Clot item (rare)
  • The Placenta item (rare)
  • The Umbilical Cord trinket (uncommon)
Chapter IV (including Corpse)
Has various models

Gallery:
Pictured: Sprites of tinted
rocks for Chapter I,
Chapter II, Chapter III
and Chapter IV
respectively

Environment – Fires

Fires, just like rocks, are also a common obstacle. There are 5 types of fires, including:

  • Normal fires
  • Red fires
  • Blue fires
  • Purple fires
  • White fires

All of them are listed in the table below.

All of the fires below block the player and their tears. Tears can pass through campfires if they’re piercing or spectral. This note has been added to avoid needless clutter in the table.

Name
Appearance
Properties
Found in:
Additional notes
Fireplace
Hurts the player and enemies upon contact.
Can be extinguished with explosions or tears.
Rarely drops a penny/heart
of any type when extinguished.
Most floors
Red Fireplace
Same properties as normal fires.
Occasionally fires a slow blood shot towards the player
Pre-defined spawn, or rarely
replaces a normal fire
The blood shots spawn ~1 tile from the fire,
often resulting in cheap hits.
Blue Fireplace
Can be extinguished only by explosions, or specific items.
Has a 25% (10% in hard mode) chance to drop a soul heart when extinguished
Pre-defined spawn in Downpour/Dross,
Chapter II, Chapter III,
Cathedral and Sheol
Purple Fireplace
Same properites as Blue Fireplaces.
Occasionally fires a homing shot towards the player
Pre-defined spawn in the same floors, where Blue Fires appear.
Extremely rarely replaces any Blue Fire
White Fire
Cannot be extinguished.
Temporarily turns the player into the Lost.
The player can revert the effect by clearing a room.
Downpour/Dross II
The Lost form doesn’t have the Holy Mantle, unless it has been unlocked for the actual Lost

Environment – Poops

Poop is the third of the four common obstacles in the game. There are 9 types of poop, including:

  • Poop
  • Corny Poop
  • Red Poop
  • Golden Poop
  • Rainbow Poop
  • Black Poop (also called Meconium)
  • White Poop
  • Giant Poop
  • Charming Poop

All of them are listed in the table below

All of the poops below block the player and their tears. This can be remedied by flight and spectral tears respectively. All poops can fill gaps unless specified otherwise. This note has been added to avoid needless clutter in the table.

Name
Appearance
Properties
Found in:
Additional notes
Poop
Can be destroyed by tears or explosions.
Rarely drops a penny/heart of any type when destroyed.
Chapters I-IV (including alt paths)
Corny Poop
Properties identical to normal poops.
Has one Eternal Fly orbiting it, which turns into an Attack Fly when the poop is destroyed
Pre-defined spawn in a few rooms.
Occasionally replaces normal poops.
Red Poop
Hurts the player and enemies upon contact.
Does not drop pickups, and regrows 3s after being destroyed.
Cannot fill gaps
Most commonly in Chapter IV, but can appear rarely in Chapters I-III
Having Stompy makes the red poop unable to hurt the player, unless the player is standing on it when it regrows
Golden Poop
Takes longer to destroy.
Drops 5-9 pennies or the Counterfeit Penny trinket when destroyed
Very rarely replaces normal poop. Pre-defined spawn in a few specific rooms
Rainbow Poop
Fully heals the player’s red heart containers when destroyed
Very rarely replaces normal poop.
Black Poop
Hurts enemies and applies the “Confusion” effect to them for a short time when destroyed.
Pre-defined spawn in Chapters II and III
White Poop
Has an aura, which grants the player greatly increased damage and fire rate and also grants homing when the player is inside it.
Spawned by the Hallowed Ground item, or by Tainted ???
Giant Poop
Drops various coins/hearts as it takes damage.
Only in Dross in very specific rooms
Charming Poop
Spawns Dip familiars as it takes damage
Rarely replaces normal poops
Unlocked by beating Mega Satan as Tainted ???

Environment – Gaps

Gaps are the last of the four common obstacles you’ll encounter. They block the player, just like rocks, but let projectiles go through.

Gaps will most of the times block the player from accessing a certain area, which may contain valuable pickups.

Gaps can be filled, enabling the player to walk over them, if a bomb blows up a rock adjacent to the gap. The bomb must be on the opposite side of the rock from the perspective of the gap, as pictured below.

Gaps can be sometimes filled with water, or lava. This is purely cosmetic, and the gaps still need to be filled with rocks for the player to be able to walk over them

Pictured: The process of filling gaps

Environment – Creep

Creep is a puddle of liquid, which has an effect on the player, and occasionally enemies. Creep which affects the player flickers, while the creep that doesn’t, does not flicker. Enemy-spawned creep disappears immediately after the room is cleared. The effects of creep can be avoided by having flight, or the Callus trinket. There are ten types of creep in the game, these are:

  • Red Creep
  • Green Creep
  • Yellow Creep
  • Black Creep
  • White Creep
  • Blue Creep
  • Grey Creep
  • Orange Creep
  • Brown Creep
  • Static Creep

All of them are listed in the table below

Name
Appearance
Properties
Spawned by:
Red Creep
Damages the player for half a heart if spawned by enemies.
Damages enemies if spawned by the player
Various enemies and items
Green Creep
Functions identically to Red Creep when spawned by enemies.
Damages enemies at a faster rate than Red Creep if spawned by the player
Various enemies and items
Yellow Creep
Functions identically to Red Creep when spawned by enemies.
Deals heavy damage to enemies if spawned by the player
Peep,
Lemon Mishap item,
Free Lemonade item,
Lemon Party pill effect
Black Creep
Slows the player down when spawned by enemies and vice versa
Gish,
Ball of Tar item,
7 Seals item,
Something’s Wrong pill effect
White Creep
Functions identically to Black Creep
Spider-related enemies and items
Blue Creep
Makes the player slide when spawned by Hush
Petrifies and damages enemies when spawned by Holy Water
Damages enemies if spawned by Depression and Aquarius
Hush,
Holy Water item
Depression item
Aquarius item
Gray Creep
Functions identically to Red Creep.
Only spawned by the Cage
The Cage
Orange Creep
Damages the player for half a heart and slows them down
Mama Gurdy
Brown Creep
Makes the player slide.
Does not flicker, even though it affects the player
Brownie,
Dangle,
Turdlings,
Sisters Vis,
X-Lax pill effect
Static Creep
Functions identically to Red Creep.
Only spawned by Dogma’s first phase
Dogma

Environment – Spikes

Spikes can be divided into two groups: stationary spikes, and moving spikes.

Stationary spikes can be walked over, but will damage the player for one full heart in the process. This can be avoided by having flight, the Callus trinket, the Orphan Socks item, or any sort of method to gain invincibility, such as the Book of Shadows. Spikes, just like gaps, will often block the player from accessing certain goods.

Moving spikes will damage the player for just half a heart (full heart in Chapter IV and beyond), but they, as the name suggests, can move. Having flight, Callus or Orphan Socks doesn’t protect the player from damage the moving spikes deal, although Flat Pile or any form of invincibility still nullify them

Stationary spikes

Name
Appearance
Properties
Found in:
Additional notes
Spikes
Damages the player for one heart.
Retracts when there all Silver Buttons in the room have been pressed.
Most floors
The spikes cannot retract if there aren’t any Silver Buttons in the room
Sacrifice Room Spikes
Identical behavior to normal spikes.
Damages the player regardless of if they have immunity
Cannot retract unless the player has the Flat File trinket
Sacrifice Rooms
Retractable Spikes
Has a timer which determines when the spikes retract and extract.
Identical behavior to normal spikes when extracted
Permanently retracts if all Silver Buttons in the room have been pressed
Pre-defined spawn in most floors.
Cannot replace normal spikes
The spikes will continue their normal behavior indefinetely if there are no Silver Buttons in the room.

Moving spikes

Name
Appearance
Properties
Found in:
Additional notes
Poky
Moves around randomly.
Moves towards the player when they’re cardinal to it.
Spikes retract upon clearing the room.
Chapter III,
Womb,
Cathedral,
Loki fight
Slide
Stationary, until the player is cardinal to it.
In such case, the spike slides in the closest
cardinal direction of the player, and retreats
upon hitting a wall, or obstacle
Various floors
Wall Hugger
Slides around a wall or obstacle.
Can only be deactivated by Silver Buttons,
or the Flat File trinket
Most floors
Can get stuck on entities
Grudge
Stationary, until the player is cardinal to it.
In such case, the Grudge will slide towards the player,
but will not retreat when hitting a wall or obstacle.
Always deals a full heart of damage and cannot
be deactivated.
Can press Silver Buttons and Reward Plates
Alt-Chapter III
Deals a full heart only when moving;
If the player somehow gets hit by it when it’s stationary,
they will receive only half a heart of damage

Environment – Turrets

Turrets may be the most annoying obstacle of them all. They are stationary, invincible stone sculptures, which hinder the player, whether it be by direct or indirect damage. They can actually be killed under specific circumstances, for example by the Euthanasia item or the Chaos Card. There are an astonishing 11 types of turrets, including:

Name
Appearance
Properties
Found in:
Additional notes
Stone Grimace
Fires a blood shot at the player if they are less than 5 tiles apart.
The distance is measured as a line from the center of the turret’s hitbox to the player’s hitbox.
Deactivates when the room is cleared, or when all Silver Buttons have been pressed
Most floors
A red tint can be seen in the turret’s mouth before a shot is fired
Vomit Grimace
Behavior identical to the Stone Grimace.
Fires an Ipecac-like shot instead of a blood shot
Chapters II, III and rarely in IV
A red tint can be seen in the turret’s mouth before a shot is fired
Triple Grimace
Behavior identical to the Stone Grimace.
Fires a wide triple shot instead of a bloood shot
From chapters II to V
A red tint can be seen in the turret’s mouth before a shot is fired
Gaping Maw
Pulls in entities, including projecitles.
Deactivates when the room is cleared or all Silver Buttons are pressed
Chapters I-III and in Sheol
Broken Gaping Maw
Alternates between pulling in entites and not pulling.
Otherwise identical to the Gaping Maw
Chapter III, Mausoleum, Chapter IV
Constant Stone Shooter
Shoots constantly in a straight line.
Can only be deactivated by Silver Buttons
Chapters II-IV
Cross Grimace
Alternates between constantly firing 4 shots cardinally and 4 shots ordinally.
Deactivated by clearing the room or by pressing all Silver Buttons
Chapters II-IV
Brimstone Grimace
Periodically fires a brimstone laser.
Deactivated only by Silver Buttons.
Only in Sheol
Stone Eye
Constantly rotates clockwise and fires a thin, flickering laser.
Deactivated only by clearing the room.
Sheol,
Chapter IV (extremely rare)
The player with enough luck can pass through the beam without getting hit
Bomb Grimace
Spawns a throwable bomb.
Using the bomb makes the grimace spawn another one.
Alt-Chapter II
Drops a handful of throwable bombs when killed.
Quake Grimace
Fires a line of rock waves periodically.
Only deactivated by Silver Buttons
Alt-Chapter II

Environment – Shopkeepers

Shopkeepers are environmental objects, that do not interact with the player at all.
However, they can be killed, usually by blowing them up (they can also be killed by fire, Mom’s Foot, or a Holy Light beam). Killing shopkeepers increases Deal Room chance, and may cause them to spawn rewards.
Shopkeepers usually appear in Shops and Secret Rooms.

There are 4 types of shopkeepers, 2 of which need to be unlocked for them to spawn.
All of them are listed down below.

Name
Appearance
Possible rewards when blown up
Shopkeeper
  • 2 spiders (common)
  • 2 random coins (common)
  • The Steam Sale passive item (1% chance)
  • The Head of the Keeper passive item (1% chance)
  • The Coupon active item (1% chance)
Hanging Shopkeeper
  • Same rewards as the normal Shopkeeper
Special Shopkeeper*
  • A nickel (uncommon, also rarely a sticky nickel)
  • A penny-related trinket (very rare)
  • The Greed miniboss (extremely rare)
Special Hanging Shopkeeper**
  • Same rewards as the Special Shopkeeper

* – Unlocked by donating 234 coins to the Greed Donation Machine
** – Unlocked by donating 10 coins to the Greed Donation Machine

Environment – Other

Here are the other environmental objects that were too insignificant to have their own section.

Gas

Name
Appearance
Properties
Additional notes
Toxic Gas
Shown in gallery at the bottom of the section
Deals damage to the player after ~1.75s of standing in it if spawned by enemies.
Applies the Poison status effect to enemies if spawned by the player.
Explosive Gas
Shown in gallery at the bottom of the section
Explodes upon contact with an explosion, or fire*.
* – anything that even resembles a fire

TNT

Name
Appearance
Properties
Additional notes
TNT
Blocks the player and their tears.
Takes damage from tears and explosions,
and explodes once enough damage is taken.
This is shown by the barrel expanding.
Can sometimes drop the Burnt Penny
or the Match Stick trinkets
–                                                                    
Movable TNT
Properties identical to TNT.
Can be moved by the player or enemies
Sometimes replaces normal TNT

Buttons

Name
Appearance
Properties
Additional notes
Reward Plate
Spawns a random object when pressed, usually an enemy
Enemy type dependent on current floor
Brown Button
Interacts with obstacles in the room
Pre-defined spawn in Alt-Chapter II
Silver Button
Disarms traps (such as spikes, turrets, fireplaces etc.) when all of them are pressed
–                                                                    
Red Button
Kills all enemies in the room
Pre-defined spawn in Alt-Chapter III
Yellow Button
Used in the Repentance puzzle
–                                                                    

Blockers

Name
Appearance
Properties
Additional notes
Metal Block
Is indestructible and blocks entities and explosions. Can be flown over
–                                                                    
Keylocks
Blocks entities and explosions. Cannot be flown over.
Requires a key to destroy
–                                                                    
Pillar
Indestructible and blocks entities. Cannot be flown over
Can hide other obstacles, such as buttons,
because of their large sprite

Teleporters

Name
Appearance
Properties
Additional notes
Teleporter
Teleports the player to the matching teleporter
–                                                                    

Cobwebs

Name
Appearance
Properties
Additional notes
Cobweb
Slows the player down. Can be destroyed by explosions
The cobweb doesn’t affect the player if they have flight

Dirt Patches

Name
Appearance
Properties
Additional notes
Dirt Patch
Spawns a chest if the We Need to Go Deeper! item is used on it.
Alternatively, Mom’s Shovel can be used.
Digging up a dirt patch with Mom’s Shovel for the first time unlocks the Forgotten

Ball and Chain

Name
Appearance
Properties
Additional notes
Ball and Chain
Spins around an obstacle, dealing a full heart of contact damage to the player.
The chain linking the ball to the obstacle may be of different lengths
Destroying the obstacle the ball is attached to will send the ball flying

Spikeball

Name
Appearance
Properties
Additional notes
Spikeball
Travels back and forth along a single direction.
Destroys itself once the room is cleared.
Despawned immediately if the player has the Flat File trinket

Gallery
Pictured: Poison gas and explosive gas respectively.

Pickups – Introduction

Pickups are minor items that can be found throughout a run.
They can be found from various sources, including:

  • Room clears
  • Bosses
  • Machines
  • Beggars
  • Buying them in Shops
  • As a pre-defined spawn in certain room layouts
  • Active/passive items

Pickups – Hearts

Hearts are used to refill your health. There are twelve types of them, including:

Name
Appearance
Properties
Additional notes
Half Red Heart
Heals half a red heart container
Red Heart
Heals a full heart container
Scared Heart
Slides away from the player.
Otherwise identical to the Red Heart
Beats faster when the player gets close to it.
Unlocked by resetting the run 7 times in a row
Double Red Heart
Heals two red heart containers
Soul Heart
Acts as a temporary heart container, that disappears when depleted.
They can refill any Black Hearts that have been brought down to half a black heart
Half Soul Heart
Adds half a soul heart.
Functions identically to the Soul Heart
Rarely replaces normal soul heart drops.
Unlocked by beating Mom’s Heart 5 times
Blended Heart
Fills one red heart container.
If there are no containers to fill, adds a full soul heart.
If it can fill only half a heart container, it fills it and adds half a soul heart
Black Heart
Deals 40 damage to all enemies in the room once depleted.
Functions identically to the Soul Heart otherwise
Eternal Heart
Attaches itself to the last red heart container.
If brought to the next floor, or when paired with another Eternal Heart, it grants an additional red heart container
Attaches itself to the first non-red heart if there are no red heart containers
Gold Heart
Wraps itself around the last heart.
Spawns a few coins when the host heart is depleted.
Unlocked by beating challenge #21
Bone Heart
Acts as a temporary heart container, which unlike the Soul Heart, doesn’t disappear when the red health inside it depletes. In such case, the heart can take one more hit before disappearing permanently, and can be refilled with red hearts to prevent the event from occuring.
Cannot be refilled when playing as characters, that cannot have red health.
Unlocked by unlocking the Forgotten
Rotten Heart
Fills the last red heart with itself.
Makes the player spawn 2 blue flies upon clearing a room
Takes only one hit to deplete, essentially acting as a half-heart which fills up an entire container.
Unlocked by entering the Corpse for the first time
Broken Heart
While not necessarily a pickup, the Broken Heart is a HUD element, which limits the player’s maximum amount of heart containers. Broken Hearts can be acquired via certain items and/or consumables.
Broken Hearts can be removed, but only via a Confessional.

Pickups – Coins

Coins serve as currency in the game. They can be used as payment when using Machines, Beggars or inside Shops.
There are seven types of coins in the game, including:

Name
Appearance
Properties
Additional notes
Penny
Adds 1 to coin count
Lucky Penny
Adds 1 to coin count and adds 1 to luck
The shine has a green tint, as pictured.
Unlocked by donating a single coin to the Greed Donation Machine
Double Penny
Adds 2 to coin count
Nickel
Adds 5 to coin count
Sticky Nickel
Can’t be picked up, unless it is knocked by an explosion first.
Adds 5 to coin count
Rarely replaces nickels.
Unlocked by beating Boss Rush as Keeper
Dime
Adds 10 to coin count
Golden Penny
Adds 1 to coin count.
Spawns again in a random place in the room when picked up,
but has a 5% chance to disappear instead
Unlocked by beating Mega Satan as Tainted Keeper

Pickups – Bombs

Bombs are a pickup, which can be used to grant access to certain areas or as a weapon. They can be dropped by pressing E, and will explode shotly after, destroying any breakable tiles within its range and dealing 100 damage to any entities within the range of the bomb.
There are eight bomb types in the game.

Tainted ??? uses poop as a replacement for bombs, these will be listed in a separate table

Name
Appearance
Properties
Additional notes
Bomb
Adds 1 to bomb count
Double Bomb
Adds 2 to bomb count
Golden Bomb
Grants infinite bombs for the duration of the floor
Doesn’t add to bomb count.
Unlocked by beating challenge #23
Troll Bomb
Cannot be picked up, and explodes after a short time
Has a random fuse, ranging from ~0.5s to ~2s
Super Troll Bomb
Behaves identically to the normal troll bomb.
Chases the player
Golden Troll Bomb
Behaves identically to the normal troll bomb.
Explodes endlessly
Giga Bomb
Adds 1 to bomb count.
Turns the player’s next bomb into a Giga Bomb.
Giga Bombs have a significantly larger explosion radius, spawn pits in a diamond shape, deal 300 damage instead of 100 and spawn rock projectiles for every pit spawned upon exploding.
The pits will not spawn if they would block the player’s path
Throwable Bomb
Becomes live when picked up.
Can be thrown by pressing the attack keys.
Spawned only by Bomb Grimaces

Tainted ???’s bomb pickups

Name
Appearance
Properties
Additional notes
Small Poop
Adds 1 to Tainted ???’s poop count
Spawns from Tainted ??? when enough damage to enemies has been dealt
Poop
Adds 3 to Tainted ???’s poop count
Replaces bomb pickups when playing as Tainted ???

Pickups – Keys

Keys are used to grant access to certain areas in the game. There are only 4 types of them.

Name
Appearance
Properties
Additional notes
Key
Adds 1 to key count
Double Key
Adds 2 to key count
Golden Key
Grants infinite keys for the duration of the floor
Charged Key
Adds 1 to key count and refills your a single notch of your active item charge up to 6 times

Pickups – Batteries

Batteries recharge your active item charge. There are four types of them.

All batteries cannot overcharge unless specified otherwise

Name
Appearance
Properties
Additional notes
Micro Battery
Recharges 2 notches of your active item’s charge
Battery
Recharges 6 notches of your active item’s charge
Mega Battery
Recharges 12 notches of your active item’s charge.
Overcharges if possible
Golden Battery
Deals a full heart of damage to the player.
Fully recharges your active item.
Disappears and spawns in another room on the floor when picked up.

Pickups – Chests

Chests contain a set of pickups (or rarely items) when opened. Most chests have specific requirements for them to be able to be opened. There are an astonishing 11 types of chests in the game.

Name
Appearance
Drops
Requirements
Additional notes
Chest
Drops either of these:

  • 1-3 batches of the following sets of pickups:
    • 1-3 coins of any type
    • 1 bomb of any type
    • 1 key of any type
    • 1 heart of any type
  • A trinket
  • A pill
  • A smaller chest (very rare)
none
Golden Chest
Drops either of these:

  • 1-6 batches of the following sets of pickups:
    • 1-3 coins of any type
    • 1 bomb of any type
    • 1 key of any type
    • 1 heart of any type
  • A trinket
  • A card
  • An item from the Golden Chest pool
  • A smaller chest (very rare)
A key
Red Chest
Drops either of these:

  • 1-2 pills
  • 1-2 soul hearts
  • 2 spiders
  • 2 troll bombs
  • 1 mega troll bomb
  • 1-3 friendly flies/spiders
  • An item from the Red Chest pool
  • Teleports the player to the floor’s deal room
none
Stone Chest
Loot is identical to Golden Chests
A bomb
Any explosion will open the chest
Eternal Chest
Loot is identical to Golden Chests, but has a 25% chance to give nothing.
Closes itself after opening, allowing the player to open it again for more loot.
Getting an item or nothing prevents the chest from closing again.
A key
The first opening is guaranteed to pay out with loot
Spiked Chest
Loot is identical to a normal chest
Half a heart (A full one past Chapter III)
Mimic Chest
Sprouts spikes when the player is near it.
Loot is identical to a normal chest
Half a heart (A full one past Chapter III)
These chests blend in easily with normal chests.
Check every normal chest for the blood stain to make sure it’s not a mimic
Old Chest
Drops either of these:

  • 1-3 soul hearts
  • 3 trinkets
  • An item from the Old Chest pool
  • An item from the Angel Room pool
A key
Wooden Chest
Drops either of these:

  • 2 cards or runes
  • 2-3 pills
  • An item from the Wooden Chest pool
none
Unlocked by defeating Mega Satan as Tainted Lazarus
Mega Chest
Drops either two items from the Treasure Room item pool or a plethora of pickups when opened
2-7 keys
Unlocked by defeating Mega Satan as Tainted Isaac
Haunted Chest
Loot is identical to normal chests
none
A Polty enemy appears when the player approaches the chest, and throws said chest at the player, which opens it.
The Polty continues with its normal AI afterwards.
The Haunted Chest is slightly paler than the normal chest.
Unlocked by defeating Mega Satan as Tainted Lost

Pickups – Sacks

Sacks are pickups, which spawn more pickups when opened. There are two types of them

Name
Appearance
Properties
Additional notes
Sack
Spawns 1-4 random pickups.
These pickups cannot be hearts or pills
Black Sack
Spawns either of the following:

  • 2-3 pills
  • A black heart
  • A bone heart
  • A bomb
2 bombs/black hearts may sometimes spawn instead of one.
Unlocked by beating Mega Satan as Tainted Judas

Consumables – Introduction

Consumables are a subdivision of pickups. They are pickups, which can be used only once (by pressing Q) under normal circumstances. They have their own slot in the bottom-right corner of the HUD.

Consumables – Tarot Cards

Tarot cards are the most common card-type consumable you’ll find. They have moderate effects.
There are 22 different tarot cards.

The effects of tarot cards are boosted if the player has the Tarot Cloth item. The boosts will also be listed.

Name
Appearance
Effect
Tarot Cloth Effect
Additional notes
0 – The Fool
Teleports the player back to spawn
I – The Magician
Grants homing shots and +3 range for the duration of the room
Grants +2 damage for the duration of the room alongside the homing shots
II – The High Priestess
Mom’s Foot stomps the enemy with the highest amount of HP, dealing 300 damage to them.
Another foot strikes shortly after the first
Targets the player during the fight with Mom or if there are no enemies to target
III – The Empress
Gives +1.5 damage and +0.3 speed for the duration of the room
Gives +4.0 damage and +1.2 speed for the duration of the room
IV – The Emperor
Teleports the player to the boss room
Grants a soul heart alongside the teleport
V – The Hierophant
Spawns 2 Soul Hearts
Spawns 3 Soul Hearts
Spawns Eternal Hearts if used in a Cathedral Super Secret Room
VI – The Lovers
Spawns 2 Red Hearts
Spawns 3 Red Hearts
VII – The Chariot
Grants invulnerability and 40 contact damage for 6 seconds
Effect extended to 12s
VIII – Justice
Spawns a heart, bomb, key and a penny
Spawns the batch twice
The pickups can be of any type
IX – The Hermit
Teleports the player to the Shop
Teleports the player to the Shop and prevents Greed from spawning in it. If Greed has spawned already, the shop gets reset to its pre-Greed state
X – Wheel of Fortune
Spawns a Slot Machine
Spawns two Slot Machines
Rarely spawns Fortune Teller Machines
XI – Strength
Grants +0.3 damage, +5.25 range, +0.3 speed and a 1.5x damage multiplier for the duration of the room
Stat increases doubled, except for the damage multiplier, which stays at 1.5x
XII – The Hanged Man
Grants flight for the duration of the room
XIII – Death
Deals 40 damage to all enemies in the room
Deals 80 damage to all enemies in the room
XIV – Temperance
Spawns a Blood Donation Machine
Spawns two Blood Donation Machines
Spawns a Demon Beggar in Greed Mode
XV – The Devil
Grants +2 damage for the duration of the room
Grants +4 damage for the duration of the room
XVI – The Tower
Spawns 6 troll bombs in random locations
Spawns 12 troll bombs in random locations
XVII – The Stars
Teleports the player to the Treasure Room
Grants a More Options effect if the room wasn’t entered prior to using the card
XVIII – The Moon
Teleports the player to the Secret Room
XIX – The Sun
Deals 100 damage to all enemies in the room, fully heals the player and reveals the map with the exception of the Super Secret Room
XX – Judgement
Spawns a Beggar
Spawns two Beggars
Rarely spawns Demon Beggars
XXI – The World
Reveals the map with the exception of the Super Secret Room

Consumables – Reverse Tarot Cards

Completing most repentance challenges or defeating Ultra Greedier with tainted characters unlocks reversed tarot cards. These tarot cards have unique effects, ranging from extremely good to run-ending.

Reverse Tarot Cards when laying on the ground have a more reddish tint than normal tarot cards.
Their icon in the HUD is also upside-down as opposed to normal tarot cards.

Reverse Tarot Cards just like their normal counterpart, mostly get affected by the Tarot Cloth item. Its effects will also be listed.

All of the reverse tarot cards need to be unlocked to be able to acquire them. The unlock requirements will be in a separate section right after this one

Reverse Tarot Cards

Name
Appearance
Effect
Tarot Cloth Effect
Additional notes
0 – The Fool?
Drops all of the player’s pickups on the floor, including hearts, leaving the player at half a heart
Drops all of the player’s items alongside the pickups
Items like the Quarter or Boom! may replace pickups if there are enough of them
I – The Magician?
Grants an aura, which repels projectiles with great strength. The aura lasts one minute
II – The High Priestess?
Mom’s Foot constantly stomps the player for one minute
III – The Empress?
Grants 2 temporary red heart containers and +1.35 tears for one minute
Grants 3 temporary red heart containers and +1.35 tears for one minute
IV – The Emperor?
Teleports the player to a boss room with a boss that’s equivalent to the boss the player would find 2 floors deeper. Killing this boss rewards the player with an extra Boss Room item and returns them to the room they used the card in.
Extremely buggy. Often crashes the game. Rarely corrupts your save. DO NOT USE THIS CARD
V – The Hierophant?
Spawns 2 Bone Hearts
Spawns 6 Bone Hearts
VI – The Lovers?
Spawns an item from the room’s current pool and transforms one red heart container (or two soul hearts) into a broken heart
Spawns 4 items and transforms 4 hearts (8 soul hearts) into broken hearts
VII – The Chariot?
Quadruples the player’s fire rate and turns them into an immobile statue for 10 seconds
The player can move slightly by spamming the direction keys
VIII – Justice?
Spawns 2-4 golden chests
Spawns 4-14 golden chests
IX – The Hermit?
Sells all items in the room for their usual shop price (e.g. items would get turned into 15 coins)
Does not work on items on sale
X – Wheel of Fortune?
Invokes a random dice room effect
For dice room effects, see Rules – Special Rooms
XI – Strength?
All enemies are slowed and take double damage.
Effect lasts for one minute or until the player leaves the room they used the card in
XII – The Hanged Man?
Gives the player triple shot and -0.1 speed for 30 seconds. During this period killed enemies drop coins of any type
XIII – Death?
Invokes an effect identical to the Book of the Dead active item
XIV – Temperance?
Forces the player to ingest 5 random pills
Forces the player to ingest 20 random pills
Synergizes with the PHD item (and also with the False PHD)
XV – The Devil?
Grants flight and gives a Seraphim familiar for 30 seconds
Kills Mom/Mom’s Heart/It Lives if they’re present
XVI – The Tower?
Spawns 6 rock clusters in random locations
Spawns 14 rock clusters in random locations
The clusters often contain tinted rocks
XVII – The Stars?
Removes the player’s oldest item and spawns 2 items from the room’s pool
Removes two oldest items and spawns 4 items
XVIII – The Moon?
Teleports the player to the Ultra Secret Room
There will always be a path back to the normal rooms made out of red rooms
XIX – The Sun?
Grants the player the effects of the Spirit of the Night item alongside a +1.5 damage boost and the Curse of Darkness for the entire floor.
XX – Judgement?
Spawns a Restock Machine
Spawns two Restock Machines
XXI – The World?
Spawns a trapdoor leading to the floor’s Crawl Space

Consumables – Reverse Tarot Cards Unlock Conditions

Mini-section displaying unlock conditions for the reverse tarot cards.
Couldn’t fit it in the main section due to the character limit

Unlock conditions

Card name
Unlocked by:
The Fool?
Defeat Ultra Greedier as Tainted Lost
The Magician?
Defeat Ultra Greedier as Tainted Judas
The High Priestess?
Defeat Ultra Greedier as Tainted Lilith
The Empress?
Defeat Ultra Greedier as Tainted Eve
The Emperor?
Defeat Ultra Greedier as Tainted ???
The Hierophant?
Defeat Ultra Greedier as Tainted Bethany
The Lovers?
Defeat Ultra Greedier as Tainted Magdalene
The Chariot?
Complete challenge #42
Justice?
Complete challenge #43
The Hermit?
Complete challenge #44
Wheel of Fortune?
Defeat Ultra Greedier as Tainted Cain
Strength?
Defeat Ultra Greedier as Tainted Samson
The Hanged Man?
Defeat Ultra Greedier as Tainted Keeper
Death?
Defeat Ultra Greedier as Tainted Forgotten
Temperance?
Complete challenge #45
The Devil?
Defeat Ultra Greedier as Tainted Azazel
The Tower?
Defeat Ultra Greedier as Tainted Apollyon
The Stars?
Defeat Ultra Greedier as Tainted Isaac
The Moon?
Defeat Ultra Greedier as Tainted Jacob
The Sun?
Defeat Ultra Greedier as Tainted Jacob
Judgement?
Defeat Ultra Greedier as Tainted Lazarus
The World?
Defeat Ultra Greedier as Tainted Eden

Consumables – Playing Cards

Playing Cards are rarer than tarot cards, and because of that, they have slightly stronger effects.

Playing Cards are unaffected by Tarot Cloth

Name
Appearance
Effect
Unlock method
Additional notes
2 of Diamonds
Doubles your money count.
Gives 2 coins if your coin count is 0
2 of Hearts
Doubles your red health count (not red heart containers)
2 of Clubs
Doubles your bomb count
Gives 2 bombs if your bomb count is 0
2 of Spades
Doubles your key count
Gives 2 keys if your key count is 0
Ace of Diamonds
Turns all pickups and non-boss enemies in the room into coins
Defeat the Lamb in under 20 minutes
Coins spawned by the card may be of any type
Ace of Hearts
Turns all pickups and non-boss enemies in the room into hearts
Complete a chapter after the Basement, while having only half a heart at all times.
The Lost can be used to easily acquire the achievement.
Hearts spawned by the card may be of any type
Ace of Clubs
Turns all pickups and non-boss enemies in the room into bombs
Win the game 3 times in a row without resetting
Bombs spawned by the card may be of any type
Ace of Spades
Turns all pickups and non-boss enemies in the room into keys
Defeat the Lamb without picking up any bombs, coins, hearts or keys throughout the whole run
Keys spawned by the card may be of any type
Joker
Teleports the player to the floor’s deal room
Best used when you didn’t get the deal room after beating the boss
Suicide King
Kills the player, and spawns a plethora of items, pickups and chests
Complete challenge #7
Queen of Hearts
Spawns 1-16 red hearts
Defeat Mega Satan as Tainted Magdalene

Consumables – Special Cards

Special Cards are even more rare, but have even more powerful effects.
There are 14 different special cards in the game.
Special Cards got various backs alongside having different fronts. Both will be showcased

Name
Front
Back
Effect
Unlock method
Additional notes
Chaos Card
The player throws the card in the direction they’re currently moving/shooting.
The card kills anything in it’s path, including obstacles, and opens any doors.
Complete challenge #9
Some enemies are immune to the card, mainly Delirium and The Beast
Huge Growth
Identical to the Strength tarot card, albeit with significantly stronger effects
Increase in size 5 times in a run
Ancient Recall
Spawns 3 random cards
Use 20 cards/runes
Era Walk
Slows down enemies, projectiles and grants the player additional speed.
Pick up the Stopwatch and the Broken Stopwatch at least once.
Credit Card
Turns all “on sale” items in the room free.
Complete challenge #10
Also works on devil deals
Rules Card
Displays a cryptic statement
Complete challenge #11
? Card
Copies the effect of the currently held active item
Teleports you to an I AM ERROR room when the Blank Card is used on it
A Card Against Humanity
Gradually fills the room with poop
Complete challenge #12
Especially good with the Petrified Poop trinket
Get Out of Jail Free Card
Opens all doors (except for the doors to Boss Rush and Hush)
Complete challenge #22
Can open the Mega Satan Door
Holy Card
Grants a Holy Mantle shield
Defeat Delirum as the Lost
Wild Card
Copies the effect of the most recently used consumable/active item
Defeat Mega Satan as Tainted Eden
Emergency Contact
Calls in two Mom’s Hands to despawn 2 random enemies, or to stun a boss for a short time
Dice Shard
Rerolls all items and pickups in the room
Cracked Key
Opens a red room door
Open Mom’s Chest in Home
Spawns randomly, or in the Ascent if the player left any trinkets in the boss room/treasure room

Consumables – Runes

Runes are unique, decently powerful consumables, which are a rare find.
There are 8 main runes and 3 miscellaneous runes.
The main runes can be divided into left-pointing runes and right-pointing runes.

Left pointing runes

Name
Appearance
Effect
Unlock method
Additional notes
Hagalaz
Destroys all destructible obstacles in the room
Complete challenge #1
Jera
Duplicates all pickups in the room
Complete challenge #2
Cannot duplicate other Jeras
Ehwaz
Spawns a trapdoor to the next floor
Complete challenge #3
The trapdoor may sometimes be a Crawl Space
Dagaz
Removes all curses from the current floor and grants a single soul heart
Complete challenge #4

Right pointing runes

Name
Appearance
Effect
Unlock method
Additional notes
Ansuz
Reveals the whole map
Complete challenge #5
Perthro
Rerolls all items in the room
Complete challenge #6
Berkano
Summons 3 friendly flies and 3 friendly spiders
Complete challenge #20
Algiz
Grants invulnerability for 30s
Complete challenge #8

Miscellaneous runes

Name
Appearance
Effect
Unlock method
Additional notes
Blank Rune
Activates a random rune effect.
Has a 25% chance to not be consumed
Complete challenge #30
Black Rune
Destroys all items and pickups inside the room.
Grants two random stat upgrades for each item destroyed, and a friendly fly for each pickup destroyed.
Also deals 40 damage to all enemies in the room.
Defeat Ultra Greedier as Apollyon
Doesn’t work on items on sale
Rune Shard
Activates a random, weakened rune effect.
Replaces any not-locked rune that would spawn otherwise

Consumables – Soul Stones

Soul Stones are powerful consumables, which are relatively difficult to unlock.
Unlocking them requires the player to beat Boss Rush and Hush as a specific Tainted Character.
Doing so will unlock the corresponding stone.

There are 17 soul stones in the game.

Appearance
Name
Effect
Soul of Isaac
Rerolls all item pedestals in the room, which then cycle between their
rerolled form and the original form, once per second.
Multiple Souls of Isaac can be stacked on an item pedestal, making it
cycle between more items at a faster rate
Soul of Magdalene
All killed enemies drop half red hearts for the duration of the room.
Each heart spawned this way disappears after 2s
Soul of Cain
Opens all doors, and opens any neighboring red rooms.
Can open the Mega Satan door
Soul of Judas
Invokes a Dark Arts active item effect for three seconds
Soul of ???
The player farts 8 times in quick succession, leaves behind a trail of creep, and plants 7 butt bombs afterwards.
Results in self-damage more often than not
Soul of Eve
Spawns 13 Dead Bird familiars, which lock in on nearby enemies and deal
slight contact damage to them.
Soul of Samson
Invokes a Berserk active item effect.
Soul of Azazel
Forces the player to fire a gigantic brimstone laser for 7.5s, which pushes the player back as well.
The damage of the laser scales with the player’s damage.
Soul of Lazarus
The player is killed, and revived afterwards, in the same room, and with half a heart of health.
This soul stone will activate automatically when the player dies, functioning as an extra life.
Soul of Eden
Invokes the effects of D6 and D20 active items.
The rerolled items are pulled from random pools
Soul of the Lost
The player turns into the Lost for the duration of the room.
Cannot be used to earn completion marks with the Lost
Soul of Lilith
Grants a permanent, random familiar
Soul of the Keeper
Spawns 2-25 random coins
Soul of Apollyon
Spawns 15 random, temporary locusts
Soul of the Forgotten
Spawns the Forgotten as an additional character to aid the player.
This effect lasts for the duration of the room.
Soul of Bethany
Spawns six random wisps
Soul of Jacob & Esau
Spawns Esau as an additiona character to aid the player.
This effect lasts for the duration of the room.
Esau will have a number of items equal to the player’s, and the items assigned to Esau will be random.

Consumables – Pills

Pills are common consumables that can affect the player’s stats or give them temporary effects

There are 50 pill effects in the game but only 13 are chosen to spawn in a run, so it is not possible to see every pill effect in one run.
An exception to this rule are the rare gold pills, which can be used multiple times before they disappear, and can have any of the 50 effects each time it’s used. They need to be unlocked via defeating Mega Satan as Tainted Cain

Apart from gold pills, there are also horse pills, which have a more powerful effect than its normal counterparts. They need to be unlocked via defeating Mega Satan as Tainted Eve

All of the 50 effects, along with their horse pill variants will be listed in the section below.

Consumables – Pill Effects

Name
Effect
Horse Pill Effect
Bad Gas
The player farts, poisoning nearby enemies
The poison covers the entire room
Bad Trip
The player takes a full heart of damage
The player takes two hearts of damage
Balls of Steel
The player gains two soul hearts
The player gains four soul hearts
Bombs Are Key
The bomb and key counts are swapped, including golden bombs and keys
Bomb/key counts increase by 50% when swapped
Explosive Diarrhea
The player spawns five bombs from themself over the course of five seconds
The player spawns multiple bombs from themself, which home in on enemies and have a larger explosion radius
Full Health
Heals all of the player’s empty red heart containers
Adds 3 soul hearts alongside the base effect
Health Down
Removes one red heart container
Removes two heart containers
Health Up
Adds a red heart container
Adds two red heart containers
I Found Pills
Cosmetic effect
Exaggerated cosmetic effect
Puberty
Cosmetic effect
Exaggerated cosmetic effect
Pretty Fly
Spawns a permanent fly orbital, which blocks shots
Spawns a permanent Big Fan orbital
Range Down
-0.6 range
-1.2 range
Range Up
+0.75 range
+1.50 range
Speed Down
-0.12 speed
-0.24 speed
Speed Up
+0.15 speed
+0.30 speed
Tears Down
-0.28 tears
-0.56 tears
Tears Up
+0.35 tears
+0.70 tears
Luck Down
-1 luck
-2 luck
Luck Up
+1 luck
+2 luck
Telepills
Teleports the player to a random room
48h Energy
Fully recharges your active item and spawns 1-2 batteries
Spawns more batteries alongside the base effect
Hematemesis
Empties all but one red heart container and spawns 1-4 red hearts
Spawns more hearts alongside the base effect
Paralysis
Prevents the player from moving or shooting for 2 seconds
Effect lasts for 4 seconds
I Can See Forever!
Grants an effect for the current floor, which opens all secret rooms
Reveals the map alongside the base effect
Pheromones
Charms all enemies in the room for a short period
All enemies turn friendly
Amnesia
Applies the Curse of the Lost to the current floor
Lemon Party
Spawns a large puddle of yellow creep
The puddle roughly doubles in size, covering an entire normal room
R U A Wizard?
The player fires diagonally for 30 seconds
The player fires diagonally for 60 seconds
Percs!
Turns all damage sources into half-heart damage sources for the duration of the room, identically to the Wafer item
Addicted!
Turns all damage sources into full-heart damage sources for the duration of the room.
Re-Lax
The player spawns poops from themself for a short time
The player spawns poop from themself for a significantly extended period of time
???
Applies the Curse of the Maze to the current floor
One makes you larger
The player increases in size
The player’s size increases twice
One makes you smaller
The player and their hitbox decrease in size
The player’s and their hitbox’s sizes decrease twice
Infested!
Destroys all poop in the room and spawns an equal amount of friendly spiders
Twice as many spiders spawn
Infested?
Spawns an amount of friendly spiders equal to the amount of enemies in the room.
Spawns 1-3 spiders in rooms with no enemies
Twice as many spiders spawn
Power Pill!
Grants the Gamekid item effect
Grants the Huge Growth card effect alongside the base effect
Retro Vision
Downscales all sprites for 30 seconds
Effect extended to 90 seconds
Friends till the End!
Spawns 3 friendly flies
Spawns 6 friendly flies
X-Lax
Spawns a puddle of slippery creep
The puddle lasts for much longer
Something’s wrong
Spawns a pudde of slowing creep
The puddle lasts for much longer
I’m Drowsy
Applies slowness to all enemies and the player for the duration of the room
I’m Excited
Drastically increases the speed of enemies and the player for the duration of the room.
The effect triggers again after 30 and 60 seconds after initlal use
Gulp!
Destroyes the currently held trinket and applies its effects permanently to the player
Horf!
The player fires an Ipecac-like shot out of themself, which deals 200 damage
The player fires a spray of the aforementioned shots
Feels like I’m walking on sunshine!
Grants invulnerability for a short period of time
Grants the Gamekid item effect
Vurp!
Spawns the most recently used pill
Spawns the horse pill version of the recently used pill
Shot Speed Down
-0.15 shot speed
-0.30 shot speed
Shot Speed Up
+0.15 shot speed
+0.30 shot speed
Experimental Pill
Decreases one of the player’s stats and increases another
The stat changes are larger

Consumables – Pill Effects/Notes

This section lists all the notes for the pill effects, which couldn’t be fit into the previous section because of the character limit

Unlock methods

Pill effect
Unlock method
Percs!
Complete challenge #24
Addicted!
Complete challenge #24
Re-Lax
Complete challenge #25
???
Complete challenge #25
Feels like I’m walking on sunshine!
Unlock every entry in the Bestiary
Gulp!
Complete a Victory Lap via defeating The Lamb
Horf!
Participate in any way in 31 daily challenges
Vurp!
Obtain 50 items in a single run

Notes regarding pill effects

Pill effect
Notes
Health Down
Turns into a Health Up if the effect would kill the player otherwise
Health Up
Adds a soul/black heart for characters that cannot have red heart containers
Puberty
Taking three of these in a single run grants the Adult transformation
Pretty Fly
There is a max of three normal pretty flies, but the Big Fan familiars spawned by the horse pill have no upper cap
Stat up/down pills
The stat changes are affected by any stat multiplier the player may have, meaning the exact change values may not be exact
Telepills
Has a very small chance to teleport the player to the Ultra Secret Room
Hematemesis
No effect on characters that cannot have red heart containers. Still spawns the red hearts
One makes you larger
The Forgotten’s bone club increases as well.
Experimental Pill
Functions as a random stat increase if the player has PHD
Functions as a random stat decrease if the player has False PHD

Attributes

Apart from items, attributes are what make up your character. They detemine how durable you are, how dangerous you are, etc., and can be influenced by most items, or even consumables.

Attributes can be divided into character attirbutes, tear attributes and miscellaneous attributes.
You can see your current attributes in the pause menu, or on the Found Hud, located in the game’s settings menu.
The pause menu, nor the found hud show all attributes however, some of them are hidden, and will be described in a table of their own.
All will be described below

Character attributes

Name
Properties
Base
Health
The amount of health the player has.
Reaching 0 health kills the player.
There is a max of 12 hearts that the player can have at once.
3 red hearts
Speed
Determines how fast the player moves.
Expressed as a multiplier of the global base speed.
Has a minimum cap of 0.10 and a max cap of 2.00
1.00

Tear attributes

Name
Properties
Base
Damage
The amount of damage your tears deal to entities.
There is a minimum cap of 0.50, but there is no max cap
3.50
Fire rate
Also called “tears” or “tear rate”.
Determines how fast the player fires their tears.
Expressed in tears per second.
There are three soft caps, these being 5.00, 10.00 and 15.00 which require increasingly more powerful items to break.
There is a hard cap of 120 tears per second.
Has a minimum cap of 0.01
2.73
Range
Determines how long your tears will travel before landing.
Expressed in tiles.
For reference, a standard room is effectively 12×7 tiles.
Has a minimum cap of 1.00
6.50
Shot Speed
Determines how fast your tears travel.
Expressed as a multiplier of the global base shot speed.
Has no effect on range.
Has a minimum cap of 0.60
1.00

Other attributes

Name
Properties
Base
Luck
Affects room drops and tear effects.
The higher the luck, the more likely it is a room will drop a pickup upon being cleared, and the more likely it is that the player can fire a tear with a status effect assuming they have the item that lets them do that in the first place.
Most status-effect-inducing items max out at 100% at 10-20 luck
0.00

Hidden attributes

Name
Properties
Knockback
Determines how much your tears knock entities back.
Affected only by the 7 Inch Nails, Pisces and the Knockout Drops items.
Shot Height
Determines how high your tears are in the air.
Enough shot height can make your tears fly over obstacles.
Affected by various items

Gallery
Pictured: All stats at their lowest bunched up
together (except for luck, which can go down infinitely).
Also called the average Tainted Lazarus run.

Characters

There are 17 characters in TBoI: Rebirth that you can play as when you unlock them.
Each character has their own unique stats and items that they start with.
I will divide this section into a few categories as there are too many characters to fit in one table.

An underlined parameter means, it’s better than default
A parameter in italic text means, it’s worse than default

NOTE: Tables match Repentance values; if you don’t own the Repentance DLC, you’ll have different values

Characters from the original TBoI:

Name
Isaac
Maggy
Cain
Judas
???
Appearance
Health
Speed
1.00
0.85
1.30
1.00
1.10
Damage
3.50
3.50
3.50 x 1.20
3.50 x 1.35
3.50 x 1.05
Tear rate
2.73
2.73
2.73
2.73
2.73
Range
6.50
6.50
4.50
6.50
6.50
Shot speed
1.00
1.00
1.00
1.00
1.00
Luck
0.00
0.00
1.00
0.00
0.00
Starting items
The D6*
none
Lucky Foot
Book of Belial
The Poop
Starting pickups
1 bomb
1 Full Health pill*
1 key
3 coins
none
Starting trinkets
none
none
Paperclip*
none
none
Additional notes
none
none
none
none
Can’t have red health

* – if unlocked

Characters added in the TBoI: Halloween Update:

Name
Eve
Appearance
Health
Speed
1.23
Damage
3.50 x 0.75
Tear rate
2.73
Range
6.50
Shot speed
1.00
Luck
0.00
Starting items
♥♥♥♥♥ of Babylon
Dead Bird
Razor Blade*
Starting pickups
none
Starting trinkets
none
Additional notes
♥♥♥♥♥ of Babylon activates at 1 heart (instead of at half a heart), and sets her damage multiplier to 1.00

* – if unlocked

Characters added in TBoI: Wrath of The Lamb:

Name
Samson
Appearance
Health
Speed
1.10
Damage
3.50
Tear rate
2.50
Range
5.00
Shot speed
1.31
Luck
0.00
Starting items
Bloody Lust
Starting pickups
none
Starting trinkets
Child’s Heart*
Additional notes
none

* – if unlocked

Characters added in TBoI: Rebirth:

Name
Azazel
Lazarus
Eden
The Lost
Appearance
Health
1-3 red/soul hearts
none
Speed
1.25
1.00
0.85 – 1.15
1.00
Damage
3.50 x 1.50
3.50
2.50 – 4.50
3.50
Tear rate
0.86
2.73
1.98 – 3.48
2.73
Range
4.50 default range, 2.00 effective range
6.50
5.5 – 7.5
6.50
Shot speed
1.00
1.00
0.75 – 1.25
1.00
Luck
0.00
-1.00
-1.00 – 1.00
0.00
Starting items
none
Anemic*      
random
Eternal D6
Holy Mantle*
Starting pickups
none
a pill
random
one coin
Starting trinkets
none
none
random
none
Additional notes
none
none
none
Can’t have health.
Has spectral tears by default.
Can take devil deals for free.

* – if unlocked

Characters #2

Characters added in the Afterbirth DLC:

Name
Lilith
Keeper
Appearance
Health
Speed
1.00
0.90
Damage
3.50
3.50 x 1.20
Tear rate
2.73
1.06
Range
6.50
6.50
Shot speed
1.00
1.00
Luck
0.00
-2.00
Starting items
Box of Friends
Cambion Conception*
Incubus
Wooden Nickel*
Starting pickups
none
a penny*
a bomb
Starting trinkets
none
Store Key*
Additional notes
Blindfolded, uses Incubus for damage
Coins refill health.
Can’t have heart containers.
Any hearts turn into flies.
Can’t have more than 3 coin containers in normal circumstances.
Keeper’s third coin container needs to be unlocked by beating Hush

* – if unlocked

Characters added in the Afterbirth+ DLC:

Name
Apollyon     
The Forgotten
Appearance
Health
/
Speed
1.00
1.00 skeleton, 1.30 soul
Damage
3.50
3.50 x 1.50 skeleton, 3.50 soul
Tear rate
2.73
1.36 skeleton, 2.73 soul
Range
6.50
6.50 ranged, 1.50 melee (skeleton), 6.50 soul
Shot speed
1.00
1.00 both
Luck
0
0 both
Starting items
Void
none
Starting pickups
none
none
Starting trinkets
none
none
Additonal notes
none
The Forgotten can switch to his soul by pressing CTRL.
This soul is chained to The Forgotten and cannot move freely.
Unlike other characters The Forgotten uses a melee attack;
this melee attack deals 3x Forgotten’s current damage.
The skeleton can only have bone hearts, while the soul can only have soul/black hearts

* – if unlocked

Characters #3

Characters added in the Repentance DLC:

Name
Bethany
Jacob & Esau
Appearance
Health
 Jacob
 Esau
Speed
1.00
1.00 both
Damage
3.50
2.75 Jacob
3.75 Esau
Tear rate
2.73
3.00 Jacob
2.50 Esau
Range
6.50
5.00 Jacob
8.00 Esau
Shot speed
1.00
1.15 Jacob
0.85 Esau
Luck
0
1.00 Jacob
-1.00 Esau
Starting items
Book of Virtues
none
Starting pickups
2 soul hearts
none
Starting trinkets
none
none
Additional notes
Can’t have armor health;
it gets transferred to the soul heart count instead.
Has a soul heart count, which functions as auxillary charge for active items.
The Book of Virtues grants 100% Angel Room chance as the first Deal Room
The player controls 2 characters instead of one.
If any character dies, both die.
The characters do not share items.
Trinkets/consumables can be dropped by holding CTRL and staying in place for ~2s

Tainted Characters

Tainted characters are versions of the normal characters, which are different in a certain way, which usually mean they’re harder to play with than their base versions.
They’re unlocked by using the Cracked Key, or the Red Key on the top-most left wall in the left narrow corridor located inside Home, and touching the tainted character laying on the ground.

Tainted versions of the OG Isaac characters

Name
Tainted Isaac
Tainted Maggy
Tainted Cain
Tainted Judas
Tainted ???
Appearance
Health
Speed
1.00
1.00
1.30
1.23
0.90
Damage
3.50
3.50 x 0.75
3.50
3.50
3.50
Tear rate
2.73
2.73
2.73
2.73
2.04
Range
6.50
6.50
6.50
4.50
6.50
Shot speed
1.00
1.00
1.00
1.00
1.00
Luck
0.00
0.00
0.00
0.00
0.00
Starting items
none
Yum Heart (consumable slot)
Bag of Crafting (consumable slot)
Dark Arts (consumable slot)
IBS (hidden & modified, replaces bombs)
Starting pickups
1 bomb
none
1 key
3 coins
3 poop bombs
Starting trinkets
none
none
none
none
none
Additional notes
Can hold up to 8 passive items.
Additional items get switched with the one currently selected in the item box.
Has 2 permanent hearts, while the rest bleed out of Maggy over time
Items get turned into pickups upon contact.
Uses pickups to craft items
Can’t have red health
Bomb pickups replaced by poop pickups, these get added to the poop counter.
T. ??? can hold up to 9 poop bombs.
Dealing enough damage to enemies spawns a poop pickup.

Tainted version of Eve

Name
Eve
Appearance
Health
Speed
1.00
Damage
3.50 x 1.20
Tear rate
1.20
Range
6.50
Shot speed
1.00
Luck
0.00
Starting items
Sumptorium (consumable slot)
Starting pickups
none
Starting trinkets
none
Additional notes
Shooting constantly for long enough removes half a heart from Eve’s health bar and spawns a clot, which behaves similarly to an Incubus. This effect stops when spawning another clot would kill Eve. The clots can be turned back into HP using Sumptorium. Clot effects depend on the type of health sacrificed.

Tainted version of Samson

Name
Samson
Appearance
Health
Speed
1.00
Damage
3.50
Tear rate
2.50
Range
5.00
Shot speed
1.00
Luck
0.00
Starting items
none
Starting pickups
none
Starting trinkets
none
Additional notes
Enters berserk mode when the berserk meter is filled up. This can be done via taking damage or dealing damage to enemies. While in berserk mode, T. Samson is confined to melee range, being equipped with a jawbone, which deals heavy damage to enemies. The player reverts back to normal after 5 seconds, shown on a timer above his head. This timer can be extended by killing enemies.

Tainted Characters #2

Tainted versions of TBoI: Rebirth characters

Name
Tainted Azazel
Tainted Lazarus
Tainted Eden
Tainted Lost
Appearance
Health
/
1-3 red/soul hearts
none
Speed
1.00
1.00/0.90
0.85 – 1.15
1.00
Damage
3.50 x 1.50
3.50/3.50 x 1.50
2.50 – 4.50
3.50 x 1.30
Tear rate
0.91
2.73
1.98 – 3.48
2.73
Range
6.50 default range, infinite effective range
4.50/6.50
5.5 – 7.5
6.50
Shot speed
1.00
1.00
0.75 – 1.25
1.00
Luck
0.00
0.00/-2.00
-1.00 – 1.00
0.00
Starting items
Hemoptysis (hidden)
Flip (consumable slot)
random
none
Starting pickups
none
none
random
one coin
1 Holy Card
Starting trinkets
none
none
random
none
Additional notes
The beam deals 0.5x damage per tick, unless the enemy is under the effects of Hemoptysis.
Cancelling a charge activates Hemoptysis.
Each room clear makes T. Lazarus switch between his two forms, both of which do NOT share items or health. Alternatively, the player can switch forms using Flip
Taking damage forces the player to reroll all their items.
Items reroll into other items from the same pool
Can’t have health
Has spectral
tears by default

Cards and runes have a 10% chance to become a Holy Card

Tainted Characters #3

Tainted versions of Afterbirth characters

Name
Tainted Lilith
Tainted Keeper
Appearance
Health
Speed
0.85
1.00
Damage
3.50
3.50
Tear rate
2.73
0.99
Range
6.50
6.50
Shot speed
1.00
1.00
Luck
0.00
-2.00
Starting items
none
none
Starting pickups
none
a bomb
Starting trinkets
none
none
Additional notes
Can’t fire tears,
uses her fetus to deal damage.
The fetus inherits any of Lilith’s tear effects/modifiers, just like Incubus
Coins refill health.
Can’t have heart containers.
Any hearts turn into flies.
Can’t have more than 2 coin containers in normal circumstances.
Enemies drop coins, which disappear ~1.5s after spawning.
The coins may be of any type

Tainted versions of Afterbirth+ characters

Name
Tainted Apollyon
Tainted Forgotten
Appearance
Health
Speed
1.00
1.00 skeleton, 1.30 soul
Damage
3.50
3.50 x 1.50
Tear rate
1.82
1.36
Range
6.50
1.50 melee, 6.50 ranged
Shot speed
1.00
1.00
Luck
0.00
0.00
Starting items
Abyss
none
Starting pickups
1 red locust
none
Starting trinkets
none
none
Additional notes
none
The player spawns as two entities, the skeleton and the soul, just like the Forgotten.
The soul cannot fire any tears, but can pick up the skeleton, which behaves just like regular Forgotten.
This skeleton can be thrown to reposition it.
The soul can have only armor health, while the skeleton is invincible and can be used to block projectiles

Tainted versions of Repentance characters

Name
Tainted Bethany
Tainted Jacob
Appearance
Health
Speed
1.00
1.00
Damage
3.50
3.50
Tear rate
2.73
3.00
Range
6.50
6.50
Shot speed
1.00
1.00
Luck
0.00
0.00
Starting items
Lemegeton
Anima Sola
Starting pickups
6 red heart charges
none
Starting trinkets
none
none
Additional notes
Can’t have red health, it gets transferred to the red heart count instead;
has a red heart count, which functions as auxillary charge for active items
Esau exists as Dark Esau, which spawns ~1 minute after the player has entered the floor.
Dark Esau is hostile to the player and will charge at them when close by.
Any contact with Dark Esau kills the player and turns them into a special version of The Lost.
The player can revert to their normal form by going to another floor.
Dark Esau can be killed, but will cause an explosion, which will turn the player into the lost form.
Dark Esau can damage enemies, and enemies can indirectly damage him.
Anima Sola will always prioritise chaining Dark Esau if he is on screen

Characters – Birthright

Birthright is a special passive item, found in shops, which grants effects based on which character you’re playing as.
All of the effects are listed below.
Roughly half of the effects are not implemented yet.

Birthright – Normal Characters

Character
Effect
Isaac
All future item pedestals will cycle between two options
Magdalene
Cain
Judas
???
Health-ups and health-downs are doubled in strength
Eve
♥♥♥♥♥ of Babylon and Dead Bird are always active regardless of the player’s status
Samson
Samson’s Bloody Lust can proc 4 more times
Azazel
The player’s brimstone beam becomes much wider. No effect on damage
Lazarus
Grants a +21.6 damage bonus, which fades out over the course of three minutes
Eden
Spawns three items pulled from random pools. The player can only choose one, as the others will disappear upon doing so.
The Lost
Prevents most of the items, which would be useless when playing as the Lost, from spawning
Lilith
Keeper
Apollyon
The Forgotten
The Soul becomes unchained, and is able to move freely. The Forgotten’s body can be left behind, and switching back will teleport the player back to it, regardless of the status of the room.
Bethany
Activating an item using soul charges will sometimes not consume the charges.
Jacob & Esau
The brother which picked up the item gains copies of three of the other brother’s passive items

Birthright – Tainted Characters

Character
Effect
Tainted Isaac
Adds 4 more slots for passive items
Tainted Magdalene
The player stops bleeding at 3 hearts instead of 2
Tainted Cain
The amount of pickups spawned from picking up items is doubled.
Tainted Judas
Tainted ???
The player is now able to hold 29 poops instead of 9
Tainted Eve
Tainted Samson
The timer is recharged by 3 seconds instead of 1, when the player kills an enemy during berserk mode.
Tainted Azazel
Doubles the size of the player’s sneeze attack
Tainted Lazarus
Tainted Eden
Items acquired prior to picking up Birthright will not be rerolled when the player takes damage.
The player’s base attributes will suffer the same fate.
Tainted Lost
Grants an extra life, which resurrects the player in the same room
Tainted Lilith
Tainted Keeper
Coins spawned by enemies are pulled towards the player
Tainted Apollyon
Tainted Forgotten
The player is now able to retrieve the body from a distance, using the Recall item in the consumable slot.
Tainted Bethany
Tainted Jacob

Characters – Tips #1

Certain characters need to be played in a different way to benefit from them. This section lists some of such ways/tips for each character.

Isaac
No tips for him, really. Just play the game normally. If you have the D6 unlocked, reroll any active items you find, since it’s usually better to keep your D6 over anything else.

Magdalene
The biggest upside to Magdalene is her high health and the Yum Heart. This, paired with the Full Health pill (assuming it is unlocked already by completing challenge #32), can let you use the Sacrifice Room enough times to proc the Angel Room item spawn (7th sacrifice, 33% chance to spawn the item, 66% chance to spawn soul hearts instead).
Generally, you’ll want to stock up on red heart containers, considering you can regen red health with ease via the Yum Heart. Alternatively though, you could use the extra health to make deals with the devil with less risk.

Cain
Cain’s biggest upside is his Lucky Foot, which turns all pill effects into good/neutral ones, eliminating the bad ones entirely (also increases the chances of winning a Shell Game or any Slot Machine game, if you’re into that sort of thing). Considering pills are quite common in the game, you can have huge stat boosts from just the pills themselves. This makes items like Mom’s Bottle of Pills, Placebo, or Mom’s Coin Purse actually worth taking. The Lucky Foot effect also affects golden pills, making them unable to grant bad effects, turning them into extremely valuable and strong consumables. Cain also has a relatively high damage multiplier, making damage-ups significantly more effective. His Paperclip trinket also usually means you’ll be decently high on keys throughout the run.

Judas
You can consider Judas as a sort of “glass cannon” character; high damage, low health. This makes damage-ups very valuable, as generally they’ll have a stronger effect. Focus on getting health ups, so you don’t die in two hits. Devil Rooms are not recommended due to this. His Book of Belial is best used in large rooms and boss rooms. It is also very strong in Boss Rush, as continuous uses of the book in the same room grant further damage bonuses.

???
??? is baby’s first challenge character. His inability to have red health makes taking damage that much more irritating, and also makes Devil Rooms completely redundant. Items that can regenerate armor health, such as the Book of Revelations or The Nail are very strong. The Satanic Bible is also a viable choice, but it’s recommended to use it only after beating the boss, so you don’t turn the pedestal item into a deal with the devil.

Eve
Eve starts out weak, but if she goes into her ♥♥♥♥♥ of Babylon state, she becomes significantly more powerful. Because of this, unlike with the other characters, Devil Rooms are your best friend, since they let you get rid of your red health with ease. Health ups are more harmful than helpful for the reasons mentioned previously. If you don’t want to get rid of your red health however, you’ll have to put up with the 0.75x damage multiplier, which makes damage-ups less impactful, but reduces the risk of death, since you have more health to work with. The Book of Revelations is extremely strong with Eve.

Samson
Samson is kind of a bleak character. A slightly stronger Isaac and that’s it.
Going into the floor’s curse room can give you a free damage-up alongside the room’s pickups/items, assuming you are willing to sacrifice your health.
The Dull Razor is a sort of common and particularly powerful item for Samson, since it procs the Bloody Lust effect without any drawback, and has a measly 2-room charge.
The Blood Oath can also be a good item, since it synergizes extremely well with Bloody Lust, granting an enormous damage-up

Azazel
Azazel’s biggest downside is his range, which is extremely small. A range this small just barely lets you kill Boom Flies without getting hit by the explosions. Because of that, range upgrades are extremely important when playing as Azazel. ~10 range gives you a range you can work with.
You’d think that with Azazel’s default short-range brimstone, it would be pointless to aim for the normal Brimstone, but you’d be wrong. The normal Brimstone replaces Azazel’s short-range version and gives him full range, making Brimstone a very valuable item in any Azazel run.
Azazel apart from his brimstone also has flight, allowing him to hide over rocks and pick off enemies from a “distance”.

Lazarus
Lazarus is basically a worse Isaac… until you die. It’s generally recommended to proc the extra life from Lazarus’ Rags to get the stat increases. After that, it’s a normal TBoI run.
It’s heavily recommended to beat challenge #31 to unlock the Anemic item for Lazarus, since when playing as Lazarus Risen, the creep is being left behind constantly, instead of when damage has been taken.

Eden
There’s not much more to this character than resetting the run until you get a decent start.

The Lost
The Lost is arguably the most well-known challenge character in the game, being able to be killed by virtually anything in just one hit. Risk is not a thing with this character; exploit every aspect of the game to make sure you don’t lose a good run. Also make sure you unlock the Holy Mantle for him first by donating 879 coins to the Greed Donation Machine; a tedious feat, but one worth doing. His flight and spectral tears allow the Lost to get otherwise inaccessible pickups and kill enemies from a safe place. Any items which grant survivability, such as extra lives (Dead Cat, 1up!) or Psy Fly/Bot Fly are very valuable when playing as the Lost. Assuming the Holy Mantle is unlocked, the player can make a risky, yet sometimes rewarding move, by going into the Curse Room for free because of the Holy Mantle. This move is risky since enemies are a common sight in these rooms, and if you lose the mantle before exiting the curse room, you will die no matter what when trying to escape, unless there is an adjacent secret room.

Lilith
Lilith’s quirk is being blindfolded, and as such, being unable to fire tears. Instead, she uses her Incubus familiar to do the job. Apart from this, there’s not much else. Good items for Lilith are BFFS!, which acts as a free 2x damage up, and Revelation, since it lets Lilith fire a laser straight out of her body, eliminating the need to screw around with the Incubus.

Keeper
Keeper is a worse Lost, that’s it. Sure, he can afford to get hit, but not by much. One thing the Keeper’s got going for him is his triple shot and a high damage multiplier, making damage-ups and tear status effects that much more strong. Devil Deals are particularly strong with the Keeper, since when playing as him, deals with the devil cost money instead of hearts.

Characters – Tips #2

Apollyon
Apart from possessing the Void, and having slightly lower health, Apollyon is identical to Isaac. You can use the aforementioned Void to suck up passive items you’d not want to take, and exchange them for stat upgrades instead. Suck in active items only if you know what you’re doing.

The Forgotten
The Forgotten can be a very strong character if used properly, the biggest upside being able to get pickups with the soul form, which would be unavailable otherwise. There are many other benefits though, such as being able to use the Forgotten’s empty body as a projectile shield during hard fights. One downside with this character is that you have half the max health you would usually have per form, making you much more fragile, unless you switch to the soul before the body takes a killing hit and vice-versa, allowing you to keep fighting for longer. For the body, range upgrades are pretty good, since with your bone club you’re limited to melee range only. 10-12 range is optimal. For the soul, anything which works with your normal Isaac works just as well with the soul.

Bethany
Bethany’s biggest downside is being unable to have armor health, or the common kind at least. This makes getting deal rooms extremely difficult, since you have no room for error when fighting enemies. I said “or the common kind at least”, since Bethany can still have Rotten Hearts and Bone Hearts, which act as armor hearts and prevent the loss of the deal room chance. They’re a relatively rare find though. Her Book of Virtues, or rather the wisps it spawns can be very helpful, as they not only act as additional DPS but also protect you from projectiles, which may save your deal room chance every now and then. The wisps can also out-damage you if used with certain active items. A good example is the Tear Detonator wisp, the projectiles of which can be detonated just as well as your normal tears. Not only that, the wisp will detonate all player-spawned projectiles on screen when it dies. These wisps will more often than not cover the entire screen with tears, especially on boss fights. Another good example, and certainly a more well-known one is the Shoop da Whoop wisp, which will fire a laser if Shoop da Whoop is used by the player. A ton of these wisps and a few soul heart charges can melt most bosses in a few seconds. These were just two examples, and there are many more.

Jacob & Esau
Jacob & Esau seem extremely hard at first, mostly because you get half the items per character, which more often than not completely kills your run. However, if you go for the full alt path from Basement I, you can remedy that completely, and have a working run. You can do that by aligning the two characters horizontally, or veritcally, depending on the orientation of the two items, and running into both of them at once with the two characters. This will grant the two items, one per each character. There’s not much else to this character, other than using bombs to your advantage; bombs are significantly more powerful with J&E than with any other character, since both Jacob and Esau place a bomb, at the cost of just one. This may not seem like a large thing at first, but it is extremely helpful. There is a surprising amount of times, where you need two bombs to gain access to certain pickups, which can be accessed with just one bomb as J&E. The double bomb also helps greatly with bosses, especially the early ones.

Tainted Characters – Tips #1

Tainted Isaac
Even when tainted, Isaac is still boring. Play the game normally, switch out anything useless for something useful.
The effects of some items are permanent, even if you leave them behind. This happens mainly with HP upgrades but can happen with other items, such as the Red Stew, or the Consolation Prize. This also goes for any items added directly to the character, such as familiars from the Soul of Lilith.

Tainted Magdalene
Because you constantly bleed out, you can play Tainted Maggy in two ways. You can either rush through each floor, trying to keep your HP at the highest point it can be at, or you can take your time, and think everything through, which leaves you at little to no HP at all times. In either case, you should stock up on health upgrades; one thing that Tainted Maggy’s got going for her, is that the bleedout health functions as armor health, even when red. This allows you to use your melee attack regardless if you want to keep your deal room chance or not.
Also make sure to check every shop, as it can contain the Sharp Plug item. With Sharp Plug, you can recharge your Yum Heart at a maximum cost of two hearts. Since T.Maggy’s Yum Heart heals you for two hearts, you can spam the item endlessly, and because damage from Sharp Plug triggers invincibility frames, you’re free to use your melee attack free of charge. In Layman’s terms, it turns you into an invincible killing machine.

Tainted Cain
This character is basically having the debug console as a gameplay feature. You can craft virtually (almost) any item with your Bag of Crafting, if you get lucky with the pickups you get, and because of that, there’s tons of room for creativity. The recipes for items are pre-determined*, meaning you can just go look at the wiki[bindingofisaacrebirth.fandom.com] and choose what you want to craft like you’re in a supermarket. Due to some questionable design choices, powerful items like Rock Bottom or the Red Stew have decently cheap crafting recipes, so I recommend you unlock these first before attempting Tainted Cain.
If you don’t want to look at the recipes, you can just play the game normally, you’ll hit a good recipe eventually. Rarer pickups result in better items most of the time
* – bound to be changed in a future hotfix, but I’ll keep it in here for now

Tainted Judas
Apart from your Dark Arts item, there’s not much else to this character. Dark Arts is best used to traverse through spikes without getting hurt, or to kill large swathes of enemies/projectiles in one move, granting you a huge damage boost. Items which block projectiles are not recommended, since they persist when the player is using Dark Arts. This will usually result in the item blocking many projectiles, which would give you tons of free damage otherwise.
Just like Tainted Maggy, Tainted Judas also has an item which guarantees a win, and that is the Converter. The converter converts a soul/black heart into a health upgrade, and since health upgrades for Tainted Judas default to black hearts, the Converter has no effect on the health of the player. For some reason though, converting a black heart still activates its effect, meaning that each use of the Converter is a free 40 damage to all enemies in the room. After you get the Converter, it’s just a matter of how fast you can spam your active item button.

Tainted ???
Tainted ??? is a tough character to play at times for the same reason as regular ???, and that is the lack of red health, but on top of that, Tainted ??? also has worse fire rate, and additionally a little something, which I’ll talk about later. To compensate, Tainted ???’s got an arsenal of different poops which you can use by pressing Q. There are eleven different poops T.??? can use, including:

  • A normal poop, which can deal 15 damage to enemies when thrown at them
  • A corny poop, which spawns up to three blue flies.
  • A stone poop, which is very durable, but has the same properties as normal poop otherwise.
  • A green poop, which constantly leaves behind trails of explosive and poisonous gas.
  • A red poop, which has a fire inside of it, which can damage enemies upon contact and explode any explosive gas
  • A black poop, which constantly leaves behind black creep and deals 10 damage to all enemies when destroyed
  • A white poop, which behaves identically to the normal white poop
  • A bomb, which explodes 1.50s after spawning
  • The explosive diarrhea pill effect
  • A fart, which deals poison damage to nearby enemies and spawns a cloud of explosive gas
  • A trail of creep, which deals immense damage to enemies stanidng on it and gives stat boosts to the player when they stand on it

That little something I talked about earlier while discussing T.???’s downsides was the amount of explosive gas he spawns. Even with only two poop types which actually do that, the amount of explosive gas you release is tremendous. This usually results in tons of self-damage, as campfires are not a rare sight in any room and will explode any explosive gas they come into contact with. Because of this, hoarding health with Tainted ??? is even more important than with the normal version.

Tainted Eve
Tainted Eve is a weird one; some people think she’s overpowered, some people think she’s underpowered. She can fire continuously to create a blood clot, which behaves like what you’d get from combining Incubus and Jacob & Esau controls. With enough of these, you can become incredibly strong, being able to clear every room in just a couple of shots. You can choose two ways of creating clots; the safe one, which involves turning only excess health into clots, and a bit of your own health if you feel confident, or the risky way, which involves turning ALL of your health into clots from the get go; this method gives you significant firepower, but turns you into a worse version of the Lost. Which way you choose is up to you, but what applies to both methods is good luck. Just like with any other character you need some good RNG to get a run that will end up killing an endgame boss. This luck is slightly more required for Tainted Eve, as usually during final boss fights you’ll lose most of your blood clots no matter what; the only reason why I beat Delirium with Tainted Eve is because Eve was strong enough on her own in my run.

Tainted Samson
The berserk mode is a nifty tool in the early floors, but becomes increasingly more annoying as you get more powerful on your own. Focus on items that may be a great help when in berserk, a.k.a. any damage-up

Tainted Azazel
Azazel but you’re not limited by range anymore and that’s about it. The lack of flight makes pickup hoarding slightly more difficult but it’s worth the unlimited range. Make sure to make good use of your hemoptysis. Also keep in mind that hemoptysis can deal great damage by itself, especially when you have multi-shot items, such as the Inner Eye, Mutant Spider etc. It can also be used to create some distance between you and the enemy due to its heavy knockback.

Tainted Lazarus
Imagine Jacob & Esau without any benefits of Jacob & Esau. That is Tainted Lazarus. Because of how he works, he needs double the amount of good items to keep himself alive, which in turn requires immense luck. I recommend you to not bother with this character unless you absolutely have to, he’s supposed to get a rebalance soon.

Tainted Characters – Tips #2

Tainted Eden
Tainted Eden can be pretty fun. His quirk involves the player rerolling their items each time they get hit. This in turn sort of forces you to play every run, since you might just get that godlike combination and not worry about getting hit ever again, and getting as many passive items as you can maximise these chances. I recommend you go for Angel Rooms; health is hard to come by as Tainted Eden, since it cannot be easily gained, but can be easily lost due to the rerolls, and trading your health just makes the situation worse. Even then, Angel Rooms are more likely to grant you powerful items anyway. Additionally, items from the Devil/Curse pool can get rerolled into Dead Cat, which will annihilate your HP and kill your run no matter in how good of a situation you are. Try to aim for as many character-bound heart containers as possible. These will mainly come from eternal hearts, but may come from items like Experimental Treatment, the heart containers of which do not get rerolled. You may have heard of getting as many soul hearts as possible with Tainted Eden, to keep the health situation in check, but the soul hearts can be rerolled just as easily if you get unlucky and get a load of HP upgrades.

Tainted Lost
If your definition of fun in this game is getting some OP, or just straight up wacky item combiniations, then this character is the perfect choice for you. Good runs are significantly more likely to happen with Tainted Lost, in exchange for the complete lack of health, and even the Holy Mantle. The key to this character is literally just practice, and semi-good RNG. It doesn’t even matter whether you want Angel Rooms or Devil Rooms; with Tainted Lost, both choices are fine (although if you have Damocles unlocked, Devil Rooms are significantly better, considering how common Damocles is in the Devil Room pool and how extremely powerful it can be with Tainted Lost. Make sure you have it unlocked, it’s very worth it. However if you still want to stick to the angels, consider heading for the Beast as Tainted Lost first, as this unlocks Sacred Orb, another very good item).
When playing as Tainted Lost, tear effect items, such as the Holy Light, Common Cold, Sinus Infection etc. are particularly powerful, considering T. Lost gets the Perfection trinket every time after defeating the Caves I/Downpour II boss, which grants a free +10.00 luck at the cost of your trinket slot. Because of this, Mom’s Purse is significantly more valuable, as it lets you carry an additional trinket alongside Perfection. Tick-based items such as Brimstone, or Tech X get indirectly buffed because of this as well, since they have a chance to proc the tear effect with each tick of damage they deal. Be careful around convert all cards when Perfection is in the room, as it will convert Perfection into the respective pickup. I’ve done this by accident more times than I’m willing to admit.
As with the normal Lost, exploit the game to its fullest, take cover behind each safe rock, pick enemies from the largest distance you can manage and keep a very strong mental note of any red poops, fireplaces, spiked rocks, slides, grudges and the such; they’ve ended too many of my runs, each of which were super good until I ran face first into a slide and killed myself on it.
Any card-generating items are significantly better now, since they have a higher chance to generate Holy Cards, while Little Baggy is even worse than it was before.
Make sure to not pick up many items which would create tons of visual clutter on screen. The last thing you want is to not know where you are in the room. Anything that causes uncontrollable damage is bad as well; I’ve been killed by too many Boom Flies which died right in my face because my Demon Baby decided that was the best enemy to attack.

Tainted Lilith
The strategy with Tainted Lilith is sort of similar to how you play with normal Lilith, except this time you can also damage enemies directly by slinging your fetus at them. As disgusting as that sounds, it’s a pretty good source of damage early on, and if you get some damage-ups, it can carry you even to the endgame. Try to also get out of slow speed.

Tainted Keeper
Not much more to this character than to just keep trying. At least this time you’ll be having fun. I was, at least. Each run is worth playing considering you have to kill enemies to get items. I recommend skipping the first treasure room to get a planetarium later on, as most likely you’ll get equally as good items in the shop.

Tainted Apollyon
Even being tainted did not help Apollyon with being unique. He’s still the “Isaac but has the Void” but this time you have the Abyss. Suck in bad items and take the good ones. Focus on getting damage ups, as your locusts scale with your damage.

Tainted Forgotten
Tainted Forgotten can be quite fun, even with the challenge he presents, although winning with him mostly boils down to getting lucky with damage ups and multi-shot items, as these are the biggest game changers when playing as him. Try to get familiar with how the character works, since at first it will catch you off guard. If I had to explain how Tainted Forgotten works, imagine the skeleton functioning as THE player, who can control everything, pick up anything, and generally just do everything a normal character would (this includes bomb placement), except for moving around. For that, the soul comes into play. The soul can throw the skeleton around in order to move it around and deal damage, but can also open doors, go through them and pick up pickups, and items, which get transferred to the skeleton. Be very careful around trapdoors to the next floor, as any of the two entities can trigger them. Tainted Forgotten can also move extremely fast through rooms, by throwing the skeleton into the doorway to the next room. When you get it down, it’s the best thing about this character, since you can backtrack with almost no penalty in regards to getting to Boss Rush and/or Hush.

Tainted Bethany
Tainted Bethany even with her Lemegeton still has to rely on actual items to get far in the game. Do not fully rely on your wisps as they will all die on final bosses if you haven’t got any sort of invincibility. The best way to use the Lemegeton is to use it only when it’s full with actual charge, and not the blood charges. The blood charges then can be used for the Lemegeton in an angel room, to get tons of good items. For this reason, items that grant you red health are really good (e.g. the Leech).

Tainted Jacob
Honestly? I don’t even know. This character was not designed to be fair it seems. You can either stick to how the character works, or exploit your way out of him, depending on your moral compass.
If you want to take the easy way out, you can kill Dark Esau and quit the game during his death animation. When you continue, Dark Esau will be gone but you will not be turned into the lost form.
This is the best, and the most scummy way to eliminate Dark Esau completely, but there is another one, involving the Eraser. The Eraser projectile deals 15 damage to any boss enemies instead of removing them. However, if the Eraser kills the boss with the 15 damage it dealt, the boss is removed regardless. This applies to Dark Esau as well, meaning that if by some chance you manage to get him down to below 15 HP and have the Eraser on you, you can remove Dark Esau for the rest of the run.

Characters – Unlock Criteria

These are the unlock criteria for all characters

Character
Unlock condition
Tips
Isaac
Unlocked by default
Magdalene
Have 7 or more red heart containers at once
Do not take any devil deals and you should get the 7 red heart containers by Depths II/Womb I
Cain
Have 55 or more coins at once
Do not spend any money and take every opportunity to earn some.
Judas
Defeat Satan
???
Defeat Mom’s Heart 10 times
Eve
Don’t pick up any hearts for two floors
Try your best not to get hit and to not accidentally pick up any hearts.
Can easily be done with Azazel if you unlocked him beforehand
Samson
Complete two floors in a row without taking damage
Nothing else to this than to literally just not get hit.
Mastery comes with practice.
Azazel
Make three deals with the devil in one run
Magdalene’s high health allows you to make more deals.
Lazarus
Have 4 or more soul hearts at once
Eden
Defeat Mom’s Heart
The Lost
Kill yourself with the Sacrifice Room spikes while holding the Missing Poster
Nothing else to this than being lucky.
The Mom’s Box item helps a lot.
Lilith
Beat Greed Mode with Azazel
Keeper
Donate 1’000 coins to the Greed Donation Machine
Will be done with time.
Alternatively, infinite money generation methods can be used.
These will be shown in !&@)*&@!^$(
Apollyon
Defeat Mega Satan
The Forgotten
Shown below the table
Bethany
Defeat Mom’s Heart/It Lives! on hard mode as Lazarus without using Lazarus’ extra life from Lazarus’ Rags
Jacob & Esau
Defeat Mother.
This requires accessing the Corpse floor,
see Rules – Repentance Floors – Unlocking the Corpse for the unlock process
Tainted Characters
Access the hidden red room in Home and touch the tainted character.
Only possible for characters that do not have their tainted version unlocked yet.

The Forgotten:
The process of unlocking the Forgotten is slightly complicated, and is too long to fit in the table.

The Forgotten is unlocked by unearthing him in the Dark Room by using Mom’s Shovel on top of his grave.

Before attempting this, the player must have defeated The Lamb, and unlocked the Negative.
The puzzle can be attempted in both normal and hard mode.

To assemble the shovel, the player needs to beat the Basement I boss in under a minute. After doing so, the player will hear Mom shouting “Isaac!” and some muffled steps.

Going back to the spawn room and placing a bomb there will drop the first piece of the shovel. While having the shovel in your inventory, Mom’s foot will constantly stomp the player every few seconds. Using the shovel prevents that from happening for one room, or one Boss Rush wave.
Make sure to not replace the shovel with any active item, as leaving the first piece behind and exiting the room will make it disappear.

To get the second piece, the player needs to beat the Boss Rush.
The 20 minute requirement does not apply when holding the first shovel piece, and the passage to the Womb will not open until Boss Rush has been defeated
Beating the Boss Rush grants the second piece.
Having the assembled shovel prevents Mom from stomping the player constantly.
The passage to the Cathedral will not be present after defeating Mom’s Heart/It Lives!, forcing the player to go down to Sheol

In the Dark Room there will be an empty room with a lone patch of disturbed dirt in the middle. Standing on top of it and using the shovel unlocks The Forgotten

Floors – Introduction

Floors are.. well.. floors. You need to progress through them to progress in your run.
Floors are divided into chapters, depending on how far they are in the game. Generally, the deeper you go, the harder and tankier the enemies are, along with bosses, and the overall chance to take damage, or even die, increases.
In total, there are 26 different floors, and seven distinct chapters.

Floors – Chapter I

These are all the floors of Chapter I
These floors generally contain simple and semi-fragile enemies and easy bosses.

Pictured: The general appearance of the Basement

The first and most iconic floor in the game.

The Basement contains simple enemies, most of them relying on contact to damage the player. The bosses of the floor are fairly simple as well.

The chapter always contains a shop, treasure room and a boss room.
Curse Rooms, Sacrifice Rooms, Vaults/Bedrooms/Dice Rooms, and Challenge Rooms of any type may also sometimes appear.
A Planetarium also has a chance to appear, albeit a very small one, at just 1% in the first floor (notes on planetarium spawn chance can be found in Special Rooms).
(The trend above is continued in the Caves and the Depths, along with their alt-path versions)

The first floor’s shop and treasure room are always open, while the second floor and further chapters require a key to open each room.
The treasure room very often appears near spawn, mostly opposite to the shop, but in rare cases can appear after the shop.

A Deal Room cannot spawn on the first floor, requiring the Joker card or a red chest to get inside it. This is not the case for the second floor. In further chapters the Deal Room will always have a chance to appear.

Pictured: Example layouts of the
first and second floors respectively.
Note the bigger size of the second
floor’s layout.
This is the usual appearance
of Chapter I floors
Pictured: The general appearance of the Cellar

An alternate version of the Basement, unlocked by defeating all Chapter I bosses at least once

The enemies inside the Cellar are often spiders, but normal Basement enemies aren’t a rare sight either. This makes the Cellar a tougher floor to get through, both in terms of effort and time.

The Cellar’s boss pool is slightly different from the Basement’s, featuring additional spider/ghost-themed bosses, mainly the Widow, the Haunt, Blighted Ovum and also Pin, who is neither a ghost or a spider, but a worm, yet appears in the Cellar only anyway.

Pictured: The general appearance of the Burning Basement

An alternate version of the Basement, unlocked by defeating Mom’s Heart 11 times

The floor is themed around fire, and so are its enemies. A burning enemy is a fairly common sight in this floor, and they will usually be slightly weaker than their base version or signifcantly more annoying and tiresome to deal with, no in-between.

Unlike the Cellar, the Burning Basement does not have unique bosses.

Pictured: The general appearance of Downpour

An alternate-path version of the Basement, with its access door unlocked by defeating Hush three times.

The water-themed Downpour is a completely different floor from the Basement. It’s accessed by opening the door to it using a key in the Basement I’s boss room.

The enemies inside Downpour are slightly more complex, and usually rely on projectiles to damage the player.

Its level generation is near-identical to the Basement’s.
Downpour II contains a special mirror room, used in the Repentance puzzle.

The floor has some special visual effects, mainly the flooded floor and the occasional lightning strikes.

The bosses in this floor are completely unique. No Basement/Cellar bosses can appear in Downpour and vice versa. Some of this floor’s bosses are shared with Dross though.

Pictured: An example layout of
Downpour II, featuring the mirror room,
marked with a little mirror icon on the
minimap.
This room also appears in Dross II
Pictured: The general appearance of Dross

An alternate version of Downpour, unlocked by defeating all Downpour bosses at least once.

The sewage-themed Dross is a harder version of Downpour. Its enemies rely on both erratic movement and complex-ish projectile patterns alike to damage the player.

Some rooms in this floor may have an active current running through them, hindering the player’s movements slightly, but also enemies’. Current-possessing rooms are usually 1×1 but can very rarely be of bigger sizes.

The floor features some bosses of its own, mainly Clog, Colostomia and Turdlet.

The floor has some special visual effects, mainly the flooded floor and the toxic(?) gas in the background

Just like in Downpour II, the mirror room appears in Dross II as well

Pictured: Showcase of Dross’ current

Floors – Chapter II

These are all the floors of Chapter II
These floors generally contain simple, albeit tanky enemies, and semi-difficult bosses.

Pictured: The general appearance of the Caves

The second chapter. A step-up from the Basement in terms of difficulty.

The Caves can be entered from Basement II, or Downpour II (Downpour will lead you to Caves II, skipping Caves I)

The enemies inside the Caves are usually fairly tanky, requiring 6 base damage shots on average to kill. This means that you’ll usually spend more time in this chapter than you did in the previous one, by just trying to get to your destination.

In terms of level generation, the Caves are a bit more complex than the Basement. They’re not straightforward anymore in most of the cases, and will branch out in different directions.

Just like the enemies, the bosses in this chapter have their fair share of health as well, making fights with base stats very tedious.

Pictured: Example layouts of the first and second
floor of the chapter respectively.
Unlike in Chapter I, the floor size remains relatively
the same between floors
Pictured: The general appearance of the Catacombs

An alternate version of the Caves, unlocked by defeating all Caves bosses at least once.

Not much different from the Caves, other than being more likely to have rooms with spiders.

The floor’s got some unique bosses, mainly the Husk, the Hollow, the Wretched and the Carrior Queen, all themed around decay, except for the Dark One and Polycephalus, which are just sort of there.
The floor also has bosses which are shared with the Flooded Caves, these are the Forsaken and the Frail.

Pictured: The general appearance of the Flooded Caves

An alternate version of the Caves, unlocked by defeating It Lives! 16 times

The enemies in this floor are usually themed around being drowned/bloated.

The floor’s got some additional visual effects, mainly the flooded floor and the ever-present blue fog/tint.

Pictured: The general appearance of Mines

The alternate-path version of the Caves, with its access door unlocked by defeating Hush three times.

The Mines are accessed by unlocking the door leading to it. This door appears in Downpour II, and Caves I/II, and requires two bombs to be unlocked, just like a Bedroom.

The enemies in this floor are mainly themed around explosions and fire.

The floor’s got some unique environmental objects, such as throwable bombs, enemies in minecarts, or dark rooms.

Mines II contains the minecart room used in the Repentance puzzle. This room only spawns when the player has the first knife piece, it will not spawn otherwise.

The bosses of this floor, just like in Downpour, are completely unique, meaning they can’t appear in the Caves and vice versa. Some of this floor’s bosses are shared with Ashpit.

Pictured: An example layout of Mines II,
showcasing the minecart room, marked with
a little rail icon.
Pictured: The general appearance of Ashpit

An alternate version of the Mines, unlocked by defeating all Mines bosses at least once.

The ash-themed Ashpit is a harder version of the Mines, featuring tankier, and heavier-hitting enemies, mainly themed around skeletons, ghosts or fire.

The floor’s got some unique visual effects, mainly a continuous stream of ash running through the screen.
The Ashpit contains the same unique environmental objects, you’d find in the Mines.

The minecart room appears in Ashpit II just like how it does in Mines II.

Floors – Chapter III

These are all the floors of Chapter III
These floors generally contain complex, tanky enemies, and bosses ranging in difficulty from easy to hard.

Pictured: The general appearance of the Depths.
Also pictured is the Strange Door on the northern wall.

The third chapter. A significantly harder floor than the two previous ones.

The Depths can be entered from Caves II, or Mines II (Mines will lead you to Depths II, skipping Depths I)

The enemies inside the Depths are sort of on par in terms of health with the enemies from the Caves, but they use more complex attacks in order to deal damage to the player. The difficulty in this chapter mostly comes either from lack of room to dodge, enemy spam, or just complex enemies.

Rooms with traps are not a rare sight in this chapter, and they’re usually pretty bad too.

Pictured: The infamous Slide room.

The trap room above has killed far too many of my runs. As far as I know there is no way to pass through it without taking damage, assuming you don’t blow up the skull.

As said in the main description, the bosses of this floor are either easy (i.e. Monstro II), or tanky and tedious (i.e. the Cage or the Adversary).
The boss of the second floor is always Mom.

As far as level generation goes, it’s usually the same as the Caves’, albeit a bit more exaggerated.
The spawn room additionally tends to be on the edge of the map.

The Strange Door will always generate above the spawn room once Mother has been killed.
This also applies for the Necropolis and Dank Depths, but not Mausoleum and Gehenna

Pictured: Example layout of both the first
and second floor respectively.
Pictured: The general appearance of the Necropolis.
Also pictured is the Strange Door on the northern wall.

An alternate version of the Depths, unlocked by defeating all Depths bosses at least once.

Just like the Catacombs compared to the Caves, the Necropolis isn’t much different from the Depths.

In the Necropolis there are generally more skulls, death-themed enemies and also more trap rooms.

The floor’s got a few unique bosses, mainly the Adversary, the Mask of Infamy, and also the Bloat and the Pile, both of which are also shared with the Utero and Ashpit respectively.

Pictured: The general appearance of the Dank Depths.
Also pictured is the Strange Door on the northern wall.

An alternate version of the Depths, unlocked by defeating It Lives 21 times.

The Dank Depths are a step-up in difficulty from the normal Depths.
The floor features tar-themed enemies, which tend to be significantly tankier.

Pictured: The general appearance of Mausoleum

An alternate-path version of the Depths, with its access door unlocked by beating Hush three times.

The Mausoleum is accessed via the door leading to it. The door spawns in Mines II/Depths I and requires two full hearts to unlock it (with the exception of the Lost and his tainted version, which can open the door for free (the door can also be opened for free with the Sharp Key, Dad’s Key or Mr. ME! items)).

The Mausoleum contains significantly more complex enemies in comparison to the previous three floors. They tend to be slightly tankier as well.

The floor contains a few environmental objects of its own, including Teleporters and Grudges.
The colors are slightly tinted purple as well.

The bosses inside the Mausoleum are very complex, expect to take a few hits if you’re not experienced.
Just like in the Depths, the boss of Mausoleum II is always Mom. In the Mausoleum though, Mom spawns as a harder version of herself, more on that in Final Bosses – Mom.

Unlike in Downpour and the Mines, the Mausoleum hasn’t got a Repentance puzzle room, except for the Mom’s Heart fight that spawns after defeating Mausoleum Mom.

Pictured: The general appearance of Gehenna

An alternate version of the Mausoleum, unlocked by defeating all Mausoleum bosses at least once.

The torture-themed Gehenna is a harder version of the Mausoleum, and the difficulty spike is more noticeable than with the other alt-path floors.

Its enemies are even more complex than the ones in the Mausoleum, but not by much.

The floor’s got one more environmental object, that’s exclusive to Gehenna, and that’s the Ball ‘n’ Chain. These can be run-enders sometimes.
The colors in the floor are also more saturated.

Floors – Chapter IV

These are all the floors of Chapter IV
These floors generally contain complex and very tanky enemies, but the bosses are on par with the ones in the Depths, sometimes even easier.

Pictured: The general appearance of the Womb

The fourth chapter, unlocked by defeating Mom for the first time. Last chapter before you enter the endgame.

The Womb is entered from Depths II/Mausoleum II.

The biggest difference between the Womb and the previous chapters is that Treasure Rooms, Shops and Planetariums no longer spawn. This trend is continued for the rest of the further chapters. This also indirectly results in a lot of dead ends inside the floor.

The enemies inside the Womb are relatively complex and usually very tanky, requiring a heap of hits at base damage to be killed.

Rooms with traps are a normal sight, and usually there is at least one such room in each floor.

The bosses of this floor are relatively simple in comparison to the previous chapters, but will make up for that with tons of HP.

The floor’s got a visual overlay composed of a grain-like layer, which moves across the screen.

The boss of Womb II and its alternate versions is always Mom’s Heart/It Lives

Pictured: Example layouts of the first
and second floor respectively.
Pictured: The general appearance of the Utero

An alternate version of the Womb. This one, unlike the other alternate floors, does not need to be unlocked.

Enemies in this floor are more bloody and/or deformed. Not many other differences.

The floor’s got a visual overlay composed of some sort of bodily fluid, slightly warping the screen and giving it a slight orange tint.

The floor’s got a few unique bosses of its own, including Teratoma, Daddy Long Legs, and also Sisters Vis, the Bloat and Triachnid, which are shared with other floors.

Pictured: The general appearance of the Scarred Womb

An alternate version of the Womb, unlocked by defeating It Lives 30 times.

Enemies in this floor are significanlty injured and/or scarred. Red poop may sometimes replace normal rocks.

Pictured: The general appearance of Corpse

An alternate-path version of the Womb, requiring a special process to unlock it. More on the process in Floors – Unlocking the Corpse. There is no turning back now.

The dead Corpse is a significant step-up in difficulty from the Womb. Its decayed enemies are significantly more complex and most of the times even tankier than the normal Womb enemies.

The floor can be entered only from Mausoleum/Gehenna II.

The floor’s got an an enviromental object of its own; the Spikeball. They’re usually not a big problem, but can become one in rooms with enemies.

The bosses inside Corpse are just straight up unfair, its not even worth talking about them; expect to get hit, a LOT.
The boss of Corpse II is always Mother.

After defeating Mother, there is no way to progress further in the run. The only remaining option is to end the run with the End Chest.

Floors – The Blue Womb

 

Pictured: The starting room of the Blue Womb

An optional chapter, accessed by defeating Mom’s Heart/It Lives in under 30 minutes.

The floor layout is always the same.
One main chamber, with two treasure rooms to the side, a shop below, and the boss chamber above.

Pictured: The layout of the
Blue Womb

The starting room contains 4 golden chests.
Each treasure room has two items to choose from. When one is chosen, the other disappears.
The shop is always fully upgraded, regardless of the unlocked shop upgrades.

The boss room contains Hush, one of the final bosses.
Defeating Hush for the first time will spawn the End Chest, ending the run. Subsequent kills will present gateways to Sheol, Cathedral and the Void.

Floors – Chapter V

These are all the floors of Chapter V
These floors are usually very difficult in runs with little good items.

Pictured: The general appearance of Sheol

The dark side, and the beginning of the endgame.

The floor is accessible only after defeating It Lives in Womb II (cannot be accessed if Mom’s Heart has been killed instead, unless the player encounters a devil room after the fight, which will have a trapdoor to the floor.)

The enemy encounters in Sheol are usually very fast-paced, requiring the player to have good thinking skills and reaction times to avoid damage.
As for the enemies themselves, they mostly rely on projectiles to damage the player, but contact-damage-based enemies aren’t a rare sight either. Bosses may often appear in the floor as regular enemies.
Forced damage is not a rare thing in Sheol. Take any of the rooms that have Camillo Jr. for example.

The boss of the floor is always Satan.

Pictured: The general appearance of Cathedral

The holy side, and the beginning of the endgame.

The floor is accessible only after defeating It Lives in Womb II (cannot be accessed if Mom’s Heart has been killed instead, unless the player encounters an angel room after the fight, which will have a beam of light leading to the floor.)

Unlike in Sheol, enemy encounters are slower-paced.
The enemies rely on projectiles and contact damage alike to kill the player. Bosses may often appear as regular enemies inside rooms, just like in Sheol.
Forced damage is significantly less common than in Sheol.

The boss of the floor is always Isaac

Floors – Chapter VI

These are all the floors of Chapter VI
These floors are extremely hard without good items.

Pictured: The general appearance of the Chest.
Also pictured is the Golden Door, leading to Mega Satan.

The first of the two final floors.

Accessed through the Cathedral’s boss room, while having the Polaroid item in your inventory.

The starting room of the floor will always contain four golden chests.
Every chest in the floor (with the exception of Red Chests) will always spawn a random item from the Treasure Room pool.

Beating ??? or the Lamb once will force the Golden Door to always spawn on the northern wall of the spawn room. This door leads to the Mega Satan fight, and can be unlocked with the following items:

  • An assembled key from the items: Key Piece 1, Key Piece 2
  • Dad’s Key active item
  • Sharp Key active item
  • Mr. ME! active item
  • Cracked Orb passive item
  • Get Out of Jail Free consumable

The door also appears in the Dark Room after the conditions have been met for it to spawn.

The enemies inside the Chest are almost always bosses, but rooms with enemies can rarely appear as well.

One thing of note is that doors cannot be bombed open anymore, something not seen in the previous floors/chapters.

The boss of the floor is always ???

Pictured: The general appearance of the Dark Room.
Also pictured is the Golden Door, leading to Mega Satan.

The second of the two final floors.

Accessed through the Sheol’s boss room, while having the Negative item in your inventory.

The starting room of the floor will always contain four red chests.
Each red chest in the starting room will spawn an item for sale, priced in heart containers, just like in a Devil Room.
Every chest in the floor (with the exception of Red Chests) will always spawn a random item from the Treasure Room pool.

The enemies inside the Dark Room are almost always bosses, but rooms with enemies can rarely appear as well.

Just like in the Chest, doors cannot be bombed open.

The Dark Room contains a special room, called the Grave Room. It spawns every time, and contains 1-4 disturbed patches of soil. Using the Mom’s Shovel item while standing on top of them will unlock the Forgotten character. Subsequent uses of Mom’s Shovel will unearth chests, which contain items. The We Need To Go Deeper! active item does the same thing, but cannot unlock the Forgotten.

The boss of the floor is always the Lamb.

Floors – Chapter VII (Endgame)

These are the two truly final chapters.

Pictured: The Void can take many different shapes.
There is no definite appearance

The actual final chapter, unlocked by defeating Hush.

Accessible only through a Void Portal.
These portals have a chance to spawn after defeating a final boss.
The stronger the final boss is, the higher the chance is for the portal to appear.
The individual chances for each final boss are listed below:

Boss
% chance to spawn a Void Portal when killed
Mom
5%*
Mom’s Heart or It Lives
10%
Satan or Isaac
15%
??? or the Lamb
20%
Mega Satan
50%
Hush
100%

* – requires the player to have either 10+ damage or 20+ items.

The floor is enourmous, usually stretching out to the 13×13 floor size limit.
Each room in the floor is a random room from any floor between Chapter I and Chapter VI.
The floor contains multiple boss rooms, and one of them will always contain Delirium.
The non-Delirium boss rooms will have a random boss fight. This includes final bosses (except Mega Satan, Hush, Mother and the Beast)

Pictured: An example layout of the Void.

The room containing Delirium can be figured out by looking at which rooms it neighbors.
Delirium’s boss room is always 2×2, which is not depicted on the map. Using this information it’s possible to deduce its position, by checking if the room meets the conditions to be able to spawn as a 2×2.

Pictured: Possible locations of Delirium, using the example layout from before.
Boss rooms in this example have been tinted and have a number assigned to them.
Rooms in red cannot contain Delirium, while the ones in green, can.

Room 1 cannot be a 2×2, because a boss room can only have one entrance.
Had this been a 2×2 room, it would have multiple entrances; something not possible if you’re trying to generate a boss room.
Rooms 3, 5 and 6 are invalid for the same reason.

Rooms 2 and 4 can contain Delirium, as they meet all requirements for a 2×2 room to spawn.

In this example, Room 2 was the one containing Delirium.
This may have been, because it had more possible orientations in which it could spawn in; Room 2 had two possible orientations, while Room 4 had only one.

Killing Delirium does not immediately end the game and lets the player explore the floor a bit further. Ultimately though, the player has to enter the End Chest dropped by Delirium and finish the run.

Pictured: The starting room of Home

The second true final chapter, added in Repentance. Unlocked by defeating Mother.

Home is accessed by ascending back out of the Basement. More on that in Floors – Going Home.

The layout of Home is always the same, just like the Blue Womb.

Pictured: The layout of Home

The right wing contains the starting room, along with a little closet, which can contain a random pickup, or an item in extremely rare cases. The starting room contains a golden chest and a bed. This bed functions normally, just like the ones in Bedrooms.

The left wing contains Mom’s room, and a hidden closet, containing:

  • A tainted character, if it has not been unlocked yet for the character you’re playing as
  • A shopkeeper, if the tainted character has been unlocked and Inner Child has not.
  • The Inner Child item, if the tainted character has been unlocked, and Inner Child itself is unlocked

The hidden closet can only be opened by the following:

  • the Red Key active item
  • the Cracked Key consumable
  • the Soul of Cain consumable

The middle room contains a couch and a TV, both non-interactable.

As for the previously mentioned Mom’s room, the player can find Mom’s bed, Mom’s chest and a few non-interactable pieces of furniture. Mom’s chest will always drop the Red Key the first time it’s opened. Subsequent openings will spawn a random Mom-related item.
Sleeping in Mom’s bed triggers a stage switch, and Home turns dark.

In the dark Home, the only differences are the turned-on TV in the middle room.
Walking in front of it triggers the Dogma boss fight, which in turn triggers the Beast fight sequence.

Floors – Unlocking the Corpse

The fourth repentance chapter, The Corpse, is locked by default, and the player needs to complete a puzzle to unlock it.
The puzzle consists of assembling a special knife, and using it in Mausoleum II to open the Womb door, leading to the Corpse.

Downpour – The First Piece

The first piece of the knife is located in Downpour II (or Dross II, the version does not matter)
For accessing Downpour, see Floors – Chapter I

To acquire it, the player needs to access the treasure room inside the Mirrorspace.

To access the Mirrorspace, the player needs to kill themself on a white fire, which spawns in a random room on the floor. This will temporarily turn the player into The Lost.

The Lost, Tainted Lost and Tainted Forgotten do not have to touch the white fire, and can go inside the Mirrorspace right away

It is recommended to clear the area between the Treasure Room, the mirror room and the white fire room before attempting the puzzle, to know where you’re going and what you’re going to be up against in the Mirrorspace.

Once the player is turned into The Lost, they need to head to the mirror room, which spawns in a random dead end in the floor. In there, the player needs to walk through the mirror; this will take them into the Mirrorspace.

Inside the Mirrorspace, all rooms contain enemies again, as if you didn’t enter them before. Various special rooms are also completely empty, with the exception of Treasure Rooms and Boss Rooms.
The map information is kept between the realms.

Once inside, the player needs to head to the floor’s treasure room.
The knife piece will be standing on top of a pedestal inside the room.
Once the player has acquired the knife piece, they can head back to the mirror, which will turn them back into their normal character.

The player can additionally exploit the Mirrorspace, by defeating the realm’s boss, as Boss Rooms do not get emptied unlike other special rooms. This lets the player acquire an additional boss item at the cost of having higher risk of death.

Mines – The Second Piece

The second piece is located in Mines II.
For accessing the Mines, see Floors – Chapter II

To acquire it, the player needs to enter the puzzle room inside the minecart room.

The minecart room always spawns on Mines II, if the player has the first Knife Piece acquired.
This minecart room will host an unfinished rail system, a yellow button, and occasionally a few enemies. There is also a boarded-up door on the northern wall. This door leads to the puzzle room.

The door can be opened in two ways.
The first one involves just bombing the door twice. It behaves like a regular bedroom door. This method requires the player to have flight though, along with two bombs.
The second, inteded method is to press the three yellow switches, scattered across the floor.
One of the switches is always in the minecart room, while the two others are in random 1×1 rooms in the floor.

Once the door has been opened, the player can enter the puzzle room.
The puzzle room always has a pre-defined layout, shown below.

Pictured: The layout of the
puzzle room

The room tinted red in the picture contains the second piece of the knife.
Picking it up triggers an escape sequence; Mother’s Shadow spawns above the pedestal, and the doors close until the shadow finishes the laughing animation.
After the doors open, the player is tasked with escaping the puzzle room.
The path previously walked by the player will be laid with various obstacles and/or traps, which need to be cleared, all while the Mother’s Shadow is trying to stop the player.

Unlocking the Corpse

In Mausoleum II, when the player kills Mom, a Womb-esque door appears.
This door needs to be cut open using the assembled knife. Doing so will remove it from the inventory.

In the room, the player will have to fight a stronger version of Mom’s Heart.
After killing the heart, the player will stumble upon the entrance to the Corpse when they walk out of the room.

Notes and tips regarding puzzle
  • The whole process needs to be repeated each time the player wants to access the Corpse.
  • The puzzle parts in Downpour II and Mines II can be done at any point in the floor, so the player can spend as much time as possible casing the floor and preparing themselves.
  • It is heavily recommended that the player unlocks the Holy Mantle for the Lost, since this transfers to the Lost form in Downpour as well, giving extra survivability
  • More than one white fire can spawn. However, all of the additional white fires will be in the same room as the original one
  • It’s heavily discouraged to use items that give flight temporarily, such as the Bible, when entering the puzzle room in Mines II, as exiting the puzzle room after entering it will softlock the player with no way out, assuming any of the three switches haven’t been pressed.
  • Characters which have flight by default (e.g. Azazel, The Lost, Tainted Lost, Tainted Forgotten) do not have that flight taken away when entering the puzzle room, meaning they can carelessly rush through the obstacles presented during the escape sequence.
  • The player can take an “easy route” by entering as little repentance floors as possible. This can be done by normally doing Basement I and II, and entering Downpour II from Basement II, instead of entering Downpour I from Basement I. After acquiring the first knife piece, instead of heading down to the Mines, the player can go to Caves II, and then from there to Mines II to get the second piece. After this, however, the player will still have to go through Mausoleum I regardless. This method gives you less options regarding items, but results in a safer run
    • If you’re going to do this, keep a constant mental note of where you will go after the boss. There’s nothing worse than forgetting to go to Downpour II and going to Caves I instead.
Gallery
Pictured: The white fire in Downpour II,
also pictured is the Isaac’s (temporarily)
dead body and his Lost form.

Pictured: The mirror in
Downpour II.

Pictured: One of the three yellow buttons
scattered around Mines II.

Pictured: The minecart and the
(unfinished) track leading to the
puzzle room.

Floors – Going Home

Home is a secret chapter added in the Repentance DLC. This floor hosts 6 boss fights and not much else, sort of similar to the ??? floor.
This is also the floor where the player can unlock a tainted version of their character (more on that in Tainted Characters).

The Strange Door

After defeating Mother, a weird, fancy door will always appear in Depths II and its variants (except for Mausoleum/Gehenna II).
This door needs to be unlocked to get to Home.

Unlocking the Door

To open the door, the player needs to unlock it with the Polaroid, or the Negative.
This poses a problem, because under normal circumstances the player cannot acquire the Polaroid, or the Negative, and get back to the spawn room, since the player is permanently locked in once they enter Mom’s boss room.
This lockdown can be bypassed by teleporting yourself out of the boss room.
This can be done in 4 ways, including:

  • Any tarot card with a teleport effect (except for the Emperor card for obvious reasons)
  • Any active item with a teleport effect
  • Taking damage while charging Cursed Eye
  • The Telepills pill effect

Fortunately enough, in Depths II, once the Strange Door has been unlocked, a marked skull will always appear in a random room in the floor. (see Environment – Rocks for more info).

Alternatively, the door can be unlocked with the Faded Polaroid trinket; a little nod to how the player used to access the Chest in the original Binding of Isaac.

Behind the door the player will find the trapdoor to Mausoleum II.
In Mausoleum II’s boss room, the player doesn’t fight Mom. Instead, they see Dad’s Note placed on a pedestal in the middle of the room.
Picking it up triggers the ascension sequence,

Ascension

As the title above says, after picking up the note, the player then starts ascending back through the floors they came from, starting in Mausoleum II and finishing at Basement I.

Unlike what you’d expect, the floors get harder the higher up you are.

  • Depths-level floors are usually extremely small, only consisting of up to ten rooms, and contain usual depths-like enemies.
  • Caves-level floors are larger than the previous ones, and contain slightly harder enemy layouts.
  • From Caves II and onwards the player can encounter tainted enemies; special, and hard-to-kill versions of normal enemies. Their high survivability comes from the fact that they have boss armor, meaning they get a certain amount of damage absorption the more they’re hit. Bombs ignore this mechanic entirely (does not apply for Dr. Fetus; its bombs are considered tears).
  • Basement-level floors are just as big as Depths-level floors when not ascending, and contain difficult enemy layouts. Tainted enemies are not a rare sight in the Basement.

Going through the light beam in Basement I takes the player to Home
To read up about Home, navigate to Floors – Chapter VII (Endgame)

Special Rooms – Introduction

Floors in the game are made out of rooms. Some rooms have special properties, and such rooms will be discussed in this section.

Special Rooms #1

Pictured: The inside of a Treasure Room in the Caves.
This one contains the Technology item.
Treasure Rooms show up as    on the map.

A Treasure Room, as the name implies, contains treasure, in the form of items, whether they be passive or active.

They spawn from Basement I all the way up to Depths II.
They can also spawn in the Womb, if the player holds the Bloody Crown trinket.
They can also spawn in Sheol if the player is holding the Wicked Crown trinket.
Only one Treasure Room spawns per floor (in XL floors, two treasure rooms will spawn)

These rooms are locked by default and need a single key to open them, with the exception of the Treasure Room in Basement I, which is always open

A Treasure Room may rarely contain two items, with the player being able to pick up only one of them. These rooms are guaranteed to spawn if the player has the More Options passive item.

“Bulb” enemies may sometimes be encountered in these rooms.

Pictured: The inside of a fully upgraded shop.
Shops show up as    on the map.

Shops contain items on sale. These items can have a price ranging from 2 to 15 cents.
The price depends on the type of item on sale, as shown in the table.
Items on sale in shops can also be on a discount, halving their price.

Item
Price
Price (on discount)
Red Heart
Bomb, Key, Card, Pill, Soul Heart, or a Battery
Sack
Any Item
15¢

Shops, just like Treasure Rooms, require a single key to open, with the exception of the Basement I shop, which is always open.

Shops, just like Treasure Rooms, will appear from Basement I, to Depths II.
They will also appear in the Womb, if the player is holding the Silver Dollar trinket.

A default shop will contain two pickups/consumables on sale.
Each shop contains a Donation Machine, to which the player can donate money.
Donating enough money upgrades the shop for future encounters.
Shops can be upgraded 4 times. Each upgrade level is shown in the table below.

Upgrade level
Pennies donated to the machine
Room contents
1
20
2 pickups/consumables
1 pedestal item
2
100
3 pickups/consumables
1 pedestal item
3
200
3-4 pickups/consumables
1-2 pedestal items
5 items total
4
600
4-5 pickups/consumables
1-2 pedestal items
6 items total

In shops past Caves I, the Greed miniboss can appear inside a Shop, replacing all of the items on sale.
If Greed has been encountered previously, Super Greed will spawn.
If both have been killed by the player previously, they will not be able to spawn in shops anymore.

Shops also have two rare room variants that can spawn.
One of them is a fully upgraded shop, with two lucky pennies and two Keeper enemies,
while the other one has a single item for sale and nothing else.

Pictured: The inside of a boss room, featuring Bumbino.
Boss Rooms show up as    on the map.

Boss Rooms are the gatekeepers of pathways to further floors.
There is always one boss room on each floor, with the exceptions being:

  • XL floors, featuring two boss rooms
    • The two rooms will be connected to each other
    • The second room’s boss will need to be defeated to be able to progress to the next floor.
  • The Void, featuring multiple boss rooms

Killing the floor’s boss rewards the player with the path to the next floor, a Boss Room item, and/or a few hearts, depending on the difficulty.

Sometimes a Devil/Angel room may also appear in the room after defeating the boss.
It’s recommended to not leave the boss room when this happens, as the deal room will often disappear upon reentering.

Boss Rooms may rarely feature a Double Trouble fight, which involves fighting two, weaker bosses at the same time. The reward is the same.
Double Troubles start to have a chance to appear from Caves I.

Some boss rooms may be bigger than a standard 1×1 room. The size of the room is determined by what is the floor’s boss. The following bosses will have a bigger boss room:

Boss
Room size (width × height)
Any Double Trouble fight
1×2, or 2×1
Mr. Fred
1×2, or 2×1
Tuff Twins
1×2, or 2×1
The Shell
1×2, or 2×1
Great Gideon
1×2
Mega Satan
1×2
Mother
1×2
Hush
2×2
Delirium
2×2
Pictured: A Caves mini-boss room, featuring Envy.
These rooms show up as    when revealed.

Mini-boss rooms are regular rooms, which feature a mini-boss fight.
This fight can feature one regular deadly sin mini-boss, or one super mini-boss.
Ultra Pride can also rarely spawn in these.

Mini-boss rooms appear as normal rooms on the map, unless you have a form of mapping that reveals special icons (these are the Spelunker Hat, Compass, and the Mind passive items)

Active mini-boss rooms prevent the player from bombing the door.
Bombing an adjacent secret room wall will reveal the secret room but not open the door.

Pictured: A challenge room with a stone chest.
Challenge Rooms show up as    on the map

Challenge Rooms contain 1-3 chests of any type.
Opening any of the chests spawns three waves of enemies, each one after the previous one was killed.

Challenge Rooms will be open only when the player’s health is equal to, or greater than their amount of red heart containers.

Once any chest has been opened, the player cannot leave the room until they clear all waves.
This can be bypassed by teleporting yourself out of the room.

Only opening chests and picking up pedestal items triggers the room. Picking up pickups does not.

Special Rooms #2

Pictured: The inside of a boss challenge room, with the PJs item in the middle.
Boss Challenge rooms show up as    on the map

Boss Challenge Rooms function identically to normal Challenge Rooms, except they always have an item from the Boss Room pool instead of chests, and, as the name suggests, the room spawns bosses of the current floor instead of enemies.

The conditions for the room to open are different as well, requiring the player to have one, or less hearts to enter the room.

Pictured: The inside of a curse room.
Curse Rooms show up as    on the map

Curse Rooms most of the time contain red chests, but can also rarely contain items, or just enemies and nothing else.

Entering a Curse Room has a price, and the price is health. The door hurts the player for half a heart (for a full one in the Womb and beyond).

This damage can be partially bypassed if the player has flight; entering the room does not damage the player, but exiting, does.

The damage can also be bypassed entirely if the player has a reliable source of invincibility, such as Tooth and Nail, Breath of Life, or the i-frames from Ventricle Razor

Pictured: The inside of a sacrifice room.
Sacrifice Rooms show up as    on the map.

Sacrifice Rooms are rooms, where the player can exchange large amounts of health for various goods.

The player can sacrifice their health on the spikes in the middle of the room.
The spikes bypass flight, and damage the player for a full heart.

The room’s rewards are always pre-determined, but only have a chance to occur upon each sacrifice.
The rewards are the following:

Number of sacrifices
Reward
Chance
1
1 penny*
50%
2
1 penny*
50%
3
Increased angel room spawn chance for the current floor**
67%
4
1 random chest
50%
5
Significant increase to angel room spawn chance for the current floor.
Spawns three pennies otherwise.
67%
6
Teleports the player to the floor’s deal room.
Spawns 1 random chest otherwise.
33%
7
Spawns 1 Angel Room item.
Spawns 1 Soul Heart otherwise.
33%
8
Spawns 6 troll bombs
100%
9
Spawns Uriel
100%
10
Spawns 7 Soul Hearts.
Spawns 30 pennies otherwise.
50%
11
Spawns Gabriel
100%
12+
Teleports the player to the Dark Room
50%

* – 1 bomb (100%), if the player has defeated the floor’s boss in under a minute and has no bombs.
** – Replaces the Devil Room with an Angel Room if the effect occured on a Chapter 1 XL floor.

Pictured: The inside of an arcade.
Arcades show up as    on the map.

Arcades contain various gambling machines and/or beggars.
Arcades are locked by default, and need to be unlocked via entering a single penny in the door slot.

They have a chance to spawn only if the player has 5+ coins on them when they enter the floor.

Pictured: The inside of a library.
Libraries show up as    on the map.

Libraries are rooms that contain book-related items.
They are locked by default, and need a key to be opened.

Libraries can also rarely contain consumables, and may very rarely contain enemies.

Libraries take their items from the Library item pool. This pool is one of the, if not the smallest in the game, meaning it can easily be exhausted, with items like the D6.
After the pool is exhausted, Libraries will start spawning Treasure Room items.

Pictured: A planetarium, containing the Mercurius item.
Planetariums show up as    on the map.

Planetariums are rare rooms, which contain items from the Planetarium item pool.
They are locked by default, and need a key to be opened.

Planetariums by default have a 1% chance of spawning on a floor.
This chance can be increased by the following:

Action
+% to spawn in the next floor
+% to spawn, if a Planetarium has been encountered before
Not entering the floor’s treasure room
+20%
+0%
Possessing the Telescope Lens trinket
+9%
+15%
Possessing the Magic 8-Ball item
+15%
+0%
Possessing the Crystal Ball item
+15% (+100% if a Treasure Room has been skipped)
+0%
Pictured: The inside of a clean bedroom.
Clean bedrooms show up as    on the map, while dirty ones show up as  

Bedrooms are special rooms, where the player can recover their health.
They are locked by default and need two bombs to be opened.

A bedroom will always contain a bed. Sleeping in the bed heals any empty red heart containers.
If the player has no red heart containers, the bed will grant three soul hearts instead.
The player can sleep in the bed only once per floor.

There are two types of bedrooms, clean ones and dirty ones.
The only difference between the two, is that a clean bedroom will have the carpet spawn a Crawl Space when it’s bombed, while the dirty bedroom will spawn the trapdoor to the next floor instead.

Special Rooms #3

Pictured: A vault, containing three chests.
Vaults show up as    on the map.

Vaults are rooms, where the player can usually find chests with various loot.
Vaults are locked by default and need two keys to be opened.

Make sure to have a handful of keys on you, as the two required to open the door are usually not enough, considering the Vault itself often contains keyblocks and/or golden chests.

Pictured: A dice room, with a 5-pip mat.
Dice Rooms show up as    on the map.

Dice Rooms are rooms where the player can cast an effect, which affects the floor.
This can be done via the dotted mat in the center of the room.
Pickups and/or consumables may also rarely spawn in the room.
Dice Rooms are locked by default and need two keys to be opened, just like Vaults.

The effect of the room is determined by the amount of pips on the mat.
There are six different effects, including:

Amount of pips
Dice Room effect
1
Rerolls all of the player’s currently held items
2
Rerolls all pickups in the Dice Room
3
Rerolls all pickups in the current floor
4
Rerolls all pedestal items on the floor.
5
Restarts the floor, but lets the player keep the items they acquired on the floor prior to activating the effect, similarly to the Forget Me Now item.
6
Combines the effects of 1, 3 and 4-dotted mats
Pictured: A secret room, containing the Red Key item.
Secret Rooms show up as    on the map.

Secret Rooms are rooms that are not visible on the map under normal circumstances, and need to be bombed into to access them.

These rooms often contain a handful of pickups, but can contain items in rare cases.
They also almost always contain at least one Shopkeeper.
(Super) Greed may also sometimes spawn in the room.

Secret Rooms often spawn next to 2-4 normal rooms. These rooms cannot have any obstacles, which would otherwise obstruct a doorway leading to the Secret Room.
There can be only one secret room per floor.

Pictured: A super secret room, containing lots of red hearts.
Super Secret Rooms show up as    on the map.

Super Secret Rooms are secret rooms, which are adjacent to only one room.
They are accessed the same way normal Secret Rooms are.
There can be only one super secret room per floor.

The rewards inside Super Secret Rooms are usually worse than what you’d find in a normal secret room, since they’re mostly situational.

A Super Secret Room can have various rewards depending on its background.

Pictured: An ultra secret room, containing the Spirit Sword item.
Ultra Secret Rooms show up as    on the map.

Ultra Secret Rooms are the red room variant of Secret Rooms.
Each Ultra Secret Room contains a random item from the Angel Room item pool.
There can be only one ultra secret room per floor.

Ultra Secret Rooms generate adjacent to at least two red rooms, which are themself adjacent to any normal room (one of the red rooms needs to be adjacent to a special non-red room).
The red rooms can only be accessed by:

  • The Red Key active item
  • The Cracked Key consumable
  • The Soul of Cain consuamble
  • The Crystal Key trinket

Upon entering a red room that is adjacent to the Ultra Secret Room, the secret room will be automatically opened and the secret room jingle will play.

The player can also teleport directly into the Ultra Secret Room via the reversed XVIII – The Moon tarot card

Pictured: The inside of a Crawl Space.
Crawl Spaces show up as    on the map.

Crawl Spaces are special, Treasure-Room-like areas, which are hidden somewhere in the floor by default, and need to be revealed to be entered.

A Crawl Space entrance will look like a trapdoor to the next floor, with an additional ladder leading downwards.

This entrance can be uncovered, or spawned by the following methods:

Action
% chance to reveal a Crawl Space entrance
Destroying any rock
unknown, very small
Getting hit while possessing the Cracked Orb item
unknown
Using the Ehwaz rune
8%
Using the We Need to Go Deeper! item
10% to spawn a Crawl Space instead of the trapdoor to the next floor
Bombing the carpet in a Clean Bedroom
100%
Using the reversed XXI – The World card
100%
Using the Chaos Card on Great Gideon
100% to spawn a special Crawl Space

The inside of a Crawl Space has different physics than normal rooms.
This is because Crawl Spaces are viewed from the side, instead of how rooms are usually viewed; from the top.
This in turn causes the player to be affected by gravity, if they’re not on top of a ladder.

A Crawl Space may also rarely not feature any items or pickups at all, but an entrance to a Black Market. This entrance also has a chance to bring you to the I AM ERROR room.

Pictured: The inside of a Black Market.

Black Markets are special, Devil-Room-like 2×1 rooms, which are accessed via Crawl Spaces.

In the Black Market, the player will find a trapdoor to the next floor, along with a couple items on sale for heart containers. Taking the deal will not decrease Angel Room chance.
The player may also find a few pickups, beggars or machines alongside the items.

On the western wall there will be a door leading back into the crawl space.

Special Rooms #4

Pictured: The inside of an I AM ERROR room.

I AM ERROR rooms are special rooms, which are not connected to any rooms on the floor.
They can only be accessed via means of teleportation, or by glitching out of a Crawl Space.

These rooms will usually contain a few items, or consumables, but they will always contain a trapdoor to the next floor.

There is no way to escape the room other than the trapdoor, unless the player has a way to teleport themselves out of the room.

The I AM ERROR room can be accessed via the following methods:

Action
% chance to enter an I AM ERROR room
Telepills pill effect
unknown, very small
Using the Undefined item
25%
Using Teleport 2.0 when all possible rooms have been discovered*
100%
Using Blank Card while having the ? Card consumable
100%**
Escaping the 13×13 map boundaries with the Red Key
100%

* – includes the floor’s Deal Room
** – consumes both the Blank Card and the ? Card

Pictured: The inside of a Sheol Red Room, featuring War.

Red Rooms are inaccessible rooms that are hidden from the player.
They can be accessed via the Red Key active item, or the Cracked Key/Soul of Cain consumables.

Red Rooms behave identically to normal, non-special rooms, with the exception of the walls of the room being tinted red, and the soundtrack having its pitch shifted slightly every few seconds.

Generated Red Rooms have a 10% chance to be a special Red Room, e.g. a Treasure Room, Angel Room, etc. (Such red rooms can never be mini-boss/boss rooms). There is no limit to how many special Red Rooms can generate on a floor.

The general purpose of Red Rooms is to allow the player get more pickups/items.

In Chapter V and below, creating a red room past the 13×13 boundaries of the floor will create a door, which will lead the player to an I AM ERROR room.

The player can see such doors being created if they look at the map when they create the door;
if no adjacent cell is revealed upon unlocking a new red room, the doorway will lead the player to an I AM ERROR room.

Deal Rooms

Deal Rooms are special rooms, which may appear after defeating a boss, and contain items that are free (Angel Room), or on a sale (Devil Room)

Pictured: Devil Room and Angel Room doors respectively

There are two Deal Room types; the Devil Room and the Angel Room

Devil Rooms
Devil Rooms are deal rooms, where the player can trade their heart containers for items.

Low-tier items usually cost one red heart container, while high-tier items cost two.
If the player doesn’t have enough/any heart containers, they can pay with soul hearts instead.

If the player doesn’t have enough health to make the trade, picking up an unavailable item will kill them immediately. If the player had extra lives prior to their death, they will respawn and get to keep the item they took.

Sometimes black hearts may spawn alongside the trades.
Sometimes a row of three red chests can replace the trades instead.

Trading with the devil eliminates the chance of Angel Rooms spawning.

Not entering the first DeviI Room the player sees guarantees a 100% chance for the deal room to be an Angel Room the next time they encounter a deal room spawn.

Krampus may sometimes spawn and replace the trades.

Pictured: Available trades depending on the player’s current
heart containers. The container amount of the player in the
three pictures is 2 hearts, 0 hearts and 1 heart respectively

Angel Rooms
Angel Rooms are deal rooms, where the player gets rewarded with an item, which they can take for free.

Taking an item from the Angel Room does not eliminate the chance of a Devil Room spawning instead.

Sometimes the free item may be accompanied by pickups, such as eternal hearts or soul hearts.

Sometimes the player may have to choose between two to four items; taking an item causes all others to despawn.
The items may very rarely be locked behind a keylock.

Pictured: An angel trade accompanied
by two soul hearts

Spawn rules:
Deal Rooms are not guaranteed to spawn after a boss fight, and the chances of the deal room spawning are decreased if:

  • The player took damage to their red hearts
    If they did, the Deal Room chance decreases by 66% if they were hit in a normal room, or by more than 90% if they were hit in the Boss Room.

  • A Deal Room door was seen less than two floors ago
    If a Deal Room door was seen two floors ago, the chance for another one to spawn decreases to 66%. If the door was seen one floor ago, the chance decreases to 33%

Angel Room spawn rules:
Angel Rooms have one more spawning rule.

  • The player didn’t trade off their hearts
    If they did, the Angel Room chance drops to 0% and stays like that until the end of the run, unless they pick up items which prevent that from happening, or revert it.

Modifying the spawn chance:
The spawn chance of a Deal Room can be modified by doing certain things.
These actions are listed below:

Multipliers stack additively
Most of these modifiers affect the current floor only

Action
Boost to Deal Room spawn chance
Blowing up a Shopkeeper
+1.10x
Blowing up a normal Beggar
+1.35x
Possessing the Pentagram item
+1.10x
Possessing two Pentagram items
(+1.10x) + (+1.05x)
Possessing the Black Candle item
+1.15x
Possessing the Book of Revelations item
+1.175x
Possessing the Book of Belial item
+1.125x
Possessing the Goat Head item
100% chance for a Deal Room
Possessing the Eucharist item
100% chance for an Angel Room
Possessing the Rosary Bead trinket
+1.50x to Angel Room chance
Donating 10 coins to the Donation Machine
+1.50x to Angel Room chance
Possessing Key Piece 1
+1.25x to Angel Room chance
Possessing Key Piece 2
+1.25x to Angel Room chance
Killing a Devil Beggar
+1.25x to Angel Room chance
Making a normal Beggar pay out with an item
+1.10x to Angel Room chance
Getting a “You Feel Blessed!” fortune in a Sacrifice Room
+1.15x to Angel Room chance for the first one, +1.50x for the second one
Getting a “You Feel Blessed!” fortune from Confessionals
+1.10x to Angel Room chance (stacks)

Curses

Throughout a run, you can get a random curse which lasts for the entire floor. While the chance of getting a curse is not established (based on available information), the chance of getting a curse is small in normal mode, yet much higher in hard mode.

When the floor has a curse, a small, purple icon will appear under the map (Repentance only)

Below is a table describing each of the six curses.
(There is also a seventh curse; the Curse of the Cursed, which turns every door into a spiked door. However, this curse only appears in a single challenge and will not be listed)

HUD Icon
Name
Effect
Curse of Darkness
Lowers the brightness throughout the entire floor
Curse of the Maze
Occasionally switches the place of rooms of equal size.
Sometimes when entering a room, the player might
enter a room different from which they were about
to enter.
Curse of the Lost
Disables the map, making the player unable to see
the current state of the map.
Curse of the Unknown
Disables the heart count, making the player unable
to see their current health
Curse of the Blind
Unacquired items have their sprite turned into a
question mark. This effect disappears when the
player picks the item up or has it in their
inventory. Re-entering the room triggers
the effect again, assuming the item has
not been picked up.
Curse of the Labyrinth
Merges two floors into one. This new XL
floor will have two treasure rooms (only
true for chapters I, II, and III) and two
boss rooms. There will be only one
shop, however (again, only true for
chapters I, II, and III). XL floors can
have only one deal room.
Gallery
Pictured: All normal curses at once, also
pictured is the effect of the Curse of the Lost
on the map

Pictured: Effect of the Curse of the
Unknown on the health count

Pictured: Effect of the Curse of the Maze on the position of the player

Pictured: Effect of the Curse of the Blind
on item sprites

The Map

Example of a map, showing most of its elements
  • The room that you’re currently in is white
  • The rooms that you’ve cleared are light gray
  • The rooms that you haven’t cleared are gray
  • Without certain items you can only see rooms adjacent to the rooms you’ve been in
  • Pickups are marked on individual tiles on the map
  • Machines are marked with their respective symbols on the map
  • A golden star on a tile means that there is an item in that room
  • A silver star on a tile means that there is a trinket in that room
  • A white questions mark signifies a secret room
  • A gray question mark signifies a super secret room
  • A red question mark signifies an ultra secret room
  • Various symbols indicate special rooms, navigate to Special Rooms to check them all out

Parts of the map can be shown by certain items such as:

  • The Compass – Reveals special room icons
  • Treasure Map – Reveals tiles
  • Blue Map – Reveals secret rooms
  • The Mind – Reveals everything

These items, if acquired, will appear under the map as a small icon, as pictured below.

If the player has The Mind, its icon will
override all other map-revealing item icons

Victory Laps

Victory Laps are very similiar to loops in Nuclear Throne. Upon killing The Lamb you get a message, which asks you if you want to start a victory lap or not. Choosing “NO” will end the game normally. Choosing “YES” will spawn you in Basement 1 with all of your items.

Beginning a Victory Lap adds difficulty to the game.

In a Victory Lap:

  • The player takes a full heart of damage
  • Completion Marks and Achievements cannot be earned, except for achievements specifically tied to Victory Laps
  • The game automatically switches to hard mode

After a third lap, the player becomes The Lost, and shops are gone.
Killing a final boss other than The Lamb will end the Victory Lap streak

Modes – Introduction

The game can be played in four difficulty modes; Normal, Hard, Greed and Greedier (the last two need to be unlocked first)

This section will be going over the Hard mode, Greed mode, and Greedier mode.

Modes – Hardmode

As the name suggests, hardmode is a harder version of the game.

The differences between normal and hard are:

  • 2-3 more rooms generate per floor
  • Easy rooms have a lower chance of appearing
  • Enemies have a base chance of 20% of becoming a Champion, instead of the normal mode’s 5%
  • The shot speed and movement speed of some enemies is increased
  • Hearts are 33% less likely to drop upon a room clear
  • Curses are more common
  • Blood Donation Machines and the IV Bag item give out only one coin per use
  • Devil Beggars and normal Beggars require at least six donations to pay out
  • Shops with lower upgrade levels can appear
  • Blue (and Purple) Fires drop soul hearts 10% of the time instead of the normal mode’s 25%
  • The Dogma item does not provide the Wafer effect

Filling every non-tainted character’s sticky note with completion marks on hard mode unlocks the Mega Mush item.

Filling every character’s sticky note with completion marks on hard mode unlocks the Death Certificate item.

Modes – Greed(ier)

Greed Mode is a mode completely different from the game. Its more arcadeish, features different floor progression with two new floors entirely, and a unique final boss.

Pictured: The layout of a Greed
Mode floor

All floors in Greed Mode are laid out like in the picture above, with the exception of The Shop, which lacks the treasure rooms, and Ultra Greed, which has a completely different layout.

The main, 1×2 room is the arena, where the player fights enemies and earns money.
The two rooms to its side are the Treasure Rooms, as indicated by the icons on the map.
The room to the left is the Curse Room, where the player can risk their health in exchange for various rewards
The room to the north is the Shop, where the player may buy a few items to aid them in their run, and the room to the south is the exit to the next floor, which is unlocked only when all waves have been cleared.

Floor Progression

Greed Mode has different floor progression, which includes two new floors.
The progression goes like so:

Stage #
Name
Possible versions
1
Basement
Cellar
Burning Basement
2
Caves
Catacombs
Flooded Caves
3
Depths
Necropolis
Dank Depths
4
Womb
Utero
Scarred Womb
5
Sheol
6
The Shop
7
Ultra Greed

Just like in normal/hard mode, the first 4 chapters of Greed Mode have an alternate version of themselves. There aren’t any massive difficulty spikes between them though.

One thing to note is that the player takes half a heart of damage in all floors, unlike in normal/hard mode, where the player starts taking full heart damage in Chapter IV and beyond.

Waves

To progress through the floors, the player has to go through ten (11 in Greedier) waves of enemies, the last two of which are boss waves.

When a wave spawns, a corresponding amount of coins is spawned in the top half of the room.
These coins can never be anything other than pennies, and how many will spawn depends on the wave:

Wave #
Coins spawned
1
2
3
4
5
6
7
8
9
10

After all waves have been cleared, including the boss waves, the button used to spawn the waves will have a pentagram symbol on it. Pressing the button will spawn a harder boss wave, which upon completion spawns the entrance to the floor’s Deal Room in the bottom left corner of the room.

Unlike in the normal game, the Deal Room is guaranteed to spawn once its corresponding wave has been dealt with.

The Deal Room wave does not spawn any coins and is not necessary to complete to progress to the next floor.

The Timer

The waves can be spawned in by stepping on the button in the middle of the room.
Once pressed, the timer below the button will begin ticking down, indicating when the next wave will spawn. If all enemies in the room are killed before the timer reaches 0, it automatically spawns the next wave immediately, regardless of how much time was left.

The button can be pressed again to stop the game from spawning waves, at the cost of half a heart, indicated by the spikes that sprout out of the button.

The amount of time left before more enemies spawn depends on the current wave and floor.
Generally, stronger waves and early-game floors will give you more time before more enemies spawn, while weaker waves and end-game floors will give you less time.
Boss waves always set the timer to 30 seconds.

The game will not spawn bosses after all enemy waves have been cleared, and the player will need to press the button again to do so.

The Shop

The first new floor the mode introduces is the Shop, which is basically the equivalent of Chapter VI in the normal game. In this floor, the enemies are very complex, sometimes tanky, and spawn in extremely large amounts. Bosses aren’t a rare sight either. The Deal Room wave of this floor usually includes tons of enemy spam, and almost always contains the Stain, for some reason.

Ultra Greed

The second new floor is Ultra Greed. This floor is the final floor of the mode, and hosts its final boss, Ultra Greed.
The floor consists of three rooms; the spawn room, the mini-boss room, and the final boss room.

The mini-boss room appears empty at first, but once the player walks in the middle, a random assortment of minibosses spawn. This miniboss needs to be killed to proceed to the next room.

The final boss room contains Ultra Greed. Killing him finishes the run, spawning an End Chest and a Greed Donation Machine. (Ultra Greed will transform into Ultra Greedier upon death, if you’re playing on Greedier Mode)

Greed Donation Machine

FInishing the run spawns a Greed Donation Machine alongside the End Chest. This machine can be donated to, and doing so can unlock special features, which affect both the normal game, and Greed Mode itself. The rewards, and the amount of coins that needs to be donated to attain them are listed in the table below.

# of coins donated
Reward
1
Lucky Penny pickups
10
Nickel-eyed hanging Shopkeepers start spawning
30
The Wooden Nickel item
68
The Paperclip trinket for Cain
111
The Ultra Greed fight becomes slightly harder
234
Nickel-eyed Shopkeepers start spawning
439
The Razor Blade item for Eve
500
Unlocks Greedier Mode
666
The Store Key trinket
879
The Holy Mantle item for the Lost
999
The Generosity achievement
1’000
The Keeper character
The Donation Machine also explodes, spawing several dimes, and resetting the counter to 0.
The unlocked rewards cannot be locked again.

The machine can also jam, just like regular Donation Machines.
The chance is dynamic, and dependent on the character youre currently playing as.
The more coins you donate with a specific character, the higher the jam chance is for that character.
Upon killing Ultra Greed, the jam chance appears on the left side of the HUD.

Greedier is what Hard mode is to Normal mode; a harder version of its predecessor.
It’s locked by default, and the player needs to donate 500 coins to the Greed Donation Machine to unlock it.
The differences between Greedier and Greed are:

  • An additional enemy wave is added, bringing the total to 11 (12) waves (9 enemy, 2 boss, (1 deal room))
  • The time between waves is significantly shorter from the Depths and beyond (this includes boss waves)
  • Enemies have a chance of becoming champions, and do not drop champion rewards
  • The waves give less coins overall
  • Ultra Greed gains a second phase (see Final Bosses – Ultra Greedier
  • The Greed Donation Machine jam chance is significantly reduced

Machines and Beggars

Gambling machines and beggars may sometimes appear during a run. The player can use them to exchange money for possible goods.
In total, there are 8 types of machines, and 8 types of beggars in the game.

Machines

Appearance
Name
Properties
Additional notes
Slot Machine
The player can put a coin into the machine by walking into it.
The player must have at least one penny for this to occur.
The machine then rolls, and has a chance to pay out with a pickup.
The machine will blow up after enough rolls, dropping a few pickups.
The same happens if the machine is blown up in any other way.
Rarely pays out with a Pretty Fly orbital
Fortune Telling Machine
Follows the same rules as a Slot Machine, but pays out with different pickups.
These include:

  • Soul Hearts
  • Cards/Runes
  • A message
Also called a Fortune Teller.
Can rarely drop the Crystal Ball item when it explodes via inserting a coin.
Blood Donation Machine
The player can interact with the machine by walking into it.
This damages the player for half a heart (a full one in Ch.IV and beyond), and makes the machine spawn a few coins.
Drops various coins/hearts when destroyed.
The machine gives out a single coin per donation in Hard Mode.
The machine has a small chance to drop the Blood Bag, or the IV Bag item when destroyed via inserting a coin.
Restock Machine
Functions similarly to the Slot Machine, but requires a larger amount of money to generate an output.
Rerolls all items in the room, and restocks the shop, if the machine is contained within one.
Has a 50% chance to explode when rerolling, after the 4th reroll. In such case, the machine will drops a few coins.
When exploding, the machine will reroll items twice.
Crane Game
Functions nearly identically to the Slot Machine, but needs more money in a single donation.
Has a 25% chance to spawn the item contained within the machine with each nickel donated.
Can spawn only three items before it inevitably explodes.
Drops several pickups when broken.
Confessional
Works identically to the Blood Donation Machine, but has different payouts. These include:

  • Removes a single broken heart the player may have
  • Grants one soul heart
  • Grants one Eternal Heart
  • Removes the floor’s curse and grants a boost to angel room chance

The machine can explode, just like any other one. This will cause it to drop several pickups.
The machine can rarely drop an angel room item when exploded via donating health.

The chance for the Confessional to pay out is 30% and 25% for normal and hard mode respectively.
Donation Machine
Walking into the machine makes the player donate a single coin, if they have any.
The amount of coins stored in the machine is stored between runs.
The machine can unlock various things, which affect the game globally, depending on how many coins are donated.
When hit by an explosion, the machine drops a few coins.
Each coin donated has a 5% chance of jamming the machine, preventing further donations for the rest of the run
Explodes into several dimes when 1’000 coins have been donated.
Has a special, Greed Mode version of itself, see Modes – Greed(ier) for more info.
Mom’s Dressing Table
Changes the player’s appearance.
Drops pills when destroyed.
Cannot self-destruct, unlike other machines.

Beggars

Appearance
Name
Properties
Additional notes
Beggar
Accepts coins as payment.
Money can be donated to the beggar by walking into them.
Donating enough money makes the beggar pay out with a pickup.
The beggar will despawn after enough payouts, leaving behind an HP upgrade, or an item from the Beggar pool.
Can be killed by an explosion, and will drop a few pickups when killed.
The beggar requires at least six donations before paying out for the first time in hard mode.
Devil Beggar
Works identically to the normal Beggar, but asks for hearts.
One donation is worth half a heart (a full one in Ch.IV and beyond).
Drops two spiders when killed.
Drops a Devil Room item when they pay out with an item.
Increases angel room spawn chance when killed.
Key Beggar
Works identically to the normal Beggar, but asks for keys, and pays out with chests.
Drops an item from the Key Beggar pool when they pay out with an item.
Does not require at least six donations in hard mode, unlike normal beggars.
Bomb Beggar
Works identically to the normal Beggar, but asks for bombs, and always pays out with coins.
Drops a bomb-related item when they pay out with an item.
Cannot be killed by explosions, and will instead spawn 6 troll bombs.
Battery Beggar
Works identically to the normal Beggar, but pays out with battery pickups, or by charging your active item slightly.
Drops a battery-related item when they pay out with an item.
Behaves identically to a normal beggar when killed.
Can overcharge your active item.
Rotten Beggar
Works identically to the normal Beggar, but pays out with blue flies/spiders, rotten hearts, rot-related trinkets, or farts.
Drops a rot-related item when they pay out with an item.
Does not require at least six donations in hard mode, unlike normal beggars.
Shell Game
Asks for coins.
Each donation makes the beggar show a pickup, or rarely an item, hide it under a skull, and shuffle them.
The player can then pick a skull and see if they chose the right one. If so, the beggar will drop the shown pickups. Spawns an Attack Fly otherwise.
The chance for the beggar to pay out isnt tied to a specific skull, and is just 33%.
The Shell Game disappears when it pays out with an item.
Hell Game
Works identically to the Shell Game, but asks for hearts.
Pays out with stronger pickups, and rarely a Devil Room item.
Spawns two spiders when killed.

Entity Effects

Entity effects are effects, which, as the name suggests, affect entities over time. They can be divided into two sections; status effects and tear properties.

Status Effects
Status effects affect enemies, usually in detrimental ways. There are 13 different status effects an enemy can have, these are:

Name
Subject’s appearance
Effect on enemy
Burning
Tinted orange with fire particles over their hitbox
Sustains double the player’s damage over time
Charmed
Tinted pink with heart particles over their hitbox
Attacks other enemies instead of the player, and uses contact damage to do so.
If there are no other enemies in the room, the enemy will chase the player.
Confused
Tinted gray with little bubble particles over their hitbox
Stops chasing/attacking the player and moves in random directions.
Doesn’t work on half of the enemies.
Fear
Tinted purple with a skull over their hitbox
Refrains to attack the player, and runs away from them if possible.
Does not affect a few enemies at all.
Petrified
Tinted gray
Frozen in place, unable to move or attack.
Does not cancel enemy attacks.
Poisoned
Tinted green with large, green bubble particles over their hitbox
Sustains double the player’s damage over time
Slowed
Tinted light gray (or black) with a snail icon over their hitbox
Movement and shot speed halved.
Friendly
Paler, with heart particles over their head
Permanent and upgraded version of the charm effect.
Friendly enemies will use their full set of attacks instead of just contact damage.
Friendly enemies can still die as usual.
Friendly enemies also cannot deal any damage to the player, but will try to attack them in a room with no enemies, to no avail.
Shrunk
Massively decreased visual size
Shares properties with the Fear effect.
Shrunk enemies can also be killed by walking over them.
This will cause no contact damage to the player, but any splitting, or exploding on-death effects will still occur.
Bleeding
Animation of blood dripping over their hitbox
Takes damage equal to 10% of their max health every 5 seconds.
Does not affect boss enemies.
Chained
Bound by chains
Identical to the Petrified effect.
Has a visual indicator of when the effect runs out
Frozen
Light blue overlay
Inflicted only on enemies which have been killed by projectiles that can cause this effect.
Frozen enemies are turned into harmless statues, which can be launched by walking into them.
This moving statue will leave creep behind itself and will explode into a circle of icicles upon death, both of which only damage enemies, and not the player.
These icicles and creep can both induce the freeze effect.
Enemies killed by a freeze-inducing entity will not activate any of their on-death effects.
Marked
Tinted red, with red liquid dripping over their hitbox
Any non-marked enemies in the room will target the marked enemy instead of the player.
The marked enemy will try to attack the player as usual.

Tear Properties
The tears the player fires can have different properties, of which there are three: piercing, spectral and homing

Name
Properties
Piercing
The player’s tears pierce through enemies
Spectral
The player’s tears pass through obstacles and walls
Homing
The player’s tears seek any nearby enemies and divert from their original path to fly towards them.
Some enemies also have this property; it isn’t exclusive to the player.

Items – Introduction

Items are the biggest part of each of your runs, and the game in general. You need them to survive, and to progress through the challenges the game presents.

The Binding Of Isaac: Rebirth, with its all 3 expansions has 700+ items.
This section aims to list each and every single item, explain their effects and give a few notes or tips on the way.

Items can be divided into two types; passive, and active items.

Passive items are items, which apply their effects to the player constantly, such as stat-ups, probabilities of firing a special tear, etc.

Active items are items, which have their own special slot in the top-left corner of the screen.
The player can only hold one active item at a time under normal circumstances.
Active items can be activated by pressing the spacebar, and they have various effects, such as spawning pickups, dealing damage to enemies, spawning various entities, giving passive effects for the duration of the room, and more.
Active items have a charge to them (most, at least), and can be only used when they’re at full charge.
They can be recharged by clearing rooms, picking up batteries, or picking up items which charge active items.
A few active items can also be used only once, and will be consumed upon doing so.

Passive items also have a subdivision called familiars.
Familiars are entities, which are friendly to the player, and will aid them in their run.
They will usually be dragged behind the player, but there are exceptions.

Familiars themselves also have a subdivision, called orbitals.
Orbitals, as the name suggests, will orbit the player, usually doing contact damage, and blocking enemy projectiles.

There are also temporary familiars in the form of blue flies and spiders.
Blue flies will orbit the player, and attack nearby enemies, dealing 2x the player’s damage to them, while blue spiders will crawl around the room randomly, locking in on nearby enemies, and dealing 2.5x the player’s damage to them. Multiple passive, and active items are able to spawn blue flies and spiders.

This section will put passive and active items in separate groups, and will have them ordered by their internal ID,
(I’m doing this because the internal files of the game also sort them by internal ID, meaning that if I wanted to sort them another way, I’d have to rename all 700+ items manually, which I will NOT be doing)
regardless of any other property, such as their name, or item pool.

There is also such a thing as an Item Pool. These pools are assigned to special rooms, which can drop items, and they dictate what items can be spawned by that room.

Each individual item can be seen only once per run; once you encounter an item, you won’t encounter it in the run again. This means that item pools can get emptied (or “exhausted”). In such case, they will start spawning items from the Treasure Room item pool, and when that one runs out, the game will keep spawning the Breakfast item.

Fixed item drops from enemies like the Deadly Sins overwrite the item pool rules, meaning that if you, for example, find the Virus item in a Treasure Room, and then fight Lust, Lust will still be able to drop the Virus, giving you a chance to have a copy of the item.

The Greed game mode has a completely different set of item pools from the base game.

There are 22 individual item pools in the game, and 9 Greed Mode item pools, but for the sake of my sanity, Greed Mode pools will not be mentioned in the item properties, only the normal mode pools.

To allow for easier searching, item pools will not be described as e.g. “Treasure Room”, but “pool_treasureroom” in the tables, to avoid the search tool mixing up results from the actual items section, and non-items sections, which just happened to mention that specific item pool in normal wording.

All of such tags and their explanations are listed in the table below

Item pool tag
Stands for:
pool_treasure
Treasure Room
pool_shop
Shop
pool_familiarshop
Shops while the player is holding the Adoption Papers trinket. Also called Baby Shop.
pool_library
Library
pool_curse
Curse Room
pool_boss
Boss Room
pool_secret
Secret Room
pool_devil
Devil Room
pool_angel
Angel Room
pool_chestgold
Golden Chest
pool_chestcursed
Red Chest
pool_chestold
Old Chest
pool_chestwood
Wooden Chest
pool_chestmom
Mom’s Chest in Home
pool_beggar
Beggar
pool_devilbeggar
Devil Beggar
pool_keybeggar
Key Beggar
pool_bombbeggar
Bomb Beggar
pool_chargebeggar
Battery Beggar
pool_rottenbeggar
Rotten Beggar
pool_planetarium
Planetarium
pool_crane
Crane Game

Use these tags to search for specific item pools

Passive Items #1

These are all of the passive items in the game, sorted by internal ID.

The Sad Onion
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
+0.7 tears
Notes
Disappears when rerolled with Spindown Dice
Unlock requirements
none

The Inner Eye
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player fires three tears at once.
Halves fire rate.
Notes
Unlock requirements
none

Spoon Bender
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
The player’s tears become homing
Notes
Unlock requirements
none

Cricket’s Head
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
+0.5 damage, and adds a 1.5x damage multiplier
Notes
Unlock requirements
none

My Reflection
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
+1.0 tear height.
1.6x shot speed multiplier.
+1.5 range and a 1.6x range multiplier.
The player’s tears curve back to the player.
Notes
Synergizes badly with Ipecac
Unlock requirements
none

Number One
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+1.5 tears.
+0.76 tear height
-1.5 range and an 0.8x range multiplier
Notes
The player’s tears fire from the lower body instead of the head.
Unlock requirements
none

Blood of the Martyr
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel, pool_chestwood
Effect
+1.0 damage
Notes
Turns the player’s tears red
Unlock requirements
none

Brother Bobby
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop
Effect
Spawns a familiar, which fires 3.50 damage tears
at a rate of 1.75 per second.
Notes
Unlock requirements
none

Skatole
———————-
———————————————————————————
Item pool
Effect
Most fly-related enemies become harmless, or weakened
Notes
This item can only be spawned by the Shell Game
Unlock requirements
none

Halo of Flies
———————-
———————————————————————————
Item pool
pool_treasure, pool_keybeggar, pool_familiarshop
Effect
Spawns two pretty fly orbitals
Notes
The player can have 3 pretty fly orbitals at max
Unlock requirements
none

1up!
———————-
———————————————————————————
Item pool
pool_secret
Effect
Grants an extra life
Notes
Respawns the player with fully healed heart containers.
Respawns non-red heart characters with half a soul heart.
Some characters bypass this and respawn with a bigger amount of health.
The item respawns the player in the previously entered room
Unlock requirements
none

Magic Mushroom
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Adds one full red heart container, fully heals the player
and increases their size.
+0.3 damage and a 1.5x damage multiplier.
+1.50 range.
+0.3 speed
+0.5 tear height
Notes
Drops from Mushroom grid entities on extremely rare occasions
Unlock requirements
none

Passive Items #2

The Virus
———————-
———————————————————————————
Item pool
pool_treasure, pool_devilbeggar
Effect
+0.2 speed.
The player poisons any enemies that touch them
Notes
Does not bypass enemy contact damage.
Rarely drops from the Lust miniboss
Unlock requirements
none

Roid Rage
———————-
———————————————————————————
Item pool
pool_treasure, pool_boss, pool_devilbeggar
Effect
+0.3 speed, +1.50 range, +0.5 tear height
Notes
Unlock requirements
none

<3
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Adds one red heart container, and fully heals the player.
Notes
Rarely drops from the Gluttony miniboss
Unlock requirements
none

Raw Liver
———————-
———————————————————————————
Item pool
pool_secret
Effect
Adds two red heart containers and fully heals the player.
Notes
Unlock requirements
none

Skeleton Key
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
Gives the player 99 keys
Notes
The keys are not removed once the item is removed by any means.
Unlock requirements
none

A Dollar
———————-
———————————————————————————
Item pool
Effect
Gives the player 100 coins
Notes
Does not bypass the 99 coin cap, unless the player has Deep Pockets.
Drops only from Slot Machines destroyed via inserting a coin.
The coins are not removed once the item is removed by any means.
Unlock requirements
none

Boom!
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Gives the player 10 bombs
Notes
The bombs are not removed once the item is removed by any means.
Unlock requirements
none

Transcendence
———————-
———————————————————————————
Item pool
pool_secret
Effect
Grants flight
Notes
Removes the player’s visual body.
Unlock requirements
Defeat Mom’s Heart 3 times

The Compass
———————-
———————————————————————————
Item pool
pool_shop, pool_beggar, pool_crane
Effect
Reveals special rooms on the map, excluding secret rooms of any kind
Notes
Unlock requirements
none

Lunch
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Adds one heart container, and heals one heart
Notes
Unlock requirements
none

Dinner
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Adds one heart container, and heals one heart
Notes
Unlock requirements
none

Dessert
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Adds one heart container, and heals one heart
Notes
Unlock requirements
none

Breakfast
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Adds one heart container, and heals one heart
Notes
Unlock requirements
none

Passive Items #3

Rotten Meat
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Adds one heart container, and heals one heart
Notes
Unlock requirements
none

Wooden Spoon
———————-
———————————————————————————
Item pool
pool_boss, pool_chestwood
Effect
+0.3 speed
Notes
Unlock requirements
none

The Belt
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold
Effect
+0.3 speed
Notes
Unlock requirements
none

Mom’s Underwear
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_chestold, pool_chestmom
Effect
+1.5 range and +0.5 tear height.
Spawns 3-6 blue flies upon pickup
Notes
Unlock requirements
none

Mom’s Heels
———————-
———————————————————————————
Item pool
pool_boss, pool_chestold, pool_chestmom
Effect
+1.5 range and +0.5 tear height.
The player deals 12 contact damage
Notes
Unlock requirements
none

Mom’s Lipstick
———————-
———————————————————————————
Item pool
pool_boss, pool_chestold, pool_chestmom
Effect
+2.25 range and +0.5 tear height.
Spawns a random heart
Notes
Unlock requirements
none

Wire Coat Hanger
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
+0.7 tears
Notes
Unlock requirements
Defeat Mom’s Heart 4 times

Lucky Foot
———————-
———————————————————————————
Item pool
pool_treasure, pool_beggar, pool_crane
Effect
+1 luck. Increases the chances of winning a gamble.
All bad pill effects are converted to good ones.
Notes
Unlike PHD, Lucky Foot does not identify pills
Unlock requirements
none

Cupid’s Arrow
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
Grants piercing tears
Notes
Unlock requirements
none

Steven
———————-
———————————————————————————
Item pool
Effect
+1.0 damage
Notes
Drops very rarely from the Steven boss
Unlock requirements
none

Pentagram
———————-
———————————————————————————
Item pool
pool_boss, pool_devil, pool_curse, pool_devilbeggar, pool_crane
Effect
+1.0 damage.
1.10x Deal Room spawn chance multiplier
Notes
Unlock requirements
none

Dr. Fetus
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Tear delay times 2.5.
The player’s tears are replaced with bombs,
which explode ~1s after spawning.
These bombs deal 10x the player’s damage, up to 60.
After the player has >6.00 damage,
the damage multiplier decreases gradually,
effectively making damage-ups less effective after 6.00 damage.
The bombs are affected by bomb modifiers.
The launch velocity of the bombs depends on the player’s
range and shot speed.
Notes
The bombs are seen as tears by the game, meaning the Dr. Fetus bombs
will not bypass entity armor.
Unlock requirements
Defeat Mom’s Heart 9 times

Passive Items #4

Magneto
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Pickups slowly slide towards the player, ignoring pits.
Notes
Unlock requirements
none

Treasure Map
———————-
———————————————————————————
Item pool
pool_shop, pool_beggar
Effect
Reveals all rooms, but not special room icons
Notes
Unlock requirements
none

Mom’s Eye
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_chestmom
Effect
The player occasionally fires their tear out of the back of their head.
Notes
The chance maximises at 100% at 5 luck
Unlock requirements
none

Distant Admiration
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a fly orbital, which deals 75 DPS on contact with enemies.
Notes
Unlock requirements
none

The Ladder
———————-
———————————————————————————
Item pool
pool_shop, pool_chestwood
Effect
Allows the player to walk over pits one tile across.
Notes
Unlock requirements
none

Charm of the Vampire
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.3 damage.
The player is healed for half a heart for every 13 enemies they kill
Notes
Removes the player’s reflection in Downpour, Dross and the Flooded Caves.
Purely cosmetic.
Unlock requirements
none

The Battery
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar, pool_crane
Effect
Allows active items to be overcharged
Notes
Unlock requirements
none

Steam Sale
———————-
———————————————————————————
Item pool
pool_shop
Effect
The prices of all items on sale in shops are halved.
Notes
Rarely drops from the Greed miniboss
Unlock requirements
none

Sister Maggy
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop
Effect
Spawns a familiar, which fires 6.00 damage tears at a rate of 1.1 per second
Notes
Unlock requirements
none

Technoiogy
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Replaces the player’s tears with lasers, which are piercing, have infinite
range, and infinite shot speed.
Notes
Unlock requirements
none

Chocolate Milk
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Allows the player to charge their shots, with the least
charged tears doing 10% of the player’s damage, and fully
charged tears dealing 400% of the player’s damage.
Notes
Unlock requirements
none

Growth Hormones
———————-
———————————————————————————
Item pool
pool_boss, pool_devilbeggar
Effect
+1.0 damage and +0.2 speed
Notes
Unlock requirements
none

Mini Mush
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.3 speed and +1.50 range.
Decreases the player’s size.
Notes
Rarely drops from Mushroom grid entities
Unlock requirements
none

Passive Items #5

Rosary
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
+0.5 tears, and grants three soul hearts.
The Bible item is added to all pools, making it
significantly more likely to appear from any item drop.
Notes
Unlock requirements
none

Cube of Meat
———————-
———————————————————————————
Item pool
pool_familiarshop
Effect
Spawns an orbital, which deals 56 DPS on contact with enemies.
The form of the orbital changes with how many copies of the
item are in the player’s inventory.
Two instances of the item upgrade the orbital,
making it fire low-damage tears.
Three instances of the item transform the orbital into a familiar,
which chases enemies and deals small amounts of contact
damage to them (10 DPS).
Four instances of the item upgrade the familiar, making it deal double its
previous contact damage (20 DPS)
Notes
Drops from Harbinger bosses, with the exception of Conquest
Unlock requirements
Defeat Mom

A Quarter
———————-
———————————————————————————
Item pool
pool_devil, pool_chestgold
Effect
Adds 25 coins to the player’s coin count
Notes
Rarely drops from Pot grid entities, or from the Super Greed miniboss
Unlock requirements
Defeat Mom’s Heart 8 times

PHD
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop
Effect
Heals for two hearts and spawns a pill.
Identifies all pills and converts any bad pill effects into good ones
Notes
Unlock requirements
none

X-Ray Vision
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Secret Room and Super Secret Room entrances are opened automatically.
Notes
Unlock requirements
none

The Mark
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_devilbeggar
Effect
+1.0 damage and +0.2 speed.
Grants a black heart
Notes
Unlock requirements
none

The Pact
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_devilbeggar
Effect
+0.5 damage and +0.7 tears.
Grants two black hearts
Notes
Unlock requirements
none

Dead Cat
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_chestcursed
Effect
Sets the player’s red heart containers to 1 and grants 9 extra lives.
Upon revival, the player is spawned in the previous room and their
health is set to 1 heart.
Notes
Non-red heart characters’ health does not get affected.
Unlock requirements
none

Lord of the Pit
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
Grants flight and +0.3 speed
Notes
Unlock requirements
none

Loki’s Horns
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil beggar
Effect
The player occasionally fires their tears in 4 cardinal directions
Notes
The chance for this to happen maxes out at 100% at 15 luck
Unlock requirements
Defeat Lokii

Little Chubby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which launches itself in the direction
where the player fires.
The familiar deals 52 DPS while charging.
Notes
Unlock requirements
Beat Chapter 2

Passive Items #6

Spider Bite
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
The player occasionally fires a tear, which applies the
Slow status effect to enemies
Notes
The chance for this tear to be fired maxes out at 100% at 15 luck
Unlock requirements
none

Small Rock
———————-
———————————————————————————
Item pool
Effect
+1.0 damage and +0.2 tears.
-0.2 speed
Notes
Rarely drops from tinted rocks
Unlock requirements
Blow up 100 tinted rocks

Spelunker Hat
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
Identifies adjacent special rooms, including mini-boss rooms,
secret rooms and super secret rooms
Notes
Unlock requirements
none

Super Bandage
———————-
———————————————————————————
Item pool
pool_treasure, pool_boss
Effect
Grants a full red heart container along with two soul hearts
Notes
Unlock requirements
Have four instances of the “Ball of Bandages” item at once

Sack of Pennies
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which spawns a penny every two room clears
Notes
Unlock requirements
Defeat Isaac as Cain

Robo-Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_crane
Effect
Spawns a familiar, which fires 3.50 damage Technology lasers
instead of tears at a rate of 1.1 lasers per second
Notes
Unlock requirements
none

Little C.H.A.D.
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which drops half a red heart every three room clears
Notes
Drops from the C.H.A.D. boss
Unlock requirements
Defeat C.H.A.D.

The Relic
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Spawns a familiar, which spawns a soul heart every 7-8 room clears
Notes
Unlock requirements
Defeat Isaac as Magdalene

Little Gish
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which fires 3.50 damage tears at a rate of
1.1 tears per second.
Little Gish’s tears apply the Slow status effect to enemies
Notes
Drops from the Gish boss
Unlock requirements
Defeat Gish

Little Steven
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which fires homing, 3.50 damage tears
at a rate of 1.1 tears per second
Notes
Often drops from the Steven boss
Unlock requirements
Defeat Steven

The Halo
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Grants a full red heart container.
+0.3 damage and +0.2 tears, along with +0.38 range, +0.3 speed and
+0.5 tear height
Notes
Unlock requirements
Defeat Mom or Mom’s Heart using the Bible active item

The Common Cold
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player can occasionally fire a tear, which applies the
Poison status effect to enemies.
Notes
The chance for this tear to be fired maxes out at 100% at 12 luck
Unlock requirements
none

Passive Items #7

The Parasite
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears split into two smaller ones
when they hit something
Notes
Unlock requirements
Have at least two of the following at once in a run:

  • Cricket’s Head
  • Dead Cat
  • Bob’s Rotten Head
  • Tammy’s Head

Mr. Mega
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
Upgrades bombs, increasing their blast damage and radius
Notes
Rarely drops from the Super Wrath miniboss
Unlock requirements
Destroy 10 tinted rocks

The Wafer
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Reduces all damage taken to half a heart at max.
Notes
Some very specific damage sources are unaffected.
Unlock requirements
none

Money = Power
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
Adds +0.04 per each coin the player has
Notes
Maxes out at +3.96 damage (+39.96 with Deep Pockets)
Unlock requirements
none

Mom’s Contacts
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_chestmom
Effect
The player occasionally fires a tear, which applies the
Petrified status effect to enemies
Notes
The chance maxes out at 50% at ~20 luck
Unlock requirements
Pick up three Mom-related items in a run.

Guardian Angel
———————-
———————————————————————————
Item pool
pool_angel, pool_familiarshop
Effect
Spawns an orbital, which deals 105 DPS upon contact with enemies
Increases the orbiting speed of any other orbitals the player has.
Notes
Unlock requirements
Defeat Satan as Magdalene

Demon Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop
Effect
Spawns a familiar, which automatically fires at nearby enemies.
Demon Baby’s tears deal 3.00 damage, and the familiar fires
them at a rate of 3.00 per second
Notes
Unlock requirements
Defeat the Lamb as Azazel

Mom’s Knife
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_chestold, pool_chestmom
Effect
Replaces the player’s tears with a knife.
Holding down the fire buttons charges the knife,
increasing its range and damage.
The knife deals double the player’s damage by default,
and will deal 6x the player’s damage at the furthest point of its arc.
Notes
The knife ticks 20 times per second.
The knife also deals damage while just being held, meaning
it may sometimes lead to accidental damage
Unlock requirements
Defeat Satan as Isaac

Ouija Board
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
Grants the player spectral tears
Notes
Unlock requirements
none

9 Volt
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar, pool_crane
Effect
Fully charges your active item.
Active items gain a single bar of charge immediately after they’re used.
1-bar items will recharge over time in rooms with enemies,
while items which recharge over time already will have their recharge
duration cut in half
Notes
Unlock requirements
none

Dead Bird
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
When the player takes damage, a Dead Bird familiar spawns.
This familiar homes in on nearby enemies and deals continous
damage to them.
The familiar deals 5 DPS
Notes
DOTHISTOGETTHAT
Unlock requirements
none

Brimstone
———————-
———————————————————————————
Item pool
pool_devil
Effect
Replaces the player’s tears with a charged heavy laser.
This laser deals the player’s damage, and ticks eight times
at max.
Notes
Unlock requirements
none

Passive Items #8

Blood Bag
———————-
———————————————————————————
Item pool
Effect
+0.3 speed
Grants a full heart container and heals the player for 5 hearts
Notes
Only drops from Blood Donation Machines destroyed via
inserting a coin
Unlock requirements
Use a Blood Donation Machine 30 times

Odd Mushroom
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
+1.7 tears and +0.3 speed.
-0.4 damage and makes damage ups slightly less effective
Makes the player’s head smaller
Notes
The more damage you have, the more it is worth to pick
this item up.
Unlock requirements
none

Odd Mushroom
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
+1.0 damage, alongside +0.38 range, +0.5 tear height and
-0.2 speed.
Makes the player’s head larger.
Notes
Unlock requirements
none

♥♥♥♥♥ of Babylon
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
+1.5 damage and +0.3 speed when the player has half
a red heart or less.
Notes
Particularly useful on non-red heart characters
Unlock requirements
none

Bobby Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
Makes the player’s bombs home in on enemies.
Notes
Unlock requirements
none

Forever Alone
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns an orbital, which orbits far away from the player,
and deals 30 DPS
Notes
Can drop drom Super Envy on very rare occasions
Unlock requirements
none

Bucket of Lard
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Adds two full red hearts and heals for half a heart.
-0.2 speed
Notes
Rarely drops from Super Gluttony
Unlock requirements
none

Bomb Bag
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which drops a bomb every three rooms
Notes
The bomb can be of any type, including troll bombs. Keep alert
Unlock requirements
Defeat Satan as Cain

Lump of Coal
———————-
———————————————————————————
Item pool
Effect
The player’s tears gain damage the further they travel
Notes
Drops from Krampus
Unlock requirements
none

Guppy’s Tail
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_chestcursed
Effect
Changes room clears to have a 33% chance to drop a golden chest,
33% chance to drop a random room clear reward, and a 33% chance
to drop nothing
Notes
Overall results in more golden chests, but less pickups
Unlock requirements
none

Stigmata
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestwood
Effect
Adds a full heart container and heals for one heart.
+0.3 damage
Notes
Unlock requirements
none

Mom’s Purse
———————-
———————————————————————————
Item pool
pool_shop, pool_chestold, pool_chestmom
Effect
Spawns a random trinket.
Allows the player to carry two trinkets at once
Notes
Very valuable as the Lost, or his tainted version
Unlock requirements
none

Bob’s Curse
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestcursed, pool_bombbeggar,
pool_rottenbeggar
Effect
+5 bombs.
The player’s bombs poison enemies and leave a short-lasting
cloud of poison gas.
Grants immunity to poisonous gas
Notes
Can rarely drop from Super Sloth
Unlock requirements
none

Passive Items #9

Pageant Boy
———————-
———————————————————————————
Item pool
pool_boss
Effect
Spawns 7 coins
Notes
The coins can be of any type
Unlock requirements
none

Scapular
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Gives the player a soul heart if theyre brought down to a heart
or half a heart.
The effect can trigger only once per room
Notes
Unlock requirements
none

Speed ball
———————-
———————————————————————————
Item pool
pool_treasure, pool_boss, pool_devilbeggar
Effect
+0.3 speed and +0.2 shot speed
Notes
Unlock requirements
none

Bum Friend
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_beggar
Effect
Spawns a familiar, which collects coins and pays out after
enough have been picked up, similar to a Beggar
Notes
Unlock requirements
none

Infestation
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a few blue flies when the player is hit
Notes
Unlock requirements
none

Ipecac
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Flat +40 damage boost. Significantly reduces fire rate.
Slightly reduces range and shot speed.
Replaces the player’s tears with poisonous, arcing bombs.
Notes
Unlock requirements
Defeat Mom’s Heart 6 times

Tough Love
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires out a tooth, which deals 3.2x their damage
Notes
The chance to fire the tear maxes out at 100% at 9 luck
Unlock requirements
none

The Mulligan
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Hitting an enemy has a chance to spawn a blue fly out of the player
Notes
Unlock requirements
none

Technology 2
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Reduces fire rate by 33% and adds a secondary, continuous laser,
which deals 13% of the player’s damage per tick.
Notes
The laser also deals knockback, and can have tear effects
Unlock requirements
none

Mutant Spider
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Reduces fire rate by 58%.
The player fires four tears at once
Notes
Unlock requirements
none

Chemical Peel
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Tears from the player’s left eye gain a flat +2.0 damage bonus
Notes
Unlock requirements
none

The Peeper
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which floats diagonally around the room and
deals 17 contact DPS, along with blocking shots.
Tears fired from the left eye gain a 34% damage boost.
Notes
Unlock requirements
none

The Habit
———————-
———————————————————————————
Item pool
pool_shop, pool_angel
Effect
Getting hit charges the player’s active item for one bar
Notes
Unlock requirements
none

Passive Items #10

Bloody Lust
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
The player gains damage the more they get hit.
The damage from Bloody Lust lasts only for the duration
of the floor
Notes
Any kind of damage can trigger the effect, including fake
damage from items like Dull Razor
Unlock requirements
Defeat Isaac as Samson

Spirit of the Night
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
Grants flight and spectral tears
Notes
Unlock requirements
none

Ankh
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants an extra life.
The player is resurrected as ??? instead of the character they
were playing as.
Notes
Useless if you’re trying to get completion marks
Unlock requirements
none

Celtic Cross
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Getting hit has a chance to trigger invincibility for 7 seconds
Notes
The chance for this to happen maxes out at 100% at 27 luck.
The shield also negates health loss from interacting with Blood
Donation Machines and Devil Beggars
Unlock requirements
Defeat ??? as Magdalene

Ghost Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_devil
Effect
Spawns a familiar, which fires 3.50 damage spectral tears
at a rate of 1.1 tears per second
Notes
Rarely drops from Skull grid entities
Unlock requirements
none

Cat ‘o Nine Tails
———————-
———————————————————————————
Item pool
pool_boss
Effect
+1.0 damage and +0.23 shot speed
Notes
Unlock requirements
none

Harlequin Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which fires 4.0 damage shots in a V-shape at
a rate of 1.1 per second
Notes
Unlock requirements
none

Epic Fetus
———————-
———————————————————————————
Item pool
pool_secret
Effect
The player’s tears are replaced with Remote Detonator-like
missiles. The missiles fall down 1.5s after spawning and deal 20x
the player’s damage.
Notes
Unlock requirements
Complete challenge #19

Polyphemus
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+4.0 damage and then applies a 2.0x damage multiplier.
Reduces fire rate by 58%.
Any tears that kill an enemy pierce through them with the
leftover damage.
Notes
Unlock requirements
none

Daddy Long Legs
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a shadow, which follows the player and occasionally
locks in on enemies. Once over an enemy, Daddy Longlegs’
foot will stomp, dealing 40 damage to the target
Notes
Unlock requirements
none

Sacrificial Dagger
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
Spawns an orbital, which block shots, and deals 115 contact DPS
Notes
Unlock requirements
Defeat ??? as Eve

Mitre
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Red Heart drops have a 33% chance to be converted into soul hearts
Notes
Unlock requirements
none

Rainbow Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiar
Effect
Spawns a familiar, which fires various types of tears at a rate
of 1.1 tears per second
Notes
Unlock requirements
none

Passive Items #11

Stem Cells
———————-
———————————————————————————
Item pool
pool_treasure, pool_boss
Effect
Adds one full red heart container and heals the player for one heart.
+0.16 shot speed
Notes
Unlock requirements
none

Holy Water
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Spawns a familiar, which launches itself in the direction of
where the player is shooting.
Upon contact with an enemy while charging, the Holy Water
bottle will break, releasing its contents onto the floor.
The creep spawned by the familiar deals immense damage
and petrifies any non-boss enemies which happen to stand
on it.
Notes
Unlock requirements
none

Fate
———————-
———————————————————————————
Item pool
pool_chestgold
Effect
Grants flight and a single eternal heart
Notes
Unlock requirements
none

The Black Bean
———————-
———————————————————————————
Item pool
pool_treasure, pool_beggar
Effect
The player farts when they take damage, poisoning nearby enemies.
Notes
Unlock requirements
none

Sacred Heart
———————-
———————————————————————————
Item pool
pool_angel
Effect
Flat +1 damage and a 2.3x damage multiplier.
-0.4 tears, -0.25 shot speed, +0.5 range, +0.75 tear height.
Grants homing shot, one full red heart container, and fully
heals the player.
Notes
Unlock requirements
none

Tooth Picks
———————-
———————————————————————————
Item pool
pool_boss, pool_chestwood
Effect
+0.7 tears and +0.16 shot speed
Notes
Tears also turn red. Purely cosmetic
Unlock requirements
none

Holy Grail
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants a full heart container and heals the player for one heart.
Grants flight
Notes
Unlock requirements
none

Dead Dove
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants spectral tears and flight
Notes
Unlock requirements
none

Guppy’s Hairball
———————-
———————————————————————————
Item pool
pool_devil
Effect
Spawns a hairball, which blocks shots and can be swung around
to damage enemies. The more enemies it kills, the bigger it
grows, increasing its damage.
The hairball decreases in size once the player enters a new floor.
Notes
Unlock requirements
Have three Guppy-related items in a run

Abel
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which positions itself opposite to the player’s
position and constantly fires 3.5 damage tears towards them at a
rate of 2 tears per second.
Notes
Useful for killing Doples and Evil Twins.
The familiar greatly increases in strength when playing as Cain.
Unlock requirements
Defeat the Lamb as Cain

SMB Super Fan
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
Grants a full red heart container and fully heals the player.
+0.3 damage, +0.2 tears, +0.2 speed, +0.5 range
and +1.0 tear height
Notes
Unlock requirements
Complete challenge #14

Pyro
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret, pool_bombbeggar
Effect
Gives the player 99 bombs.
Notes
Has a decreased item weight, and in turn appears very rarely.
The bombs are not removed once the item is removed by any means.
Unlock requirements
none

Passive Items #12

3 Dollar Bill
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears switch tear effects every 2-3 seconds
Notes
Usually more detrimental than helpful
Unlock requirements
none

MEAT!
———————-
———————————————————————————
Item pool
pool_boss
Effect
+0.3 damage
Grants a full heart container and heals the player for one heart.
Notes
Unlock requirements
none

Magic 8 Ball
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
+0.16 shot speed.
Spawns a random tarot card.
+15% Planetarium spawn chance
Notes
Unlock requirements
none

Mom’s Coin Purse
———————-
———————————————————————————
Item pool
pool_boss, pool_shop, pool_beggar, pool_devilbeggar,
pool_chestold, pool_chestmom
Effect
Spawns 4 pills near the player
Notes
The pills may be of any type
Unlock requirements
none

Squeezy
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
+0.4 tears.
Spawns two soul hearts
Notes
Unlock requirements
none

Jesus Juice
———————-
———————————————————————————
Item pool
pool_boss
Effect
+0.5 damage, +0.38 range and +0.5 tear height
Notes
Unlock requirements
none

Box
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Spawns one of each common pickup
Notes
Unlock requirements
none

Mom’s Key
———————-
———————————————————————————
Item pool
pool_shop, pool_keybeggar, pool_chestold, pool_chestmom
Effect
Doubles the average pickup yield from normal and golden chests
Notes
Unlock requirements
none

Mom’s Eyeshadow
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_chestmom
Effect
The player occasionally fires tears, which apply the Charm status
effect to enemies.
Notes
The chance for such tear to be fires maxes out at 100% at 27 luck
Unlock requirements
none

Iron Bar
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.3 damage
The player occasionally fires tears, which apply the Confusion
status effect to enemies.
Notes
The chance for such tear to be fired maxes out at 100% at 27 luck
Unlock requirements
none

Midas’ Touch
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Enemies, which touch the player get petrified.
Enemies petrified by this item will drop money when killed.
Notes
Exceptionally powerful as Tainted Forgotten.
Make sure to touch enemies which cannot deal contact damage
to get some free money
Unlock requirements
none

Humbling Bundle
———————-
———————————————————————————
Item pool
pool_shop
Effect
Heart, Bomb, Key and Coin pickups have a 50% chance to
turn into their respective double versions
Notes
Unlock requirements
none

Fanny Pack
———————-
———————————————————————————
Item pool
pool_shop, pool_beggar
Effect
The player has a 50% chance to drop a heart, bomb, key or coin
pickup when hit
Notes
Fake damage (e.g. from Dull Razor) also triggers the item
Unlock requirements
none

Passive Items #13

Sharp Plug
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar
Effect
Fully recharges the player’s active item in exchange for a
proportional amount of health (half a heart per a bar of charge).
If the charge would kill the player, the active item won’t be charged,
and the player will be left with half a heart instead
Notes
The item attempts to draw from your red health first.
Damage taken by this item counts as self-damage, and thus,
won’t decrease deal room chance, or delete the Perfection trinket
Unlock requirements
none

Guillotine
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+1.0 damage and increases fire rate.
Removes the player’s head and turns it into an orbital.
The new orbital shoots the player’s tears, and blocks shots.
Notes
Very disorienting.
Unlock requirements
Defeat Isaac as Judas

Ball of Bandages
———————-
———————————————————————————
Item pool
pool_familiarshop
Effect
Spawns an orbital, which deals 56 contact DPS, and blocks
shots.
The form of the orbital changes with how many copies of the
item are in the player’s inventory.
Two instances of the item upgrade the orbital,
making it fire low-damage tears, which can charm enemies
sometimes.
Three instances of the item transform the orbital into a familiar,
which chases enemies and deals small amounts of contact
damage to them (10 DPS). This familiar can also fire the
second form’s tears.
Four instances of the item upgrade the familiar, making it deal
double its previous contact damage (20 DPS). Enemies killed
by the fourth form have a chance to drop full red hearts.
Notes
Drops from any harbinger, with the exception of Conquest
Unlock requirements
Defeat Mom

Champion Belt
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
+1.0 damage.
Champions are 15% more likely to appear
Notes
Unlock requirements
none

Butt Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs cover the screen with a faint overlay, deal 10
damage to all enemies in the room and apply the Confusion
status effect to them for a short duration.
Notes
The bombs heal poop-related bosses.
Unlock requirements
none

Gnawed Leaf
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player turns invulnerable after one second of not pressing
any attack, or fire buttons.
Notes
Exceptionally powerful with items, which can deal damage
independently from the player, such as Daddy Long Legs, Mom’s
Knife, or any contact damage orbital
Unlock requirements
none

Spiderbaby
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player spawns 2-5 blue spiders when hit
Notes
Unlock requirements
none

Guppy’s Collar
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_chestcursed, pool_crane
Effect
Has a 50% chance to resurrect the player, leaving them
with half a heart, when they die.
Notes
Unlock requirements
none

Lost Contact
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
-0.16 shot speed.
Gives the player’s tears a shield, allowing them to block
enemy shots. The player’s tear is destroyed upon doing so.
Notes
Horrible with low fire rate
Unlock requirements
none

Anemic
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+1.5 range.
The player leaves behind red creep when they get hit.
The effect lasts for the duration of the room.
Notes
Unlock requirements
none

Goat Head
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Effect
Guarantees a Deal Room spawn in Chapters I-IV
Notes
Unlock requirements
none

Passive Items #14

Ceremonial Robes
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_devilbeggar
Effect
+1.0 damage
Grants three black hearts
Notes
Unlock requirements
none

Mom’s Wig
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_mom
Effect
Heals for one heart.
The player occasionally spawns blue spiders when shooting
Notes
The chance for a spider to spawn maxes out at 100% at 10 luck
Unlock requirements
none

Placenta
———————-
———————————————————————————
Item pool
pool_boss
Effect
Grants a full heart container and heals for one heart.
The player occasionally recovers half a red heart of health,
when a new minute hits in-game
Notes
Unlock requirements
none

Old Bandage
———————-
———————————————————————————
Item pool
pool_boss
Effect
Grants an empty red heart container.
The player has a chance to drop a red heart when hit.
Non-red health characters get a simple HP up instead.
Notes
The chance for a heart to drop maxes out at 50% at 29 luck
Unlock requirements
none

Sad Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs explode into a ring of 10 tears.
These tears deal the player’s damage plus a flat 25 damage.
These tears also retain any of the player’s tear effects/modifiers.
Notes
Stupidly powerful with Haemolacria
Unlock requirements
none

Rubber Cement
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Makes tears bounce off entities, obstacles and walls
Notes
Unlock requirements
Defeat Mom’s Heart 2 times

Antigravity
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Increases fire rate.
The player’s tears stay in place until the player releases the
fire button.
Notes
Good for enemies which chase the player. Disorienting otherwise.
Unlock requirements
none

Pyromaniac
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+5 bombs.
Explosions do not hurt the player and instead heal them for half a
red heart. Also grants immunity to fires
Notes
The item has a decreased item weight, and appears only in one
pool, making it extremely rare.
Unlock requirements
none

Cricket’s Body
———————-
———————————————————————————
Item pool
pool_treasure
Effect
-20% range and increases fire rate.
The player’s tears split into 4 smaller ones, when they hit something.
Notes
Unlock requirements
none

Gimpy
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_curse, pool_devilbeggar
Effect
The player has a chance to spawn a soul heart when they
get hit.
Enemies can rarely drop half a red heart upon death.
Notes
The effect can trigger from fake damage, e.g. damage from the
Dull Razor item
Unlock requirements
none

Black Lotus
———————-
———————————————————————————
Item pool
pool_secret
Effect
Adds a full red heart container and grants a soul heart along
with a black heart.
Notes
Unlock requirements
none

Piggy Bank
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_crane
Effect
The player drops coins when hit
Notes
This does not deduce coins from the player’s coin count
Unlock requirements
none

Passive Items #15

Mom’s Perfume
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_chestmom
Effect
Increases fire rate and gives the player a chance to fire
tears, which inflict the Fear status effect on enemies.
Notes
The chance for the special tear to be fired maxes out at 100%
at 85 luck
Unlock requirements
none

Monstro’s Lung
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Replaces the player’s tears with a charged shot of 14 tears at once,
similar to the Monstro boss
Notes
Multishot items and copies of this item grant additional tears
per shot.
Unlock requirements
none

Abaddon
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
The chance for the special tear to be fired maxes out at 100%
at 85 luck
Notes
+1.5 damage and +0.2 speed.
Replaces all of the player’s red heart containers with black hearts
and grants two additional black hearts
Unlock requirements
Defeat ??? as Azazel

Ball of Tar
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player passively leaves behing slowing creep, and has
a chance to fire out a tear, which applies the Slow status effect
to enemies.
Notes
The chance for the special tear to be fired maxes out at 100%
at 18 luck
Unlock requirements
none

Stopwatch
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
+0.3 speed.
Slows down all enemies, including their movement and shot speed.
Notes
Basically makes dodging easier
Unlock requirements
Donate 999 coins to the Donation Machine

Tiny Planet
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Greatly increases range and tear height, and grants spectral tears.
The player’s tears orbit the player.
Notes
Works really well with Brimstone
Unlock requirements
none

Infestation 2
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Enemies killed directly by the player spawn a blue spider on death
Notes
Unlock requirements
none

E Coli
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Non-boss enemies that touch the player are turned into poop
Notes
Extremely powerful with Midas’ Touch;
practically gives you infinite cash
Unlock requirements
none

Death’s Touch
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
+1.5 damage and -0.3 tears.
Increases tear size and grants piercing
Notes
Unlock requirements
Complete challenge #17

Experimental Treatment
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_devilbeggar
Effect
Increases 4 random stats, and decreases 2 other ones.
Notes
Unlock requirements
Defeat Mom’s Heart 7 times

Contract From Below
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_devilbeggar
Effect
Doubles any room clear rewards but has a 33% chance to
remove the reward instead
Notes
Results in more pickups overall
Unlock requirements
none

Infamy
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
The player has a 50% chance to block incoming projectiles.
Doesn’t affect contact damage.
Notes
Unlock requirements
none

Trinity Shield
———————-
———————————————————————————
Item pool
pool_angel
Effect
Gives the player a shield, which blocks projectiles.
The shield’s orientation can be changed by pressing the fire buttons.
Notes
Unlock requirements
none

Passive Items #16

Tech .5
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires a Technology laser when they
press the fire buttons.
Notes
The laser chance does not scale with luck
Unlock requirements
Complete challenge #18

20/20
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Applies a 0.75x damage multiplier.
The player fires two tears at once with no fire rate change.
Notes
Unlock requirements
none

Blue Map
———————-
———————————————————————————
Item pool
pool_shop, pool_beggar
Effect
Marks the locations of Secret Rooms and Super Secret Rooms
on the map
Notes
Unlock requirements
Donate 10 coins to the Donation Machine

BFFS!
———————-
———————————————————————————
Item pool
pool_shop
Effect
Increases the size of any familiars the player has, and
makes them more powerful in various ways
Notes
Unlock requirements
none

Hive Mind
———————-
———————————————————————————
Item pool
pool_shop
Effect
Doubles the damage of the player’s blue flies and blue spiders
Notes
Unlock requirements
none

There’s Options
———————-
———————————————————————————
Item pool
pool_shop
Effect
Defeating a boss gives the player a choice between two
item pedestals from the Boss Room item pool. Picking an
item makes the other one disappear.
Notes
Exploitable with Jacob & Esau
Unlock requirements
Donate 50 coins to the Donation Machine

Bogo Bombs
———————-
———————————————————————————
Item pool
pool_shop
Effect
All bomb pickups turn into double bomb pickups
Notes
Unlock requirements
none

Starter Deck
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
Allows the player to carry two cards/runes at once.
Spawns a random tarot card.
Disables pills from spawning.
Notes
Cards can be cycled using LEFT CTRL
Unlock requirements
none

Little Baggy
———————-
———————————————————————————
Item pool
pool_shop
Effect
Allows the player to carry two pills at once.
Spawns a random pill.
Disables cards from spawning.
Notes
Pills can be cycled using LEFT CTRL
Unlock requirements
Collect at least 2 of any of these items:

  • Roid Rage
  • The Virus
  • Growth Hormones
  • Experimental Treatment
  • Speed Ball

Magic Scab
———————-
———————————————————————————
Item pool
pool_boss
Effect
+1 luck
Grants a full red heart container and heals the player for one heart
Notes
Unlock requirements
none

Blood Clot
———————-
———————————————————————————
Item pool
pool_boss
Effect
Tears fired from the player’s left eye gain a flat +1.0 damage,
+1.5 range and +0.5 tear height
Notes
Unlock requirements
none

Screw
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
+0.5 tears and +0.2 shot speed
Notes
Unlock requirements
none

Hot Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs leave behind a fire, which damages enemies.
Grants immunity to fire.
Notes
Unlock requirements
none

Passive Items #17

Fire Mind
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears inflict the Burn status effect to enemies.
The player’s tears can also rarely explode, leaving a fire
where the tear blew up, which heavily damages enemies.
The explosion can hurt the player.
Notes
The chance for the player’s tears to explode maxes out at
100% at 13 luck.
This is one of the items where you don’t necessarily want luck.
Unlock requirements
none

Missing No
———————-
———————————————————————————
Item pool
pool_secret
Effect
The player’s items and stats get rerolled at the start of each floor
Notes
Missing No itself cannot be rerolled by any means
Unlock requirements
Complete Boss Rush as Lazarus

Dark Matter
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
+1.0 damage.
The player occasionally fires tears, which apply the Fear
status effect to enemies
Notes
The chance for the special tear to be fired maxes out at
100% at 20 luck
Unlock requirements
none

Black Candle
———————-
———————————————————————————
Item pool
pool_shop, pool_curse
Effect
Grants a black heart, and prevents curses from spawning.
Also removes the floor’s current curse, except for Curse of
the Labyrinth.
Notes
Curses can still be applied by the Amnesia and ??? pill effects
Unlock requirements
Donate 150 coins to the Donation Machine

Proptosis
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.5 damage.
The player’s tears shrink the longer they are in the air.
The smaller the tear is, the less damage it’ll do.
At point blank, the player deals 3x their damage.
Notes
Almost always worth taking. Assess your situation
in terms of range before picking it up though.
Unlock requirements
none

Missing Page 2
———————-
———————————————————————————
Item pool
pool_devil, pool_secret, pool_curse
Effect
Grants one black heart.
If the player is hit and is left with one total heart or less remaining,
the item will deal 80 damage to all enemies in the room.
Also makes the effects of black hearts and the Necronomicon
more powerful
Notes
Unlock requirements
none

Smart Fly
———————-
———————————————————————————
Item pool
pool_treasure, pool_keybeggar, pool_familiarshop
Effect
Spawns a fly, which behaves like an orbital until the player is hit.
When the player is hit, the fly will stop orbiting the player and will
home in on enemies, dealing 22.5 contact DPS to them.
Notes
Unlock requirements
none

Dry Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which blocks shots.
The familiar has a 40% chance to deal 80 damage to enemies
in the room when hit by a projectile.
Notes
Unlock requirements
none

Juicy Sack
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which leaves behind slowing creep and
spawns 1-2 blue spiders upon a room clear.
Notes
Unlock requirements
none

Robo Baby 2.0
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_crane
Effect
Spawns a familiar, which is controlled using the fire buttons.
The familiar automatically fires Technology lasers at enemies,
if one happens to be aligned with the familiar cardinally.
Notes
Unlock requirements
Complete challenge #16

Rotten Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar, which spawns blue flies.
There can be only a single blue fly from this familiar at once.
Notes
Useful in high-damage builds
Unlock requirements
none

Passive Items #18

Headless Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop
Effect
Spawns a familiar, which leaves behind red creep
Notes
Unlock requirements
none

Leech
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which locks in on nearby enemies and
deals 3.2 contact DPS to them. Enemies killed by this
familiar heal the player for half a red heart.
Notes
Very useful for Tainted Bethany if you’re not in a rush
Unlock requirements
none

Mystery Sack
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret, pool_beggar
Effect
Spawns a familiar, which spawns a common pickup every
5-6 room clears.
Notes
Unlock requirements
Defeat the Lamb as Eden

BBF
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a friendly Boom Fly, which explodes on contact
with enemies. The explosion from this fly can hurt the player.
Upon death, the fly respawns 10s later or after entering a new
room.
Notes
More often results in self-damage than being useful
Unlock requirements
none

Bob’s Brain
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar which can be launched using the fire buttons.
The familiar explodes upon contact with enemies while charging,
dealing 100 damage and poisoning the target.
Notes
Unlock requirements
none

Best Bud
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns an orbital for the duration of the room when the
player takes damage.
The orbital deals 150 contact DPS
Notes
Unlock requirements
none

Lil Brimstone
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop
Effect
Spawns a familiar, which fires Brimstone lasers.
The familiar needs to be charged up first, by holding a fire button.
The familiar’s brimstone beam deals up to 20 damage
Notes
Unlock requirements
none

Isaac’s Heart
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s body becomes immune to all damage.
Spawns a heart, which closely follows the player. The heart
takes damage just like a player would, and the player is
damaged if such a case occurs.
The heart can be charged up by holding the fire buttons.
Releasing the charged heart will make it splat against the floor,
spawning a puddle of creep, firing out a radial burst of shots,
and knocking back any projectiles and/or enemies.
Notes
This item allows the player to enter curse rooms and open
spiked chests for free, along with making certain bosses
trivial.
Overall though, this item is often a hinderance.
Unlock requirements
Defeat Isaac as the Lost

Lil Haunt
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which locks in on nearby enemies, and deals
4 contact DPS to them. The familiar often inflicts the Fear status
effect on enemies it touches.
Notes
Unlock requirements
none

Dark Bum
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_familiarshop, pool_devilbeggar
Effect
Spawns a familiar, which picks up any nearby red hearts.
Spawns a reward every 1,5 hearts taken.
Notes
Sometimes spawns a hostile spider instead of a reward.
Unlock requirements
none

Big Fan
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a large orbital, which slowly rotates around the player,
blocking any shots
Notes
Unlock requirements
none

Passive Items #19

Sissy Long Legs
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar that randomly wanders around the room
and occasionally spawns a blue spider.
Charms any enemy it touches
Notes
Unlock requirements
none

Punching Bag
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which is targeted by nearby enemies for 6s
instead of the player.
Notes
Unlock requirements
none

Taurus
———————-
———————————————————————————
Item pool
pool_treasure
Effect
-0.3 speed.
The player’s speed gradually builds up in rooms with enemies.
Reaching 2.00 speed triggers invulnerability and 40 contact
damage for 5 seconds.
The player goes back to their previous speed after the
effect is over. The effect can trigger only once per room.
Notes
Unlock requirements
none

Aries
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.25 speed.
Running fast enough into enemies damages them for 25 damage.
The player is also invulnerable to contact damage when going
fast enough
Notes
Unlock requirements
none

Cancer
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants three soul hearts.
Grants the Wafer effect for the duration of the room whenever
the player is hit.
Notes
Unlock requirements
none

Leo
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player can destroy most obstacles by walking over them.
Notes
Does not grant invulnerability from things like walking over
Bomb Rocks or TNT, although it does grant invulnerability
from walking over spiked rocks, but not the spikes spawned
by them.
Unlock requirements
none

Virgo
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Has a chance to grant invulnerability for 7 seconds
when the player is hit.
Converts all negative pill effects into positive ones, but does
not identify pills, identically to the Lucky Foot item.
Notes
The chance for the shield to activate maxes out at 100%
at 7 luck
Unlock requirements
none

Libra
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Balances out all stats and increases each pickup count by 6.
Notes
More often sets you back to base stats than actually helps.
Never take it. For the love of god, never take it.
Unlock requirements
none

Scorpio
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears poison enemies
Notes
Unlock requirements
none

Sagittarius
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.2 speed and grants piercing tears.
Notes
Unlock requirements
none

Capricorn
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Adds 1 to each pickup count, increases tears, and grants
a full heart container.
+0.5 damage, +0.1 speed, and +0.75 range
Notes
Unlock requirements
none

Aquarius
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player constantly leaves behind blue creep.
The creep shares most of the player’s current tear effects.
Notes
Exceptionally powerful with homing tears.
The damage of the creep also scales with the player’s damage
Unlock requirements
none

Pisces
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Increases fire rate and tear knockback
Notes
Unlock requirements
none

Passive Items #20

Eve’s Mascara
———————-
———————————————————————————
Item pool
pool_treasure
Effect
-0.5 shot speed.
Applies a 2x damage multiplier and reduces fire rate by 33%
Notes
Unlock requirements
Complete Boss Rush as Eve

Judas’ Shadow
———————-
———————————————————————————
Item pool
pool_devil
Effect
Grants an extra life.
The player is resurrected as Dark Judas
Notes
Useless if you’re going for completion marks
Unlock requirements
Complete Boss Rush as Judas

Maggy’s Bow
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants a full heart container.
Red Hearts heal for double their amount
Notes
Unlock requirements
Complete Boss Rush as Magdalene

Holy Mantle
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Fully protects the player from one hit.
Recharges after entering another room.
Notes
Unlock requirements
none

Thunder Thighs
———————-
———————————————————————————
Item pool
pool_treasure
Effect
-0.4 speed.
Grants a full heart container and heals the player for one heart.
The player can destroy most obstacles by walking over them.
Notes
Unlock requirements
none

Strange Attractor
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Enemies, pickups and projectiles are attracted to where
the player’s tears land.
Notes
Unlock requirements
none

Cursed Eye
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret, pool_chestcursed
Effect
Replaces the player’s tears with a charged shot.
The player can release the fire button mid-charge, to
fire 1-4 shots, while a fully charged shot will fire 5 shots.
Getting hit while charging teleports the player to a random
room.
Notes
The teleport effect is negated if the player has the Black
Candle item
Unlock requirements
none

Mysterious Liquid
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears leave behind short-lasting creep upon landing.
Notes
Unlock requirements
none

Gemini
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a conjoined familiar, which locks in on nearby enemies,
and deals 8 contact DPS to them.
The familiar has limited range.
Notes
The familiar instantly kills weak fly-type enemies.
Unlock requirements
none

Cain’s Other Eye
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which floats diagonally and fires in the
direction of where the player is firing.
The damage of the familiar scales with the player’s damage
Notes
Unlock requirements
none

???’s Only Friend
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar which can be controlled using the fire buttons.
The familiar deals ~21 contact DPS.
Notes
Unlock requirements
none

Samson’s Chains
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a metal ball bound to the player by a chain.
The ball blocks shots and destroys any obstacles it comes
into contact with.
The ball also deals 11 contact DPS.
Notes
Unlock requirements
none

Passive Items #21

Mongo Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar which cycles between firing tears of
other familiars the player is currently having.
If no other familiars are present, Mongo Baby will fire normal
3.5 damage tears
Notes
Unlock requirements
none

The Ludovico Technique
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Removes the player’s ability to fire tears, and instead spawns
one large tear, which can be controlled using the fire buttons.
Notes
Extremely disorienting.
Unlock requirements
none

Soy Milk
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Multiplies fire rate by 5.5x and reduces damage by 80%.
Drastically reduces tear knockback and enables charged
tear modifiers to be fired without the need to charge.
Notes
Unlock requirements
none

Godhead
———————-
———————————————————————————
Item pool
pool_angel
Effect
+0.5 damage, -0.3 tears, +0.5 range, +0.8 tear height and
-0.3 shot speed.
The player’s tears gain homing and a damaging aura.
Notes
The size of the aura scales with tear size.
Unlock requirements
Complete everything on Hard mode as the Lost

Lazarus’ Rags
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Grants an extra life.
Ressurects the player as Lazarus Risen in the same room they
died in.
Notes
Useless if you’re going for completion marks
Unlock requirements
Defeat Isaac as Lazarus

The Mind
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Grants full mapping
Notes
Unlock requirements
Defeat Satan as the Lost

The Body
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Grants three full heart containers
Notes
Unlock requirements
Defeat ??? as the Lost

The Soul
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Grants two soul hearts and a pulsing aura, which repels
projectiles and enemies. The repel effect is stronger
depending on the current strength of the pulse.
Notes
Unlock requirements
Defeat the Lamb as the Lost

Dead Onion
———————-
———————————————————————————
Item pool
pool_treasure, pool_rottenbeggar
Effect
-0.4 shot speed, -1.5 range, and -0.5 tear height.
Grants piercing and spectral tears
Notes
Unlock requirements
none

Broken Watch
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
Massively slows down enemies and projectiles every four
rooms, but has a rare chance to speed them up by 40% instead.
Notes
It’s a gamble worth taking
Unlock requirements
none

Safety Pin
———————-
———————————————————————————
Item pool
pool_boss
Effect
Grants a black heart.
+1.5 range, +0.5 tear height, and +0.16 shot speed
Notes
Unlock requirements
none

Caffeine Pill
———————-
———————————————————————————
Item pool
pool_boss, pool_devilbeggar
Effect
+0.3 speed.
Decreases the player’s size and spawns a random pill
Notes
Unlock requirements
none

Torn Photo
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_chestold
Effect
+0.7 tears, and +0.16 shot speed
Notes
Unlock requirements
none

Passive Items #22

Blue Cap
———————-
———————————————————————————
Item pool
pool_boss
Effect
Grants a full heart container and heals the player for two hearts.
+0.7 tears, and -0.16 shot speed
Notes
Unlock requirements
none

Latch Key
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_keybeggar
Effect
Grants a soul heart, spawns two keys and gives +1 luck.
Notes
The keys may rarely be golden keys
Unlock requirements
none

Match Book
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold
Effect
Grants a black heart.
Spawns three random bombs and the Match Stick trinket.
Notes
The bombs can be of any type, including (super) troll bombs
Unlock requirements
none

Synthoil
———————-
———————————————————————————
Item pool
pool_boss, pool_devilbeggar
Effect
+1.0 damage, +1.5 range, and +0.5 tear height.
Notes
Unlock requirements
none

A Snack
———————-
———————————————————————————
Item pool
pool_boss
Effect
Grants a full heart container and heals the player for one heart.
Notes
Unlock requirements
none

Toxic Shock
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Entering a new room causes any enemies inside to sustain
3x the player’s damage over time.
Killing enemies leaves creep on the ground.
Grants immunity to poison gas.
Notes
Having this item along with high damage makes enemy
rooms trivial.
Unlock requirements
none

Bomber Boy
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
Bombs explode in a large, cross-shaped pattern
Notes
Has a decreased item weight, making the item a very rare sight.
Unlock requirements
none

Crack Jacks
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold
Effect
Grants a full heart container and heals the player for one heart.
Spawns a random trinket.
Notes
Unlock requirements
none

Mom’s Pearls
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_chestold, pool_chestmom
Effect
Grants a soul heart, +0.38 range, +0.5 tear height, and +1 luck
Notes
Unlock requirements
none

Car Battery
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar
Effect
Causes the player’s active item to activate twice upon use.
Notes
Unlock requirements
none

The Wiz
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants semi-spectral tears.
The player fires two tears at once at the same fire rate, but
fires them out diagonally, not cardinally.
Notes
Run-ender most of the times.
Unlock requirements
none

8 Inch Nails
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+1.5 damage, and increases tear knockback
Notes
Unlock requirements
none

Incubus
———————-
———————————————————————————
Item pool
pool_devil, pool_familiarshop
Effect
Spawns a familiar, which copies the player’s current tears,
and their stats, such as fire rate.
Incubus’ tears deal 75% of the player’s damage.
Notes
Unlock requirements
Defeat Hush as Lilith

Passive Items #23

Fate’s Reward
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar that fires tears similar to the player in terms
of damage and tear effects. The tears are fired at a relatively
slow rate.
Notes
Unlock requirements
Defeat Hush as ???

Lil Chest
———————-
———————————————————————————
Item pool
pool_treasure, pool_beggar, pool_chestwood, pool_crane
Effect
Spawns a familiar that has a 25% chance to drop a random pickup
upon clearing a room.
There’s also a 10% chance for the familiar to drop a trinket instead
Notes
Unlock requirements
Defeat Ultra Greed as Isaac

Sworn Protector
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns an orbital, which deals 105 contact DPS and
blocks shots.
Shots are pulled into the orbital from a very close distance,
essentially expanding the blocking range of the orbital.
The orbital has a chance to drop an eternal heart after
blocking 10 shots in one room. This effect can happen only
once per room.
Notes
Can be exploited using a Constant Stone Shooter to spawn
unlimited Eternal Hearts
Unlock requirements
Defeat Hush as the Lost

Friend Zone
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns an orbital, which deals 45 contact DPS.
Notes
Unlock requirements
none

Lost Fly
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar, which travels along the walls or obstacles
of the room, and deals 105 contact DPS
Notes
Unlock requirements
none

Scatter Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs explode into 4-5 smaller ones
Notes
The small bombs can be thrown quite far. Watch out.
Unlock requirements
none

Sticky Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs stick to enemies.
The bombs also spawn blue spiders occasionally.
Notes
Unlock requirements
none

Epiphora
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Constantly firing in one direction grants a fire rate boost
after a while. The fire rate boost can reach up to double
the player’s fire rate.
Notes
Unlock requirements
none

Continuum
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+3.0 range, and +1.5 tear height.
Grants spectral tears.
When tears travel off-screen, they loop back around through the
opposite wall.
Notes
Unlock requirements
none

Mr. Dolly
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
+0.7 tears, +1.5 range, and +0.5 tear height.
Spawns three random hearts
Notes
Unlock requirements
none

Curse of the Tower
———————-
———————————————————————————
Item pool
pool_treasure, pool_curse, pool_chestcursed
Effect
Spawns 6 troll bombs when the player takes damage.
These bombs are affected by the player’s bomb modifiers.
Notes
“Took damage? Want to take more damage?”
Unlock requirements
none

Charged Baby
———————-
———————————————————————————
Item pool
pool_shop, pool_familiarshop, pool_chargebeggar
Effect
Spawns a familiar, which occasionally drops a random battery,
slightly charges your active item, or petrifies all enemies.
Notes
Unlock requirements
none

Passive Items #24

Dead Eye
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Consecutive hits increase damage, up to 2x the player’s damage.
Missing a shot has a high chance to reset the damage bonus
Notes
Horrible with multi-shot items, good otherwise.
Unlock requirements
none

Holy Light
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
The player occasionally fires a tear, which makes a beam of light
strike down where the tear hit, dealing 3x the player’s damage.
Notes
The chance for the special tear to be fired maxes out at 50%
at 9 luck
Unlock requirements
none

Host Hat
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants immunity to explosions and a 20% chance to reflect
incoming projectiles back to enemies, and fire an additonal
triple shot towards them.
Notes
Unlock requirements
none

Restock
———————-
———————————————————————————
Item pool
pool_shop, pool_beggar
Effect
Upon purchasing an item, another item appears in its place,
at a slightly higher price.
Notes
Unlock requirements
none

Bursting Sack
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Makes almost all spider-related enemies deal no contact damage.
Some spiders even become passive to the player.
Notes
Unlock requirements
none

Number Two
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Continuously firing for 3 seconds spawns a butt bomb on top
of the player. This can happen only once per cycle, meaning
that to place another bomb, the player will need to let go of
the fire button and then start firing again.
Notes
Essentially infinite bombs. Can be of great use if you can
control it.
Unlock requirements
none

Pupula Duplex
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Widens the player’s tear’s hitbox, and grants spectral tears.
Notes
Unlock requirements
none

Pay to Play
———————-
———————————————————————————
Item pool
pool_shop
Effect
+5 coins.
All key-locked doors now require a single penny to open.
Does not affect the doors to alt-chapter I
Notes
Lets you save up keys for chests.
Unlock requirements
none

Eden’s Blessing
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.7 tears.
Grants a random item at the start of the next run
Notes
Unlock requirements
Defeat Hush as Eden

Lil Gurdy
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which can be launched after a charge-up period.
Damage depends on momentum.
Notes
Unlock requirements
none

Bumbo
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_beggar
Effect
Spawns a familiar which picks up coins and levels up as it does so.
At level 1, the familiar does nothing and just picks up coins.
At level 2 (5 coins required), the familiar occasionally drops a pickup
after a room clear.
At level 3 (12 coins required), the familiar fires tears in the same
direction and momentum as the player. These tears rarely spawn
coins upon hitting an enemy
At level 4 (24 coins required), the familiar chases enemies, dealing
37.5 contact DPS, and occasionally dropping bombs while doing so.
Notes
Unlock requirements
none

Censer
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns a familiar, which casts a wide aura, which slows down
any nearby enemies/projectiles
Notes
Usually detrimental, since shot speed doesn’t affect the
range of a projectile, turning bullet hell bosses into actual
hells. It’s good on Mother, though
Unlock requirements
Defeat Ultra Greed as Magdalene

Passive Items #25

Key Bum
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar, which picks up nearby keys and spawns
chests after enough keys have been taken
Notes
Unlock requirements
Defeat Ultra Greed as Lazarus

Rune Bag
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
Spawns a familiar, that drops a random rune every 7-8 room clears.
Notes
Unlock requirements
Defeat Isaac as Lilith

Seraphim
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel, pool_familiarshop
Effect
Spawns a familiar which fires 10 damage homing tears
Notes
Unlock requirements
none

Betrayal
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
Charms all enemies in the room when the player is hit.
Notes
Unlock requirements
Defeat Hush as Judas

Zodiac
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants a random zodiac item effect each room
Notes
Unlock requirements
Defeat Ultra Greed as the Lost

Serpent’s Kiss
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires a tear, which poisons enemies.
The player also applies poison to enemies by touching them.
Enemies killed via the poison touch have a small chance to
drop a black heart
Notes
Enemies that can’t deal contact damage are very valuable
with this item
Unlock requirements
Defeat Satan as Lilith

Marked
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.7 tears, +3.0 range, and +0.3 tear height.
Spawns a controllable crosshair. The player’s character
will constantly fire towards the crosshair (unless LEFT CTRL
is pressed). Familiars fall under the effects of Marked as well.
Notes
Unlock requirements
none

Tech X
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
Replaces the player’s tears with charged laser rings.
The rings deal more damage the more they’re charged.
The rings are spectral and piercing.
Notes
Unlock requirements
none

Tractor Beam
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
+0.5 tears, +1.5 range, +0.16 shot speed, +0.5 tear height.
A beam appears in front of the player in the direction they’re facing.
Any tears fired by the player will always travel along the beam,
this means that switching directons mid-fire will make the tears snap
to the beam.
Notes
Unlock requirements
none

God’s Flesh
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires tears, which apply the Shrink
status effect to enemies.
Notes
Unlock requirements
none

Maw of the Void
———————-
———————————————————————————
Item pool
pool_devil
Effect
The player can charge up a brimstone ring by firing continuously
for 2.35s. Releasing the fire buttons unleashes the ring, which has
a range of roughly 1.5 tiles and deals the player’s damage with
each tick, of which there are 30.
Notes
Unlock requirements
Defeat Hush as Azazel

Spear of Destiny
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants the player a spear, which does not replace their tears.
The spear can be aimed using the fire buttons.
The spear deals 6x the player’s damage per second.
Notes
Unlock requirements
none

Passive Items #26

Explosivo
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires tears, which stick to enemies, expand,
and explode afterwards, dealing massive damage.
Notes
Unlock requirements
none

Chaos
———————-
———————————————————————————
Item pool
pool_shop, pool_secret
Effect
Shuffles item pools and drops 1-6 random pickups around
the player.
Notes
Don’t take it if you heavily rely on Deal Rooms
Unlock requirements
none

Spider Mod
———————-
———————————————————————————
Item pool
pool_shop, pool_familiarshop, pool_crane
Effect
Spawns a familiar, which wanders around the room randomly.
The familiar lets the player see the current health of enemies,
and how much damage the player’s tears do to them.
Enemies that come in contact with the familiar get inflicted
with a random status effect.
The familiar may rarely spawn a Blue Spider or a Battery upon
clearing the room.
Notes
Unlock requirements
none

Farting Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a famiiar which blocks shots.
The familiar often farts when hit by a projectile.
Notes
Unlock requirements
Defeat Hush as Isaac

GB Bug
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
Spawns a familiar, which can be launches using the fire buttons.
The familiar will reroll an enemy or pickup it comes into
contact with while charging.
Cannot reroll boss enemies.
When rerolled, the familiar will respawn once a room is cleared.
Notes
Unlock requirements
Defeat Ultra Greed as Eden

Purity
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants a random stat boost, indicated by the aura.
A red aura gives a +4.0 damage boost
A blue aura significantly increases fire rate
A yellow aura gives +0.5 speed
An orange aura gives +3.0 range and +1.0 tear height.
Taking damage kills the aura for the current room,
and another, random aura will take its place once
the room is exited.
Notes
Unlock requirements
Defeat Hush as Magdalene

Athame
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Effect
Taking damage spawns a short-lasting Maw of the Void ring.
The damage of the ring scales with the player’s damage
Notes
Unlock requirements
Defeat Hush as Eve

Empty Vessel
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
Grants two black hearts.
When the player has no red heart containers, the item grants
flight and 10s of invulnerability if the timer hits :00, :20, or :40
at least twice in a room with enemies.
Notes
Unlock requirements
Defeat Hush as Lazarus

Evil Eye
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player rarely fires out an eye projectile, which fires
the player’s tears in the same direction as the player.
The projectile is easily destroyable.
Notes
Unlock requirements
Defeat Ultra Greed as Cain

Lusty Blood
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
The player gains +0.5 damage for each enemy killed in the
room, up to a maximum of +5.0 damage.
The bonus lasts for the duration of the room.
Notes
Unlock requirements
Defeat Ultra Greed as Samson

Cambion Conception
———————-
———————————————————————————
Item pool
pool_devil
Effect
The player spawns a permanent demon-themed familiar
after taking damage enough times.
Up to 4 familiars can be spawned by the item.
Notes
Unlock requirements
Defeat ??? as Lilith

Immaculate Conception
———————-
———————————————————————————
Item pool
pool_angel
Effect
Collecting 15 heart pickups spawns a random angel-themed
familiar. and spawns a soul heart.
The item can spawn up to 4 familiars
Notes
Unlock requirements
Complete Boss Rush as Lilith

Passive Items #27

More Options
———————-
———————————————————————————
Item pool
pool_shop
Effect
Treasure Rooms always have at least two items.
Only one item can be chosen, as the other one will disappear.
Notes
Exploitable with Jacob & Esau
Unlock requirements
none

Crown of Light
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants two soul hearts.
Grants double damage, +1.50 range, +0.5 tear height, and
-0.3 shot speed when the player’s red heart containers and
bone hearts are all full. The effect is disabled for the
duration of the room if the player takes damage.
Notes
Unlock requirements
none

Deep Pockets
———————-
———————————————————————————
Item pool
pool_shop
Effect
Extends the maximum coin count cap to 999.
In rooms, where the room clear drop would give nothing,
Deep Pockets makes the room spawn 1-3 coins instead.
Notes
Unlock requirements
Defeat ??? as Keeper

Succubus
———————-
———————————————————————————
Item pool
pool_devil, pool_familiarshop
Effect
Spawns a familiar, which floats diagonally, and has a damaging aura.
Standing in the aura grants a boost to damage.
Notes
Unlock requirements
Defeat the Lamb as Lilith

Fruit Cake
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Each tear fired by the player has a different effect,
mostly a different tear effect (e.g. Holy Light, Explosivo)
Notes
Rarely makes the player fire a tear, which teleports the
target to a random place in the room. Watch out.
Unlock requirements
none

Black Powder
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
The player constantly leaves behind black powder behind them.
Forming a circle out of the powder spawns a pentagram, which
deals 30 DPS.
Notes
The pentagram affects flying enemies as well.
Unlock requirements
none

Circle of Protection
———————-
———————————————————————————
Item pool
pool_angel
Effect
Surrounds the player with a large halo.
Enemies inside the halo take damage, and enemy projectiles on
top of the halo have a chance to get converted into friendly,
homing projectiles, which copy the player’s damage.
Notes
Unlock requirements
none

Sack Head
———————-
———————————————————————————
Item pool
pool_shop, pool_secret
Effect
Spawns a Sack, and makes Sakes significantly more
likely to appear.
Notes
Unlock requirements
none

Night Light
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
A cone of light appears from the player’s body, which can
be directed using movement keys.
The cone of light slows down any enemies or projectiles, that
happen to be within 4.5 tiles of the light.
Also removes Curse of Darkness for the current floor.
Notes
Makes dodging a living hell, and messes with your muscle memory.
Do not pick this up.
Unlock requirements
none

Obsessed Fan
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar, which follows the player’s movements with
a 0.66s delay, and deals 30 contact DPS.
Notes
Unlock requirements
none

PJs
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold
Effect
Fully heals the player and grants four soul hearts
Notes
Unlock requirements
none

Head of the Keeper
———————-
———————————————————————————
Item pool
Effect
The player’s tears have a 5% chance to spawn a penny.
Notes
Very rarely drops from Shopkeepers
Unlock requirements
none

Passive Items #28

Papa Fly
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar, which follows the player’s movements with
a 0.66s delay. The familiar fires at nearby enemies.
The familiar’s tear damage scales with the player’s
Notes
Unlock requirements
none

Multidimensional Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
Spawns a familiar, which follows the player with a 0.66s delay.
Any of the player’s tears that pass through the familiar are
duplicated.
Notes
Unlock requirements
none

Glitter Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs may occasionally spawn a random pickup
when they explode.
The bombs may also occasionally charm enemies.
Notes
Unlock requirements
none

My Shadow
———————-
———————————————————————————
Item pool
pool_devil
Effect
Inflicts the Fear status effect on all enemies when the player is hit.
Also spawns a friendly, reskinned Charger when the player is hit.
Notes
Unlock requirements
Defeat Ultra Greed as Judas

Lil Loki
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which fires 3.5 damage tears in all
cardinal directions at a rate of 1.1 tears per second.
Notes
Unlock requirements
none

Milk!
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which grants increased fire rate for the
duration of the room when the player is hit.
Notes
Unlock requirements
none

Binky
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
Grants a soul heart and decreases the player’s size.
+0.75 tears
Notes
Unlock requirements
none

Kidney Stone
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Occasionally, the player will stop firing tears and will be forced to
charge an attack, indicated by the player’s head pulsating red.
Charging the attack and releasing the fire buttons, releases a
kidney stone, which deals 5x the player’s damage, followed by
a fast stream of tears, which gradually decreases in fire rate.
This effect occurs every ~25 seconds, and is guaranteed to
happen immediately once the player picks up the item.
Notes
Grants unfathomable fire rate when combined with Rock Bottom
Unlock requirements
Complete challenge #29

Dark Prince’s Crown
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Effect
When at exactly one red heart (armor hearts not counted,
except for bone hearts), the item grants +2.0 tears, +1.5 range,
+1.0 tear height, and +0.2 shot speed.
Notes
Unlock requirements
Defeat Delirium as Azazel

Apple!
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.3 tears.
The player occasionally fires razor blades, which deal 4x the
player’s damage.
Notes
The chance for the special tear to be fired maxes out at 100%
at 14 luck
Unlock requirements
none

Lead Pencil
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestgold, pool_crane
Effect
Every 15 tears, the player will fire a burst of their tears, similar
to Monstro’s Lung
Notes
Exceptionally powerful with anything that splits (e.g. Haemolacria,
Cricket’s Body, etc.)
Unlock requirements
none

Dog Tooth
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.3 damage and +0.1 speed.
A howling sound effect plays when the player is inside of a room,
that’s adjacent to a secret room of any kind.
A barking sound effect plays when the player is inside of a room,
which contains a Crawlspace.
Notes
Unlock requirements
none

Passive Items #29

Dead Tooth
———————-
———————————————————————————
Item pool
pool_treasure
Effect
When firing, the player gains a small aura, which poisons
enemies on contact with them.
Notes
Unlock requirements
none

Linger Bean
———————-
———————————————————————————
Item pool
pool_treasure, pool_beggar
Effect
Firing constantly for 7.5s creates a small, brown cloud,
which deals 5x the player’s damage per second.
The cloud can be pushed around by firing at it.
Notes
Unlock requirements
none

Shard of Glass
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Has a 25% chance to spawn a red heart upon taking damage.
When hit, the player starts haemorrhaging their red health
at a rate of half a heart per 20 seconds. Getting hit by the
haemorrhage has a 25% chance of spawning a red heart.
While bleeding, the player will spew blood shots in random
directions, or in the direction they’re firing in.
Notes
The haemorrhage directly targets the player’s red hearts.
Does not reduce Deal Room chance.
Usually results in pointless health loss.
Characters without red hearts are unaffected
Unlock requirements
none

Metal Plate
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants a soul heart and a 25% chance to deflect incoming
projectiles, negating their damage.
Notes
Unlock requirements
none

Eye of Greed
———————-
———————————————————————————
Item pool
pool_secret
Effect
Every 20 tears, the player fires a golden coin, which consumes
one penny from the player’s coin count, deals high damage, and
petrifies enemies on contact. Enemies killed while petrified by
this item drop 1-3 coins.
The player can still fire golden tears without having any money,
but the golden tear’s damage will be significantly smaller.
Notes
Unlock requirements
Defeat Ultra Greedier as Keeper

Tarot Cloth
———————-
———————————————————————————
Item pool
pool_shop, pool_chestcursed, pool_crane
Effect
Drops a random card/rune.
Makes the effects of tarot cards more powerful.
To read up on the effect changes, navigate to
Consumables – Tarot Cards
Notes
Unlock requirements
none

Varicose Veins
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player releases a ring of 10, high-damage tears, when
they get hit. The tears retain the player’s tear effects.
Rarely activates the Anemic effect for two seconds when the
player is hit.
Notes
Unlock requirements
none

Compound Fracture
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+1.0 tear height, and +0.38 range.
Tears shatter into 1-3 small bones on impact.
Notes
Unlock requirements
Defeat Delirium as Lazarus

Polydactyly
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Allows the player to hold two consumables.
Spawns a random tarot card/rune/pill.
Notes
Unlock requirements
none

Dad’s Lost Coin
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar, pool_chestgold, pool_chestold
Effect
+0.38 range, and spawns a Lucky Penny
Notes
Unlock requirements
Defeat Ultra Greedier as the Lost

Midnight Snack
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar, pool_chestgold
Effect
Grants a full heart container and heals the player for one heart.
Notes
Unlock requirements
none

Cone Head
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Grants a soul heart, and a 20% chance to negate any form
of damage.
Notes
Unlock requirements
none

Passive Items #30

Belly Button
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Allows the player to carry two trinkets.
Spawns a random trinket.
Notes
Unlock requirements
none

Sinus Infection
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires a tear, which sticks to enemies
and constantly damages them.
The special tear lasts for 10 seconds.
Notes
Unlock requirements
none

Glaucoma
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires a tear, which inflicts the Confusion
status effect on enemies.
Notes
Also makes the screen slightly darker
Unlock requirements
none

Parasitoid
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires a tear, which spawns slowing
creep, and also blue spiders/flies if the tear hits an enemy.
Notes
The chance for the special tear to be fired maxes out at
roughly 50%
Unlock requirements
none

Eye of Belial
———————-
———————————————————————————
Item pool
pool_devil
Effect
Grants piercing tears, +1.5 range, and +1.0 tear height.
After piercing one enemy, tears will gain double damage and homing
Notes
Unlock requirements
Defeat Ultra Greedier as Judas

Sulfuric Acid
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.3 damage.
The player occasionally fires tears, which destroy obstacles,
and open doorways, including secret room entrances.
Notes
Extremely good if acquired early. Secret Rooms can be a
good source of loot.
Unlock requirements
none

Glyph of Balance
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants two soul hearts.
Modifies room clear drops and champion drops to suit the
player’s current needs.
Notes
Unlock requirements
Defeat Ultra Greedier as Magdalene

Analog Stick
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
+0.35 tears.
The player can fire tears in any direction
Notes
Can be good with mouse control enabled.
To enable mouse control, navigate to options.ini (section)
Unlock requirements
none

Contagion
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The first enemy killed releases a cloud of poison gas.
Enemies affected by the poison gas spread it further.
The gas can be spread by the player only once per room.
Notes
Good for enemies which split into further enemies.
Unlock requirements
none

Finger!
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a floating finger, which can be aimed using the
fire buttons. The finger fires a continuous, invisible, spectral
laser, which deals 10% of the player’s damage.
Notes
Can easily result in self-damage by blowing up nearby
TNT barrels.
Unlock requirements
none

Shade
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_familiarshop
Effect
Grants a familiar that follows the player’s movements with a
1s delay and deals 30 contact DPS to enemies.
Notes
Unlock requirements
Defeat Delirium as Judas

Depression
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which leaves behind blue creep.
The creep can sometimes smite enemies, dealing heavy
damage.
Notes
Unlock requirements
none

Passive Items #31

Hushy
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which floats diagonally around the room
and deals 30 contact DPS.
The familiar will float in place as long as the player is firing tears.
Notes
Unlock requirements
Defeat Hush as Apollyon

Lil Monstro
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar which can be charged up using the fire buttons.
When fully charged, releasing the fire buttons will make the familiar
spit out a burst of tears, similar to Monstro.
Each of the familiar’s tears deal 3.50 damage.
Notes
Unlock requirements
none

King Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which holds all of the other familiars
the player has in place whenever the player is firing tears.
Any familiars which shoot, will automatically shoot at nearby
enemies when under the effects of King Baby
Notes
Unlock requirements
Defeat Delirium as ???

Big Chubby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar that can be launched using the fire buttons.
The familiar travels at a very slow speed, deals 40 contact DPS,
and blocks shots while charging.
Notes
Unlock requirements
none

Acid Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar that drops a pill every 7 room clears.
Taking a pill makes Acid Baby poison the entire room,
dealing massive damage to any enemies within it.
Notes
Unlock requirements
none

YO LISTEN!
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
+1.0 luck.
Spawns a familiar, which marks the position of tinted rocks,
crawlspaces and secret room entrances.
Notes
Unlock requirements
none

Adrenaline
———————-
———————————————————————————
Item pool
pool_treasure, pool_devilbeggar
Effect
For every empty red heart container, the player receives
a small damage bonus.
Notes
Unlock requirements
none

Jacob’s Ladder
———————-
———————————————————————————
Item pool
pool_treasure, pool_chargebeggar, pool_crane
Effect
The player’s tears spawn an arc of electricity when hitting
an enemy. These arcs are short-ranged and home in on
nearby enemies. An enemy hit by the arc will chain it to
other enemies, up to 4 times.
The arcs are also caused by tears hitting a wall.
Notes
Unlock requirements
none

Ghost Pepper
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Firing a tear sometimes also fires a blue fire, which deals
heavy damage to enemies, and blocks shots for a duration
of roughly 2 seconds.
Notes
The chance for the fire to be fired alongside the tear maxes
out at 100% at 11 luck
Unlock requirements
none

Euthanasia
———————-
———————————————————————————
Item pool
pool_treasure, pool_curse, pool_devilbeggar
Effect
The player occasionally fires a special tear, which instantly
kills any non-boss enemy, making it burst into a ring of 10
high damage projectiles.
Boss enemies get damaged for 3x the player’s damage instead.
Notes
The chance for the special tear to be fired maxes out at
roughly 20%.
The special tears can kill otherwise invulnerable enemies,
such as Stone Turrets, Peep’s eyes, Stoneys, Death’s Heads,
and the Heretic’s minions while they’re invulnerable.
Unlock requirements
Defeat Delirium as Lilith

Camo Undies
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player is invisible once they enter a room.
When the player is invisible, all enemies will have the Confusion
status effect applied to them.
The player will become visible again once they start firing,
place a bomb, or use an active item.
Notes
Unlock requirements
none

Passive Items #32

Duality
———————-
———————————————————————————
Item pool
pool_devil, pool_angel
Effect
When a Devil Room spawns, an Angel Room spawns as well,
and vice versa. The player can choose only one room.
Notes
Unlock requirements
Defeat Ultra Greedier as Lilith

Eucharist
———————-
———————————————————————————
Item pool
pool_angel
Effect
Guarantees an Angel Room spawn from chapters I-IV
Notes
Unlock requirements
Defeat Delirium as Magdalene

Sack of Sacks
———————-
———————————————————————————
Item pool
pool_secret
Effect
Spawns a familiar, which drops a Sack pickup every 5-6
room clears.
Notes
Unlock requirements
Defeat Ultra Greedier as Cain

Greed’s Gullet
———————-
———————————————————————————
Item pool
pool_secret
Effect
Grants an extra heart container for every 25 coins the player has,
up to a maximum of 4 heart containers at 99 coins.
Notes
Allows for more heart containers if the player has Deep Pockets
Unlock requirements
Complete challenge #35

Large Zit
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player has a chance to fire a white shot alongside their
normal tear. The white tear deals 2x the player’s damage and
leaves a trail of slowing creep
Notes
Unlock requirements
none

Little Horn
———————-
———————————————————————————
Item pool
pool_curse, pool_devilbeggar
Effect
Occasionally the player may fire a special tear, which instantly
kills any non-boss enemy, similar to Euthanasia.
Boss enemies hit by this projectile will receive upwards of 36
damage.
Notes
The chance for the special tear to be fired maxes out at 20%
at 15 luck.
Just like Euthanasia, the special tear from Little Horn can kill
otherwise invincible enemies.
Unlock requirements
none

Poke Go
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
A friendly enemy will occasionally spawn when entering a new
room. The friendlies spawned by the item may range from
Attack Flies to Vises
Notes
Unlock requirements
none

Backstabber
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Enemies hit by the player in the “back” of their hitbox get
the Bleeding status effect permanently applied to them.
Bosses not affected
Notes
Unlock requirements
none

Mom’s Razor
———————-
———————————————————————————
Item pool
pool_treasure, pool_curse, pool_chestold, pool_chestmom
Effect
Grants an orbital, which does not block projectiles and
inflicts bleeding on enemies it comes into contact with.
Notes
Unlock requirements
none

Bloodshot Eye
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns an orbital, which blocks projectiles and fires at nearby
enemies that are within its line of sight.
The eye also deals 30 contact DPS
Notes
Unlock requirements
none

Angry Fly
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which orbits enemies and deals 30
contact DPS to them.
Notes
Unlock requirements
Acquire three fly-related items in a run.

Bozo
———————-
———————————————————————————
Item pool
pool_treasure
Effect
+0.1 damage and grants a Soul Heart.
The player may occasionally spawn a Rainbow Poop when hit.
Enemies may rarely become randomly feared or charmed.
Notes
Unlock requirements
Destroy 5 rainbow poops

Passive Items #33

Broken Modem
———————-
———————————————————————————
Item pool
pool_shop
Effect
Enemies and their projectiles occasionally freeze in place.
Projectiles in such case will be deleted shortly afterwards.
Room clears have a 25% chance to drop double pickups
Notes
Unlock requirements
Win 7 daily challenges

Fast Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+7 bombs.
Eliminates the delay in which bombs can be placed by the player,
allowing for them to be placed extremely fast.
Disables the player’s bombs from knocking each other
Notes
Excellent offensive tool when paired with a golden bomb
Unlock requirements
Defeat Little Horn 20 times

Buddy in a Box
———————-
———————————————————————————
Item pool
pool_shop, pool_familiarshop, pool_crane
Effect
Grants a familiar with random effects.
The effects of the familiar are randomised each floor.
Notes
Unlock requirements
Acquire 5 familiars in a single run

Lil Delirium
———————-
———————————————————————————
Item pool
pool_familiarshop, pool_angel, pool_devil
Effect
Spawns a familiar, which transforms into random familiars
from the game every 10 seconds.
Notes
Unlock requirements
Defeat Delirium

Jumper Cables
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar
Effect
The player receives a single bar of charge every 15 kills.
Notes
Unlock requirements
Pick up three battery-related items/trinkets in a run

Technology Zero
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
Tears spawned by the player and their items are connected to
each other via electricity. The electricity damages enemies
for 33% of the player’s damage.
Notes
Unlock requirements
Pick up two “Technology” items in a single run

Leprosy
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns an orbital each time the player is hit.
Orbitals spawned from Leprosy have health, and will die when
they take enough damage.
Notes
Unlock requirements
Complete Chapter III without taking any damage

7 Seals
———————-
———————————————————————————
Item pool
pool_devil, pool_angel
Effect
Spawns a familiar, which transforms between the five
harbingers. Each harbinger spawns a different colored fly.
Famine spawns locusts which deal double the player’s
damage and slow down enemies.
Pestilence spawns locusts which deal double the player’s
damage and poison enemies.
War spawns locusts which explode
Death spawns locusts which deals 4x the player’s damage
Conquest spawns two locusts at once, which deal
double the player’s damage
Notes
Unlock requirements
Defeat each Harbinger at least once

Angelic Prism
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns an orbital, which duplicated the player’s tears.
Notes
Unlock requirements
Defeat Uriel/Gabriel 10 times.

Pop!
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Replaces the player’s tears with eyeballs, which bounce off
of each other and have unlimited range, disappearing only
when they stop moving.
Notes
Extremely good with Trisagion
Unlock requirements
Complete Chapter IV without taking damage

Death’s List
———————-
———————————————————————————
Item pool
pool_devil
Effect
Upon entering a room with enemies, a random enemy
will have a skull over their head. Killing that enemy will
shift the skull to another one. Doing this until all enemies
are killed rewards the player with a pickup or a small
stat upgrade. Killing a non-marked enemy kills the
whole process, and pickups/stat upgrades will not
be given at the end of the room.
Notes
Unlock requirements
Make 25 deals with the devil

Passive Items #34

Haemolacria
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Reduces fire rate by 66% and increases minimum fire rate cap.
+1.0 damage and applies a 1.5x damage multiplier.
The player’s tears are launched in an arc and split into multiple
smaller tears on impact.
Notes
Powerful with split-shot items, e.g. Cricket’s Body, The Parasite
Unlock requirements
Acquire the Blood Clot item 10 times

Lachryphagy
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears rapidly decelerate, and burst into 8 smaller
tears when they come to a stop.
The tears can merge into each other, causing a larger tear to form.
The larger a tear is, the more powerful the burst will be.
Notes
Powerful with Trisagion
Unlock requirements
Collect 10 “tears up” items, or pills in a single run.

Trisagion
———————-
———————————————————————————
Item pool
pool_angel
Effect
The player’s tears get replaced by short-length blasts of
light, which deal 33% of the player’s damage per tick.
Notes
Has some extremely powerful synergies
(e.g. Trisagion + Jacob’s Ladder,
Trisagion + Pop!/Lachryphagy,
or the beloved Trisagion + Ipecac, which
kills you instantly)
Unlock requirements
Take 25 items from Angel Rooms

Schoolbag
———————-
———————————————————————————
Item pool
pool_shop, pool_chestgold
Effect
Allows the player to carry two active items
Notes
The player can cycle active items using LEFT CTRL
Unlock requirements
Enter every shop in a run from Basement I to Depths II
(in total 6 shops)

Blanket
———————-
———————————————————————————
Item pool
pool_shop
Effect
Grants a soul heart.
Grants a Holy Mantle shield when the player is in a boss room.
Notes
Unlock requirements
Sleep in 10 beds

Lil Spewer
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a random pill.
Spawns a familiar, which can be charged using the fire buttons.
Releasing the fire buttons makes the familiar fire out a line
of creep. Taking a pill changes the familiar’s sprite, and how
their creep works, along with how much damage it does.
Notes
Unlock requirements
Die to your own explosion caused via the Ipecac or Bob’s
Rotten Head items, or the Horf! pill effect.

Marbles
———————-
———————————————————————————
Item pool
pool_boss, pool_crane
Effect
Spawns three random trinkets.
The player may sometimes swallow all the trinkets they currently
have equipped, destroying them, and applying their effects to
the player permanently in the process.
Notes
Unlock requirements
Use 5 pills with the “Gulp!” effect in a single run

Mystery Egg
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which spawns a friendly enemy when the
player is hurt. The effectiveness/usefulness of the enemy
depends on how many rooms were cleared without taking
damage. How many rooms have been cleared is indicated
by the egg growing larger in size.
Notes
Unlock requirements
Spawn three charmed enemies in the same room

Flat Stone
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears constantly bounce off of the ground,
dealing a bit of AoE damage with each bounce.
Notes
Unlock requirements
Acquire the Rubber Cement item 5 times

Marrow
———————-
———————————————————————————
Item pool
pool_boss
Effect
Grants an empty bone heart, and spawns three full red hearts
Notes
Unlock requirements
Defeat Mom’s Heart/It Lives on Hard mode as the Forgotten

Slipped Rib
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns an orbital, which deflects enemy projectiles.
Notes
Unlock requirements
Defeat Isaac as the Forgotten

Passive Items #35

Hallowed Ground
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Effect
Spawns a familiar, which spawns a white poop when the
player is hit. The effect can only happen once per room
Notes
Unlock requirements
Defeat Hush as the Forgotten

Pointy Rib
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a pointy bone, which can be aimed using the fire buttons.
The bone periodically comes closer to the player, and then floats
away from them.
The bone deals the player’s damage and ticks 6 times per second.
Notes
Unlock requirements
Defeat Satan as the Forgotten

Dad’s Ring
———————-
———————————————————————————
Item pool
pool_secret, pool_chestold
Effect
The player gains a short-ranged aura, which instantly freezes
any enemy, as long as they are inside the aura.
Boss enemies only get frozen for a very short amount of time.
Notes
Essentially makes enemies, which chase the player, nearly
harmless
Unlock requirements
Defeat Ultra Greedier as the Forgotten

Divorce Papers
———————-
———————————————————————————
Item pool
pool_boss, pool_chestold
Effect
Grants an empty bone heart and +0.7 tears.
Spawns the Mysterious Paper trinket.
Notes
Unlock requirements
Complete the Boss Rush as the Forgotten

Jaw Bone
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which can be launched using the fire buttons.
The familiar deals 7 damage to enemies it comes into contact
with while charging, and can pick up pickups, and retrieve
them back to the player.
The familiar also blocks shots at all times, functioning
as a worse Dry Baby, as long as you’re not firing tears.
Notes
Unlock requirements
Defeat ??? as the Forgotten

Brittle Bones
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Replaces all of the player’s red heart containers with six
empty bone hearts. For each destroyed bone heart, the
player gains a permanent boost to tear rate.
Notes
Best used as a fire rate upgrade than a health upgrade,
especially when found early.
Unlock requirements
Defeat the Lamb as the Forgotten

Mucormycosis
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player has a 25% chance to fire a special tear, which
sticks to enemies and expands. When big enough, the tear
will burst, firing very small copies of itself in random directions,
and poisoning enemies in the process.
Notes
Unlock requirements
none

2Spooky
———————-
———————————————————————————
Item pool
pool_devil
Effect
Enemies near the player get the Fear status effect applied
to them.
Notes
Unlock requirements
none

Eye Sore
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires their tears in random directions
alongside their normal tears.
Notes
Unlock requirements
none

120 Volt
———————-
———————————————————————————
Item pool
pool_treasure, pool_chargebeggar
Effect
Enemies near the player get zapped with electricity,
dealing 75% of the player’s damage to them per zap.
A single zap can hit multiple enemies at once if
they’re close to each other.
Notes
Unlock requirements
none

It Hurts
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Taking damage grants a +1.2 boost to fire rate for the duration
of the room, and fires out a ring of 10 high-damage tears.
The effect can happen only once per room, but subsequent
hits will grant an additional +0.4 fire rate boost for the duration
of the room.
Notes
Unlock requirements
none

Passive Items #36

Almond Milk
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Quadruples fire rate and applies a 0.3x damage multiplier.
Each tear has a random worm trinket effect
Notes
Soy Milk but worse. So, so, so much worse.
Don’t pick this up; even the best runs can get wrecked
instantly by this item
Unlock requirements
none

Rock Bottom
———————-
———————————————————————————
Item pool
pool_secret
Effect
Locks the player’s attributes at the highest point they’ve
ever reached from the point of picking up the item and onward.
Notes
Works well with consumables, which temporarily increase
stats, such as Strength, The Devil, and The Empress tarot
cards, since Rock Bottom will enable the player to retain
their damage boosts permanently.
Unlock requirements
Complete Boss Rush as Jacob & Esau

Nancy Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
Each bomb the player places has a random bomb modifier
assigned to it.
Notes
Unlock requirements
none

Bar of Soap
———————-
———————————————————————————
Item pool
pool_boss
Effect
+0.5 tears and +0.2 shot speed
Notes
Unlock requirements
none

Blood Puppy
———————-
———————————————————————————
Item pool
pool_treasure, pool_curse, pool_chestcursed
Effect
Spawns a familiar, which locks in on enemies and deals 4
contact DPS to them.
After killing 15 enemies, the familiar levels up, and charges
at enemies aligned to it cardinally, dealing 15 contact DPS to them.
In this form, and the form after, the familiar deals damage
to the player, and will target them after there are no more
enemies to kill. The familiar in this form will occasionally
drop half a red heart after killing enough enemies.
After killing 40 enemies, the familiar levels up again,
now dealing 30 contact DPS, destroying most obstacles
in its way, and dropping a full red heart instead of half a
red heart.
The familiar can be reverted back to its harmless form
by dealing enough damage to it.
The familiar has little HP, but a ton of entity armor,
meaning it can take a beating before reverting.
The familiar in its angered form will spawn near
the middle of the room instead of near the player,
to prevent unavoidable damage.
Notes
A single bomb can be used to quickly revert the familiar
back to its original state.
Reverting it may not be always the best option though;
if you’re willing to put up with constantly dodging the
Blood Puppy, it can provide you with tons of additional
DPS in exchange (and a bit of healing as well).
Unlock requirements
Defeat Mother as Lilith

Dream Catcher
———————-
———————————————————————————
Item pool
pool_shop
Effect
Grants half a soul heart upon entering a new floor.
Replaces the usual cutscenes in-between floor transitions
with special ones, showing what item the player will
encounter in the treasure room, and what boss will
the player fight.
Notes
Usually useless, as your muscle memory will skip the
cutscene before you realise you have the item.
Sometimes (and especially in Greed Mode) the item
will show the wrong item, and rarely, the wrong boss.
Unlock requirements
none

Paschal Candle
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns a familiar that grants a boost to fire rate,
which increases as the player completes more rooms
without taking damage.
Taking damage extinguishes the candle, and in turn, its
fire rate boost. The boost from the candle goes up to
a maximum of +2.0 tears
Notes
Self-damage (curse rooms, IV Bag, etc.) won’t extinguish
the candle
Unlock requirements
none

Divine Intervention
———————-
———————————————————————————
Item pool
pool_angel
Effect
Double-tapping a fire button fires a shield in that direction.
The shield reflects enemy projectiles, and knocks
back enemies with great force.
The shield lasts for roughly a second before disappearing,
and has a cooldown of three seconds.
Notes
Useful for forcing your way through walls of projectiles/enemies,
which may result in guaranteed damage otherwise.
The shield can also deflect lasers, whether they be Technology,
or Brimstone lasers (this includes the Beast’s Giga Brimstone laser)
Unlock requirements
Defeat Hush as Bethany

Blood Oath
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Effect
Spawns a familiar, that at the start of each floor stabs the
player, draining all of their red hearts (except for half a heart,
if the player has armor hearts). The familiar then gives a
boost to speed and damage based on how much health
has drained.
If the player has no red health, the familiar does nothing.
Notes
Highly non-recommended to take this while playing as Bethany
Unlock requirements
none

Passive Items #37

Playdough Cookie
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player’s tears are fired with a random color assigned to them.
The tears have various effects depending on their color.
Notes
Out of the three “random tear effect every tear/second” items,
Playdough Cookie is the best, and the most risk-free one by far.
Unlock requirements
none

Orphan Socks
———————-
———————————————————————————
Item pool
pool_secret, pool_chestgold
Effect
Grants two soul hearts and +0.3 speed.
Makes the player immune to floor spikes and creep
Notes
Unlock requirements
none

Eye of the Occult
———————-
———————————————————————————
Item pool
pool_devil
Effect
+1.0 damage, +7.5 range, and -0.16 shot speed.
The player can control their tears mid-flight by using the fire buttons.
Notes
Unlock requirements
none

Immaculate Heart
———————-
———————————————————————————
Item pool
pool_angel
Effect
Applies a 1.2x damage multiplier.
The player occasionally fires a tear, which orbits the player, alongside
their normal tear.
Notes
Unlock requirements
none

Monstrance
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants the player an aura, which damages enemies.
The aura is positioned on top of the player, and deals
more damage the closer the enemy is to the player.
Notes
Unlock requirements
none

The Intruder
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Grants the player a familiar, which starts off buried inside their head.
The familiar fires a quad shot of slowing tears alongside the player
at a rate of 0.75 shots per second.
When the player is hit, there is a chance that the familiar bursts
out of the player’s head, before proceeding to target the nearest
enemy and fire the quad shot at them at an increased rate.
This effect lasts only for the duration of the room.
Notes
The chance for the familiar to burst out maxes out at 100%
at 4 luck.
Unlock requirements
none

Dirty Mind
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Converts all Dip enemies into Dip familiars.
Destroying poop spawns Dip familiars, and different types
of the familiar will spawn depending on which poop is destroyed.
Notes
Exceptionally powerful when playing as Tainted ???
Unlock requirements
Complete challenge #36

Spirit Sword
———————-
———————————————————————————
Item pool
pool_angel
Effect
Replaces the player’s tears with a sword.
The sword has no minimum fire rate and can be swung as fast
as you can mash the fire buttons, regardless of your fire rate.
The sword can perform two slashes: the normal one, and the
charged one.
The normal slash deals 3x the player’s damage + 3.50.
The charged slash deals 8x the player’s damage + 10, but
as the name suggests, it needs to be charged.
The charge time depends on the player’s fire rate.
While the sword is charging, the player cannot change the
direction in which the sword is facing, and any enemy that
touches the sword will cancel the charge.
Releasing the fire button while the sword is fully charged
will make a circular slash, which additionally deflects projecitles.
Both of the slashes can open chests and pick up pickups.
If the all of the player’s red heart containers are full, or
missing, the sword additionally fires a projectile, which
deals the player’s damage + 2.0.
Notes
Unlock requirements
Complete challenge #39

Psy Fly
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar
Effect
Spawns a familiar which deflects enemy projectiles, turning
them into friendly homing shots.
Notes
Don’t rely on it too much, since it may sometimes fail to
deflect a shot that’s coming right in your face.
Unlock requirements
none

Rocket in a Jar
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs turn into rockets, which rapidly accelerate
when placed. The direction in which the rocket will be flying
is dependent on the movement/fire inputs the player is
producing when placing the bomb. If no inputs are
being done while placing the bomb, it will spawn as
a normal bomb instead of a rocket.
Notes
Fire button inputs are prioritised over movement inputs.
Most of the times this item will result in more self-damage
than actual use.
Unlock requirements
none

Passive Items #38

The Stairway
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns a ladder to a special angel room at the starting
room of each floor. This ladder will disappear if
the player leaves the room after encountering it.
Inside the special angel room the player will find
items and pickups for sale, for regular shop prices.
The items are pulled from the Angel Room item pool.
The ladder will also disappear when the player leaves the
angel room.
Notes
There’s also an angel statue inside the room, which can be
used to acquire Key Pieces
Unlock requirements
Defeat Isaac as Jacob & Esau

Sol
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
Shows the location of the Boss Room on the map.
Upon killing the floor’s boss, Sol activates the effect
of the XIX – The Sun tarot card, fully charges the
player’s active item, removes any of the floor’s curses,
and grants +3.0 damage and +1.0 luck for the rest of
the floor.
Notes
Unlock requirements
none

Luna
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
Adds an extra Secret Room and Super Secret Room to
each floor, and marks one random secret room at the
start of each floor. Each secret room and super secret room
will have a beam of light in the middle. Standing in the beam
grants a +1.0 fire rate bonus for the first beam touched, and
a +0.5 boost for subsequent beams.
Notes
Useful for those runs where you want to find Secret Room
items, although for that, any item which spawns
another item from the current rooms pool is much better
Unlock requirements
none

Mercurius
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
+0.4 speed.
Doors always stay open.
Notes
Unlock requirements
none

Venus
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
Grants a full heart container and heals the player for one heart.
Enemies near the player get inflicted with the Charm status effect.
Notes
Unlock requirements
none

Terra
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
+1.0 damage.
Replaces the player’s tears with rock tears, which have a chance to
destroy obstacles.
The tears’ damage varies between 0.5x and 2.0x the player’s damage.
Notes
Unlock requirements
none

Mars
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
Double tapping a movement button makes the player
dash in that direction. While charging, the player is invulnerable
and deal 4x the player’s damage + 8.0 to enemies they come into
contact with.
The charge has a three-second cooldown
Notes
Easy curse room access, but will also result in self-damage
more often than not.
Unlock requirements
none

Jupiter
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
Grants two empty heart containers and heals the player for
half a heart.
-0.3 speed.
Standing still makes the player build up speed, up to a maximum
of +0.5 speed. Moving will gradually deplete the gained speed,
along with releasing a trail of poisonous farts.
Also grants immunity to poison gas
Notes
Unlock requirements
none

Saturnus
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
Spawns a ring, which centers itself around the player.
Upon entering a new room, 7 instances of the player’s tears
spawn and start orbiting the ring. The tears got limited
range, and will fall after a while. Enemy projectiles caught
inside the ring will rarely merge into it, becoming harmless
in the process.
Notes
Unlock requirements
none

Uranus
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
The player’s tears inflict the Frozen status effect on killed enemies.
Notes
Unlock requirements
none

Neptunus
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
A charge bar starts filling up when the player is not firing tears.
The player gains a temporary, yet strong fire rate boost the
higher the charge bar is filled. Once the player starts firing,
the charge depletes gradually until it hits 0.
Notes
Forces the player to fire in bursts due to how the item works.
Usually pretty fun.
Unlock requirements
none

Passive Items #39

Pluto
———————-
———————————————————————————
Item pool
pool_planetarium
Effect
+0.7 tears, and significantly decreases the player’s size.
The decreased size allows the player to squeeze through
blocks diagonally, and makes most shots pass over the player.
Notes
Don’t fully rely on the decreased size when being near
enemy projectiles.
Unlock requirements
none

Voodoo Head
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Effect
An extra curse room generates in each floor.
Applies only to the next floors; does not affect the floor the
item was acquired in.
Notes
Unlock requirements
none

Eye Drops
———————-
———————————————————————————
Item pool
pool_boss
Effect
Increases fire rate of the player’s left eye.
Notes
Can be disorienting.
Unlock requirements
none

Act of Contrition
———————-
———————————————————————————
Item pool
pool_angel
Effect
+0.5 tears, and grants an eternal heart.
Allows Angel Rooms to spawn, even if the player has made a deal
with the devil.
Reduces the deal room spawn chance penalty from taking red
heart damage.
Notes
Unlock requirements
none

Member Card
———————-
———————————————————————————
Item pool
pool_shop
Effect
Makes each shop have a special trapdoor, which leads to
an exclusive shop.
This shop contains generally high quality items at high prices.
Notes
Unlock requirements
Spend 40+ coins in a simple shop

Battery Pack
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar
Effect
Fully charges the player’s active item and spawns 4 random batteries.
Notes
Unlock requirements
none

Ocular Rift
———————-
———————————————————————————
Item pool
pool_devil
Effect
The player occasionally fires a tear, which leaves behind
a little portal, which slightly sucks in enemies, and their projectiles,
and additionally damages them.
The size of the portal scales with the player’s damage
Notes
The chance for the special tear to be fired maxes out
somewhere around 10-20%
Unlock requirements
none

Boiled Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which occasionally spurs out a burst
of projectiles in all directions, similar to the Boil enemy
Notes
Unlock requirements
none

Freezer Baby
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which fires tears that can inflict the Frozen
status effect on enemies it kills.
Notes
Discount Uranus.
Unlock requirements
none

Bird Cage
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar that does nothing until the player takes damage.
In such case, the familiar will land on the nearest enemy, dealing
immense damage to it, and spawning rock waves. Afterwards,
the familiar will chase enemies, and deal 9 contact DPS to them.
Notes
Unlock requirements
Defeat Mother as Eve

Lost Soul
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_secret
Effect
Spawns a familiar which closely follows the player, and
dies in one hit from anything that would hurt the player,
such as projectiles, lasers, or environmental objects.
Once the familiar dies, it will respawn the next floor.
Bringing the familiar to the next floor safely will make
it spawn a random reward, which can consist of soul
hearts, eternal hearts, or an item from the Treasure,
or Angel Room item pool.
Notes
Unlock requirements
Defeat Mother as the Lost

Passive Items #40

Blood Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
Grants a full heart container and heals the player for four hearts.
+5 bombs.
The player’s bombs leave behind a large puddle of creep.
The player can use bombs even if they don’t have any in exchange
for half a heart of damage.
Notes
Unlock requirements
none

Lil Dumpy
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which wanders randomly around the room.
When the familiar takes damage from an enemy projectile, or
contact damage, the familiar farts, sending it flying across the
screen. The fart can sometimes redirect enemy projectiles.
Notes
Unlock requirements
none

Bird’s Eye
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires out a red fire alongside their normal tear.
The red fire blocks enemy shots up to 4 times, indicated by the fire
decreasing in side.
The red fire also deals large contact damage to enemies.
Notes
The chance for a fire to be shot alongside a normal tear maxes
out at 100% at 11 luck
Unlock requirements
none

Lodestone
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Effect
The player occasionally fires tears, which magnetise enemies
they come into contact with. Magnetized enemies will pull
other enemies and all projectiles to themself.
Notes
The chance for the special tear to be fired maxes out at 100%
at 10 luck
Unlock requirements
none

Rotten Tomato
———————-
———————————————————————————
Item pool
pool_treasure, pool_rottenbeggar
Effect
The player occasionally fires a tear, which inflicts the Marked
status effect.
Notes
The chance for the special tear to be fired maxes out at 100%
at 4 luck.
Unlock requirements
none

Birthright
———————-
———————————————————————————
Item pool
pool_shop
Effect
Has a different effect depending on which character picks
the item up.
To check out the effects, navigate to Characters – Birthright
Notes
Unlock requirements
Defeat ??? as Jacob & Esau

Red Stew
———————-
———————————————————————————
Item pool
pool_shop
Effect
Fully heals the player and grants a +21.60 damage up, which
gradually decreases over the course of three minutes
Notes
Unlock requirements
Defeat Satan as Jacob & Esau

Booster Pack
———————-
———————————————————————————
Item pool
pool_boss, pool_shop, pool_crane
Effect
Spawns five random cards.
Notes
Unlock requirements
none

Bot Fly
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar, pool_crane
Effect
Spawns a familiar, which orbits the player, and attempts to
destroy any nearby enemy projectiles, by firing Lost Contact-like
projectiles at them.
Notes
Unlock requirements
none

Evil Charm
———————-
———————————————————————————
Item pool
pool_secret
Effect
+2.0 luck.
Grants immunity to status effects caused by enemies.
Notes
Unlock requirements
none

Purgatory
———————-
———————————————————————————
Item pool
pool_angel, pool_devil
Effect
When in a room with enemies, a small, red rift spawns on a
random tile in the room. Walking over the rift spawns a ghost,
which floats around for a while, and locks in on the nearest
enemy afterwards. Upon contact with an enemt, the ghost
explodes, dealing 2x the player’s damage per tick.
Notes
Unlock requirements
Complete challenge #38

Knockout Drops
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player occasionally fires a special tear, which deals
immense knockback, and applies the Confusion status effect
for a short while.
Notes
The chance for the special tear to be fired maxes out at 100%
at 9 luck
Unlock requirements
none

Passive Items #41

Akeldama
———————-
———————————————————————————
Item pool
pool_treasure
Effect
When in a room with enemies, a trail of tears will start
growing out of the player. This trail can grow up to a max of
20 tears, and will be dragged behind the player.
Leaving the room despawns the tears.
Notes
Unlock requirements
Defeat Mother as Judas

Revelation
———————-
———————————————————————————
Item pool
pool_angel
Effect
Grants flight and two soul hearts.
Gives the player a charged laser attack, which does not replace
their tears.
The laser needs to be charged via continuous fire for 2.35 seconds,
before it can be used.
Upon releasing the fire buttons when at full charge, the laser will
fire out in the direction the player was firing at, dealing the player’s
damage per tick, up to a maximum of 15 times.
Notes
The laser works even if the player is blindfolded, making
it very valuable in runs, where the player is unable to fire tears.
Unlock requirements
Defeat Mother as Bethany

Consolation Prize
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold, pool_crane
Effect
Gives the player a boost to a stat they have the least of.
Also spawns a pickup the player has the least of.
Notes
Unlock requirements
none

Tinytoma
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Gives the player an orbital, which blocks shots and deals
slight amounts of contact damage to enemies.
The orbital has its own health, and will be destroyed once its
health reaches 0. In such case, the orbital will split into two smaller
copies of itself, which will orbit the player afterwards. The smaller
copies function similarly, and will split into two blue spiders when
killed.
After each of the two smallest segments have been killed, the
orbital will respawn good as new after five seconds
Notes
Can be exploited using spiked rocks to spawn unlimited
blue spiders.
Unlock requirements
Defeat Mother as Lazarus

Brimstone Bombs
———————-
———————————————————————————
Item pool
pool_devil, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs release brimstone lasers in all cardinal
directions upon blowing up.
Notes
Unlock requirements
Kill Hornfel before he escapes through a Boss Room door

4.5 Volt
———————-
———————————————————————————
Item pool
pool_shop, pool_chargebeggar
Effect
Disables the player’s active items to be charged via room clears.
Instead, the player needs to damage enemies to charge their active
item.
The charge requirement is 60 by default, and increases in further
floors.
Notes
Detrimental in rooms with enemies, beneficial in boss fights.
Unlock requirements
none

Fruity Plum
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop, pool_keybeggar, pool_crane
Effect
Spawns a familiar, which propels itself diagonally by firing stationary
shots out of itself in rooms with enemies.
Notes
Unlock requirements
Defeat Baby Plum 10 times

Star of Bethlehem
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns a familiar, which slowly travels through the floor’s rooms
in the direction of the Boss Room of the floor. Once the star reaches
the Boss Room, it stays in its center for the rest of the floor.
The star emits an aura, and standing inside it grants +1.0 damage,
a 1.2x damage multiplier, and significantly increased fire rate.
Notes
In the Void, the star will travel towards the room containing
Delirium.
The star may sometimes not path to the Boss Room at all.
The star may sometimes travel through walls instead of doors;
this indicates the presence of a Secret Room.
Unlock requirements
Defeat Delirium as Bethany

Cube Baby
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which can be kicked by the player.
The familiar will slide at high speeds around the room when kicked,
and will deal damage based on its momentum.
Enemies killed by this familiar become frozen.
The familiar also blocks projectiles.
Notes
Unlock requirements
none

False PHD
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_chestcursed
Effect
Grants a black heart.
Identifies all pills, and converts all good pill effects into bad effects.
Taking pills with bad effects has a positive effect alongside the
pill’s effect.
Taking a stat down pill will increase the player’s damage, while
taking miscellaneous pills will grant a black heart.
Notes
Unlock requirements
none

Passive Items #42

Vasculitis
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Upon killing an enemy 1-16 tears are released in random directions.
The amount of tears released depends on the health of the enemy.
Notes
Tears from Vasculitis blend in extremely well with tears fired from
enemies. Due to this, the item is very disorienting
Unlock requirements
none

Giant Cell
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Getting hit spawns a familiar, which chases enemies and fires
tears at them.
The familiars have got limited HP, and get weaker in that regard
as time passes.
Notes
Unlock requirements
none

Tropicamide
———————-
———————————————————————————
Item pool
pool_boss
Effect
+1.5 range.
Increases tear size.
Notes
Can mess up damage calculation you perform while attacking enemies.
Unlock requirements
none

Card Reading
———————-
———————————————————————————
Item pool
pool_shop
Effect
Spawns two portals at the starting room of each floor.
These portals disappear once the room is exited, and lead
the player to the floor’s different special rooms, as indicated
by the color of the portal.
A yellow portal will lead the player to the floor’s Treasure Room.
A red portal will lead the player to the floor’s Boss Room.
A blue portal will lead the player to the floor’s Secret Room.
From chapter IV and onward, only one portal will spawn.
Notes
Unlock requirements
none

Quints
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Killing an enemy spawns a random, temporary, stationary familiar
in its position.
The effect can happen 5 times per room.
Notes
Unlock requirements
none

Tooth and Nail
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player becomes invincible for one second every six seconds.
The incoming invulnerability will be telegraphed by a ticking sound.
Notes
Grants free access to Curse Rooms if timed properly.
Unlock requirements
none

Binge Eater
———————-
———————————————————————————
Item pool
pool_secret
Effect
Grants a heart container and fully heals the player.
Item pedestals spawned after picking the item up will cycle
between the item the pedestal would contain, and a food-themed
health upgrade.
Taking the health upgrade grants a temporary +3.6 damage boost,
which fades out over the course of 30 seconds, and also grants
a permanent boost to two stats, depending on what kind of HP
upgrade was picked up.
Notes
Unlock requirements
none

Guppy’s Eye
———————-
———————————————————————————
Item pool
pool_devil, pool_chestcursed
Effect
Allows the player to see the contents of a chest before opening it.
The item can display up to 4 items.
Notes
Also applies to Sacks and Fireplaces
Unlock requirements
Defeat Mother as Cain

Strawman
———————-
———————————————————————————
Item pool
pool_secret
Effect
+1 bomb.
Spawns the Keeper as an additonal character alongside the player.
The Keeper is controlled identically to how Esau is controlled.
The Keeper’s got his own health bar, and will permanently die once
it reaches 0. The health bar functions identically to the normal Keeper’s
health bar.
The Keeper can pick up items. These items are stored in the Keeper’s
inventory, and are not shared with the player. The items will be lost
forever once the Keeper dies.
The Keeper is unable to pick up any trinkets, active items, or
consumables.
Notes
There are many more, yet niche effects/opportunities that come
with this item, and they’re too long to fit it in this table.
Unlock requirements
Defeat the Beast as Tainted Keeper

Sausage
———————-
———————————————————————————
Item pool
pool_secret
Effect
Grants a full heart container.
Grants +0.5 damage, +0.5 tears, +0.2 speed, +1.5 range, +0.2 shot speed,
and +1.0 luck.
Notes
Unlock requirements
none

Options?
———————-
———————————————————————————
Item pool
pool_shop
Effect
Room clear rewards spawn an additonal reward alongside it.
Only one can be chosen; the other one will disappear.
Notes
Annoying
Unlock requirements
Defeat the Beast as Isaac

Passive Items #43

Candy Heart
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a red heart.
Grants a small boost to a random stat every time the player heals
half a heart
Notes
Gives you a reason to use Demon Beggars and/or Blood
Donation Machines
Unlock requirements
Defeat the Beast as Magdalene

A Pound of Flesh
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Effect
Items in devil rooms now cost 15-30 cents, while items in shops
cost red heart containers.
Consumables in shops are free, but surrounded by spikes.
Notes
The spikes surrounding consumables ignore invincibility.
Taking items in shops does not decrease Angel Room chance.
Unlock requirements
Defeat the Beast as Cain

Redemption
———————-
———————————————————————————
Item pool
Effect
Entering a Devil Room makes a white cross appear over the
player’s head. Not taking anything in the devil room will
grant the player +1.0 damage and a soul heart in the next floor.
Notes
Only spawned by Confessionals after the player has made a
deal with the devil, voiding their Angel Room chance.
Unlock requirements
Defeat the Beast as Judas

Spirit Shackles
———————-
———————————————————————————
Item pool
pool_secret
Effect
Upon death, the player’s soul comes out of the body, bound
to the body by a chain. The soul has half a soul heart, and can
continue fighting. Surviving in the soul form for ten seconds
respawns the player with half a heart.
The effect can happen once, and afterwards the item needs
to be recharged by picking up a soul heart.
Soul hearts used to charge the item will not be added
to the player’s health
Notes
Unlock requirements
Defeat the Beast as the Forgotten

Cracked Orb
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
Getting hit opens all doors, reveals a portion of the map, and
destroys any tinted rocks and rocks containing Crawlspaces in
the room.
Notes
Can unlock the Mega Satan door.
Unlock requirements
Defeat the Beast as Tainted Eve

Empty Heart
———————-
———————————————————————————
Item pool
pool_treasure, pool_devilbeggar
Effect
If the player has one red heart or less at the beginning of a floor,
the player is rewarded with an empty heart container.
Notes
Literally useless
Unlock requirements
Defeat the Beast as Samson

Astral Projection
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
If the player takes damage in an uncleared room, the player’s
body will drop dead to the floor, and the player will play as their
soul form. Time will also stop for 2 seconds, and will gradually
speed up.
Taking any hit, or clearing the room will return the soul to the body,
effectively tanking a hit.
Notes
Unlock requirements
Defeat the Beast as Lazarus

C Section
———————-
———————————————————————————
Item pool
Effect
Notes
Acquirable only via Death Certificate
Unlock requirements
Defeat the Beast as Lilith

Lil Abadoon
———————-
———————————————————————————
Item pool
pool_devil, pool_familiarshop
Effect
Spawns a familiar, which can be charged using the fire buttons.
When fully charged, releasing the fire buttons will make the familiar
spawn a Maw-of-the-Void-like ring around itself for a short time.
The ring can deal upwards of 52 damage.
Notes
Unlock requirements
Defeat the Beast as Azazel

Montezuma’s Revenge
———————-
———————————————————————————
Item pool
pool_treasure
Effect
The player can fire a short-range laser out of their back by
firing continuously for 2.35s, and releasing the fire buttons.
The laser deals 15x the player’s damage per second, and
fires out short-ranged corn projectiles.
Notes
Unlock requirements
Defeat the Beast as ???

Passive Items #44

Lil Portal
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Spawns a familiar, which can be launched using the fire buttons.
The familiar deals contact damage, and sucks up any pickups
and trinkets it comes into contact with.
The familiar’s contact damage increases depending on how many
pickups have been sucked up.
Sucking up four pickups will revert the familiar back to its smallest
form, and will spawn a permanent portal leading to a random room
in the floor.
Notes
Unlock requirements
Defeat Mother as Apollyon

Worm Friend
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Effect
Spawns a familiar, which periodically bursts out of the ground,
and immobilizes enemies for 4s, additonally slowing their projectiles.
Immobilized enemies take damage over time from the familiar.
Notes
Unlock requirements
Defeat the Beast as Apollyon

Bone Spurs
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Killed enemies spawn 1-2 floating bones on death.
These bones block projectiles, and damage enemies.
The bones have limited health, and will die once they’ve
taken enough damage
Notes
Very effective against enemies, which split into more enemies
on death.
Unlock requirements
Defeat Mother as the Forgotten

Hungry Soul
———————-
———————————————————————————
Item pool
pool_devil
Effect
Killed enemies have a chance to spawn a red ghost, which
chases enemies and deals contact damage to them.
The ghosts explode after a while, dealing moderate damage
to enemies within explosion radius.
Notes
Unlock requirements
Defeat the Beast as the Lost

Soul Locket
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns a soul heart.
Picking up a soul heart grants a small, yet permanent boost to
a random stat.
Notes
Unlock requirements
Defeat Ultra Greed as Bethany

Inner Child
———————-
———————————————————————————
Item pool
pool_secret
Effect
Grants an extra life.
Upon resurrection, the player is left with half a heart, their
size is massively decreased, and they gain +0.2 speed
Notes
Unlock requirements
Defeat Ultra Greed as Jacob & Esau

Glitched Crown
———————-
———————————————————————————
Item pool
pool_secret
Effect
Item pedestals quickly cycle between five items at a rate of
5 items per second.
Notes
Can give the player extremely good items, provided
you have good timing
Unlock requirements
Defeat the Beast as Tainted Isaac

Belly Jelly
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Contact damage from enemies and projectiles has a 50%
chance to be negated.
Enemies that touch the player will bounce back
Notes
Unlock requirements
Defeat the Beast as Tainted Magdalene

Sacred Orb
———————-
———————————————————————————
Item pool
pool_angel, pool_secret
Effect
Increases the overall quality of items found by the player.
Notes
Unlock requirements
Defeat the Beast as Tainted Lost

Sanguine Bond
———————-
———————————————————————————
Item pool
pool_devil, pool_chestcursed
Effect
Spawns a special set of spikes in any Devil Room.
Sacrificing health on the spikes has a chance to spawn a reward.
Notes
Unlock requirements
Defeat the Beast as Tainted Judas

The Swarm
———————-
———————————————————————————
Item pool
pool_treasure, pool_keybeggar
Effect
Grants eight orbital flies.
The orbital flies block projectiles, and will turn into a blue fly
in such case.
Clearing a room grants one orbital fly.
Notes
Unlock requirements
Defeat the Beast as Tainted ???

Passive Items #45

Heartbreak
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Effect
Grants three broken hearts.
The player receives a +0.25 damage boost for each broken heart.
A fatal hit will not kill the player, and will add two broken hearts
instead.
Notes
Unlock requirements
Defeat the Beast as Tainted Eve

Bloody Gust
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Effect
Taking damage will grant a boost to fire rate and speed for
the duration of the floor.
The player can attain up to six boosts from the item.
Notes
Unlock requirements
Defeat Mother as Samson

Salvation
———————-
———————————————————————————
Item pool
pool_angel
Effect
Spawns a halo around the player.
Enemies within the halo gradually light up before being striked
by a beam of light, which deals moderate damage.
The beam of light will additionally send out lasers in cardinal
directions.
The radius of the halo increases the more damage the player
takes. This effect is only for the duration of the room.
Notes
Unlock requirements
Defeat the Beast as Tainted Lazarus

Vanishing Twin
———————-
———————————————————————————
Item pool
pool_curse, pool_secret
Effect
Spawns a familiar, which when in a Boss Room, will
transform into a copy of the floor’s boss. Both of the bosses
need to be killed, and each boss will drop a Boss Room item.
Does not affect final bosses.
The copied boss will have lower health than the actual boss.
Notes
Very buggy. Can result in softlocks
Unlock requirements
Defeat Hush as Jacob & Esau

Twisted Pair
———————-
———————————————————————————
Item pool
pool_devil, pool_familiarshop
Effect
Spawns two, Incubus-like familiars, which fire the player’s
tears, albeit with just 0.375x the player’s damage per familiar.
Notes
Unlock requirements
Defeat the Beast as Tainted Lilith

Azazel’s Rage
———————-
———————————————————————————
Item pool
pool_devil
Effect
The player builds up rage for every room cleared.
After clearing four rooms, the player’s head will flash red, and
entering a room with enemies will cause the player to fire
a large brimstone laser for roughly three seconds.
The laser deals 15x the player’s damage per second.
Notes
Unlock requirements
Defeat the Beast as Tainted Azazel

Echo Chamber
———————-
———————————————————————————
Item pool
pool_secret
Effect
Using a consumable will cause Echo Chamber to activate all
of the consumables used by the player previously after picking
up Echo Chamber
Notes
Unlock requirements
Defeat the Beast as Tainted Apollyon

Isaac’s Tomb
———————-
———————————————————————————
Item pool
pool_secret
Effect
Spawns an Old Chest at the start of a floor.
Notes
Unlock requirements
Defeat the Beast as Tainted Forgotten

Vengeful Spirit
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Effect
Taking damage spawns a red wisp, which fires spectral tears,
and deals contact damage to enemies, but does not block projecitles.
The wisps last for the duration of the floor, and there can be a max of
six wisps at once.
Notes
Unlock requirements
Defeat the Beast as Tainted Bethany

Supper
———————-
———————————————————————————
Item pool
pool_boss, pool_beggar
Effect
Grants a full heart container and heals the player for one heart.
Notes
Unlock requirements
none

Stapler
———————-
———————————————————————————
Item pool
pool_boss, pool_chestgold
Effect
+1.0 damage.
Prevents the player from firing from their left eye
Notes
Unlock requirements
none

Passive Items #46

Keeper’s Sack
———————-
———————————————————————————
Item pool
pool_shop, pool_secret
Effect
Spawns three coins and a key.
Spending money in shops grants permanent stat upgrades based
on how many coins were spent.
Notes
Somehow getting rid of the item gets rid of the stat upgrades
as well
Unlock requirements
Defeat Mother as the Keeper

Keeper’s Kin
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Effect
In rooms with enemies, obstacles will occasionally spawn blue
spiders.
Destroying rocks will also spawn blue spiders.
Notes
Unlock requirements
Defeat Delirium as Tainted Keeper

TMTRAINER
———————-
———————————————————————————
Item pool
pool_secret
Effect
Causes all future item pedestals to contain glitched items.
Glitched items are amalgamations of sprites and effects of
random items from the game. The effects may also be pulled
from the ones outside of any item. Each glitched item will
have 2-3 combinations of item effects.
Glitched items can be passive or active, and picking them up
may cause a random sound effect with a random pitch to play.
Glitched items in shops will cost anywhere from 1 cent to 99 cents.
Notes
This item is a mess, jesus. Infinite possibilities, these include
crashing your game, or instantly winning a run, or softlocking it,
or ruining it, or-
Unlock requirements
Defeat the Beast as Tainted Eden

Hypercoagulation
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Getting hit causes a temporary red heart to launch out of the player.
The red heart lasts for roughly 1.5s before disappearing.
Notes
Unlock requirements
Defeat Delirium as Tainted Magdalene

IBS
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Dealing enough damage forces the player to activate a random
poop effect, identically to Tainted ???’s gimmick.
Notes
Run ruiner.
Unlock requirements
Defeat Delirium as Tainted ???

Hemoptysis
———————-
———————————————————————————
Item pool
pool_treasure
Effect
Double tapping a fire button causes the player to sneeze blood.
This short-ranged sneeze deals 1.5x the player’s damage, and
knocks enemies back with great force. Enemies will take damage
based on their momentum if they hit an obstacle or a wall.
Notes
Unlock requirements
Defeat Delirium as Tainted Azazel

Ghost Bombs
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Effect
+5 bombs.
The player’s bombs become spectral, and spawn ghosts upon
blowing up.
The ghosts will chase enemies and deal contact damage to them.
The ghosts will also explode after a while, dealing moderate damage
to enemies within explosion radius.
Notes
Unlock requirements
Defeat Delirium as Tainted Lost

Active Items #1

This is a list of all active items, sorted by internal ID

The Bible
———————-
———————————————————————————
Item pool
pool_shop, pool_angel, pool_library
Charge
4 rooms
Effect
Grants flight for the duration of the room.
Notes
Instantly kills Mom and Mom’s Heart when used.
Instantly kills the player while fighting Satan.
Unlock requirements
none

Book of Belial
———————-
———————————————————————————
Item pool
pool_devil, pool_library
Charge
3 rooms
Effect
Grants a +2.0 damage bonus for the current room.
Subsequent uses of the item in the same room give a smaller
damage bonus.
While held, increases Deal Room spawn chance by 12.5%
Notes
Unlock requirements
none

The Necronomicon
———————-
———————————————————————————
Item pool
pool_devil, pool_secret, pool_library
Charge
4 rooms
Effect
Deals 40 damage to all enemies in the room
Notes
Unlock requirements
Use the XIII – Death tarot card 4 times

The Poop
———————-
———————————————————————————
Item pool
pool_treasure
Charge
1 room
Effect
Spawns a poop
Notes
Unlock requirements
none

Mr. Boom!
———————-
———————————————————————————
Item pool
pool_treasure, pool_bombbeggar
Charge
2 rooms
Effect
Spawns a bomb with increased damage and blast radius
Notes
Unlock requirements
none

Tammy’s Head
———————-
———————————————————————————
Item pool
pool_crane
Charge
1 room
Effect
Shoots 10 tears in a ring around the player.
The tears retain the player’s tear properties.
Each tear gets a +25.0 damage bonus on top of the player’s damage
Notes
Unlock requirements
none

Mom’s Bra
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_chestmom
Charge
3 rooms
Effect
Petrifies all enemies in the room for 4 seconds
Notes
Unlock requirements
none

Kamikaze
———————-
———————————————————————————
Item pool
pool_treasure
Charge
Unlimited use
Effect
The player explodes, dealing half a heart of damage to them,
and dealing 185 damage to enemies within the blast radius
Notes
Extremely powerful with Pyromaniac/Host Hat
Unlock requirements
none

Mom’s Pad
———————-
———————————————————————————
Item pool
pool_treasure, pool_chestold, pool_chestmom
Charge
3 rooms
Effect
Inflicts the Fear status effect on all enemies in the room
for 5 seconds
Notes
Unlock requirements
none

Bob’s Rotten Head
———————-
———————————————————————————
Item pool
pool_treasure, pool_rottenbeggar
Charge
2 rooms
Effect
The player holds a bomb over their head.
Pressing a fire button launches the bomb in that direction.
The bomb explodes upon contact with an enemy, wall, obstacle,
or after being in the air for long enough.
When blown up, the bomb deals 185 damage + the player’s damage,
poisons enemies, and leaves a short-lasting cloud of poison gas.
Notes
Rarely drops from Sloth
Unlock requirements
none

Teleport
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Teleports the player to a random room on the floor
Notes
Can be used to take Challenge Room items/pickups without
fighting enemies.
Unlock requirements
none

Yum Heart
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Heals for a full red heart
Notes
Rarely drops from Super Lust
Unlock requirements
none

Active Items #2

Doctor’s Remote
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
2 rooms
Effect
Spawns a controllable crosshair. After 2s, a rocket will fall
on top of the crosshair, dealing 20x the player’s damage to
enemies within explosion radius.
Notes
Unlock requirements
none

Shoop da Whoop!
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
2 rooms
Effect
The next shot will fire a brimstone-like laser, which deals
2x the player’s damage per tick, for 13 ticks, effectively
dealing 26x the player’s damage at max.
Notes
Rarely drops from Envy
Unlock requirements
none

Lemon Mishap
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Spawns a puddle of yellow creep, which deals 24 contact
DPS to enemies.
Notes
Unlock requirements
none

Book of Shadows
———————-
———————————————————————————
Item pool
pool_treasure, pool_library
Charge
3 rooms
Effect
Grants invulnerability for 10 seconds
Notes
Unlock requirements
none

Anarchist Cookbook
———————-
———————————————————————————
Item pool
pool_treasure, pool_library
Charge
3 rooms
Effect
Spawns six troll bombs in random places in the room.
Notes
Unlock requirements
none

The Hourglass
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
2 rooms
Effect
Slows down all enemies for 8 seconds
Notes
Unlock requirements
none

My Little Unicorn
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Grants invulnerability, +0.28 speed, and 40 contact DPS
for 6 seconds. The player can’t fire tears during this effect.
Notes
Unlock requirements
none

Book of Revelations
———————-
———————————————————————————
Item pool
pool_treasure, pool_library
Charge
6 rooms
Effect
Grants a soul heart, and guarantees the floor’s boss to be
a Harbinger, if the player is on a floor from Basement I, to
Depths I, and Womb I.
1.175x Deal Room spawn chance multiplier when held.
Notes
Unlock requirements
Defeat a Harbinger

The Nail
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Charge
6 rooms
Effect
Grants half a black heart.
Also grants +2.0 damage, -0.18 speed, and the ability to destroy
most obstacles by walking over them for the duration of the room.
Notes
Unlock requirements
Complete the Boss Rush as Azazel

We Need to Go Deeper!
———————-
———————————————————————————
Item pool
pool_devil, pool_secret
Charge
6 rooms
Effect
Spawns a trapdoor to the next floor. The trapdoor may
rarely be an entrance to a Crawl Space instead.
Notes
Has no effect in the Blue Womb and most of the endgame
floors
Unlock requirements
none

Deck of Cards
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_crane
Charge
6 rooms
Effect
Spawns a random card
Notes
Unlock requirements
none

Monstro’s Tooth
———————-
———————————————————————————
Item pool
pool_treasure
Charge
3 rooms
Effect
Spawns Monstro, who lands on a random enemy, dealing
120 damage to them. Monstro will disappear afterwards.
If used in a room without enemies, Monstro will land on
the player.
Notes
Unlock requirements
Beat Chapter I

Active Items #3

The Gamekid
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Grants invulnerability for 6 seconds, along with 40 contact damage.
During the effect, all enemies have the Fear status effect applied
to them, and the player will regenerate half a heart of red health
for each 2 enemies killed. The player will also be unable to fire
tears during the effect
Notes
Unlock requirements
Enter 10 Arcades

Book of Sin
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_library
Charge
4 rooms
Effect
Spawns a random common pickup
Notes
Unlock requirements
Defeat each deadly sin at least once.

Mom’s Bottle of Pills
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_beggar, pool_devilbeggar,
pool_chestold, pool_chestmom, pool_crane
Charge
6 rooms
Effect
Spawns a random pill
Notes
Unlock requirements
none

The D6
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
6 rooms
Effect
Rerolls all pedestal items in the room
Notes
Unlock requirements
Defeat Isaac as ???

Pinking Shears
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Separates the player’s head from the body. The player controls
the head, while the body controls itself, chases nearby enemies, and
deals roughly 40 contact DPS to them.
The effect lasts for the duration of the room.
Notes
Because of how the item works, it also grants flight for the
duration of the room.
Unlock requirements
none

The Bean
———————-
———————————————————————————
Item pool
pool_treasure, pool_beggar
Charge
1 room
Effect
The player farts, poisoning nearby enemies for a short time.
Notes
Unlock requirements
none

Monster Manual
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_library
Charge
6 rooms
Effect
Spawns a random familiar for the duration of the floor.
Notes
Unlock requirements
none

Dead Sea Scrolls
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Charge
2 rooms
Effect
Activates the effect of a random, weak active item.
Notes
Unlock requirements
none

Razor Blade
———————-
———————————————————————————
Item pool
pool_devil, pool_devilbeggar
Charge
Unlimited use
Effect
The player takes a full heart of damage in exchange for a
+1.2 damage boost for the duration of the room.
Notes
Unlock requirements
Defeat Satan as Eve

Forget Me Now
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_secret, pool_devilbeggar
Charge
One time use
Effect
Restarts the floor, but lets the player keep the items they’ve
acquired prior to using Forget Me Now.
Notes
Effectively lets the player clear one more floor, possibly
giving them more items.
Unlock requirements
Defeat Satan as ???

A Pony
———————-
———————————————————————————
Item pool
Charge
2 rooms
Effect
While held, grants flight, and sets the player’s speed to 1.50,
if they were below 1.50 speed prior to picking up the Pony.
Using the item will make the player charge in the direction
they’re moving, granting invincibility and (4x player’s damage + 28)
contact damage during the charge.
Notes
Drops from the Headless Horseman
Unlock requirements
none

Active Items #4

Guppy’s Paw
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_chestcursed
Charge
Unlimited use
Effect
Converts one red heart container into three soul hearts
Notes
Unlock requirements
none

IV Bag
———————-
———————————————————————————
Item pool
Charge
Unlimited use
Effect
Damages the player for half a heart and spawns 1-2 coins
Notes
Drops from Blood Donation Machines destroyed via
inserting a coin.
Spawns a single coin in Hard mode
Unlock requirements
none

Best Friend
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
3 rooms
Effect
Spawns a decoy, which explodes after five seconds, and
deals 185 damage to enemies within explosion radius.
The decoy can be pushed around, and enemies will
prioritise the decoy over the player.
Notes
Unlock requirements
none

Remote Detonator
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_bombbeggar, pool_crane
Charge
Unlimited use
Effect
+5 bombs upon first pickup.
The player’s bombs cannot explode by themself while the item
is held. Activating the item will detonate all player-placed bombs.
Notes
Unlock requirements
none

Guppy’s Head
———————-
———————————————————————————
Item pool
pool_devil, pool_curse, pool_chestcursed
Charge
1 room
Effect
Spawns 2-4 blue flies
Notes
Unlock requirements
none

Prayer Card
———————-
———————————————————————————
Item pool
pool_treasure, pool_angel
Charge
6 rooms
Effect
Grants an eternal heart
Notes
Don’t overdose on it.
12 red heart containers may be a bad idea sometimes.
Unlock requirements
none

Notched Axe
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Charge
64 uses
Effect
Upon activation, the player equips a pickaxe, which while
held, removes the player’s ability to fire tears, and instead,
the player will swing the pickaxe around, similar to the
Forgotten’s bone club. The pickaxe destroys most obstacles
it hits, along with Secret Room entrances, and deals 3x
the player’s damage to enemies that come into contact
with it. The pickaxe can be used only 64 times before
it breaks, and is unusable for the rest of the floor.
A use counts as: destroying a single obstacle,
hitting an enemy once, opening a door.
Using the item again, while the pickaxe is held,
will holster it, enabling the player to fire tears again.
Notes
Unlock requirements
none

Crystal Ball
———————-
———————————————————————————
Item pool
Charge
6 rooms
Effect
Drops either a soul heart, or a card/rune, and reveals
the map with the exception of the Super Secret Room.
Notes
Drops from Fortune Teller Machines destroyed via
inserting a coin.
Unlock requirements
none

Crack the Sky
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Spawns five beams of light in random places. These
beams deal immense contact damage to enemies.
Notes
Unlock requirements
none

Blue Candle
———————-
———————————————————————————
Item pool
pool_shop
Charge
4 seconds
Effect
On use, the player holds the candle above their head.
Pressing a fire button will shoot a blue fire in that direction.
The blue fire deals large contact damage to enemies, and
fades out over time.
The fire can deal up to roughly 275 total damage.
Notes
Unlock requirements
Donate 900 coins to the Donation Machine

D20
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
6 rooms
Effect
Rerolls all pickups in the room.
Notes
Unlock requirements
Defeat ??? as Isaac

Active Items #5

Spider Butt
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Deals 10 damage to all enemies in the room and slows them
down for 4 seconds.
Enemies killed by this item will drop blue spiders.
Notes
Unlock requirements
none

Dad’s Key
———————-
———————————————————————————
Item pool
pool_treasure, pool_keybeggar, pool_chestold
Charge
2 rooms
Effect
Opens all doors in the room.
Notes
This includes the Mega Satan door
Unlock requirements
Pick up both Key Piece 1 and Key Piece 2 in a single run

Portable Slot
———————-
———————————————————————————
Item pool
pool_shop, pool_beggar
Charge
1 coin
Effect
Consumes a coin and has a chance to drop a random pickup,
or rarely grant the player a pretty fly orbital.
Effectively functions as a portable Slot Machine
Notes
Unlock requirements
none

White Pony
———————-
———————————————————————————
Item pool
Charge
2 rooms
Effect
Behaves identically to the Pony, but has additional effects
during the charge.
During the charge, the player will additionally leave behind a
line of beams of light, which deal massive contact damage to
enemies.
The damage of the beams scales with the player’s damage
Notes
Drops only from Conquest
Unlock requirements
none

Blood Rights
———————-
———————————————————————————
Item pool
pool_treasure
Charge
Unlimited use
Effect
Damages the player for a full heart in exchange of dealing
40 damage to all enemies in the room
Notes
Unlock requirements
Defeat Satan as Samson

Telepathy for Dummies
———————-
———————————————————————————
Item pool
pool_treasure, pool_library
Charge
2 rooms
Effect
Grants homing and +3.0 range for the duration of the room.
Notes
Unlock requirements
none

Clear Rune
———————-
———————————————————————————
Item pool
pool_secret, pool_crane
Charge
Varies with rune used
Effect
Copies the effects of the player’s currently held rune.
The charge time is set to a value depending on the rune copied.
Drops a random rune upon first pickup
Notes
Unlock requirements
Complete challenge #30

How to Jump
———————-
———————————————————————————
Item pool
pool_treasure, pool_library
Charge
Unlimited use
Effect
The player jumps in the direction they’re moving upon use.
The length of the jump depends on the player’s momentum
when the item is used.
The jump can be used to dodge enemies and projectiles, and
to reach otherwise inaccessible areas.
Notes
Unlock requirements
none

D100
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
6 rooms
Effect
Duplicates a random pickup in the room, and then rerolls them.
Rerolls all item pedestals in the room, and rerolls all of the player’s
currently held items.
Rerolls the player’s attributes.
Respawns any enemies killed in the room, and rerolls all currently
alive enemies.
Rerolls all obstacles in the room.
Notes
Basically combines the effects of all dice with the exception of
Spindown Dice, and the Eternal D6
Unlock requirements
Complete Boss Rush as the Lost

D4
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
6 rooms
Effect
Rerolls all of the player’s currently held items.
Notes
Unlock requirements
Blow up 30 machines

D10
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
1 room
Effect
Rerolls all enemies in the room
Notes
Unlock requirements
none

Active Items #6

Blank Card
———————-
———————————————————————————
Item pool
pool_shop, pool_secret
Charge
Varies with card used
Effect
Copies the effect of the player’s currently held card.
The charge time is set to a value depending on the card copied.
Notes
Unlock requirements
Defeat Isaac as Eden

Book of Secrets
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret, pool_library
Charge
6 rooms
Effect
Gives the mapping effects of either the Compass, Treasure Map,
or the Blue Map item for the duration of the floor.
Notes
Unlock requirements
Defeat Satan as Eden

Box of Spiders
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Spawns 4-8 blue spiders
Notes
Unlock requirements
none

Red Candle
———————-
———————————————————————————
Item pool
pool_shop
Charge
4 seconds
Effect
On use, the player holds the candle above their head.
Pressing a fire button will shoot a red fire in that direction.
The red fire deals large contact damage to enemies, up to
4 times before the fire disappears. The fire additionally blocks
shots up to 4 times.
The fire deals less damage the smaller it is, and can deal
up to 115 damage per flame.
The fire will automatically disappear 10s after spawning.
Notes
Unlock requirements
Donate 400 coins to the Donation Machine

The Jar
———————-
———————————————————————————
Item pool
pool_shop
Charge
Unlimited use
Effect
The player will collect any red hearts in the jar when they’re
at full red health. Up to 4 hearts can be stored in the jar.
Using the jar will spawn any collected hearts near the player
Notes
Unlock requirements
none

Flush!
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Floods the room, and turns all non-boss enemies into poop,
killing them in the process.
Notes
Instantly kills poop-themed bosses.
Unlock requirements
none

Satanic Bible
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_library
Charge
6 rooms
Effect
Grants a black heart, and forces the boss room reward to
be a devil deal instead.
Notes
Taking the boss room deal will not decrease Angel Room chance.
Unlock requirements
Defeat Isaac as Azazel

Head of Krampus
———————-
———————————————————————————
Item pool
Charge
3 rooms
Effect
The player fires 4 brimstone beams in cardinal directions.
A laser can deal upwards of 190 damage.
Notes
Drops from Krampus
Unlock requirements
Defeat Krampus

Butter Bean
———————-
———————————————————————————
Item pool
pool_treasure, pool_beggar
Charge
3 seconds
Effect
The player farts, knocking back any enemies and projectiles.
Notes
Unlock requirements
Destroy 100 poops

Magic Fingers
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop
Charge
1 coin
Effect
Consumes a coin, and deals the player’s damage + 10.0 to all
enemies in the room.
Notes
Unlock requirements
none

Converter
———————-
———————————————————————————
Item pool
pool_shop
Charge
Unlimited use
Effect
Converts a single soul/black heart into a red heart container.
Notes
Unlock requirements
none

Pandora’s Box
———————-
———————————————————————————
Item pool
pool_shop
Charge
One time use
Effect
Spawns a reward,

View post on imgur.com

[i.imgur.com]

Notes
Unlock requirements
Defeat the Lamb as Lazarus

Active Items #7

Unicorn Stump
———————-
———————————————————————————
Item pool
pool_treasure
Charge
1 room
Effect
Grants invulnerability and +0.28 speed for six seconds.
Notes
A weaker version of My Little Unicorn.
Useful with orbitals
Unlock requirements
none

Isaac’s Tears
———————-
———————————————————————————
Item pool
pool_treasure
Charge
6 fired tears
Effect
Fires a ring of eight tears around the player, which retain
the same stats and tear effects as the player’s.
Notes
Unlock requirements
Defeat Isaac as Isaac

Undefined
———————-
———————————————————————————
Item pool
pool_treasure
Charge
6 rooms
Effect
Teleports the player either to the Treasure Room, Secret Room,
Super Secret Room, or the I AM ERROR room, with each room
having an equal, 25% chance of being teleported into.
Notes
Useful for entering I AM ERROR rooms.
Make sure you have a way to teleport out of the room
afterwards.
Unlock requirements
Complete Boss Rush as Eden

Scissors
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Separates the player’s head from the body. The head becomes
a stationary familiar, which fires the player’s tears, while the body
is controlled by the player, and fires out a continuous fountain
of blood, dealing slightly less than the player’s DPS on average.
The blood fountain, and the firing direction of the familiar can
be controlled using the fire buttons.
This effect lasts for the duration of the room.
Notes
Unlock requirements
Die 100 times

Breath of Life
———————-
———————————————————————————
Item pool
pool_angel
Charge
6 seconds
Effect
Holding down the active item button turns the player blue
over six seconds, indicated by the item’s charge depleting.
When the charge reaches zero, the player becomes invincible
for a period of one second, and continuous holding of the
active item button afterwards will damage the player each second.
While invincible, the player also smites any enemies they come
into contact with, dealing immense damage to them.
Notes
The active item button needs to be held while the item is at
zero charge for the invincibility to take effect; releasing the
button will make the player take damage normally, even if
they’re flashing, indicating that invincibility is on, even though
it’s not.
Can be used to enter curse rooms for free.
Unlock requirements
none

The Boomerang
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Charge
2 seconds
Effect
On use, the player will hold the boomerang in their hand.
Pressing a fire button will throw the boomerang in that direction.
The boomerang deals 2x the player’s damage and petrifies enemies
it comes into contact with, and will return to the player afterwards.
The boomerang can also pick up pickups, and retrieve them back
to the player.
Notes
Unlock requirements
none

Diplopia
———————-
———————————————————————————
Item pool
pool_shop
Charge
One time use
Effect
Duplicates all items and pickups in the room.
Notes
Unlock requirements
none

ITEMIMAGE
ITEMNAME
———————-
———————————————————————————
Item pool
pool_shop, pool_secret
Charge
Varies with pill used
Effect
Copies the effects of the player’s currently held pill.
The charge is set to a value depending on the pill copied.
Notes
Unlock requirements
none

Wooden Nickel
———————-
———————————————————————————
Item pool
pool_shop, pool_chestwood
Charge
1 room
Effect
Has a 50% chance to spawn a random coin
Notes
Unlock requirements
Donate 30 coins to the Greed Donation Machine

Mega Bean
———————-
———————————————————————————
Item pool
pool_treasure
Charge
3 rooms
Effect
Petrifies all enemies in the room for a short while, and poisons
any enemies near the player.
Also sends out a rock wave in the direction the player is facing,
which deals moderate damage to enemies.
Notes
Unlock requirements
none

Active Items #8

Glass Cannon
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 seconds
Effect
Fires an enormous, piercing, spectral tear, which deals
10x the player’s damage + 10.0.
Taking a hit while having the item in your inventory will make
the player take an addtional two heart of damage on top of the
damage the player took, additionally breaking the cannon in
the process, making it unusable, and turning it into the Broken
Glass Cannon.
Notes
Extremely good as the Lost and his tainted version
Unlock requirements
none

Box of Friends
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Charge
3 rooms
Effect
Duplicates all of the player’s familiars for the duration of the room.
Gives Demon Baby for the duration of the room, if the player has
no familiars.
Notes
Unlock requirements
Defeat Ultra Greed as Lilith

Friendly Ball
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
2 rooms
Effect
The player holds the ball above their head.
Pressing a fire button will shoot the ball in that direction.
Any enemies that come into contact with the ball get
contained in it.
If an enemy has been successfully contained, the
next use of the item will spawn that enemy and
make it friendly to the player, forcing it to attack
other enemies instead.
Notes
Good enemies to catch with this item are any enemies,
which fire brimstone lasers, spawn other enemies, or have
large pools of HP.
Boss enemies are unaffected by this item
Unlock requirements
none

Tear Detonator
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
1 room
Effect
Bursts all of the player’s projectiles on screen into a ring
of six smaller projectiles.
Notes
Unlock requirements
none

D12
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
3 rooms
Effect
Rerolls all obstacles in the room
Notes
Tends to reroll mostly into TNT, Corny Poop, and Metal Blocks
Unlock requirements
Defeat Hush as Cain

Ventricle Razor
———————-
———————————————————————————
Item pool
pool_shop
Charge
Unlimited use
Effect
Creates blue and orange portals, which can be used to
instantly travel between each other. These portals can
teleport the player through rooms, enabling them
to i.e. escape Challenge Rooms, Boss Rush, or Mom’s arena.
Notes
The item also gives invulnerability while performing the
teleport animation.
This can be used to

View post on imgur.com

[imgur.com]

Unlock requirements
none

D8
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Rerolls the player’s base attributes.
Notes
Unlock requirements
Complete challenge #28

Teleport 2.0
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Teleports the player to a room that hasn’t been explored yet.
This includes Deal Rooms and I AM ERROR rooms, which
have the second lowest, and the lowest priority respectively.
Notes
Unlock requirements
none

Kidney Bean
———————-
———————————————————————————
Item pool
pool_treasure
Charge
1 room
Effect
Charms all enemies near the player.
Notes
Unlock requirements
none

Glowing Hour Glass
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_crane
Charge
3 rooms
Effect
Teleports the player back to the previous room, and undoes
all the things that happened prior to entering the room the
player used the hourglass in.
Notes
There are many more things to this item than I can fit
in this table.
Please navigate to the item’s
official wiki page[bindingofisaacrebirth.fandom.com]
to read up on all the details.
Unlock requirements
none

Active Items #9

Mine Crafter
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
1 room
Effect
Spawns a pushable TNT entity.
Using the active item while its not charged will remotely
detonate all TNT entities spawned by this item in the room.
Notes
Unlock requirements
none

Jar of Flies
———————-
———————————————————————————
Item pool
pool_shop
Charge
Unlimited use
Effect
Each enemy killed adds a fly to the jar.
Using the item will release all of the stored flies in the form of blue flies.
Notes
Unlock requirements
none

D7
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
3 rooms
Effect
Restarts the room, spawning any enemies that were inside
of it again. This gives the player a chance to gain more pickups.
Using the item in a boss room will teleport the player to a random
room, and will restart that room instead.
Notes
Unlock requirements
none

Mom’s Box
———————-
———————————————————————————
Item pool
pool_shop, pool_chestold, pool_chestwood, pool_chestmom, pool_crane
Charge
4 rooms
Effect
Spawns a trinket.
Grants +1.0 luck, and increases the strength of most trinkets
while held.
Notes
Unlock requirements
none

Mega Blast
———————-
———————————————————————————
Item pool
pool_devil
Charge
12 rooms
Effect
The player fires an enormous brimstone laser for 15s.
The laser deals 5x the player’s damage per tick, and
constantly pushes the player back. The player cannot
interact with most things while firing the laser, and cannot
fire their tears alongside the laser.
Notes
Unlock requirements
Defeat Mega Satan as every non-tainted character

Broken Glass Cannon
———————-
———————————————————————————
Item pool
Charge
4 rooms
Effect
Starts uncharged.
Automatically turns into the Glass Cannon when fully charged.
Notes
Acquired only via taking damage while holding the Glass Cannon.
This item needs to be collected to achieve Dead God
Unlock requirements
none

Plan C
———————-
———————————————————————————
Item pool
pool_shop, pool_devil, pool_curse, pool_chestcursed, pool_devilbeggar
Charge
One time use
Effect
Kills all enemies in the room, and then the player, three
seconds later
Notes
Cannot kill enemies which have a death animation longer
than three seconds, without the player dying first.
Delirium is a good example
Unlock requirements
Defeat Ultra Greedier as Lazarus

D1
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Duplicates one random pickup in the room
Notes
Unlock requirements
Defeat Ultra Greedier as Isaac

Void
———————-
———————————————————————————
Item pool
pool_devil, pool_angel
Charge
6 rooms
Effect
Consumes all passive and active items in the room.
Consumed passive items will grant a random stat boost,
while consumed active items will be stored in the Void,
and will be used on each subsequent use of the Void.
There is no limit to how many active items can be
stored in the Void.
Notes
Unlock requirements
Defeat Delirium as Apollyon

Pause
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
2 rooms
Effect
Stops all enemies, including bosses.
The effect lasts for 30 seconds, or until a fire button is pressed.
Notes
Extremely strong with an orbital. Such synergy will allow
the player to deal consistent damage, while not deactivating
Pause, effectively granting 30s of free damage.
Unlock requirements
none

Smelter
———————-
———————————————————————————
Item pool
pool_shop
Charge
6 rooms
Effect
Destroys the currently held trinket, and applies its effects
permanently to the player
Notes
Unlock requirements
Defeat Mom’s Heart/It Lives on Hard mode as Apollyon

Active Items #10

Compost
———————-
———————————————————————————
Item pool
pool_shop, pool_rottenbeggar
Charge
2 rooms
Effect
Converts all pickups into blue flies and/or blue spiders,
and doubles the player’s curren blue fly/spider amount.
Notes
Unlock requirements
none

Dataminer
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Modifies a random attribute.
Heavily displaces sprites, distorts the music, and grants random
tear effects for the duration of the room
Notes
Unlock requirements
none

Clicker
———————-
———————————————————————————
Item pool
pool_treasure
Charge
6 rooms
Effect
Switches the player into a random character, and removes
the player’s oldest passive item.
Notes
Can sometimes softlock the player.
Unlock requirements
none

Mama Mega
———————-
———————————————————————————
Item pool
pool_shop, pool_bombbeggar
Charge
One time use
Effect
Upon use, causes an explosion, which destroys most entities,
obstacles, and deals 200 damage to enemies.
Every other room will be affected by the explosion as well once
the player enters it.
The effect lasts for the duration of the floor
Notes
Can unlock doors to Boss Rush and the Blue Womb
Unlock requirements
none

Wait What?
———————-
———————————————————————————
Item pool
Charge
10 seconds
Effect
The player farts, knocking back nearby enemies and projectiles,
and spawns a circular rock wave, which deals 10 contact damage
to enemies.
Notes
Encountering the Butter Bean item will spawn this item instead
in very rare cases.
The rock waves caused by this item can open Secret Room entrances.
Unlock requirements
none

Crooked Penny
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_beggar
Charge
4 rooms
Effect
Has a 50% chance to duplicate every pickup and item in
the room.
Consumes everything and spawns a single penny otherwise.
Notes
Unlock requirements
Defeat Delirium as Keeper

Dull Razor
———————-
———————————————————————————
Item pool
pool_shop
Charge
2 rooms
Effect
Deals fake damage to the player, activating any on-damage
effects.
Fake damage does not deplete health.
Notes
Kills the player in Mirrorspace (bug)
Unlock requirements
Defeat Delirium as Eve

Potato Peeler
———————-
———————————————————————————
Item pool
pool_shop
Charge
Unlimited use
Effect
Removes one red heart container and spawns a permanent
Cube of Meat familiar. The Cube of Meat spawned by Potato
Peeler has unique effects with more copies possessed, just
like the regular Cube of Meat.
Also grants a permanent, flat +0.2 damage up,
along with activating the Anemic effect for the duration of
the room.
Notes
Unlock requirements
none

Metronome
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Activates a random item’s effect for the duration of the room.
The item does not have to be unlocked for it to be able to be
used by Metronome
Notes
A risky item, usually due to its buggyness.
Can sometimes pay out though.
Unlock requirements
Defeat Ultra Greedier as Eden

D Infinity
———————-
———————————————————————————
Item pool
pool_secret
Charge
Varies with dice used
Effect
Functions as all dice in one convenient package.
The player can switch between the dice by using LEFT CTRL.
Using a dice will set D Infinity’s charge to that of the dice used.
Notes
Unlock requirements
Defeat Delirium as Isaac

Eden’s Soul
———————-
———————————————————————————
Item pool
pool_angel
Charge
12 rooms, one time use
Effect
Starts uncharged.
Spawns two items from the room’s current pool when used.
Destroys itself when used.
Notes
Unlock requirements
Defeat Delirium as Eden

Active Items #11

Brown Nugget
———————-
———————————————————————————
Item pool
pool_treasure
Charge
7 seconds
Effect
Spawns a stationary familiar, which fires at nearby enemies.
The familiar lasts for the duration of the room
Notes
Unlock requirements
Defeat Ultra Greed as Apollyon

Sharp Straw
———————-
———————————————————————————
Item pool
pool_treasure
Charge
10 seconds
Effect
Damages all enemies for the player’s damage + 10% of
the enemy’s max health.
Damaged enemies have a 15% chance to drop half a red heart
Notes
Unlock requirements
none

Delirious
———————-
———————————————————————————
Item pool
pool_angel
Charge
12 rooms
Effect
Spawns Delirium in the form of a friendly boss for the duration
of the room
Notes
Unlock requirements
Defeat Delirium

Black Hole
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
The player holds the black hole over their head upon use.
Pressing a fire button will launch the hole in that direction.
Upon landing, the hole will start sucking in entities, and
destroying nearby obstacles, all while the hole is gradually
increasing in size.
The black hole lasts for 6 seconds and deals moderate damage
to enemies.
Notes
Unlock requirements
Kill 20 portals

Mystery Gift
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Charge
One time use
Effect
Spawns an item from the current room’s pool.
Has a small chance to spawn the Lump of Coal/The Poop item
instead.
Notes
Powerful when used in secret rooms
Unlock requirements
Destroy 500 rocks

Sprinkler
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Spawns a sprinkler, which fires the player’s tears clockwise
in all 8 directions.
The speed of the sprinkler depends on the player’s fire rate.
Notes
Unlock requirements
Beat Chapter 1 without taking damage

Coupon
———————-
———————————————————————————
Item pool
pool_shop
Charge
6 rooms
Effect
Turns a random “on sale” item for free.
While held, guarantees, that at least one item on sale in shops
will have a discount
Notes
Unlock requirements
Purchase from shops, devil rooms, or black markets 50 times

Telekinesis
———————-
———————————————————————————
Item pool
pool_treasure
Charge
6-7 seconds
Effect
Spawns an aura around the player for 3.5s.
This aura turns enemy projectiles into friendly ones, and
flings them back at enemies once the aura runs out.
Also pushes back enemies for the duration of the aura
Notes
Unlock requirements
Beat Chapter 2 without taking damage

Moving Box
———————-
———————————————————————————
Item pool
pool_shop
Charge
4 rooms
Effect
Consumes up to 10 items/pickups in the room.
The next use of the item will spawn the items sucked in previously.
Notes
Unlock requirements
Use the Pandora’s Box active item in the Dark Room

Mr. ME!
———————-
———————————————————————————
Item pool
pool_shop, pool_chestwood, pool_keybeggar, pool_crane
Charge
4 rooms
Effect
Spawns a ghost, along with a controllable crosshair.
After 3s, the ghost will perform an action based on where the
crosshair was placed.
Placing the crosshair on a pickup will bring it to the player.
Placing the crosshair on a chest will open it for free.
Placing the crosshair on a locked door will open it.
Placing the crosshair on an enemy will make the ghost
attack it until it dies.
Placing the crosshair on an item for sale will have a 50%
chance to bring it to the player for free. The ghost will
disappear and do nothing otherwise.
Placing the crosshair on a destructible obstacle (includes
machines and beggars) will make the ghost explode and
destroy them.
Notes
Can open the Mega Satan door, but cannot open the
Strange Door.
Unlock requirements
Open 20 locked chests

Active Items #12

Sacrificial Altar
———————-
———————————————————————————
Item pool
pool_devil, pool_curse
Charge
One time use
Effect
Sacrifices up to two of the player’s familiars, and spawns a
Devil Room item for each familiar sacrificed.
Any blue fly/spider, or a locust will get converted into a penny.
Notes
Unlock requirements
Make 50 deals with the devil

Book of the Dead
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil, pool_library
Charge
6 rooms
Effect
Spawns a random orbital, or a bone-themed friendly enemy
for each enemy killed in the room
Notes
A dead enemy can give an orbital/friendly only once.
After it does so, the book cannot force them to spawn more.
Unlock requirements
Defeat Delirium as the Forgotten

Golden Razor
———————-
———————————————————————————
Item pool
pool_treasure
Charge
5 coins
Effect
Depletes 5 coins from the player’s coin count, and gives a
+1.2 damage boost for the duration of the room.
Notes
In regards to the unlock method: the player needs to
acquire 99 coins, and then spend them all WITHOUT
picking up any more coins while they do so.
Picking up a coin in such case will force the player
to get 99 coins again.
The coins also don’t need to necessarily be “spent”
on things such as items for sale; any way of depleting
the coin count works.
Unlock requirements
Acquire 99 cents in a single run, and then spend them all.

Sulfur
———————-
———————————————————————————
Item pool
pool_devil
Charge
3 rooms
Effect
Grants the Brimstone item for the duration of the room.
Subsequent uses of the item in the same room will give
a damage bonus.
Notes
Unlock requirements
none

Fortune Cookie
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Occasionally pays out with a pickup.
Works identically to the Fortune Teller Machine, making this
item a portable version of it.
Notes
Unlock requirements
none

Damocles
———————-
———————————————————————————
Item pool
pool_devil
Charge
One time use
Effect
Spawns a sword, which hangs above the player.
After doing so, anything that spawns an item pedestal (treasure
rooms, [mini]boss kills, beggar payouts) will spawn an
additional item alongside the original one, essentially
granting the player double the items they would usually get.
Taking damage after spawning the sword will make it have
a chance to stab the player, killing them instantly.
The chance is 1/10’000 every 4 frames.
The sword’s insta-kill can be nullified by most forms of
invincibility, such as the Book of Shadows, Tooth and Nail,
etc.
Notes
Works very well with the Lost and his tainted form.
On average, the player has at least 10 minutes of relative
safety before the sword has a high chance to fall.
Self-damage (damage that doesn’t decrease Deal Room
chance) will not agitate the sword.
Unlock requirements
Defeat the Lamb as Jacob & Esau

Free Lemonade
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Spawns a large puddle of yellow creep
Notes
Unlock requirements
none

Red Key
———————-
———————————————————————————
Item pool
pool_secret, pool_curse, pool_chestcursed, pool_chestmom,
pool_keybeggar
Charge
4 rooms
Effect
Spawns a red room, if used near a red room outline.
Notes
Opening Mom’s Chest for the first time will always drop this item.
Subsequent openings have a small chance to drop this item.
Unlock requirements
Open Mom’s Chest in Home

Wavy Cap
———————-
———————————————————————————
Item pool
pool_secret
Charge
0.5s base. Increases the more the item is used.
Effect
Distorts the screen and music slightly and grants a flat
+0.75 tears and -0.03 speed. This effect can stack multiple
times, and one instance of this effect is removed per room cleared.
Leaving the room the item was used in will decrease the fire
rate bonus by 60%.
Notes
Unlock requirements
none

Active Items #13

Book of Virtues
———————-
———————————————————————————
Item pool
pool_angel, pool_library
Charge
Depends on the active item put on the book.
4 rooms if the book is empty
Effect
Functions as an active item, which can store an additional
active item within itself.
If no item is stored, the book spawns four wisp orbitals on use.
The wisp orbitals orbit the player, and fire small spectral tears.
The wisps have health, and will die if they take too much damage.
If an item is stored in the book, the book will assume its charge
instead of its own charge, and will spawn wisps with special effects,
depending on the item used.
Notes
All of the possible wisps that can be spawned can be found
on the official wiki[bindingofisaacrebirth.fandom.com]
Unlock requirements
Defeat Isaac as Bethany

Alabaster Box
———————-
———————————————————————————
Item pool
pool_shop
Charge
6 soul hearts. One time use
Effect
Starts uncharged.
The player needs to collect soul hearts to charge the item.
Soul hearts used to charge the item will not be added to
the player’s health.
Spawns two Angel Room items and 3 soul hearts when
used.
Notes
Unlock requirements
Defeat the Lamb as Bethany

Mom’s Bracelet
———————-
———————————————————————————
Item pool
pool_shop, pool_chestold, pool_crane
Charge
Unlimited use. 1s cooldown period after throwing an obstacle
Effect
Lets the player pick up obstacles. The player needs to be
walking into the obstacle and use the item while doing so.
After picking up the obstacle, the player will hold it above
their head. Pressing a fire button will throw the obstacle in
that direction. Taking damage, or pressing the active item
button again while holding the obstacle, will make the player
drop it.
Thrown obstacles deal moderate damage to enemies.
Notes
Indestructible/unmovable objects cannot be held.
Unlock requirements
none

The Scooper
———————-
———————————————————————————
Item pool
pool_treasure
Charge
3 rooms
Effect
Summons a Peeper familiar for the duration of the room.
The familiar floats diagonally, leaves behind creep, blocks
enemy shots, and deals 20 contact DPS.
The player’s left eye gains a +33% damage boost for the
duration of the room when the item is used.
Notes
Unlock requirements
none

Eternal D6
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret, pool_crane
Charge
2 rooms
Effect
Has a 70% chance to reroll item pedestals in the room,
similar to the D6. Removes items in the room otherwise.
This chance is applied to each item instead of all items.
Notes
Unlock requirements
Defeat Mother as ???

Larynx
———————-
———————————————————————————
Item pool
pool_treasure
Charge
12 rooms
Effect
The player shouts, damaging nearby enemies.
The item can be used at any charge (except for 0), and deals
more damage the more charge the item has at the time it’s used.
The damage dealt by the shout is 20 + 28 per charge bar used.
At enough charge, the shout will also be able to destroy nearby
obstacles, and open nearby doors, and secret room entrances.
Notes
The item also gains a bar of charge when the player takes
damage.
Unlock requirements
Defeat the Beast as Tainted Samson

Genesis
———————-
———————————————————————————
Item pool
pool_angel
Charge
One time use
Effect
Removes all of the player’s items and teleports them to
a special room.
For each item removed, three random items are spawned;
the player can choose only one, as the others will disappear.
Notes
Essentially a D4 with extra steps.
Unlock requirements
Defeat Ultra Greedier as Jacob & Esau

Sharp Key
———————-
———————————————————————————
Item pool
pool_shop
Charge
1 key
Effect
The player holds the key above their head.
Pressing a fire button will launch the key in that direction.
The key deals 5x the player’s damage + 30.0, pierces
through enemies, and opens any chests/doors it comes
into contact with, including Secret Room entrances.
Killing an enemy with the key can rarely drop the
contents of a usual chest.
Notes
Can open the Mega Satan door.
Opening challenge room chests with this item will not
trigger the waves to spawn.
Unlock requirements
none

Mega Mush
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Charge
12 rooms
Effect
Turns the player into a giant version of themself for 30s.
While gigantic, the player deals 1’600 contact DPS, has
significantly increased tear damage, destroys any
obstacles they touch, and is invulnerable.
Notes
Unlock requirements
Complete every non-tainted character’s post-it note

Active Items #14

Death Certificate
———————-
———————————————————————————
Item pool
pool_secret
Charge
One time use
Effect
Teleports the player to a special area, which contains every
item in the game.
Choosing an item teleports the player back to the room they
used the item in.
Notes
The only way to obtain C-Section to achieve Dead God.
Unlock requirements
Complete every character’s post-it note (includes tainted
characters)

Meat Cleaver
———————-
———————————————————————————
Item pool
pool_treasure
Charge
2 rooms
Effect
Splits all enemies in the room into two copies of themself.
The two copies have less total HP than the original enemy.
Does not affect final bosses.
Notes
Unlock requirements
Defeat Mother as Isaac

Stitches
———————-
———————————————————————————
Item pool
pool_treasure, pool_familiarshop
Charge
3 seconds
Effect
While held, the item spawns a familiar, which can be
controlled using the fire buttons.
Using the active item will switch the positions of the
familiar and the player.
The familiar deals a small amount of contact damage to
enemies, and when teleporting, the player will deal
immense teleportation damage to enemies the player
spawns on top of.
Notes
Unlock requirements
none

R Key
———————-
———————————————————————————
Item pool
pool_secret
Charge
One time use
Effect
Restarts the run, but lets the player keep their items,
and lets the player unlock achievements.
Notes
Does not reset the in-game timer.
Unlock requirements
none

Eraser
———————-
———————————————————————————
Item pool
pool_shop, pool_crane
Charge
1 floor
Effect
The player holds the eraser above their head upon use.
Pressing a fire button will launch the eraser in that direction.
Enemies hit by the eraser will be instantly removed from
existence, and will be unable to spawn for the rest of the
run.
Does not affect boss enemies; the Eraser projectile deals
15.0 damage to them instead. However, if the eraser
deals the killing blow, the boss will be erased, just like
an enemy would. This can be exploited to remove the
second phases of final bosses, mainly Hush and Mother,
but requires extreme precision in terms of reading HP
Notes
Unlock requirements
none

Yuck Heart
———————-
———————————————————————————
Item pool
pool_treasure, pool_rottenbeggar
Charge
6 rooms
Effect
Grants a rotten heart
Notes
Unlock requirements
Defeat Mother as Magdalene

Urn of Souls
———————-
———————————————————————————
Item pool
pool_angel
Charge
Unlimited use
Effect
Upon use, the player pulls out the jar.
Enemies killed by the player add souls to the jar.
If any souls are present, they can be used by the jar to fire
a stream of flames using the fire buttons while the jar is brought
out. The flames deal moderate contact damage to enemies,
block enemy shots, and fade out after a while.
The player can holster the jar by using the active item key again.
The jar can hold up to 20 souls.
Notes
Unlock requirements
Defeat Satan as Bethany

Magic Skin
———————-
———————————————————————————
Item pool
pool_shop, pool_curse, pool_chestcursed
Charge
6 rooms
Effect
Spawns an item from the room’s current pool, and adds a
broken heart.
The item is added to random pools once it is used, and
subsequent uses make the item even more likely to be encountered
again.
Notes
Unlock requirements
Defeat Mother as Jacob & Esau

Plum Flute
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 rooms
Effect
Spawns Baby Plum, who targets enemies, and performs
three attacks before leaving.
Notes
Drops from Baby Plum if she’s spared.
Unlock requirements
Spare Baby Plum, by not attacking her for 30-60s

Vade Retro
———————-
———————————————————————————
Item pool
pool_angel
Charge
Unlimited use
Effect
Enemies killed by the player leave small, red ghosts.
These ghosts can be blown up using the Vade Retro.
The ghost explosion deals 3.0 damage + 4.0% of the
killed enemy’s max HP.
Champions and bosses leave behind stronger ghosts,
which blow up with higher damage.
The ghost explosions also destroy enemy projectiles.
Notes
Unlock requirements
Defeat Ultra Greedier as Bethany

Active Items #15

Spin to Win
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
3 seconds
Effect
While held, spawns an orbital, which blocks shots and deals
small amounts of contact damage.
Holding down the active item key gradually depleted the item’s
charge.
While used, the item grants an immense speed boost to the player,
and the player’s orbitals, making them deal more contact damage.
Notes
Unlock requirements
none

Jar of Wisps
———————-
———————————————————————————
Item pool
pool_angel
Charge
12 rooms
Effect
Spawns a wisp, which behaves identically to the ones that
the Book of Virtues spawns when it’s not holding an active item.
Each subsequent use of the jar will spawn more wisps per use,
up to a maximum of 12 wisps per use.
Notes
In most of the cases where I got this item, I could use it
maybe like three times before I managed to finish the run.
Unlock requirements
Defeat the Beast as Bethany

Friend Finder
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
4 rooms
Effect
Spawns a friendly enemy, which behaves similarly to Esau.
The enemy has health, and will die once it takes enough damage.
Notes
Unlock requirements
Defeat the Beast as Jacob & Esau

Esau Jr.
———————-
———————————————————————————
Item pool
pool_treasure, pool_shop, pool_secret
Charge
1 room
Effect
Switches the player to Esau Jr., which is counted as
another character. Esau Jr. functions identically to the
player, but does not share their inventory with them.
Using the active item as Esau Jr. will switch the player
back to their original character
Notes
Can be used as a 1-room charge Flip when playing
as Tainted Lazarus
Unlock requirements
Defeat the Beast as Tainted Jacob

Berserk!
———————-
———————————————————————————
Item pool
pool_devil
Charge
120 damage dealt to enemies
Effect
The player enters berserk mode for 5 seconds.
During this mode, the player gains an increase in
damage and fire rate, and is limited to melee range,
using a jawbone to attack enemies.
Killing an enemy adds a second to the berserk timer.
Notes
Unlock requirements
Defeat Delirium as Tainted Samson

Dark Arts
———————-
———————————————————————————
Item pool
pool_devil
Charge
6 seconds
Effect
The player enters a mode for 1 seconds, in which they are
invulnerable, but can’t fire tears. They also gain +1.0 speed
in this mode.
Passing through enemies and projectiles in the Dark Arts
mode will mark them, freezing them in place.
After the mode ends, marked enemies will be damaged for
2x the player’s damage +3.50, and marked projectiles
will be destroyed.
At the end of the mode, the player also gains a temporary
damage boost based on how many enemies and projectiles
were hit during Dark Arts mode.
Notes
Orbitals are not disabled during this mode, making them
detrimental if you’re aiming for a damage boost while
using Dark Arts.
Unlock requirements
Defeat Delirium as Tainted Judas

Abyss
———————-
———————————————————————————
Item pool
pool_devil
Charge
4 rooms
Effect
Destroys all item pedestals in the room, and grants a
permanent locust familiar for each item destroyed.
Destroying certain items can spawn locusts with different
effects
Notes
Unlock requirements
Defeat Delirium as Tainted Apollyon

Suplex!
———————-
———————————————————————————
Item pool
pool_treasure, pool_crane
Charge
6 seconds
Effect
The player dashes a short distance.
An enemy caught in the dash will be flung into the air, and
will be smashed into the ground a second later, dealling immense
damage to it, and spawning a circular rock wave.
Flinging an enemy into the air will spawn a controllable crosshair,
which is limited in terms of distance. The enemy will be smashed
into the ground at the crosshair’s position
Notes
The dash can be used to dodge projectiles and enemies,
as the player is invincible during the dash.
Unlock requirements
Defeat Delirium as Jacob & Esau

Bag of Crafting
———————-
———————————————————————————
Item pool
Charge
Unlimited use
Effect
Can store up to 8 pickups, and can craft items depending
on the quality of the pickups used.
Notes
Does not appear in the game, and is used exclusively
by Tainted Cain instead.
Unlock requirements
Defeat Delirium as Tainted Cain

Active Items #16

Flip
———————-
———————————————————————————
Item pool
Charge
6 rooms
Effect
Switches the player between Alive Tainted Lazarus and Dead
Tainted Lazarus.
Does not do anything if used as other characters
Notes
Does not spawn in-game, and is exclusively used by Tainted
Lazarus
Unlock requirements
Defeat Delirium as Tainted Lazarus

Lemegeton
———————-
———————————————————————————
Item pool
pool_devil, pool_library
Charge
6 rooms
Effect
Spawns a passive item in the form of an orbital.
The orbitals grants the effects of passive items as long as they
are alive.
The orbitals have health, and will die if they take enough damage.
They take damage via contact and projectile damage.
The passive item granted by Lemegeton is dependent on the
room’s item pool
Notes
Go into a secret room and spam away.
Unlock requirements
Defeat Delirium as Tainted Bethany

Sumptorium
———————-
———————————————————————————
Item pool
Charge
1 second
Effect
While held, allows the player to create blood clots by
firing continuously for 2 seconds. Creating a blood clot
costs half a heart, and red hearts will be drained first.
The blood clots behave similarly to the Incubus familiar;
they fire the player’s tears, albeit at lower damage.
The clots have health, and will die once they take enough
damage.
Using Sumptorium will suck up the clots into the player,
making them gain back the health they sacrificed.
Notes
Does not spawn in-game, and is used by Tainted Eve exclusively,
even though the item is fully functional when playing as other
characters.
Unlock requirements
Defeat Delirium as Tainted Eve

Recall
———————-
———————————————————————————
Item pool
Charge
3 seconds
Effect
Retrieves Tainted Forgotten’s skeleton back to the soul.
Notes
Does not spawn in-game, and is used exclusively by Tainted
Forgotten whilst they have the Birthright item.
Unlock requirements
none

Hold
———————-
———————————————————————————
Item pool
Charge
Unlimited use
Effect
Stores a poop pickup
Notes
Does not spawn in-game, and is used exclusively by Tainted ???
Unlock requirements
none

Keeper’s Box
———————-
———————————————————————————
Item pool
pool_shop, pool_secret, pool_chestwood
Charge
4 rooms
Effect
Spawns an item/pickup which is on sale.
Notes
The items will be priced as they are in shops
Unlock requirements
Defeat the Beast as Keeper

Everything Jar
———————-
———————————————————————————
Item pool
pool_treasure, pool_secret
Charge
12 rooms
Effect
Spawns pickups based on the charge.
The higher the charge, the higher the quality of the pickup.
The current pickup is shown inside the item.
When the item is fully charged, it spawns a random, unique
effect upon use.
Notes
You can read up on the 12-charge effects on the item’s
official wiki page[bindingofisaacrebirth.fandom.com]
Unlock requirements
Defeat the Beast as Eden

Anima Sola
———————-
———————————————————————————
Item pool
pool_treasure
Charge
15 seconds
Effect
Chains the nearest enemy, freezing them for 5 seconds.
Prioritises Dark Esau if he’s present on-screen
Notes
Does not interrupt enemy attacks
Unlock requirements
Defeat Delirium as Tainted Jacob

Spindown Dice
———————-
———————————————————————————
Item pool
pool_treasure
Charge
6 rooms
Effect
Rerolls all item pedestals in the room by decreasing their
internal ID by 1.
Notes
Deletes the Sad Onion item, if Spindown Dice is used on it.
Unlock requirements
Defeat Delirium as Tainted Isaac

Active Items #17

Gello
———————-
———————————————————————————
Item pool
pool_treasure, pool_devil
Charge
2 rooms
Effect
The player holds Gello above their head on use.
Pressing a fire button will launch the Gello in that direction.
Gello fires the player’s tears at their fire rate, and 0.75x their damage.
This effect lasts for the duration of the room.
Notes
Unlock requirements
Defeat Delirium as Tainted Lilith

Decap Attack
———————-
———————————————————————————
Item pool
pool_treasure
Charge
4 seconds
Effect
Throws the player’s head, which deals large contact damage
while flying through the air, and when it’s on the ground.
The head fires the player’s tears, while the body is unable to.
The head will lay on the ground until it is picked up by either
leaving the room, making contact with it, or by using the item
again, regardless of its charge.
Notes
Unlock requirements
Defeat Delirium as Tainted Forgotten

Special Items #1

These are special items; items, which are essential to progression in the endgame, cannot be rerolled, and spawn from specific events.
They’re all listed below and sorted by their internal ID

Key Piece 1
———————-
———————————————————————————
Item pool
Spawns from killed Angels
Effect
Increases the chance of an Angel Room spawning instead of
a Devil Room.
When combined with Key Piece 2, unlocks the Mega Satan door in
the Chest/Dark Room
Notes
Unlock requirements
Complete Chapter 6
Key Piece 2
———————-
———————————————————————————
Item pool
Spawns from killed Angels
Effect
Increases the chance of an Angel Room spawning instead of
a Devil Room.
When combined with Key Piece 1, unlocks the Mega Satan door in
the Chest/Dark Room
Notes
Unlock requirements
Complete Chapter 6
The Polaroid
———————-
———————————————————————————
Item pool
Spawns from Mom
Effect
Allows the player to access the Chest, by entering the End
Chest spawned by killing Isaac in Cathedral.
Can open the Strange Door in Depths II
If the player has half a red heart, or no red hearts at all when
they take damage, they gain invulnerability for 5 seconds
Notes
Unlock requirements
Defeat Isaac 5 times
The Negative
———————-
———————————————————————————
Item pool
Spawns from Mom
Effect
+1.0 damage.
Allows the player to access the Dark Room, by entering the End
Chest spawned by killing Satan in Sheol.
Can open the Strange Door in Depths II.
If the player has half a red heart or no red health at all when
they get hit, the item deals 40 damage to all enemies in the
room.
Notes
Unlock requirements
Defeat Satan 5 times

Broken Shovel
———————-
———————————————————————————
Item pool
Acquired by placing a bomb in the spawn room of Basement I,
if the floor’s boss was killed in under a minute.
Charge
4 rooms
Effect
While held, Mom’s Foot constantly attempts to stomp the
player. Using the active item will prevent that from happening
for the duration of the room, or for one wave of Boss Rush.
Enables Boss Rush to spawn even after 20 minutes have
passed.
Notes
Unlock requirements
none

Broken Shovel
———————-
———————————————————————————
Item pool
Acquired by beating Boss Rush, while holding the first piece of
the shovel
Effect
Turns into Mom’s Shovel when combined with the first shovel piece.
Notes
Unlock requirements
none

Mom’s Shovel
———————-
———————————————————————————
Item pool
Acquired by combining the two shovel pieces
Charge
4 rooms
Effect
Prevents Mom’s Foot from stomping the player.
Unlocks the Forgotten if used on top of a grave in the Dark Room.
Notes
Unlock requirements
none

Special Items #2

Knife Piece 1
———————-
———————————————————————————
Item pool
Acquired by accessing the Mirrorspace’s treasure room
in Downpour II
Effect
Creates a knife familiar when combined with Knife Piece 2.
The knife familiar deals a moderate amount of contact damage,
and unlocks the path to the Corpse
Notes
To read up on acquiring the knife pieces, and to access the
Corpse, navigate to Floors – Unlocking the Corpse
Unlock requirements
none

Knife Piece 2
———————-
———————————————————————————
Item pool
Acquired by accessing the abandoned mineshaft in Mines II
Effect
Creates a knife familiar when combined with Knife Piece 1.
The knife familiar deals a moderate amount of contact damage,
and unlocks the path to the Corpse
Notes
To read up on acquiring the knife pieces, and to access the
Corpse, navigate to Floors – Unlocking the Corpse
Unlock requirements
none

Dogma
———————-
———————————————————————————
Item pool
Drops from Dogma, and is automatically applied to the player.
Effect
+2.0 damage, +0.1 speed, and grants flight.
Grants a Holy Mantle shield, which disappears when the player
takes damage or exits the room.
If the player is under six hearts of health, Dogma refills the player
back to six hearts.
Grants the Wafer effect if playing on Normal mode
Notes
Unlock requirements
none

Dad’s Note
———————-
———————————————————————————
Item pool
Acquired in the Strange Door version of Mausoleum II, inside
the floor’s boss room
Effect
Initiates the ascension sequence
Notes
Unlock requirements
none

Trinkets – Introduction

Trinkets are useful little things that help you throughout your run.
They have their own slot in the bottom left corner, and under normal circumstances the player can hold only one trinket at a time.
Trinkets can drops from various sources, including room clears, chests, or even some items.

Most of the trinkets provide small boosts/effects as long as the player keeps hold of them.
If the player does not want to hold a certain trinket, they can stand still and hold LEFT CTRL, to drop their trinket, along with their current consumable.

After defeating Mega Satan with Tainted Jacob, trinkets will have a small chance to appear as their golden version. Golden trinkets have double the effect they would have normally, however, some trinkets don’t benefit from being golden at all.

The game with all of its DLC installed contains 188 trinkets.
All of them, just like the items, will be sorted by their internal ID.

Disclaimer: I will not put the effects of golden versions in the table, as doing so would mean I’d have to spend at least 5 minutes on each trinket, and I don’t have that kind of time, nor commitment.
For a golden trinket, just imagine you’re holding two instances of the same trinket, and that should give you the rough idea of how the golden version will work.

Trinkets #1

Swallowed Penny
———————-
———————————————————————————
Effect
The player drops a coin of any type when damaged.
Notes
Has a chance to not drop a coin at all when playing as the Keeper
Unlock requirements
Complete challenge #15

Petrified Poop
———————-
———————————————————————————
Effect
Increases poop pickup drop rate to 50%
Notes
Unlock requirements
none

AAA Battery
———————-
———————————————————————————
Effect
If an active item would reach its penultimate charge bar upon
clearing a room, it’s fully charged instead, essentially making
the item need one less charge.
Notes
Unlock requirements
none

Broken Remote
———————-
———————————————————————————
Effect
Using an active item teleports the player
Notes
Unlock requirements
none

Purple Heart
———————-
———————————————————————————
Effect
Champion enemies appear more often.
This includes champion bosses.
Notes
Unlock requirements
none

Broken Magnet
———————-
———————————————————————————
Effect
Coins are automatically pulled towards the player
Notes
Unlock requirements
none

Rosary Bead
———————-
———————————————————————————
Effect
Increases Angel Room spawn chance.
Increases the chances of finding the Bible in Libraries and Shops
Notes
Unlock requirements
none

Cartridge
———————-
———————————————————————————
Effect
Has a 10% chance to trigger the Gamekid active item effect
when the player takes damage
Notes
Unlock requirements
none

Pulse Worm
———————-
———————————————————————————
Effect
The player’s tears pulse in size.
Notes
Affects the size of the aura granted by Godhead
Unlock requirements
none

Wiggle Worm
———————-
———————————————————————————
Effect
+0.4 tears, and grants spectral shot.
The player’s tears fly in a wave-like pattern
Notes
Unlock requirements
none

Ring Worm
———————-
———————————————————————————
Effect
Grants spectral tears.
The player’s tears move in wide rings
Notes
Unlock requirements
none

Flat Worm
———————-
———————————————————————————
Effect
Increases tear hitbox
Notes
Unlock requirements
none

Store Credit
———————-
———————————————————————————
Effect
Makes all shop items free.
Taking a free item will destroy the trinket.
Notes
Unlock requirements
Defeat ??? as Lazarus

Callus
———————-
———————————————————————————
Effect
Makes the player immune to floor spikes and creep
Notes
Unlock requirements
none

Lucky Rock
———————-
———————————————————————————
Effect
Rocks have a chance to drop money when blown up
Notes
Unlock requirements
Destroy 100 rocks

Mom’s Toenail
———————-
———————————————————————————
Effect
Mom’s Foot comes down every in-game flat minute, dealing
300 damage to enemies within radius.
The foot strikes a random location in the room
Notes
Unlock requirements
none

Trinkets #2

Black Lipstick
———————-
———————————————————————————
Effect
Increases the chance of black hearts spawning
Notes
Unlock requirements
Defeat the Lamb as Eve

Bible Tract
———————-
———————————————————————————
Effect
Increases the chance of eternal hearts spawning
Notes
Unlock requirements
none

Paper Clip
———————-
———————————————————————————
Effect
Allows the player to open golden chests without using keys.
The player still needs at least one key to open a golden chest
though.
Notes
Unlock requirements
none

Monkey Paw
———————-
———————————————————————————
Effect
If the player has half a heart and no more after taking damage,
the trinket spawns a black heart.
This effect can trigger up to three times, as indicated by the sprite
changing with each proc of the effect.
Notes
Unlock requirements
none

Mysterious Paper
———————-
———————————————————————————
Effect
Every frame, the trinket grants the effects of either the Polaroid,
the Negative, the Missing Page trinket, or the Missing Poster trinket.
Notes
Unlock requirements
Defeat ??? as Eden

Daemon’s Tail
———————-
———————————————————————————
Effect
80% of heart drops are replaced with keys, but heart drops
that do not get replaced will always be Black Hearts instead
Notes
Unlock requirements
Defeat Satan as Azazel

Missing Poster
———————-
———————————————————————————
Effect
Respawns the player in the previous room as the Lost upon death.
Notes
If the player kills themself in a Sacrifice Room, and is resurrected
by this trinket, the Lost will be unlocked.
Unlock requirements
Defeat the Lamb as Isaac

Butt Penny
———————-
———————————————————————————
Effect
Picking up a penny causes the player to fart, knocking back
nearby entities.
Increases coin drop rate from poops
Notes
Unlock requirements
none

Mysterious Candy
———————-
———————————————————————————
Effect
The player has a chance to fart, or spawn a poop every 30s
Notes
Unlock requirements
none

Hook Worm
———————-
———————————————————————————
Effect
+1.5 range and grants spectral tears.
The player’s tears move in a sharp-edged wave pattern.
Notes
Unlock requirements
none

Whip Worm
———————-
———————————————————————————
Effect
+0.5 shot speed
Notes
Unlock requirements
none

Broken Ankh
———————-
———————————————————————————
Effect
The player has a ~22% chance to respawn in the previous room
as ??? when they die.
Notes
Unlock requirements
Defeat Satan as Lazarus

Fish Head
———————-
———————————————————————————
Effect
Spawns a blue fly every time the player takes damage
Notes
Unlock requirements
none

Pinky Eye
———————-
———————————————————————————
Effect
The player occasionally fires a tear, which poisons enemies
Notes
The chance for the special tear to be fired maxes out at 100%
at 18 luck
Unlock requirements
none

Push Pin
———————-
———————————————————————————
Effect
The player occasionally fires a spectral, piercing shot
Notes
The chance for the special tear to be fired maxes out at 100%
at 18 luck
Unlock requirements
none

Trinkets #3

Liberty Cap
———————-
———————————————————————————
Effect
Has a chance to trigger a mushroom-related item’s effect
for the duration of the room.
Notes
Unlock requirements
none

Umbilical Cord
———————-
———————————————————————————
Effect
Entering a room with half a red heart or less will spawn a
Little Steven familiar, which will disappear once the player
heals up their red health.
Has a chance to spawn a Gemini familiar for the duration of
the room when the player is hit
Notes
Unlock requirements
none

Child’s Heart
———————-
———————————————————————————
Effect
Increases the chance of finding red hearts
Notes
Unlock requirements
none

Curved Horn
———————-
———————————————————————————
Effect
+2.0 damage
Notes
Affected by damage multipliers
Unlock requirements
Defeat the Lamb as Judas

Rusted Key
———————-
———————————————————————————
Effect
Increases the chance of finding keys
Notes
Unlock requirements
none

Goat Hoof
———————-
———————————————————————————
Effect
+0.15 speed
Notes
Unlock requirements
none

Mom’s Pearl
———————-
———————————————————————————
Effect
Increases the chance of finding soul hearts
Notes
Unlock requirements
none

Cancer
———————-
———————————————————————————
Effect
Greatly increases fire rate
Notes
Unlock requirements
none

Red Patch
———————-
———————————————————————————
Effect
Taking damage has a chance to grant a +1.8 damage boost
for the duration of the room.
Notes
The chance for the effect to happen maxes out at 100%
at 8 luck
Unlock requirements
none

Match Stick
———————-
———————————————————————————
Effect
Increases the chance of finding bombs
Notes
Unlock requirements
none

Lucky Toe
———————-
———————————————————————————
Effect
+1.0 luck. Room clear drops are more common.
Notes
Unlock requirements
Blow up 20 shopkeepers

Cursed Skull
———————-
———————————————————————————
Effect
Teleports the player to a random room if they have a full red
heart or less after taking damage
Notes
Unlock requirements
none

Safety Cap
———————-
———————————————————————————
Effect
Increases the chance of finding pills
Notes
Unlock requirements
none

Ace of Spades
———————-
———————————————————————————
Effect
Increases the chance of finding cards
Notes
Unlock requirements
none

Isaac’s Fork
———————-
———————————————————————————
Effect
Clearing a room has a chance to heal the player for half a red heart
Notes
The chance for the effect to happen maxes out at 100% at 18 luck
Unlock requirements
none

A Missing Page
———————-
———————————————————————————
Effect
The trinket has a chance to deal 40 damage to all enemies in
the room when the player takes damage
Notes
Unlock requirements
none

Trinkets #4

Bloody Penny
———————-
———————————————————————————
Effect
Coins picked up by the player have a chance to spawn half
a red heart.
Notes
Unlock requirements
Defeat ??? as Samson

Burnt Penny
———————-
———————————————————————————
Effect
Coins picked up by the player have a chance to spawn a bomb.
Notes
Unlock requirements
Complete challenge #13

Flat Penny
———————-
———————————————————————————
Effect
Coins picked up by the player have a chance to spawn a key.
Notes
Unlock requirements
none

Counterfeit Penny
———————-
———————————————————————————
Effect
Picking up coins has a chance to add an additional coin
to the player’s coin count, along with the original coin’s value
Notes
Unlock requirements
Play a Shell Game or a Hell Game 100 times

Tick
———————-
———————————————————————————
Effect
Any enemy with over 60 HP will have 15% of their health
removed by the trinket.
Heals the player for a full red heart upon entering a boss room
This trinket cannot be replaced, or dropped, with a few exceptions.
Notes
Swallowing the trinket will allow the player to have other trinkets.
The trinket can be replaced only by the Match Stick trinket.
Unlock requirements
none

Isaac’s Head
———————-
———————————————————————————
Effect
Spawns a familiar, which fires 3.50 damage piercing tears at a rate
of 1.1 tears per second
Notes
Unlock requirements
Complete Boss Rush as Isaac

Maggy’s Faith
———————-
———————————————————————————
Effect
Grants an eternal heart at the start of each floor
Notes
Unlock requirements
Defeat the Lamb as Magdalene

Judas’ Tongue
———————-
———————————————————————————
Effect
Deals with the devil will cost one red heart container instead of two.
Does not affect characters that cannot have red health
Notes
Unlock requirements
Defeat Satan as Judas

???’s Soul
———————-
———————————————————————————
Effect
Spawns a familiar, which floats diagonally around the room,
and fires 3.50 damage homing tears at a rate of 1.1 tears per
second.
Notes
Unlock requirements
Defeat the Lamb as ???

Samson’s Lock
———————-
———————————————————————————
Effect
Killing an enemy has a 7% chance to increase the player’s
damage by 0.5 for the duration of the room.
The effect can stack up to 10 times
Notes
Unlock requirements
Defeat the Lamb as Samson

Cain’s Eye
———————-
———————————————————————————
Effect
Has a 25% chance to reveal special room icons on the map at
the start of the floor
Notes
The chance for the trinket’s effect to activate maxes out at 100%
at just 3 luck
Unlock requirements
Defeat ??? as Cain

Eve’s Bird Foot
———————-
———————————————————————————
Effect
Killing an enemy has a 5% chance to spawn a Dead Bird familiar
for the duration of the room
Notes
The chance for the familiar to spawn maxes out at 100%
at 8 luck
Unlock requirements
Defeat Isaac as Eve

The Left Hand
———————-
———————————————————————————
Effect
All future chest drops get turned into Red Chests
Notes
Can be a good source of health, in exchange for less pickup
drops overall.
Unlock requirements
Defeat Ultra Pride
or
Defeat ??? as Judas

Trinkets #5

Shiny Rock
———————-
———————————————————————————
Effect
Tinted rocks and rocks hiding crawlspaces underneath will
be lit up when the player enters the room, and then every 10s.
Notes
Unlock requirements
none

Safety Scissors
———————-
———————————————————————————
Effect
Troll bombs get turned into bomb pickups right before they explode.
Mega troll bombs get turned into double bombs, while golden troll
bombs get turned into golden bombs.
Notes
Can be used to farm bombs if you spot a Bomb Beggar.
Blowing him up will spawn 6 bomb pickups.
Rinse and repeat and you’ve got yourself infinite bombs
Unlock requirements
none

Rainbow Worm
———————-
———————————————————————————
Effect
Has the effect of a random worm trinket every three seconds
Notes
Unlock requirements
none

Tape Worm
———————-
———————————————————————————
Effect
+3.0 range, and halves tear height
Notes
Unlock requirements
none

Lazy Worm
———————-
———————————————————————————
Effect
-0.5 shot speed
Notes
Good with Trisagion, Tech X, or Godhead
Unlock requirements
none

Cracked Dice
———————-
———————————————————————————
Effect
Upon taking damage, the trinket triggers a random dice effect,
out of 4 possible ones. These include the D6, D8, D12 and D20
Notes
Unlock requirements
Defeat Ultra Greed as ???

Super Magnet
———————-
———————————————————————————
Effect
Pickups and enemies are pulled towards the player
Notes
Unlock requirements
none

Faded Polaroid
———————-
———————————————————————————
Effect
The player turns invisible every couple seconds, confusing enemies.
Notes
Can be used to open the Strange Door in Depths II
Unlock requirements
none

Louse
———————-
———————————————————————————
Effect
Rarely spawns spiders in rooms with enemies
Notes
Unlock requirements
none

Bob’s Bladder
———————-
———————————————————————————
Effect
The player’s bombs leave creep under themselves
Notes
Unlock requirements
none

Watch Battery
———————-
———————————————————————————
Effect
Increases the chance of finding batteries.
Clearing a room has a 5% chance to grant an additional charge to
the player’s active item
Notes
Unlock requirements
none

Blasting Cap
———————-
———————————————————————————
Effect
Bombs have a 10% chance to spawn a bomb pickup when they
explode.
Notes
Unlock requirements
none

Stud Finder
———————-
———————————————————————————
Effect
Rocks are more likely to hide crawlspaces underneath.
Notes
Unlock requirements
Complete challenge #27

Error
———————-
———————————————————————————
Effect
Grants a random trinket effect each room
Notes
Unlock requirements
none

Poker Chip
———————-
———————————————————————————
Effect
Unopened chests have a 50% chance to contain double
the usual pickups, or a 50% chance to spawn an attack fly
when opened.
Notes
No effect on red chests, or chests which contain items
Unlock requirements
Complete challenge #26

Trinkets #6

Blister
———————-
———————————————————————————
Effect
The player’s tears deal more knockback.
Notes
Unlock requirements
none

Second Hand
———————-
———————————————————————————
Effect
Status effects applied to enemies last longer
Notes
Unlock requirements
none

Endless Nameless
———————-
———————————————————————————
Effect
Consumables used by the player have a 25% chance to not
be consumed.
Notes
Unlock requirements
none

Black Feather
———————-
———————————————————————————
Effect
Increases the player’s damage by 0.5 for every item/trinket they
possess

View post on imgur.com

[imgur.com]

Notes
Unlock requirements
Defeat Ultra Greed as Eve

Blind Rage
———————-
———————————————————————————
Effect
Doubles the invulnerability time the player gains after taking
damage
Notes
Unlock requirements
Defeat Hush as Samson

Golden Horse Shoe
———————-
———————————————————————————
Effect
+15% chance for a treasure room to have two items, only one of
which can be chosen
Notes
The effect affects the future floor, and the ones after, but not
the floor the trinket was picked up in
Unlock requirements
none

Store Key
———————-
———————————————————————————
Effect
Entering shops does not cost keys
Notes
Unlock requirements
Donate 666 coins to the Donation Machine

Rib of Greed
———————-
———————————————————————————
Effect
Greed and Super Greed cannot appear in shops and secret rooms.
Heart drops have a chance to get replaced by coin drops
Notes
Picking up the trinket, and entering a shop, or secret room
after a fight with Greed will restore the room to its original form
Unlock requirements
Defeat Ultra Greed as Keeper

Karma
———————-
———————————————————————————
Effect
Donating to a Donation Machine can cause a beggar to spawn,
heal the player for a full red heart, or refund a single coin to the
player’s coin count.
Also increases the chances for a Donation Machine to increase
the player’s luck
Notes
Unlock requirements
Defeat the Lamb as Keeper

Lil Larva
———————-
———————————————————————————
Effect
Poop destroyed by the player spawns blue flies
Notes
Unlock requirements
none

Mom’s Locket
———————-
———————————————————————————
Effect
Using keys to unlock doors, keyblocks or golden chests heals
the player for half a red heart
Notes
Unlock requirements
none

NO!
———————-
———————————————————————————
Effect
Prevents active items from spawning.
Notes
The golden version of this trinket automatically rerolls items
with a quality of 0
Unlock requirements
none

Child Leash
———————-
———————————————————————————
Effect
Familiars follow the player closer
Notes
Unlock requirements
none

Brown Cap
———————-
———————————————————————————
Effect
Poops explode when destroyed
Notes
Unlock requirements
none

Meconium
———————-
———————————————————————————
Effect
Normal poop has a chance to be replaced by black poop.
Black poops have a chance to drop a black heart when destroyed
Notes
Unlock requirements
Defeat Ultra Greedier as ???

Trinkets #7

Cracked Crown
———————-
———————————————————————————
Effect
Grants a boost to any stats that are over their base value
Notes
Unlock requirements
Win 5 daily challenges in a row

Used Diaper
———————-
———————————————————————————
Effect
Has a chance to give the Skatole passive item effect in a room
Notes
Unlock requirements
none

Fish Tail
———————-
———————————————————————————
Effect
Any items, that generate blue flies, or locusts, will generate more
of them than usual
Notes
Unlock requirements
none

Black Tooth
———————-
———————————————————————————
Effect
The player occasionally fires a tooth, which deals 2x the player’s
damage, and poisons enemies
Notes
The chance for the special tear to be fired maxes out at 100% at
32 luck
Unlock requirements
none

Ouroboros Worm
———————-
———————————————————————————
Effect
+1.5 range, and +2.0 tear height. Grants spectral shot
The player’s tears travel in extremely wide rings at high speeds.
Notes
Unlock requirements
none

Tonsil
———————-
———————————————————————————
Effect
After the player takes 12-20 hits, this trinket spawns a permanent
familiar, which follows the player and blocks shots.
Notes
Unlock requirements
none

Nose Goblin
———————-
———————————————————————————
Effect
The player occasionally fires a homing booger, which sticks to
enemies and deals damage over time
Notes
Unlock requirements
none

Super Ball
———————-
———————————————————————————
Effect
The player occasionally fires a tear, which bounces of obstacles
and enemies
Notes
Unlock requirements
none

Vibrant Bulb
———————-
———————————————————————————
Effect
Grants a boost to most stats when the player’s active item is
fully charged
Notes
Unlock requirements
none

Dim Bulb
———————-
———————————————————————————
Effect
Grants a boost to all stats as long as the player’s active item
is fully discharged
Notes
The boosts granted by this trinket are slightly higher than that
of the Vibrant Bulb’s.
Unlock requirements
none

Fragmented Card
———————-
———————————————————————————
Effect
Two secret rooms spawn on future floors instead of just one
Notes
Unlock requirements
none

Equality
———————-
———————————————————————————
Effect
Turns bomb, key and coin pickups into their double
versions as long as the player’s pickup counts are the same
Notes
Unlock requirements
none

Wish Bone
———————-
———————————————————————————
Effect
Taking damage has a 2% chance to destroy the trinket and
spawn an item from the room’s current pool
Notes
Unlock requirements
none

Bag Lunch
———————-
———————————————————————————
Effect
Getting hit has a 2% chance to spawn the Lunch item.
Notes
Unlock requirements
none

Lost Cork
———————-
———————————————————————————
Effect
Creep spawned by the player is increased in radius
Notes
Unlock requirements
none

Trinkets #8

Crow Heart
———————-
———————————————————————————
Effect
Taking damage will prioritise hitting the player’s red heart
containers instead of the rightmost heart.
Notes
Useful when playing as the Forgotten, as it will preserve
the Bone Heart vessels.
Unlock requirements
Defeat Ultra Greedier as Eve

Walnut
———————-
———————————————————————————
Effect
Getting hit by explosions 1-9 times will destroy the trinket and
spawn a group of pickups
Notes
Unlock requirements
none

Duct Tape
———————-
———————————————————————————
Effect
Stops orbitals from orbiting the player, and stops shooting
familiars from moving
Notes
Unlock requirements
none

Silver Dollar
———————-
———————————————————————————
Effect
Allows shops to spawn in Chapter IV
Notes
Unlock requirements
Defeat Delirium as Cain

Bloody Crown
———————-
———————————————————————————
Effect
Allows treasure rooms to spawn in Chapter IV
Notes
Unlock requirements
Defeat Delirium as Samson

Pay to Win
———————-
———————————————————————————
Effect
Restock Boxes always spawn in Treasure Rooms
Notes
Unlock requirements
none

Locust of War
———————-
———————————————————————————
Effect
Spawns an orange locust upon clearing a room.
Orange locusts explode upon contact with enemies, dealing
(2x the player’s damage + 60.0) damage to enemies.
Notes
Unlock requirements
Defeat Isaac as Apollyon

Locust of Pestilence
———————-
———————————————————————————
Effect
Spawns a green locust upon clearing a room.
Green locusts deal 2x the player’s damage to enemies and poison them
Notes
Unlock requirements
Defeat Satan as Apollyon

Locust of Famine
———————-
———————————————————————————
Effect
Spawns a yellow locust upon clearing a room
Yellow locusts deal 2x the player’s damage and slow down enemies.
Notes
Unlock requirements
Defeat ??? as Apollyon

Locust of Death
———————-
———————————————————————————
Effect
Spawns a black locust upon clearing a room.
Black locusts deal 4x the player’s damage.
Notes
Unlock requirements
Defeat the Lamb as Apollyon

Locust of Conquest
———————-
———————————————————————————
Effect
Spawns 1-4 white locusts upon clearing a room.
White locusts deal 2x the player’s damage
Notes
Unlock requirements
Complete Boss Rush as Apollyon

Bat Wing
———————-
———————————————————————————
Effect
Killing an enemy has a chance to grant the player flight for
the duration of the room
Notes
Unlock requirements
Defeat Ultra Greedier as Azazel

Stem Cell
———————-
———————————————————————————
Effect
Heals the player’s red health to 50% of their red heart containers
upon entering a new floor. If the player’s red health is over 50% already,
the trinket heals them for a full red heart instead
Notes
Unlock requirements
Defeat Ultra Greedier as Samson

Hairpin
———————-
———————————————————————————
Effect
Entering a boss room for the first time
fully charges the player’s active item
Notes
Unlock requirements
Recharge your active item using batteries 20 times

Wooden Cross
———————-
———————————————————————————
Effect
Grants a single Holy Mantle shield upon entering a new floor.
Notes
Unlock requirements
Sleep in a bed

Trinkets #9

Butter!
———————-
———————————————————————————
Effect
Using an active item drops it on the ground, along with activating
its normal effect.
Getting hit has a chance to make the player drop a random passive item
on the ground.
Notes
Unlock requirements
Complete two victory laps, and start a third

Filigree Feather
———————-
———————————————————————————
Effect
Killed angels drop angel room items instead of key pieces
Notes
Unlock requirements
Acquire both key pieces

Door Stop
———————-
———————————————————————————
Effect
The door the player has entered through is always open, with
a few exceptions, mainly challenge rooms and secret rooms
Notes
Unlock requirements
Blow up doors and secret room entrances 50 times

Extension Cord
———————-
———————————————————————————
Effect
An arc of electricity occasionally goes through the player and
their familiars
Notes
Unlock requirements
Pick up the Battery, 9 Volt, and Car Battery items at least once

Rotten Penny
———————-
———————————————————————————
Effect
Spawns a blue fly per each coin picked up
Notes
Unlock requirements
Have 20 blue flies at the same time

Baby Bender
———————-
———————————————————————————
Effect
Grants homing shot for the player’s familiars
Notes
Unlock requirements
Use the I – The Magician tarot card, or the Telepathy
for Dummies active item, while already having homing tears.

Finger Bone
———————-
———————————————————————————
Effect
Getting hit has a 5% chance to grant an empty Bone Heart
Notes
Unlock requirements
Defeat Ultra Greed as the Forgotten

Jawbreaker
———————-
———————————————————————————
Effect
The player occasionally fires a tooth, which deals 3.2x the player’s
damage.
Notes
The chance for the special tear to be fired maxes out at 100% at
9 luck.
This is literally the trinket version of the Tough Love item
Unlock requirements
none

Chewed Pen
———————-
———————————————————————————
Effect
The player occasionally fires a tear, which slows enemies
Notes
The chance for the special tear to be fired maxes out at 100%
at 18 luck
Unlock requirements
none

Blessed Penny
———————-
———————————————————————————
Effect
Picked up coins rarely spawn half a soul heart
Notes
Unlock requirements
Defeat ??? as Bethany

Broken Syringe
———————-
———————————————————————————
Effect
Has a chance to grant a random syringe-related item effect
each room.
Notes
Unlock requirements
none

Short Fuse
———————-
———————————————————————————
Effect
The bombs the player places will explode after 0.66s instead of 1.5s
Notes
Unlock requirements
none

Gigante Bean
———————-
———————————————————————————
Effect
Makes all farts significantly larger
Notes
Unlock requirements
none

A Lighter
———————-
———————————————————————————
Effect
Upon entering an uncleared room, enemies may get lit on fire,
applying the Burn status effect on them
Notes
The chance for an enemy to be lit on fire maxes out at 100%
at 40 luck
Unlock requirements
none

Broken Padlock
———————-
———————————————————————————
Effect
Most locked doors can be opened with a bomb.
Notes
Unlock requirements
none

Trinkets #10

Myosotis
———————-
———————————————————————————
Effect
Spawns pickups left on the previous floor in the starting room
of the current floor. A maximum of 4 pickups can be brought to
the next floor
Notes
Unlock requirements
none

‘M
———————-
———————————————————————————
Effect
Using an active item rerolls it
Notes
Unlock requirements
Defeat Mother as Eden

Teardrop Charm
———————-
———————————————————————————
Effect
Luck based tear effects have a higher chance of occuring
Notes
Unlock requirements
none

Apple of Sodom
———————-
———————————————————————————
Effect
Picking up red hearts has a 50% chance to not fill the player’s
red heart containers, and will spawn a few blue spiders instead.
If all of the player’s red heart containers are full, or missing,
picking up red hearts will always spawn blue spiders
Notes
Unlock requirements
none

Forgotten Lullaby
———————-
———————————————————————————
Effect
Increases the fire rate of shooting familiars
Notes
Unlock requirements
Blow up the skull left by the Siren after defeating her

Beth’s Faith
———————-
———————————————————————————
Effect
Spawns four wisps at the start of each floor.
The wisps behave identically to those spawned by the Book of
Virtues when it’s used without a stored active item.
Notes
Unlock requirements
Complete Boss Rush as Bethany

Old Capacitor
———————-
———————————————————————————
Effect
The player’s active item is no longer charged by room clears,
and instead, a room clear has a chance to drop a battery pickup
alongside a normal room clear drop
Notes
Unlock requirements
Kill 10 battery beggars

Brain Worm
———————-
———————————————————————————
Effect
Grants rudimentary homing
Notes
Unlock requirements
none

Perfection
———————-
———————————————————————————
Effect
+10.0 luck. Destroyes itself when the player takes damage.
Self-damage (damage, which does not reduce Deal Room spawn chance)
does not destroy the trinket
Notes
Only spawns after beating three consecutive floors without
taking damage. The boss of the third floor will spawn the trinket
when killed
Unlock requirements
none

Devil’s Crown
———————-
———————————————————————————
Effect
Treasure Rooms get turned into Red Treasure Rooms, which
contain a deal with the Devil.
Notes
Making a deal with the devil inside of a Red Treasure Room
does reduce Angel Room spawn chance
Unlock requirements
Defeat Mother as Azazel

Charged Penny
———————-
———————————————————————————
Effect
Picking up a cpin has a chance to charge the player’s active
item for one bar
Notes
Unlock requirements
Make 5 battery beggars pay out

Friendship Necklace
———————-
———————————————————————————
Effect
Any familiars, which follow the player, will orbit them instead.
Orbiting familiars will not block shots, unless they already did
prior to getting affected by the trinket
Notes
Unlock requirements
none

Panic Button
———————-
———————————————————————————
Effect
Activates the player’s active item right before they take damage,
which nullifies the damage that would be otherwise taken.
This does not give the player i-frames.
The active item needs to be fully charged for this to occur.
Notes
Unlock requirements
none

Trinkets #11

Blue Key
———————-
———————————————————————————
Effect
Opening a door with a key, and entering the room behind the
door, will lead the player to a blue room, which contains Hush-themed
enemies. Leaving the room will take the player to the corresponding
room, and will despawn the blue room forever.
This essentially allows the player to get more pickups,
or active item charges.
Notes
Unlock requirements
Defeat the Beast as Tainted Cain

Flat File
———————-
———————————————————————————
Effect
Removes spikes, with the exception of Grudges, which are not affected.
Sacrifice Room spikes, and Curse Room door spikes will also be removed
Notes
Unlock requirements
none

Telescope Lens
———————-
———————————————————————————
Effect
+9% chance for a Planetarium to spawn in future floors.
Allows Planetariums to spawn in Chapter IV
Notes
Unlock requirements
Collect three astrology-related items in a single run

Mom’s Lock
———————-
———————————————————————————
Effect
Grants the effect of a random Mom-related item each room
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Isaac

Dice Bag
———————-
———————————————————————————
Effect
Has a 50% chance to give the player a Dice-related item in
the form of a consumable for the duration of the room.
Leaving the room will make the consumable disappear.
Notes
Unlock requirements
Defeat Mother as Tainted Isaac

Holy Crown
———————-
———————————————————————————
Effect
Allows treasure rooms and shops to spawn in Cathedral
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Magdalene

Mother’s Kiss
———————-
———————————————————————————
Effect
Grants a red heart container.
The container will disappear if the trinket is dropped
Notes
Can be buggy at times, use at your own risk.
Unlock requirements
Defeat Mother as Tainted Magdalene

Torn Card
———————-
———————————————————————————
Effect
Every 15 shots, the player fires an Ipecac tear with the My
Reflection effect
Notes
Unlock requirements
Defeat Mother as Tainted Lazarus

Torn Pocket
———————-
———————————————————————————
Effect
Getting hit will make the player drop two random pickups from
their pickup count (does not affect hearts)
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Lazarus

Gilded Key
———————-
———————————————————————————
Effect
+1 key when picked up for the first time.
Replaces all chest drops with Golden Chests, and modifies their
drops.
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Cain

Lucky Sack
———————-
———————————————————————————
Effect
Spawns a Sack at the beginning of each floor
Notes
Unlock requirements
Defeat Mother as Tainted Cain

Wicked Crown
———————-
———————————————————————————
Effect
Allows treasure rooms and shops to spawn in Sheol
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Azazel

Azazel’s Stump
———————-
———————————————————————————
Effect
Gives the player a chance to turn into Azazel upon clearing a room,
granting flight and a short-ranged Brimstone.
This effect lasts until the player clears another room and leaves it.
Notes
Unlock requirements
Defeat Mother as Tainted Azazel

Dingleberry
———————-
———————————————————————————
Effect
Spawns a Dip familiar upon clearing a room
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted ???

Trinkets #12

Ring Cap
———————-
———————————————————————————
Effect
The player puts two bombs at once at the cost of a single bomb.
Notes
Unlock requirements
Defeat Mother as Tainted ???

Nuh Uh!
———————-
———————————————————————————
Effect
Increases the quality of room clear drops in Chapter IV and
beyond
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Eden

Modeling Clay
———————-
———————————————————————————
Effect
Has a 50% chance to mimic the effect of a random passive item
from the current room’s item pool when entering a room
Notes
Unlock requirements
Defeat Mother as Tainted Eden

Polished Bone
———————-
———————————————————————————
Effect
Clearing a room has a chance to spawn a friendly Bony
Notes
The Bony can be a Black Bony
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Forgotten

Hollow Heart
———————-
———————————————————————————
Effect
Grants an empty bone heart at the beginning of each floor
Notes
Unlock requirements
Defeat Mother as Tainted Forgotten

Kid’s Drawing
———————-
———————————————————————————
Effect
Counts as an item for the Guppy transformation
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Lost

Crystal Key
———————-
———————————————————————————
Effect
Clearing a room has a 25% chance to spawn an adjacent red room
Notes
Unlock requirements
Defeat Mother as Tainted Lost

Keeper’s Bargain
———————-
———————————————————————————
Effect
Deals with the devil have a chance to cost coins instead of heart
containers.
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Keeper

Cursed Penny
———————-
———————————————————————————
Effect
Picking up a coin teleports the player to a random room
Notes
Unlock requirements
Defeat Mother as Tainted Keeper

Your Soul
———————-
———————————————————————————
Effect
Used as payment for deals with the devil instead of heart
containers. Can be used only once
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Judas

Number Magnet
———————-
———————————————————————————
Effect
Increases Devil Room spawn chance, and prevents Krampus
from spawning in Devil Rooms.
Devil Rooms will have slightly different layouts, which may contain
enemies from Sheol
Notes
Unlock requirements
Defeat Mother as Tainted Judas

Strange Key
———————-
———————————————————————————
Effect
Enables the pathway to the Blue Womb to spawn even if the
player did not reach it within 30 minutes.
When the Pandora’s Box active item is used, while this trinket is held
the box will spawn six items from random pools, consuming both the
active item, and the Strange Key
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Eve

Lil Clot
———————-
———————————————————————————
Effect
Spawns a clot, identical to the ones spawned by Sumptorium.
The clot has health, and will die if it takes enough damage;
the clot will die after three hits, and will respawn in the next room
Notes
The clot will persist even after the trinket has been dropped
Unlock requirements
Defeat Mother as Tainted Eve

Temporary Tattoo
———————-
———————————————————————————
Effect
Challenge rooms will spawn an additional chest after being
completed, and Boss Challenge rooms will spawn an additional
boss room item after being completed
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Samson

Trinkets #13

Swallowed M80
———————-
———————————————————————————
Effect
The player has a 50% chance to cause a large explosion when hit.
The explosion deals 185 damage to enemies within its radius
Notes
Unlock requirements
Defeat Mother as Tainted Samson

RC Remote
———————-
———————————————————————————
Effect
The player’s familiars control similarly to Esau
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Jacob

Found Soul
———————-
———————————————————————————
Effect
Spawns a familiar, which fires the player’s tears with their
exact stats, except for the damage, which is 0.5x of the player’s.
The familiar is controlled similarly to Esau, and dies in one hit.
After dying, the familiar will respawn next floor
Notes
Unlock requirements
Defeat Mother as Tainted Jacob

Expansion Pack
———————-
———————————————————————————
Effect
Upon using an active item, the trinket activates another, random
active item’s effect.
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Bethany

Beth’s Essence
———————-
———————————————————————————
Effect
Entering an Angel Room spawns five wisps, and donating
to a Beggar has a chance to spawn a wisp.
The wisps behave identically to the ones spawned by the Book
of Virtues when it’s not storing an active item
Notes
Unlock requirements
Defeat Mother as Tainted Bethany

The Twins
———————-
———————————————————————————
Effect
Has a 50% chance to duplicate one of the player’s familiars
when entering a new room.
If no familiars are present, the trinket can spawn the Brother Bobby,
or the Sister Maggy familiar for the duration of the room
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Lilith

Adoption Papers
———————-
———————————————————————————
Effect
Items in shops are replaced by ones from the “pool_familiarshop”
item pool
Notes
Unlock requirements
Defeat Mother as Tainted Lilith

Cricket Leg
———————-
———————————————————————————
Effect
Killing an enemy has a chance to spawn a random locust
Notes
Unlock requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Apollyon

Apollyon’s Best Friend
———————-
———————————————————————————
Effect
Spawns a locust familiar, identical to the ones spawned by the
Abyss active item. The locust familiar is permanent as long as the
trinket is held
Notes
Unlock requirements
Defeat Mother as Tainted Apollyon

Broken Glasses
———————-
———————————————————————————
Effect
Has a 33% chance of adding an extra blind item as a choice
in item rooms.
Notes
Unlock requirements
Complete challenge #40

Ice Cube
———————-
———————————————————————————
Effect
Has a chance to petrify random enemies when entering a new room.
Petrified enemies will be frozen when killed, regardless of if they were
petrified when killed or not.
Notes
Unlock requirements
Complete challenge #41

Sigil of Baphomet
———————-
———————————————————————————
Effect
Grants a 1-second shield for each enemy killed.
The shield time can stack up to a maximum of 10 seconds.
Notes
Unlock requirements
Complete challenge #37

Transformations – Introduction

Picking up items with a certain theme to them can transform the player.
This gives them a unique costume and a special ability which comes with the transformation.
There are 15 transformations in the game, with all of its DLC installed.
Their properties and requirements are listed below

Transformations #1

Transformations will be sorted alphabetically, while the required items will be sorted by internal ID, and active items will be listed before passive items, regardless of ID

A transformation always requires the player to pick up three items of a certain theme; not encounter, nor anything else. Active items contributing to a transformation can be dropped safely; they are recorded for the rest of the run. I’ll avoid putting this bit in the “required items” section to avoid needless clutter

Adult
———————-
———————————————————————————
Effect
Grants a full red heart container, or a soul/black heart, if playing
as a character that can’t have red health
Required items
3x Puberty pill effect

Beelzebub
———————-
———————————————————————————
Effect
Grants flight. Most fly-type enemies become either blue flies,
or become friendly
Required items
At least three items from this list:

  • Jar of Flies
  • Plum Flute
  • Skatole
  • Halo of Flies
  • Distant Admiration
  • Forever Alone
  • The Mulligan
  • Hive Mind
  • Smart Fly
  • BBF
  • Best Bud
  • Big Fan
  • ???’s Only Friend
  • Friend Zone
  • Lost Fly
  • Obsessed Fan
  • Papa Fly
  • Parasitoid
  • YO LISTEN!
  • Angry Fly
  • Psy Fly
  • Bot Fly
  • Fruity Plum
  • The Swarm

Bob
———————-
———————————————————————————
Effect
The player leaves a trail of green creep behind themself.
Grants immunity to Poison
Required items
At least three from this list:

  • Bob’s Rotten Head
  • Bob’s Curse
  • Ipecac
  • Bob’s Brain

Bookworm
———————-
———————————————————————————
Effect
The player occasionally fires an additional tear alongside their
normal tear, effectively being a chance-based 20/20
Required items
At least three from this list:

  • The Bible
  • Book of Belial
  • The Necronomicon
  • Book of Shadows
  • Anarchist Cookbook
  • Book of Revelations
  • Book of Sin
  • Monster Manual
  • Telepathy for Dummies
  • How to Jump
  • Book of Secrets
  • Satanic Bible
  • Book of the Dead
  • Lemegeton
  • Book of Virtues

Conjoined
———————-
———————————————————————————
Effect
-0.3 damage and decreases fire rate.
The player fires two shots diagonally to the front alongside their
normal tears
Required items
At least three from this list:

  • Brother Bobby
  • Sister Maggy
  • Robo-Baby
  • Little Steven
  • Guardian Angel
  • Demon Baby
  • Ghost Baby
  • Harlequin Baby
  • Rainbow Baby
  • Abel
  • Dry Baby
  • Robo-Baby 2.0
  • Rotten Baby
  • Headless Baby
  • Lil Brimstone
  • Mongo Baby
  • Incubus
  • Sworn Protector
  • Seraphim
  • Farting Baby
  • Multidimensional Baby
  • King Baby
  • Acid Baby
  • Buddy in a Box
  • Boiled Baby
  • Freezer Baby
  • Cube Baby
  • Quints
  • Lil Abaddon
  • Twisted Pair

Fun Guy
———————-
———————————————————————————
Effect
Grants a full red heart container, or a soul/black heart, if playing
as a character that can’t have red health
Required items
At least three from this list:

  • Mega Mush
  • Wavy Cap
  • 1up!
  • Magic Mushroom
  • Mini Mush
  • Odd Mushroom (thin)
  • Odd Mushroom (large)
  • Blue Cap
  • God’s Flesh
  • Mucormycosis

Guppy
———————-
———————————————————————————
Effect
The player’s tears have a 50% chance to spawn blue flies
when they hit an enemy
Required items
At least three from this list:

  • Guppy’s Paw
  • Guppy’s Head
  • Dead Cat
  • Guppy’s Tail
  • Guppy’s Hairball
  • Guppy’s Collar
  • Guppy’s Eye
  • Kid’s Drawing (trinket)

Leviathan
———————-
———————————————————————————
Effect
Grants flight and two black hearts
Required items
At least three from this list:

  • The Nail
  • Sulfur
  • Pentagram
  • The Mark
  • The Pact
  • Lord of the Pit
  • Brimstone
  • Spirit of the Night
  • Abaddon
  • Maw of the Void
  • Eye of the Occult

Transformations #2

Oh Crap
———————-
———————————————————————————
Effect
Destroying poop heals the player for half a red heart
Required items
At least three items from this list:

  • The Poop
  • Flush!
  • Brown Nugget
  • Skatole
  • Butt Bombs
  • E Coli
  • Number Two
  • Hallowed Ground
  • Dirty Mind
  • Montezuma’s Revenge

Seraphim
———————-
———————————————————————————
Effect
Grants flight and three soul hearts
Required items
At least three items from this list:

  • The Bible
  • Rosary
  • The Halo
  • Scapular
  • Celtic Cross
  • Mitre
  • Sacred Heart
  • Holy Grail
  • Dead Dove
  • Holy Mantle
  • Godhead
  • Holy Light
  • Divine Intervention
  • Immaculate Heart
  • Revelation
  • Sacred Orb
  • Salvation

Spiderbaby
———————-
———————————————————————————
Effect
Spawns a spider familiar, which inflicts random status effects
to enemies it comes into contact with
Required items
At least three from this list:

  • Spider Butt
  • Box of Spiders
  • Spider Bite
  • Mutant Spider
  • Daddy Long Legs
  • Spiderbaby
  • Infestation 2
  • Hive Mind
  • Juicy Sack
  • Sissy Longlegs
  • Sticky Bombs
  • Bursting Sack
  • Spider Mod
  • Parasitoid
  • The Intruder
  • Keeper’s Kin

Spun
———————-
———————————————————————————
Effect
+2.0 damage and +0.15 speed.
Spawns a random pill
Required items
At least three from this list:

  • The Virus
  • Roid Rage
  • Growth Hormones
  • Speed Ball
  • Experimental Treatment
  • Synthoil
  • Adrenaline
  • Euthanasia

Stompy
———————-
———————————————————————————
Effect
The player destroys most obstacles by walking over them
Required items
Three items/pill effects which increase the player’s size

Super Bum
———————-
———————————————————————————
Effect
Consumes all three bums and spawns a special bum, which
collects all pickups, and gives twice as many rewards as regular
bums.
Required items
Bum Friend, Dark Bum, and Key Bum

Yes Mother?
———————-
———————————————————————————
Effect
Spawns a knife familiar, which drags behind the player.
The knife deals 2x the player’s damage per tick.
Required items
At least three from this list:

  • Mom’s Bra
  • Mom’s Pad
  • Mom’s Bottle of Pills
  • Mom’s Box
  • Mom’s Shovel
  • Mom’s Bracelet
  • Mom’s Underwear
  • Mom’s Heels
  • Mom’s Lipstick
  • Mom’s Eye
  • Mom’s Contacts
  • Mom’s Knife
  • Mom’s Purse
  • Mom’s Coin Purse
  • Mom’s Key
  • Mom’s Eyeshadow
  • Mom’s Wig
  • Mom’s Perfume
  • Mom’s Pearls
  • Mom’s Razor

Enemies – Introduction

Enemies are your main and biggest obstacle in TBoI: Rebirth. Their difficulty varies with floor, with some enemies not even being able to damage you, while others being able to end your run in mere seconds.

Enemies in this section will be grouped into categories, and the categories will be sorted by the complexity of enemies they contain. The same will mostly apply to enemies themselves, although visual similarity will also be a factor.

For the sake of my sanity, this guide will not specify where enemies can be encountered, or how much HP they have, just their behavior

Turrets are considered as enemies by the game, but I won’t put them in this section, as this has already been done in Environment – Turrets

All enemies deal contact damage to the player, unless otherwise specified.

Enemies can also appear as champions. What they are and how they work is described in the section below, along with entity armor and stage HP.

Enemies – Champions

Champions are stronger versions of enemies, which boast higher health pools and/or special abilities.
They appear more often in Hard mode than in Normal mode, and are indicated by having a tint, or a special animation.
Champions will also sometimes drop pickups upon death.
There are 25 different champion types in the game. They will be sorted by their internal ID.

Appearance
Health multiplier
Properties
Drop
Notes
Intense Red
2.6x
Red Heart
Dark Yellow
1.5x
Increased movement speed
Battery
Say goodbye to your run if you see a Gazing Globin with this champion
Intense Green
2.0x
Constantly leaves behind damaging creep
Pill
Intense Orange
2.0x
The player when hit by this champion will drop a few coins, deducting them from their coin count
1-3 coins
Intense Blue
2.0x
Decreased movement speed
3 blue flies
Dark Cyan/Dark Green
2.0x
Explodes when killed
Bomb
White
2.0x
Invincible until all other enemies are killed
Eternal Heart
Dark Gray
0.66x
Decreased movement speed
Key
Transparent White
2.0x
Can move through environmental objects, and tears shot by this champion are spectral
Golden Chest (rarely a Mega Chest)
Black
2.0x
Fades in and out of visibility
Red Chest
Pink
2.0x
Periodically shoots out short-range projectiles in the direction it’s facing
Violet with a ground aura
2.0x
Pulls the player and their projectiles into themself.
Trinket
Dark Red
2.0x
Turns into a pile of flesh upon death, and regenerates if it is not finished off
Double Red Heart
Light Blue
2.0x
Fires out 8 projectiles in all directions upon death
Half Red Heart
Blends in with the environment
2.0x
Rune
Pulsing Green
2.0x
Splits into two copies of itself upon death
Pulsing Gray with ground aura
2.0x
Repels the player’s shots with varying strength
Bright White
2.0x
Has 1-2 Eternal Flies circling it
Attack Fly
Tiny
0.66x
Smaller hitbox
Pill with the “One Makes You Small” pill effect
Giant
3.0x
Deals two full hearts of damage
Pill with the “One Makes You Larger” pill effect
Pulsing Red
2.0x
Heals all other enemies at a rate of 20 HP/s
Red Heart
Pulsating Size
2.0x
Spawns Attack Flies when hit, up to a maximum of 5 Attack Flies at once
4-6 blue flies
Crown over its head
6.0x
All other enemies turn yellow while this champion is alive. Yellow enemies have no unique properties, but have a chance to drop a battery on death.
2-3 random pickups
Best to kill the yellow enemies first to earn a couple batteries.
Dark Gray with skull over its head
2.0x
Deals 40 damage to all enemies in the room when killed
Dark Brown
2.0x
Spawns poop grid tiles behind itself
Rainbow
3.0x
Combines the effects of the following champions:
Large, Dark Yellow, Intense Green, Bright White, Pink, Violet, Dark Cyan, Light Blue
A plethora of pickups
Who thought this one was a good idea?

Enemies – Entity Armor, Stage HP, and Boss Enemies

Entity Armor

Armor is a mechanic mostly found on bosses and final bosses, however some of the more lategame enemies also have this mechanic, hence why this section is grouped with Enemies rather than Bosses.

To put it short, entity armor is a feature introduced in Afterbirth to provide extra challenge while fighting enemies.
This mechanic enables some enemies and bosses to retaliate against high damage attacks by reducing how much damage they take from them.
The formula which decides this is fairly complicated but all you need to know is that the more you attack an armored enemy in a short period of time, the less damage you’ll be doing.
This video is a really good showcase of this mechanic.[a.pomf.cat]

Armor is a value in the game’s code. The higher it is, the more effective the damage scaling is.
Below is a table showing the armor values of all enemies and bosses which possess entity armor.

For reference:

  • 0-5 armor is barely noticeable
  • 10-15 armor is noticeable on enemies, not so much on bosses
  • 15-30 armor is highly noticeable on enemies and slightly noticeable on bosses
  • 30+ armor poses a challenge, regardless of the enemy type
  • 100+ armor extends a 1 minute boss fight into a 10 minute one.

Enemies

Enemy
Armor value
Tainted Mulligan
30
Tainted Tube Worm
30
Tainted Hopper
30
Tainted Pooter
30
Tainted Spitty
30
Tainted Faceless
20
Tainted Round Worm
12
Tainted Mole
10
Tainted Boom Fly
10
Tainted Sucker
10
Tainted Sub Horf
8
Tainted Soy Creep
4
Shady
12
Gutted Fatty
12
Elleech
5
Level 2 Gaper
5
Level 2 Horf
2.5
Level 2 Gusher
2.5
Level 2 Charger
2.5

Bosses

Boss
Armor value
Hush (second phase)
140
Hush (first phase)
20
Mega Satan
90
Mega Satan’s hands
15
Mother (Corpse)
90
Ultra Greed
85
Ultra Greedier
85
The Beast
60
Dogma
30
Ultra Horsemen
30
Delirium
(variable)*

* – Delirium’s armor increases depending on damage taken while in minion form. His true form always has no armor

Stage HP

Stage HP is a mechanic sort of similar to entity armor, albeit a bit fairer.

Stage HP is a value, which gets added to the HP of an enemy with each floor you descent.

In Layman’s terms, a Dip with 3 HP in Basement 1 will have 4 HP on Basement 2, since their stage HP value is 1. This essentially means that a Dip gets an additional 1 HP per floor.

This mechanic is the most noticeable specifically on Dips, as in Basement 1, a single base damage shot can kill them, while on Basement 2, you’ll need two shots to kill a Dip.

Boss Enemies

Boss Enemies are a subdivision of enemies, which are powerful and/or complex enough to be considered a boss by the game.
Enemies considered as bosses by the game will be very resistant to status effects, and will usually display a boss health bar on screen when encountered.

Enemies – Flies #1

These are the enemies, which resemble flies.

Fly
———————-
———————————————————————————
Behavior
Harmless. Slowly floats towards the player.
Notes
Useful with Midas’ Touch and/or Serpents Kiss for generating
free money or black hearts respectively.

Attack Fly
———————-
———————————————————————————
Behavior
Flies towards the player
Notes

Moter
———————-
———————————————————————————
Behavior
Flies towards the player. Splits into two Attack Flies upon death
Notes

Ring Fly
———————-
———————————————————————————
Behavior
Chases the player in a loop-like pattern. Groups up with other
Ring Flies, which makes the pattern more apparent.
Notes

Army Fly
———————-
———————————————————————————
Behavior
Groups up with other Army Flies and forms a line.
When in a line, tries to cut the player off, choosing the shortest path
Notes

Eternal Fly
———————-
———————————————————————————
Behavior
Invincible. Orbits its parent enemy. When the parent enemy is
killed, the Eternal Fly turns into an Attack Fly.
Notes

Swarm Fly
———————-
———————————————————————————
Behavior
Groups up with other swarm flies and chases the player
Notes

Dart Fly
———————-
———————————————————————————
Behavior
Attempts to mimic the player’s movements, while simultaneously
moving closer to them.
Notes

Willo
———————-
———————————————————————————
Behavior
Does not deal contact damage.
Circles the player, and periodically fires a shot at them.
Notes

Level 2 Willo
———————-
———————————————————————————
Behavior
Circles any enemies which are currently alive and attempts to
shoot at the player.
When no other enemies are alive, Level 2 Willos will loosely
circle the player, periodically firing a shot at them
Notes

Level 2 Fly
———————-
———————————————————————————
Behavior
Chases the player in circular-ish patterns
Notes

Full Fly
———————-
———————————————————————————
Behavior
Follows the same behavior as a Level 2 Fly.
Fires out a hexagon of 6 shots upon death.
Notes

Pooter
———————-
———————————————————————————
Behavior
Does not deal contact damage.
Slowly floats towards the player, and fires a shot at them,
if they’re in their line of sight.
Notes

Super Pooter
———————-
———————————————————————————
Behavior
Follows the same behavior as a Pooter.
Fires a spread of two shots towards the player when they’re in
their line of sight
Notes

Bulb
———————-
———————————————————————————
Behavior
Does not deal contact damage.
Flies erratically, and steals two bars of the player’s active item
charge upon contact.
Notes

Bloodfly
———————-
———————————————————————————
Behavior
Spawns only from Pustules.
Chases the player erratically, and explodes into a cross of
4 shots upon death.
Notes

Tainted Pooter
———————-
———————————————————————————
Behavior
Has entity armor.
Follows the same behavior as a Pooter.
Fires a quad shot at the player when they’re in their line of sight.
Each quad shot tear splits into four more, smaller tears.
Notes

Enemies – Flies #2

Sucker
———————-
———————————————————————————
Behavior
Flies towards the player.
Splits into four cardinal shots upon death.
Notes

Spit
———————-
———————————————————————————
Behavior
Flies towards the player.
Fires an explosive, arcing tear towards the player upon death
Notes

Ink
———————-
———————————————————————————
Behavior
Flies towards the player.
Splits into four diagonal shots upon death
Notes

Blood Sucker
———————-
———————————————————————————
Behavior
Flies towards the player.
Fires brimstone beams in cardinal directions ~1s after dying.
Notes

Tainted Sucker
———————-
———————————————————————————
Behavior
Has entity armor.
Splits into a hexagon of six tears upon death.
Each tear splits into one more hexagon of six tears.
Notes

Mama Fly
———————-
———————————————————————————
Behavior
Periodically spawns Pustules.
Splits into a few Small Maggots upon death.
Notes

Bomb Fly
———————-
———————————————————————————
Behavior
Chases the player.
Leaves behind a small bomb upon death, which explodes roughly
1.5s after.
Notes

Eternal Bomb Fly
———————-
———————————————————————————
Behavior
Spawned only by the Horny Boys.
Circles its parent enemy until it’s killed. If so, the Eternal Bomb
Fly is killed, leaving behind a small bomb, similar to a normal
Bomb Fly
Notes

Boom Fly
———————-
———————————————————————————
Behavior
Flies diagonally.
Explodes when killed
Notes

Red Boom Fly
———————-
———————————————————————————
Behavior
Flies diagonally.
Splits into a hexagon of six shots when killed.
Notes

Drowned Boom Fly
———————-
———————————————————————————
Behavior
Flies diagonally.
Explodes, and sends out projectiles in cardinal directions when
killed.
May sometimes spawn a low-health Drowned Charger upon death.
Notes

Dragon Fly
———————-
———————————————————————————
Behavior
Flies diagonally.
Splits into a fireball upon death, which sends out lines of fire
in cardinal directions shortly after.
Notes

Dragon Fly X
———————-
———————————————————————————
Behavior
Flies diagonally.
Splits into a fireball upon death, which sends out lines of fire
in diagonal directions shortly after.
Notes

Bone Fly
———————-
———————————————————————————
Behavior
Flies diagonally, and fires a bone at the player, if the Bone Fly
is aligned cardinally to them.
Splits into three bone projectiles upon death.
Notes

Sick Boom Fly
———————-
———————————————————————————
Behavior
Flies diagonally, leaving behind a short-lasting trail of poisonous gas.
Explodes, fills the surrounding area with poison gas, and fires out
a hexagon of six shots when killed.
Notes

Tainted Boom Fly
———————-
———————————————————————————
Behavior
Has entity armor.
When killed, stays stationary for a while and faint, orange lines
appear. After a short period, explosions start going along the lines,
going all the way up to the edges of the room.
Notes

Enemies – Flies #3

Ultra Famine Fly
———————-
———————————————————————————
Behavior
Stays stationary for a while after spawning, and flies
in the direction of the player afterwards.
Notes

Ultra Pestilence Fly
———————-
———————————————————————————
Behavior
Circles Ultra Pestilence, blocking shots
Notes

Ultra Pestilence Fly Ball
———————-
———————————————————————————
Behavior
Flies towards the player, spawning Ultra Pestilence Flies
when hit.
Notes

Enemies – Spiders #1

These are enemies, which resemble spiders

Swarm Spider
———————-
———————————————————————————
Behavior
Hops erratically towards the player
Notes

Spider
———————-
———————————————————————————
Behavior
Moves erratically around the room. If the player is in range,
the Spider will focus on crawling towards them instead.
Notes

Strider
———————-
———————————————————————————
Behavior
Slides erratically around the room. If the player is in range,
the Strider will focus on swimming to them instead.
Notes

Rock Spider
———————-
———————————————————————————
Behavior
Slowly crawls around the room. If the player is in range,
the Rock Spider will focus on crawling towards them.
Dealing enough damage to the Rock Spider turns it into a
regular Spider.
Notes
Turns into a Coal Spider if it touches fire

Tinted Rock Spider
———————-
———————————————————————————
Behavior
Crawls erratically around the room. If the player is in range,
the Tinted Rock Spider will focus on crawling towards them instead.
Drops a Soul Heart when killed
Notes
Spawned only from breaking tinted rocks in alt-Chapter II

Coal Spider
———————-
———————————————————————————
Behavior
Crawls erratically around the room. If the player is in range,
the Coal Spider will focus on crawling towards them instead.
Drops an ember when killed.
The ember deals contact damage, and slowly fades out
Notes

Big Spider
———————-
———————————————————————————
Behavior
Follows the same behavior as a Spider.
Splits into two Spiders upon death
Notes

Level 2 Spider
———————-
———————————————————————————
Behavior
Crawls erratically around the room, and occasionally hops.
If the player is in range, the Level 2 Spider will attempt to
approach them.
Notes

Ticking Spider
———————-
———————————————————————————
Behavior
Follows the same behavior as a Level 2 Spider.
Explodes when killed.
Notes

Migraine
———————-
———————————————————————————
Behavior
Follows the same behavior as a Level 2 Spider.
Drops three troll bombs when killed
Notes

Small Baby Long Legs
———————-
———————————————————————————
Behavior
Runs away from the player and occasionally spawns Sacks
Notes
Don’t corner these guys, as they’ll go crazy after some time, and
usually run right into you

Small Crazy Long Legs
———————-
———————————————————————————
Behavior
Chases the player and occasionally stops to fire projectiles
in cardinal directions
Notes

Baby Long Legs
———————-
———————————————————————————
Behavior
Runs away from the player and occasionally spawns Spiders
Notes
Same thing as Small Baby Long Legs; don’t corner them for too long

Crazy Long Legs
———————-
———————————————————————————
Behavior
Chases the player and occasionally stops to fire shots in all
directions.
Notes
These guys are a nuisance every time if you have low stats.
Prioritise them

Enemies – Spiders #2

Trite
———————-
———————————————————————————
Behavior
Hops to a random location roughly every two seconds.
Jumps towards the player if they’re in range.
Notes
Their range is usually 5-6 tiles, but can easily be more than that
at times if god hates you.

Ragling
———————-
———————————————————————————
Behavior
Follows the same behavior as a Trite.
Occasionally fires two spiraling shots
Notes

Rag Man’s Ragling
———————-
———————————————————————————
Behavior
Behaves identically to a Ragling, but leaves behind its
corpse, which Rag Man can then revive
Notes

Blister
———————-
———————————————————————————
Behavior
Hops short distances around the room.
Hops towards the player if they’re in range.
Occasionally spawns a Dark Ball.
Splits into a Sack upon death.
Notes

Enemies – Wall Creeps

These are enemies, which resemble spiders, but crawl on the walls of the room.

Wall Creep
———————-
———————————————————————————
Behavior
Crawls along one of the room’s walls and tries to align itself
with the player.
When aligned, the Wall Creep fires three shots in quick succession
in a straight line.
Notes

Blind Creep
———————-
———————————————————————————
Behavior
Crawls randomly on one of the room’s walls, and occasionally
fires a triple shot.
Notes

Rage Creep
———————-
———————————————————————————
Behavior
Follows the same behavior as a Wall Creep.
When aligned, fires a straight Brimstone laser
Notes

The Thing
———————-
———————————————————————————
Behavior
Follows the same behavior as a Wall Creep.
When aligned, extends its tongue, and fires creep.
The creep reaches 5-6 tiles, and has a cooldown before
it can be fired again.
Notes
The extended tongue can hit the player.
Got hit by that more times than I’m willing to admit

Soy Creep
———————-
———————————————————————————
Behavior
Follows the same behavior as a Wall Creep.
When aligned, fires a continuous stream of small shots for
roughly 4 seconds
Notes
These shots deal a ton of knockback for their size,
meaning you are not going to pass through the stream most
of the times.

Tainted Soy Creep
———————-
———————————————————————————
Behavior
Has entity armor.
Follows the same behavior as a Wall Creep.
When aligned, fires four diagonal streams of shots for roughly
4 seconds.
Notes

Enemies – Poops

These are enemies, which resemble poop

Dip
———————-
———————————————————————————
Behavior
Periodically slides in a random direction
Notes

Corn
———————-
———————————————————————————
Behavior
Erratically slides in random directions
Notes

Brownie Corn
———————-
———————————————————————————
Behavior
Identical in behavior to a Corn.
Notes

Big Corn
———————-
———————————————————————————
Behavior
Periodically slides in random directions.
Upon death, predicts the player’s movements and fires a corn
projectile in that direction
Notes
Pick these guys off from a distance if possible

Drip
———————-
———————————————————————————
Behavior
Erratically rolls around in random directions.
Notes

Squirt
———————-
———————————————————————————
Behavior
Periodically dashes towards the player.
Splits into two Dips upon death.
Notes
These guys won’t give you much room to breathe most of the times.
Prioritise them

Splurt
———————-
———————————————————————————
Behavior
Dashes twice towards the player.
Splits into two Drips upon death
Notes

Hardy
———————-
———————————————————————————
Behavior
Dashes towards the player, and breaks upon hitting a wall
or an obstacle, releasing more rock projectiles with each strike.
Dies automatically after striking a wall/obstacle three times.
Splits into a Dip upon death.
Notes

Dank Squirt
———————-
———————————————————————————
Behavior
Behaves similarly to a Squirt, but also leaves slowing creep
behind itself when dashing.
Splits into two Clots upon death.
Notes

Dinga
———————-
———————————————————————————
Behavior
Slowly slides in random directions, and occasionally hops.
Upon contact with the ground, the Dinga can either fire projectiles
in all directions, or spawn Dips.
Splits into two Squirts upon death.
Notes

Dump
———————-
———————————————————————————
Behavior
Slowly slides towards the player.
Upon taking enough damage, the Dump splits into a Dump Head,
and a Dump Body.
The Dump Head slides erratically around the room, bouncing off
of obstacles and walls, and chases the player after slowing
down, leaving behind slippery creep as it does so.
The Dump Body will stay stationary, and fire a short-range
fountain of projectiles while slowly shrinking.
Notes
These guys are always a nuisance no matter what.
Keep your guard up.

Enemies – Worms

These are enemies, which resemble worms

Round Worm
———————-
———————————————————————————
Behavior
Pops up in a random place in the room, and fires a projectile
towards the player, if they’re in their line of sight.
Notes
They can be hit even during their burrowing animation.

Tainted Round Worm
———————-
———————————————————————————
Behavior
Spawns alongside multiple Tainted Round Worm minions.
Pops up in a random place in the room, with the minions doing
the same shortly after.
After all worms have popped up, the main, large worm will
fire a large projectile, which splits into a ring of 8 projectiles,
while the small ones will fire a single shot towards the player.
The main worm and its minions share the same health bar.
Notes

Roundy
———————-
———————————————————————————
Behavior
Behaves similarly to a Round Worm, but spawns a rock wave
when it pops up, and fires an arcing, explosive tear towards the
player instead of a normal projectile.
Notes

Nightcrawler
———————-
———————————————————————————
Behavior
Behaves similarly to a Round Worm, but fires four, spiraling
shots instead.
Notes

Tube Worm
———————-
———————————————————————————
Behavior
Behaves similarly to a Round Worm, but predicts the movements
of the player before firing, and fires out a fountain of projectiles
towards the player shortly after.
Notes

Tainted Tube Worm
———————-
———————————————————————————
Behavior
Behaves similarly to a Tube Worm, but fires four consecutive
arcing, explosive projectiles towards the player instead.
Notes

Fire Worm
———————-
———————————————————————————
Behavior
Behaves similarly to a Round Worm, but shoots out a fire
towards the player instead.
The fire blocks shots, and fades out over time.
Notes

Para-bite
———————-
———————————————————————————
Behavior
Moves towards the player.
Occasionally burrows and reappears elsewhere
Notes

Scarred Para-bite
———————-
———————————————————————————
Behavior
Behaves similarly to a Para-bite, but periodically fires a
short-range projectile in the direction it’s facing
Notes

Cod Worm
———————-
———————————————————————————
Behavior
Stationary.
When burrowed, the Cod Worm is invincible, and will retaliate
by firing a burst of shots towards the player when hit.
After a while of not being hit, the Cod Worm will burrow out,
and will be able to be damaged.
Notes

Needle
———————-
———————————————————————————
Behavior
Briefly pops up, and then lunges at the player before burrowing
into the ground again, only to pop up in a random place shortly
after, similar to the Pin boss.
Notes
Has no indication of it spawning.
Keep your guard up.

Pasty
———————-
———————————————————————————
Behavior
Behaves similarly to the Needle, but fires 4 shots in diagonal
directions mid-air.
Notes

Grub
———————-
———————————————————————————
Behavior
Behaves similarly to the Larry Jr. boss in terms of movement.
Charges at the player if it’s aligned to them cardinally.
Splits into a few Maggots, Chargers, and/or Spitties upon death.
Notes

Enemies – Maggots

These are enemies, which resemble maggots

Small Maggot
———————-
———————————————————————————
Behavior
Very slowly crawls towards the player
Notes

Maggot
———————-
———————————————————————————
Behavior
Crawls randomly.
Notes

Charger
———————-
———————————————————————————
Behavior
Vaguely moves in the direction of the player, and charges
at them, if they’re aligned to them cardinally.
Notes

Level 2 Maggot
———————-
———————————————————————————
Behavior
Has entity armor.
Behaves similarly to a Maggot, but can also veer in the direction
of the player while charging.
Notes

Drowned Charger
———————-
———————————————————————————
Behavior
Behaves similarly to a Charger, but fires four diagonal shots
uppn death.
Notes
Do not miscalculate their HP while fighting them.

Carrion Princess
———————-
———————————————————————————
Behavior
Behaves similarly to a Charger, but charges when the player
is aligned diagonally instead of cardinally, and can be hit only
from the back
Notes

Dank Charger
———————-
———————————————————————————
Behavior
Behaves similarly to a Charger, but upon spotting the player,
the Dank Charger pauses for a very brief moment, and charges
in the closest cardinal direction to the player.
Notes

Elleech
———————-
———————————————————————————
Behavior
Has entity armor.
Behaves similarly to a Charger, but doesn’t stop charging,
switching directions when met with a dead end instead.
Notes

Spitty
———————-
———————————————————————————
Behavior
Crawls in random directions, and occasionally fires a shot in
the direction it’s facing
Notes

Conjoined Spitty
———————-
———————————————————————————
Behavior
Behaves similarly to a Spitty, but fires an additional shot out
of its back.
Notes

Tainted Spitty
———————-
———————————————————————————
Behavior
Has enitty armor.
Constantly spews projectiles in a radius of 3 tiles, and occasionally
fires a laser of projectiles in a random cardinal direction.
Splits into a very complex ring of tears upon death.
Notes
If you see this one, just bomb out of the room.
They’re not worth fighting

Fistuloid
———————-
———————————————————————————
Behavior
Vaguely floats towards the player, and occasionally fires a shot
at them, predicting the player’s movements before doing so.
When killed, freezes in place for a short while, and fires
a charger projectile in the closest cardinal direction to the player.
Notes

Enemies – Hoppers

These are enemies, which resemble the Hopper enemy, or behave similarly to it.

Hopper
———————-
———————————————————————————
Behavior
Hops in random directions.
If the player is in range (~3 tiles), the Hopper will hop towards them.
Notes

Flaming Hopper
———————-
———————————————————————————
Behavior
Behaves almost identically to the Hopper, but hops slightly
longer distances, and in shorter intervals
Notes

Leaper
———————-
———————————————————————————
Behavior
Behaves similarly to a Hopper, but occasionally leaps into
the air, and attempts to land on the player roughly 1.5s afterwards,
sending out 4 projectiles in cardinal directions.
Notes

Sticky Leaper
———————-
———————————————————————————
Behavior
Behaves similarly to a Leaper, but leaves a puddle of slowing creep,
and fires out a short-range fountain of projectiles instead
of cardinal projectiles upon landing.
Notes

Tainted Hopper
———————-
———————————————————————————
Behavior
Has entity armor.
Periodically hops four times, releasing a denser ring of projectiles
with each hop.
Notes

Eggy
———————-
———————————————————————————
Behavior
Hops randomly around the room, leaving behind slowing creep
as it does so.
Upon death, releases a large group of Swarm Spiders.
Notes

Embryo
———————-
———————————————————————————
Behavior
Sluggishly hops in random directions.
Notes

Enemies – Pacers

These are enemies, which resemble the Pacer enemy, or behave similarly to it.

Pacer
———————-
———————————————————————————
Behavior
Walks around aimlessly
Notes

Gusher
———————-
———————————————————————————
Behavior
Walks around aimlessly, occasionally firing a short-range
projectile in the direction it’s facing
Notes

Splashes
———————-
———————————————————————————
Behavior
Behaves similarly to a Gusher, but fires
arcing, explosive projectiles instead.
Notes

Black Globin’s Body
———————-
———————————————————————————
Behavior
Walks aimlessly, occasionally spawning Spiders
Notes

Level 2 Gusher
———————-
———————————————————————————
Behavior
Runs aimlessly, spitting out Small Maggots periodically.
Notes

Enemies – Maws

These are enemies, which resemble severed, floating heads, often called Maws.

Horf
———————-
———————————————————————————
Behavior
Stationary.
Fires projectiles at the player if they’re in their line of sight
Notes

Sub Horf
———————-
———————————————————————————
Behavior
Does not fire projectiles when seeing the player, but when
moving instead.
Taking any sort of damage will make the Sub Horf rotate, which
in turn will make it fire projectile in a spiral-like pattern
Notes

Tainted Sub Horf
———————-
———————————————————————————
Behavior
Has entity armor.
Behaves similarly to a Sub Horf, but slowly floats towards the player.
Notes

Psychic Horf
———————-
———————————————————————————
Behavior
Behaves similarly to a normal Horf, but fires homing projectiles
instead.
Notes

Maw
———————-
———————————————————————————
Behavior
Floats towards the player, and fires a projectile at them if they’re
in their line of sight.
Notes

Red Maw
———————-
———————————————————————————
Behavior
Floats towards the player, and splits into 4 projectiles in cardinal
directions upon death
Notes

Mr. Maw
———————-
———————————————————————————
Behavior
Quickly walks towards the player, and ejects their head at them
if they’re in range.
Killing the body will let the head keep fighting in the form of a Maw,
while killing the head will let the body keep fighting, as either a Pacer
or a Gusher.
Mr. Maw can rarely decapitate itself at will
Notes

Mr. Red Maw
———————-
———————————————————————————
Behavior
Behaves near identically to a Mr. Maw, but leaves behind a Red Maw
instead of a normal Maw
Notes

Psychic Maw
———————-
———————————————————————————
Behavior
Slowly floats towards the player and has an Eternal Fly orbiting them.
Fires homing projectiles at the player if they’re in the Psychic Maw’s range.
The eternal fly turns into an Attack Fly when the Psychic Maw is killed.
Notes

Mr. Mine
———————-
———————————————————————————
Behavior
Can only appear in pits.
Is stationary until the player comes into range.
When in range, Mr. Mine will launch itself a short distance
towards the player.
Upon taking enough damage, or after launching itself, Mr. Mine
will relocate itself to another, random pit
Notes

Level 2 Horf
———————-
———————————————————————————
Behavior
Slowly floats towards the player, firing Small Maggots at them.
Notes

Enemies – Gapers

These are enemies, which resemble the Gaper enemy, or behave similarly to it.

Gaper
———————-
———————————————————————————
Behavior
Walks towards the player.
Often splits into either a Pacer, or a Gusher upon death.
Notes

Flaming Gaper
———————-
———————————————————————————
Behavior
Behaves identically to a Gaper
Notes

Frowning Gaper
———————-
———————————————————————————
Behavior
Behaves similarly to a Gaper, but opens its eyes, and chases
the player faster when it gets in range.
Notes

Cyclopia
———————-
———————————————————————————
Behavior
Chases the player, leaving behind short-lasting creep while doing so.
Occasionally fires a slow shot towards the player if they’re in their
line of sight
Notes

Deep Gaper
———————-
———————————————————————————
Behavior
Emerges out of the floor once all other enemies have been killed,
and proceeds to chase the player like a normal Gaper
Notes

Blurb
———————-
———————————————————————————
Behavior
Slowly walks towards the player.
Taking enough damage, or getting near the Blurb will force it
to spit out a burst of tears towards the player, and after doing
so, the Blurb will chase the player faster.
Notes
Make sure you always have some space to dodge their burst.
It can reach absurd lengths sometimes.
These guys will also always spit the water before dying, no matter
how powerful you may be, so keep your guard up

Wraith
———————-
———————————————————————————
Behavior
Chases the player.
The position of the Wraith is indicated by its reflection in the water.
Notes

Faceless
———————-
———————————————————————————
Behavior
Walks around aimlessly, occasionally firing a hexagon of six
tears.
Taking enough damage will make the Faceless chase the player,
while firing the hexagon at a faster rate
Notes

Fanatic
———————-
———————————————————————————
Behavior
Chases the player.
Occasionally fires two spiraling shots.
Notes

Maze Roamer
———————-
———————————————————————————
Behavior
Always spawns in pairs.
Walks aimlessly, and fires eyeballs at the player if they’re aligned
to them cardinally.
Killing one of the two Maze Roamers will enrage the other one,
making them chase the player.
Notes

Rotten Gaper
———————-
———————————————————————————
Behavior
Chases the player.
Has slightly different behavior and speed depending on the sprite
Notes
If their tongue is out, they’ll chase you at high speeds.

Level 2 Gaper
———————-
———————————————————————————
Behavior
Chases the player.
Splits into a Level 2 Horf, and a Level 2 Gusher upon death
Notes

Twitchy
———————-
———————————————————————————
Behavior
Chases the player, and often leaps towards them, similarly to
a Trite.
Notes
These guys are a pain in the ass, deal with them quickly

Null
———————-
———————————————————————————
Behavior
Chases the player while fading in and out of visibility
Notes

Enemies – Fatties

These are enemies, which resemble the Fatty enemy, or behave similarly to them

Fatty
———————-
———————————————————————————
Behavior
Slowly walks towards the player, and occasionally farts,
knocking back enemies and the player if they’re within range
Notes

Flaming Fatty
———————-
———————————————————————————
Behavior
Behaves similarly to a Fatty, but leaves behind a fire upon farting
and sometimes upon death.
Notes

Pale Fatty
———————-
———————————————————————————
Behavior
Behaves simlarly to a Fatty, but releases a hexagon of six
projectiles upon farting, and can often split into either a
Blubber or a Half Sack upon death.
Notes

Fat Sack
———————-
———————————————————————————
Behavior
Walks towards the player, and often leaps into the air and
attempts to land on the player, leaving behind a puddle of creep
and firing a hexagon of six shots upon landing.
Just like the Pale Fatty, the Fat Sack has a chance to split into
a Blubber or a Half Sack upon death
Notes

Blubber
———————-
———————————————————————————
Behavior
Walks around aimlessly, occasionally spitting out a burst
of tears in all directions
Notes

Half Sack
———————-
———————————————————————————
Behavior
Walks around aimlessly, leaving behind creep as it does so.
Notes

Quakey
———————-
———————————————————————————
Behavior
Walks towards the player, and hops towards them if they’re
close enough. Upon landing, the Quakey will fire eight projectiles
in all directions, and may occasionally cause rocks to fall down
near the landing position.
Notes

Big Bony
———————-
———————————————————————————
Behavior
Walks slowly towards the player, and occasionally fires a big
bone, which ricochets off obstacles and walls.
Notes

Tainted Faceless
———————-
———————————————————————————
Behavior
Has entity armor.
Walks around aimlessly, occasionally firing a hexagon of six shots.
When hit, the Tainted Faceless will chase the player, firing
the hexagon at an alarming rate
Notes

Vis Fatty
———————-
———————————————————————————
Behavior
Spawns with a Fetal Demon tethered to it.
Walks towards the player and occasionally farts, sending the
Fetal Demon towards the player, which also spawns creep
under the VIs Fatty, the Fetal Demon, and the cord connecting them.
Killing the Fetal Demon before killing the Vis Fatty will make the
Vis Fatty charge up for a brief period, before it fires a Brimstone laser
in the closest diagonal direction to the player. The laser pushes
the Vis Fatty back, causing it to bounce off of the walls of the room.
Notes

Gutted Fatty
———————-
———————————————————————————
Behavior
Slowly walks around the room, occasionally spawning Festering
Guts.
Its eyes dislocate as it takes damage. The eyes will remain with the
Gutted Fatty, unless the player gets close, in which case the eyes
will chase them. The eyes are invulnerable.
The Gutted Fatty will release a geyser of shots upon death, which
tends to be 4-5 tiles in diameter.
Notes

Shady
———————-
———————————————————————————
Behavior
Has entity armor.
Slowly walks towards the player, and performs either of these
two attacks:

  • Hops, and fires explosions in all 4 cardinal
    directions upon landing
  • Fires a projectile towards the player, which
    constantly releases smaller projectiles
    perpendicular to itself. The main projectile
    additionally splits into a ring of projectiles
    upon colliding with a wall or obstacle.
Notes
Prioritise these guys over anything else.

Stoney
———————-
———————————————————————————
Behavior
Invincible and harmless.
Walks towards the player, blocking their movements and projectiles.
Occasionally stops to catch breath
Notes
Can be killed using very specific items, like Euthanasia, or
Little Horn

Cross Stoney
———————-
———————————————————————————
Behavior
Behaves similarly to a Stoney, but fires 4 shots in diagonal
and cardinal directions repeatedly, identically to a Cross Stone
Shooter.
Appears only in the April’s Fool challenge.
Notes

Enemies – Skinnies

The Skinny enemy and its variants

Skinny
———————-
———————————————————————————
Behavior
Slowly walks towards the player, leaving behind short-lasting
creep as it does so.
Notes

Crispy
———————-
———————————————————————————
Behavior
Walks towards the player, accelerating as it loses HP.
The Crispy loses HP over time at a rate of 1.0 HP per second.
Notes
These guys and knockback don’t go well together.

Rotty
———————-
———————————————————————————
Behavior
Behaves similarly to a Skinny, but has a chance to split
into either a Bony or two Attack Flies upon death.
Notes

Enemies – Mulligans

These are enemies, which resemble the Mulligan enemy, or behave similarly to it.

Mulligan
———————-
———————————————————————————
Behavior
Runs away from the player.
Splits into 4 random flies upon death. These flies can be Black Flies,
Attack Flies, or Pooters.
Can rarely explode itself at will, killing itself and firing four projectiles
in cardinal directions
Notes
Pooters spawned from these guys will fire immediately at
the player if they’re within range.
Keep your guard up.

Mulliboom
———————-
———————————————————————————
Behavior
Chases the player and explodes upon contact,
Notes

Mulligoon
———————-
———————————————————————————
Behavior
Runs away from the player.
Splits into a Troll Bomb and fires four projectiles in cardinal directions
upon death.
Can rarely explode itself at will, killing itself, spawning a Troll Bomb,
and firing projectiles in all directions
Notes

Hive
———————-
———————————————————————————
Behavior
Behaves similarly to the Mulligan, but occasionally spawns
an Attack Fly as it runs away from the player
Notes

Nest
———————-
———————————————————————————
Behavior
Behaves similarly to the Hive, but spawns spiders instead
of attack flies, and splits into either a Trite or a Big Spider upon death
Notes

Prey
———————-
———————————————————————————
Behavior
Behaves similarly to the Hive, but spawns Small Leeches
as it runs away from the player, and when it dies.
Notes

Mullighoul
———————-
———————————————————————————
Behavior
Behaves similarly to the Hive, but spawns Willos when running
away from the player, and upon death
Notes

Fartigan
———————-
———————————————————————————
Behavior
Chases the player, coughing up explosive gas as it does so.
Splits into a short-range explosive projectile upon death,
often causing the surrounding explosive gas to blow up.
Notes

Drowned Hive
———————-
———————————————————————————
Behavior
Behaves similarly to the Hive, but spawns Drowned Chargers
when running away from the player, and upon death.
Notes

Bouncer
———————-
———————————————————————————
Behavior
Runs away from the player.
If cornered for long enough, the Bouncer inflates, and starts
chasing the player.
Killing the Bouncer in its inflated state will send out a burst of
projectiles in all directions. Some of the projectiles will linger
mid-air before they fall down.
Killing the Bouncer in its noninflated state will make it fire out
projectiles in cardinal directions
Notes

Swarmer
———————-
———————————————————————————
Behavior
Floats diagonally around the room, spawning Attack Flies as
it does so.
Upon taking damage, the Swarmer will cough up Pooters.
The Swarmer will split into a Boom Fly upon death.
Notes

Holy Mulligan
———————-
———————————————————————————
Behavior
Behaves similarly to the Hive, but spawns small Angelic Babies
when running away from the player, and splits into an Embryo
upon death.
Notes

Tainted Mulligan
———————-
———————————————————————————
Behavior
Has entity armor.
Behaves similarly to the Hive, but spawns a ring of Ring Flies
instead of Attack Flies, and splits into a swathe of various flies
upon death.
Notes
A single bomb can take care of one easily.
Make sure it deals some overkill damage as well, as it
will prevent the swathe from spawning

Leper
———————-
———————————————————————————
Behavior
Alternates between running away from the player and chasing
them. Spawns Leper Flesh as it loses HP.
When at low HP, the Leper will chase the player, leaving behind
red creep.
Splits into Leper Flesh and a Gusher upon death
Notes

Enemies – Clotties

These are enemies, which resemble the Clotty enemy, or behave similarly to it

Clotty
———————-
———————————————————————————
Behavior
Wanders randomly around the room, occasionally
firing 4 projectiles in cardinal directions.
Turns into a Grilled Clotty upon touching a fire
Notes

Grilled Clotty
———————-
———————————————————————————
Behavior
Behaves similarly to a Clotty, but the movement speed and
fire rate are increased, and the projectiles fired can be at a slight
angle (0-10 degrees)
Notes

Cloggy
———————-
———————————————————————————
Behavior
Behaves similarly to a Clotty, but fires 4 spiraling projectiles.
Notes
Getting close to them is almost always a bad idea

Mega Clotty
———————-
———————————————————————————
Behavior
Wanders randomly around the room and occasionally hops.
On impact, the Mega Clotty can either fire a hexagon of six shots,
or spawn a puddle of creep.
Splits into two Clotties upon death.
Notes
Can spawn a Clotty or a Globin in extremely rare cases

Clot
———————-
———————————————————————————
Behavior
Behaves near identically to a Clotty, but fires projectiles in
diagonal directions instead.
Notes

I. Blob
———————-
———————————————————————————
Behavior
Behaves like a mix of a Clotty and a Clot, firing projectiles
in all directions.
Notes

Ministro
———————-
———————————————————————————
Behavior
Hops randomly around the room, and fires a burst of projectiles
at the player if they’re in range.
If the player is close enough, the Ministro will hop towards them
Notes

Enemies – Gyros

The Gyro enemy and its grilled variant

Gyro
———————-
———————————————————————————
Behavior
Rolls randomly around the room, and occasionally rolls
towards the player at high speeds.
Notes

Grilled Gyro
———————-
———————————————————————————
Behavior
Behaves near identically to the Gyro, but leaves behind tiny
fires as it charges at the player
Notes

Enemies – Globins

These are enemies, which resemble the Globin enemy, or behave similarly to it

Globin
———————-
———————————————————————————
Behavior
Chases the player, and collapses into a pile of goo upon death.
This goo will reform back into the Globin if not finished off.
Notes

Gazing Globin
———————-
———————————————————————————
Behavior
Behaves similarly to a Globin, but chases the player at a higher
speed, and the goo backs away from the player before reforming.
Notes

Dank Globin
———————-
———————————————————————————
Behavior
Behaves similarly to a Globin, but spawns a Spider and a puddle
of creep when it collapses into goo.
Notes

Black Globin
———————-
———————————————————————————
Behavior
Behaves similarly to the Globin, but spawns Spiders as it takes
damage, and splits into a Black Globin’s Body, Black Globin’s Head
and a Spider upon death.
Notes

Clickety Clack
———————-
———————————————————————————
Behavior
Chases the player and turns into a pile of bones when killed.
This pile will reform back into the Clickety Clack after a while,
and will only be finished off once all Clickety Clacks in the room
have been reduced to this form.
Notes

Cursed Globin
———————-
———————————————————————————
Behavior
Behaves similarly to the Globin, but splits into multiple
piles of goo upon death. Cursed Globins reformed from this goo
have less HP than the original, and will not split into goo when
their max HP is low enough.
Notes

Cohort
———————-
———————————————————————————
Behavior
Hops vaguely in the direction of the player.
Can perform either of these two projectile attacks:

  • Fires a projectile at the player, which splits into
    a ring of 8 projectiles
  • Fires a projectile at the player, which leaves
    behind creep as it flies, and upon impact

Splits into four Globins upon death

Notes
The globin goo spawned from killing the Cohort can reach
absurd lengths. Make sure you stand well away from it before
it dies.

Enemies – Knights

These are enemies, which resemble the Knight enemy, or behave similarly to it

Knight
———————-
———————————————————————————
Behavior
Wanders randomly around the room, charging at the player if
they’re aligned to them cardinally.
Can only be hit from the back; the front does not take damage
Notes

Loose Knight
———————-
———————————————————————————
Behavior
Behaves near identically to a Knight, but splits into a Brainless
Knight and a Pon upon death
Notes

Brainless Knight
———————-
———————————————————————————
Behavior
Behaves like a Knight, albeit at faster speeds.
Is invincible, and dies only when its corresponding Pon is killed
Notes

Floating Knight
———————-
———————————————————————————
Behavior
Behaves near identically to a Knight, but can pass over obstacles.
Notes

Selfless Knight
———————-
———————————————————————————
Behavior
Behaves near identically to a Knight, albeit at faster speeds
Notes

Bone Knight
———————-
———————————————————————————
Behavior
Behaves near identically to a Knight, but leaves creep behind
itself.
Notes

Black Knight
———————-
———————————————————————————
Behavior
Behaves similarly to a Knight, but moves at a lower speed,
and will shoot out lines of fire in cardinal directions upon colliding
with a wall/obstacle when charging.
Notes

Enemies – Hosts

These are enemies, which resemble the Host enemy, or behave similarly to it

Host
———————-
———————————————————————————
Behavior
Stationary. Raises its head and fires a triple shot at the player if
they’re in their line of sight.
Is invulnerable to almost all types of damage when their head is
lowered.
Notes

Red Host
———————-
———————————————————————————
Behavior
Behaves similarly to a Host, but is vulnerable at all times,
and fires a 5-shot instead of a triple shot.
Notes

Hard Host
———————-
———————————————————————————
Behavior
Behaves similarly to a Host, but fires a rock wave towards
the player instead of projectiles.
Notes

Mobile Host
———————-
———————————————————————————
Behavior
Behaves identically to a Host, but is no longer stationary, and
moves towards the player.
Notes

Flesh Mobile Host
———————-
———————————————————————————
Behavior
Behaves similarly to a Mobile Host, but is vulnerable at all times
and fires a 5-shot at the player instead of a triple shot
Notes

Floating Host
———————-
———————————————————————————
Behavior
Behaves identically to a normal Host, but is no longer stationary,
and flies diagonally at high speeds instead.
Notes

Enemies – Vises

These are enemies, which resemble the Vis enemy, or behave similarly to it.

Vis
———————-
———————————————————————————
Behavior
Wanders aimlessly around the room.
When aligned cardinally to the player, the Vis charges up for
a brief period, before firing a Brimstone laser cardinally
Notes

Double Vis
———————-
———————————————————————————
Behavior
Behaves similarly to a Vis, but fires an additional Brimstone
laser out of its back
Notes

Scarred Double Vis
———————-
———————————————————————————
Behavior
Behaves similarly to a Vis, but fires Brimstone lasers in all 4
cardinal directions
Notes

Chubber
———————-
———————————————————————————
Behavior
Behaves similarly to a Vis, but fires a charger projectile instead
of a laser. This charger projectile is invulnerable, and rebounds back
to the Chubber after a while.
Notes

Vis Versa
———————-
———————————————————————————
Behavior
Behaves similarly to a Vis, but fires a homing Brimstone laser
instead of a normal one.
Notes
The further you are from where it spot you, the more the
beam will curve towards you.
The beams can curve up to 180 degrees

Evis
———————-
———————————————————————————
Behavior
Behaves similarly to a Vis, but fires an intestine instead of
a Brimstone laser. If the player is hit by the intestine, they’re
get wrapped in it, and are slowly pulled towards the Evis.
Killing the Evis kills the intestine.
Notes

Enemies – Boils

These are enemies, which resemble the Boil enemy, or behave similarly to it

Boil
———————-
———————————————————————————
Behavior
Stationary.
Shrinks as it loses HP. When at full HP, the Boil often fires out
a burst of projectiles 4-5 tiles in diameter.
Notes

Gut
———————-
———————————————————————————
Behavior
Behaves near identically to a Boil, but fires out a single
arcing, explosive projectile instead of a burst.
Notes

Sack
———————-
———————————————————————————
Behavior
Behaves similarly to a Boil, but spawns Spiders instead of
firing projectiles
Notes

Walking Boil
———————-
———————————————————————————
Behavior
Walks around aimlessly, firing bursts of projectiles 4-5 tiles
in diameter, similarly to a Boil.
Unlike the Boil, the Walking Boil fires projectiles regardless
of its HP.
Notes

Walking Gut
———————-
———————————————————————————
Behavior
Behaves similarly to a Walking Boil, but fires a single arcing,
explosive projectile instead of a burst
Notes

Walking Sack
———————-
———————————————————————————
Behavior
Behaves similarly to a Walking Boil, but spawns Spiders
instead of firing projectiles
Notes

Gush
———————-
———————————————————————————
Behavior
Stationary. Spawns large puddles of creep around itself.
Notes

Pustule
———————-
———————————————————————————
Behavior
Gradually increases in size.
The bigger it is, the more dangerous is its on-death effect.
When tiny, the Pustule will split into nothing when killed.
When small, the Pustule will spawn a small puddle of creep
when killed.
When medium, the Pustule will split into creep and a couple
of Small Maggots when killed.
When the Pustule is allowed to grow to its fuil size, it bursts
and spawns a Bloodfly.
Notes

Enemies – Shopkeepers

These are enemies, which resemble the Shopkeeper environmental object

Keeper
———————-
———————————————————————————
Behavior
Hops around aimlessly, firing a double shot at the player
if they’re in range.
The player will drop coins, deducting them from their coin count,
if they’re hit by the Keeper’s attacks
Notes

Hanger
———————-
———————————————————————————
Behavior
Floats towards the player, circled by an Eternal Fly.
Fires a triple shot at the player if they’re in range.
The Eternal Fly turns into an Attack Fly when the Hanger
is killed.
The player will drop coins, deducting them from their coin count,
if they’re hit by the Hanger’s attacks
Notes

Greed Gaper
———————-
———————————————————————————
Behavior
Walks towards the player.
Notes

Enemies – Gurgles

These are enemies, which resemble the Gurgle enemy, or behave similarly to it.

Gurgle
———————-
———————————————————————————
Behavior
Walks towards the player, and occasionally fires an arcing,
explosive projectile towards them, if they’re within range.
Rarely splits into a Splasher upon death
Notes

Crackle
———————-
———————————————————————————
Behavior
Behaves similarly to a Gurgle, but fires a fireball, which shoots
out 4 lines of fire in cardinal directions on impact with the ground.
Does not split into anything upon death.
Notes

Danny
———————-
———————————————————————————
Behavior
Walks towards the player and occasionally fires a burst
of rocks towards them. Some rocks have a chance to be
Rock Spiders
Notes

Coal Boy
———————-
———————————————————————————
Behavior
Behaves similarly to a Danny, but fires embers instead,
and some of these embers have a chance to be Coal Spiders
Notes

Blaster
———————-
———————————————————————————
Behavior
Walks around aimlessly, and occasionally fires a Bomb Fly
at the player.
Very resistant to tears, but weak to explosions.
Notes

Bombgagger
———————-
———————————————————————————
Behavior
Walks aimlessly, and occasionally vomits out a Giga Bomb
Notes

Enemies – Moles

The Mole enemy and its tainted variant

Mole
———————-
———————————————————————————
Behavior
Burrows out of the ground near the player and fires a tight
triple shot at them, before burrowing into the ground again.
The Mole’s position is indicated by small lumps of soil forming
on the ground.
Notes

Tainted Mole
———————-
———————————————————————————
Behavior
Digs towards the player, releasing rings of rock waves.
Fires a triple shot towards the player 4 times.
Notes

Enemies – Buttlickers

The Buttlicker enemy and its Dank Depths variant

Buttlicker
———————-
———————————————————————————
Behavior
Forms a “train” if paired with other Buttlickers.
Wanders around aimlessly at high speeds.
Notes

Butt Slicker
———————-
———————————————————————————
Behavior
Wanders aimlessly at high speeds.
Pairs with other Butt Slickers and chases the player if so.
Killing a Butt Slicker which is paired with another Butt Slicker
will make it release a ring of shots and a puddle of creep
upon death.
The density of the ring depends on how many Butt Slickers
were connected to each other.
Notes

Enemies – Bats

The One Tooth and Fat Bat enemies

One Tooth
———————-
———————————————————————————
Behavior
Flies towards the player and lunges at them if they’re in
close proximity
Notes

Fat Bat
———————-
———————————————————————————
Behavior
Slowly flies towards the player while trying to align itself
diagonally to them.
When aligned, the Fat Bat fires a projectile at the player
Notes

Enemies – Ghosts

These are enemies, which resemble ghosts

Lil Haunt
———————-
———————————————————————————
Behavior
Flies towards the player and tries to cut them off.
Occasionally predicts the player’s movements, and fires a
projectile in that direction
Notes

Polty
———————-
———————————————————————————
Behavior
Appears from under an obstacle.
Flings the room’s obstacles at the player.
Flies away if there are no obstacles in the room
Notes
Don’t use these guys to break tinted rocks, as they’ll
pick them up and just steal them

Kineti
———————-
———————————————————————————
Behavior
Behaves similarly to a Polty, but appears from under the ground,
and brings obstacles to itself telepathically.
The Kineti will usually bring to itself obstacles, which will
hit the player on their way to the Kineti
Notes

Wizoob
———————-
———————————————————————————
Behavior
Spontaneously appears near the player, and fires a burst
of projectiles at them, before disappearing again.
Notes

Red Ghost
———————-
———————————————————————————
Behavior
Behaves similarly to a Wizoob, but fires a straight Brimstone
laser instead.
Notes

Dust
———————-
———————————————————————————
Behavior
Is invisible by default, but becomes faster and more opaque
as it gets close to the player.
Disappears upon taking enough damage, only to float towards
the player again.
Notes

Dusty Death’s Head
———————-
———————————————————————————
Behavior
Invincible.
Floats from one edge of the screen to another in a wave-like
pattern. Killed once the room is cleared.
Notes

Enemies – Bonies

These are enemies, which resemble the Bony enemy, or behave similarly to it

Bony
———————-
———————————————————————————
Behavior
Walks around aimlessly, and throws a bone at the player if
they’re aligned to them cardinally
Notes

Black Bony
———————-
———————————————————————————
Behavior
Behaves similarly to a Bony, but fires three bones in quick
succession instead of one, and explodes upon death
Notes

Revenant
———————-
———————————————————————————
Behavior
Walks around aimlessly, and shoots a stream of fire towards the
player if they’re in their line of sight
Notes

Quad Revenant
———————-
———————————————————————————
Behavior
Behaves similarly to a Revenant, but fires four rotating streams
of flames instead of just one.
Notes

Holy Bony
———————-
———————————————————————————
Behavior
Behaves similarly to a Bony, but fires bones which leave
a blue fire on the ground instead of normal bones.
Notes

Enemies – Death’s Heads

These are enemies, which resemble the Death’s Head enemy, or behave similarly to it

Death’s Head
———————-
———————————————————————————
Behavior
Is invulnerable and floats diagonally.
Dies when the room is cleared
Notes

Dank Death’s Head
———————-
———————————————————————————
Behavior
Behaves similarly to the Death’s Head, but can take damage
and needs to be killed for the room to be cleared
Notes

Flesh Death’s Head
———————-
———————————————————————————
Behavior
Behaves similarly to the Dank Death’s Head, but fires
a hexagon of six shots upon death, and dies either by
taking enough damage, or when the room is cleared
Notes

Cursed Death’s Head
———————-
———————————————————————————
Behavior
Behaves near identically to the Death’s Head, but has
an aura, which inflicts the Fear status effect on the player
if they’re inside the aura.
The Fear status effect makes the player unable to fire tears
Notes

Redskull
———————-
———————————————————————————
Behavior
Behaves similarly to the Dank Death’s Head, but fires out
a very short ring of fire when near the player.
Notes

Brimstone Death’s Head
———————-
———————————————————————————
Behavior
Behaves similarly to the Death’s Head, but fires a Brimstone
laser if it aligns with the player cardinally
Notes

Enemies – Whippers

These are enemies, which resemble the Whipper enemy, or behave similarly to it

Whipper
———————-
———————————————————————————
Behavior
Runs around aimlessly.
Sprints towards the player if they’re in their line of sight, and
lashes at them if they’re in very close proximity.
Notes
They target not only the player, but also their bombs.

Flagellant
———————-
———————————————————————————
Behavior
Runs around aimlessly until it spots the player.
When the Flagellant spots the player, they endlessly sprint
towards them, constantly lashing their whip as they do so,
occasionally deflecting the player’s projectiles
Notes

Snapper
———————-
———————————————————————————
Behavior
Behaves similarly to the Whipper, but the range of the whip
is greatly extended in length, but not width.
Notes

Enemies – Goats

The Goat enemy and its variant

Goat
———————-
———————————————————————————
Behavior
Alternates between walking around aimlessly and chasing
the player, depending on the number of other Goats around.
Can perform either of these two attacks:

  • Fire a double, then triple shot towards the player
  • Charge at an extremely high speed,
    if the player is aligned to them horizontally
Notes

Black Goat
———————-
———————————————————————————
Behavior
Behaves similarly to the Goat, but fires a triple, then quad shot
instead of a double, then triple shot, and can additionally fire
Brimstone lasers in all 4 cardinal directions in sync with other
Black Goats in the room.
Notes

Enemies – Cultists

The Cultist enemy and its variant

Cultist
———————-
———————————————————————————
Behavior
Floats around randomly, and occasionally summons an
indestructible Dark Ball, or revives a dead enemy in the room
Notes

Blood Cultist
———————-
———————————————————————————
Behavior
Vaguely floats towards the player, and fires an instant line
of creep and blood shots if the player is aligned to them
horizontally.
Occasionally predicts the player’s movements and spawns
bone traps which immobilize the player for a short period
Notes

Enemies – Mom’s Hands

The Mom’s Hand enemy and its variant

Mom’s Hand
———————-
———————————————————————————
Behavior
Spawns off-screen, indicated by Mom’s laugh.
Attempts to land on the player, indicated by the shadow under
the player gradually increasing in size.
If the hand catches the player, it deals damage to them and
teleports them to the spawn room of the floor.
Otherwise, the hand will remain immobilized for roughly
three seconds before it goes back off-screen to repeat
the process
Notes

Mom’s Dead Hand
———————-
———————————————————————————
Behavior
Behaves near identically to Mom’s Hand, but spawns
rock waves upon landing, and splits into a few spiders
upon death
Notes

Enemies – Masks and Hearts

The Mask + Heart enemy and its variant

Mask + Heart
———————-
———————————————————————————
Behavior
The mask is invulnerable, wanders aimlessly around the room,
and charges at the player if they’re aligned to it cardinally, while
the heart avoids the player, and fires four shots in cardinal
directions when cornered.
Killing the heart will kill the corresponding mask
Notes

Mask + 1/2 Heart
———————-
———————————————————————————
Behavior
The mask behaves identically to the one described previously.
The heart’s behavior depends on if there’s another heart connected
to the mask. If so, the two hearts will fire blood shots towards
each other, creating a wall of projectiles, which is very hard to
pass through. If there is just one heart, it will chase the player
while simultaneously firing 4 shots in diagonal directions.
Notes

Enemies – Balls

The Dark Ball enemy and its variant

Dark Ball
———————-
———————————————————————————
Behavior
Floats towards the player.
Takes heavy knockback from the player’s tears
Notes

Purple Ball
———————-
———————————————————————————
Behavior
An indestructible variant of the Dark Ball.
Notes

Enemies – Oobs

The Oob enemy and its variant

Oob
———————-
———————————————————————————
Behavior
Occasionally spawns Brains, and charges horizontally
across the entire room if the player is aligned with them.
Notes

Black Maw
———————-
———————————————————————————
Behavior
When the player is aligned horizontally to it, the Black Maw
charges, and returns back to its original position.
Occasionally spawns Leeches, and explodes upon death
Notes

Enemies – Brains

These are enemies, which resemble brains

Brain
———————-
———————————————————————————
Behavior
Slides aimlessly, leaving long-lasting creep as it does so.
Moves towards the player if they’re in their line of sight
Notes

Pon
———————-
———————————————————————————
Behavior
Hops aimlessly, leaving behind creep as it does so
Notes

Poison Mind
———————-
———————————————————————————
Behavior
Floats diagonally, leaving creep behind itself as it does so.
Explodes upon death
Notes

MemBrain
———————-
———————————————————————————
Behavior
Slides around randomly, and occasionally hops, sending out
a ring of projectiles in all directions. Splits into two Brains upon
death
Notes

Enemies – Guts

These are enemies, which resemble guts/intestines

Guts
———————-
———————————————————————————
Behavior
Rolls around a wall/obstacle
Notes

Slog
———————-
———————————————————————————
Behavior
Rolls around a wall/obstacle, leaving behind long-lasting
slowing creep as it does so.
If the player is aligned cardinally to it, the Slog can charge
at them.
Notes

Scarred Guts
———————-
———————————————————————————
Behavior
Behaves identically to Guts, but leaves behind red creep
Notes

Festering Guts
———————-
———————————————————————————
Behavior
Slides around randomly and occasionally spawns Chargers
Notes

Cyst
———————-
———————————————————————————
Behavior
Behaves similarly to Guts, but fires projectiles at the player as
it rolls.
Notes

Mama Guts
———————-
———————————————————————————
Behavior
Slides around randomly, and occasionally hops, sending out
8 projectiles in all directions. Splits into two Guts upon death.
Notes

Dead Meat
———————-
———————————————————————————
Behavior
Behaves similarly to Mama Guts, but projectiles spawned by
it ricochet off of obstacles/walls, and the enemy splits into two
Cysts instead of Guts upon death.
Notes

Enemies – Eyes

These are enemies, which resemble eyes

Eye
———————-
———————————————————————————
Behavior
Stationary. Looks towards the player, and fires a
Technology-like laser at them when the player is
standing still, or moving slow enough
Notes

Bloodshot Eye
———————-
———————————————————————————
Behavior
Behaves similarly to an Eye, but fires a Brimstone laser
instead
Notes

Holy Eye
———————-
———————————————————————————
Behavior
Stationary. Predicts the player’s movements and sends down
beams of light, similar to the Crack the Sky active item
Notes

Enemies – Babies

These are enemies, which resemble the Baby enemy, or behave similarly to them

Baby
———————-
———————————————————————————
Behavior
Slowly floats towards the player, and fires a shot at them if
they’re within range.
Teleports away to a different spot once it’s too close to the player,
or once it has taken enough damage
Notes

Angelic Baby
———————-
———————————————————————————
Behavior
Behaves similarly to the Baby, but fires a triple shot instead
Notes

Small Angelic Baby
———————-
———————————————————————————
Behavior
Behaves identically to a Baby.
Spawned by Holy Mulligans
Notes

Fetal Demon
———————-
———————————————————————————
Behavior
Spawns tethered to a Vis Fatty.
Floats towards the player, and, if the player is in range, charges
at them.
Notes

Wrinkly Baby
———————-
———————————————————————————
Behavior
Slowly floats towards the player.
When within range (~6 tiles), the Wrinkly Baby lunges towards
the player’s position, and fires a triple shot at them afterwards
Notes

Unborn
———————-
———————————————————————————
Behavior
Erratically flies towards the player, trying to cut them off.
Occasionally teleports
Notes

Enemies – Nerve Endings

The Nerve Ending enemy and its variant

Nerve Ending
———————-
———————————————————————————
Behavior
Notes

Nerve Ending 2
———————-
———————————————————————————
Behavior
Slaps the player if they’re within range
Notes

Enemies – Tumors

The Tumor enemy and its variants

Tumor
———————-
———————————————————————————
Behavior
Floats diagonally around the room, firing a hexagon of six
shots at random, or when damaged.
Notes

Psy Tumor
———————-
———————————————————————————
Behavior
Behaves similarly to the Tumor, but fires homing shots instead
Notes

Planetoid
———————-
———————————————————————————
Behavior
Behaves similarly to the Tumor, but fires orbiting shots instead.
The Planetoid can release these shots by farting.
Notes

Camillo Jr.
———————-
———————————————————————————
Behavior
Behaves similarly to the Tumor, but fires a Technology laser
instead
Notes
Also called “the #1 reason i don’t go to sheol”.
More than one of these guys inside of a room means instant,
brutal, and unforgiving death.

Enemies – Lumps

The Lump enemy, and the Tar Boy, which functions similarly

Lump
———————-
———————————————————————————
Behavior
Pops out in a random place in the room, and fires a triple
shot at the player if they’re within range (~6 tiles), before
hiding and popping out elsewhere again.
Notes

Tar Boy
———————-
———————————————————————————
Behavior
Constantly leaves creep under itself.
Pops out in a random place in the room, and fires a burst of slowing
tears in the direction of the player, which additionally leave a small
puddle of creep upon landing.
The Tar Boy can pop up only in black creep, meaning that if
the player is standing on such creep, they can get telefragged
by the Tar Boy. The Tar Boy can additionally deal damage via
a tentacle if the player is too close.
Notes

Enemies – Leeches

These are enemies, which resemble leeches

Small Leech
———————-
———————————————————————————
Behavior
Chases the player.
Can move over pits if the area is flooded
Notes

Leech
———————-
———————————————————————————
Behavior
Floats aimlessly.
Charges at the player if they’re aligned to them cardinally
Notes

Kamikaze Leech
———————-
———————————————————————————
Behavior
Behaves identically to the Leech, but explodes upon death
Notes

Holy Leech
———————-
———————————————————————————
Behavior
Behaves similarly to the Kamikaze Leech, but has an
Eternal Fly circling it, which turns into an Attack Fly when
the Holy Leech is killed
Notes

Adult Leech
———————-
———————————————————————————
Behavior
Floats aimlessly, and charges at the player if they’re aligned
to them cardinally, firing out a ring of tears upon impact with a wall.
Occasionally burrows into the ground and attempts to land on
the player from above, firing another ring of tears upon impact
Notes

Enemies – Doples

The Dople enemy and its variant

Dople
———————-
———————————————————————————
Behavior
Mirrors the player’s movements and shoots whenever
the player shoots
Notes

Evil Twin
———————-
———————————————————————————
Behavior
Behaves similarly to the Dople, but can fly, and fires a triple
shot instead of a single projectile
Notes

Enemies – Demons

These are enemies, which resemble demons

Imp
———————-
———————————————————————————
Behavior
Slowly floats towards the player and attempts to dodge
their shots. Often fires a series of five shots before teleporting
somewhere else.
Notes

Baby Begotten
———————-
———————————————————————————
Behavior
Floats towards the player. When in close range, and aligned
cardinally, the Baby Begotten locks in on the player and fires
a short-range Brimstone beam, which pushes the Baby
Begotten back.
Notes

Begotten
———————-
———————————————————————————
Behavior
Spawns chained to a wall, or obstacle.
Unchains itself at will, or when the obstacle it’s attached to is destroyed.
When unchained, fires a hexagon of six shots, darkens the room,
and turns invisible
Notes

Enemies – Hush

These are enemies, which are visually themed after Hush

Hush Fly
———————-
———————————————————————————
Behavior
Groups up with other Hush Flies and chases the player.
Can have variable behavior when spawned by Hush
Notes

Blue Boil
———————-
———————————————————————————
Behavior
Behaves similarly to a Boil, but shrinks and largens at
random intervals, and fires either a single projectile, or
a triple shot when at full size
Notes

Blue Gaper
———————-
———————————————————————————
Behavior
Walks towards the player
Notes

Blue Conjoined Fatty
———————-
———————————————————————————
Behavior
Walks towards the player and rarely fires a homing explosive
projectile at them.
Notes

Enemies – Coins

Coin enemies spawned by Ultra Greed in Greed Mode.

Spinner Coin
———————-
———————————————————————————
Behavior
Spins aimlessly
Notes

Key Coin
———————-
———————————————————————————
Behavior
Does not deal contact damage.
Turns into a key if not killed. This key opens one of the arena’s
doors, spawning a swarm of Greed Gapers
Notes

Bomb Coin
———————-
———————————————————————————
Behavior
Does not deal contact damage.
Explodes after roughly 5-7 seconds if not killed
Notes

Heart Coin
———————-
———————————————————————————
Behavior
Does not deal contact damage.
Heals Ultra Greed if not killed
Notes

Enemies – Portals

These are enemies, which resemble portals

Lil Portal
———————-
———————————————————————————
Behavior
Endlessly spawns weak enemies if not killed
Notes

Portal
———————-
———————————————————————————
Behavior
Spawns 1-5 enemies from the current floor before disappearing.
Can be killed to stop the enemy spawns early.
Notes

Enemies – Other #1

These are enemies, which could not be categorized

Corn Mine
———————-
———————————————————————————
Behavior
Explodes after a short period, spawning a cloud of toxic gas,
and firing 8 projectiles in all directions
Notes

Ulcer
———————-
———————————————————————————
Behavior
Pops up in random places in the room and spawns Dart Flies.
Rarely fires a short-range projectile at the player
Notes

Meatball
———————-
———————————————————————————
Behavior
Slides aimlessly, and can perform either of these two attacks:

  • Vomits out a fountain of shots roughly 3-5 tiles in diameter
  • Fires a short line of creep towards the player

Splits into a Host upon death

Notes

Mushroom
———————-
———————————————————————————
Behavior
Stationary.
Takes less damage from all sources when lowered.
Occasionally peeks, firing 4 shots in either cardinal or diagonal
directions.
Notes

Dukie
———————-
———————————————————————————
Behavior
Floats diagonally and spawns 1-2 Dart Flies
Notes

Poot Mine
———————-
———————————————————————————
Behavior
Releases an explosive cloud when damaged.
Explodes when killed
Notes

Poofer
———————-
———————————————————————————
Behavior
Floats towards the player, and puffs up as it takes damage,
also firing out a hexagon of six shots.
Explodes when killed, healing nearby enemies, and leaving
a giant puddle of creep
Notes

Homunculus
———————-
———————————————————————————
Behavior
Spawns chained to a wall/obstacle.
Can break from the chains at will, firing out a hexagon of six
shots upon doing so, before proceeding to chase the player.
The cord chaining the Homunculus leaves creep under itself
when destroyed
Notes

Fissure
———————-
———————————————————————————
Behavior
Hops in a set direction.
Spawns from pits in alt-Chapter I
Notes

Mockulus
———————-
———————————————————————————
Behavior
Floats diagonally at high speeds whenever the player is firing
Notes

Fly Trap
———————-
———————————————————————————
Behavior
Floats towards the player, spawning Attack Flies as it does so.
The Attack Flies orbit the Fly Trap.
The Fly Trap will fart once the player is close enough, or enough
Attack Flies are circling the Fly Trap, launching them outwards
Notes

Fred
———————-
———————————————————————————
Behavior
Pops up in a random place in the room, and fires an arcing,
explosive projectile towards the player if they’re within range,
before burrowing into the ground, firing 4 shots in cardinal
directions as it does so
Notes

Enemies – Other #2

Flesh Maiden
———————-
———————————————————————————
Behavior
Floats towards the player in curved, swooping motions
Notes

Gurgling
———————-
———————————————————————————
Behavior
Behaves identically to the Gurgling boss, but fires out a
hexagon of six shots instead of spawning Attack Flies
Notes

Swinger
———————-
———————————————————————————
Behavior
Moves towards the player, with the head swinging around the
body. Killing the body first makes the Swinger split into a Maw,
while killing the head first makes the Swinger split into a Globin
Notes

Bishop
———————-
———————————————————————————
Behavior
Makes other enemies invulnerable as long as it is alive.
Fires four, fast shots in cardinal directions upon taking damage
Notes

Morningstar
———————-
———————————————————————————
Behavior
Floats towards the player if the player is moving
Notes

Necro
———————-
———————————————————————————
Behavior
Stationary.
Spawns bones around itself, which it then fires towards the player
Notes

Gasbag
———————-
———————————————————————————
Behavior
Stationary.
Spawns a ring of poisonous gas around itself as long as it is alive.
Occasionally spawns a line of five Army Flies
Notes

Mini-Bosses – Introduction

Mini-Bosses are monsters that are way stronger than normal monsters, but are too weak to be considered as a boss.

Even then, mini-bosses are still considered boss enemies, and fall under the effects which this category provides

In TBoI: Rebirth there is a total of 18 mini-bosses
All of the mini-bosses are listed down below

Mini-Bosses – The Deadly Sins

This section hosts information for the following bosses:

  • Envy
  • Gluttony
  • Wrath
  • Pride
  • Lust
  • Greed
  • Sloth

Appears in:

  • Mini-boss room (Boss)
  • Chapter IV, Cathedral (Enemy)

HP: ~100 in total. Exact HP values unknown
Stage HP: 7.5

Behavior:

  • Behavior
    Floats diagonally. Upon death, splits into two large heads. Each large head splits into two medium heads. Each medium head splits into two small heads. Small heads do not split and die normally instead. The speed of a head depends on it size; the smaller it is, the faster it floats

  • Death
    Envy upon death drops a troll bomb, or, rarely, the Shoop da Whoop item

Tips for the fight:

  • Focus on one large head at once

Appears in:

  • Mini-boss room (Boss)
  • Chapter III, Corpse, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 20

Attacks & Behavior:

  • Behavior
    Walks randomly around the room and performs 2 attacks

  • Radial Burst
    Occasionally fires out 8 very fast projectiles in all directions

  • Brimstone
    If the player is adjacent cardinally to Gluttony, they can charge up and release a brimstone laser shortly after.

  • Death
    Gluttony upon death can drop a few Red Heart pickups or the <3 item

Tips for the fight:

  • Try to bait Gluttony into using its Brimstone laser; this gives you a decent attack window

Appears in:

  • Mini-boss room (Boss)
  • Chapter III, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 24

Behavior:

  • Behavior
    Walks around erratically and occasionally lobs a bomb towards the player. Wrath tries to run away from their own bombs, but not the player’s

  • Death
    Wrath upon death can either drop a few bombs or the Mr. Boom item

Tips for the fight:

  • Sometimes Wrath may get stuck on their own bombs.
  • If you wanna bomb Wrath instead of fighting them, a good time to put a bomb is when Wrath is walking through a hallway. Putting the bomb in their path usually doesn’t give them the chance to run away

Appears in:

  • Mini-boss room (Boss)
  • Cathedral (Enemy)

HP: 60
Stage HP: 20

Attacks & Behavior:

  • Behavior
    Walks around erratically and performs 2 attacks

  • Lasers
    Fires 4 lasers in diagonal directions

  • Troll Bombs
    Spawns 4 troll bombs in random places in the room. Pride is immune to their bombs

  • Death
    Pride upon death can drop a key, or the Anarchist Cookbook item

Tips for the fight:

  • Stay cardinal to Pride, never diagonal
  • Try to separate the troll bombs, so they don’t knock each other unexpectedly

Appears in:

  • Mini-boss room (Boss)
  • Chapter III, Sheol, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 20

Behavior:

  • Behavior
    Chases the player, leaving creep behind themself. Accelerates overtime.

  • Death
    Lust upon death drops a pill, or the Virus item

Tips for the fight:

  • High speed and/or fire rate help a lot in this fight
  • Try to go through a lot of corners in order to slow down Lust

Appears in:

  • Mini-boss room (Boss)
  • Randomly found in Shops in Caves II and beyond (Boss)
  • Sheol, Cathedral, The Chest, Dark Room

HP: 60
Stage HP: 20

Attacks & Behavior:

  • Behavior
    Walks around randomly and performs 2 attacks. Greed’s projectile attacks and contact damage from them make the player drop coins (this also deducts coins from their coin count)

  • Triple Shot
    Fires a triple shot in the closest cardinal direction to the player

  • Spawn Hopper
    Spawns 2 Hoppers.

  • Death
    Greed upon death drops either lots of pennies, or, rarely, the Steam Sale item

Tips for the fight:

  • Try to put some distance between you and Greed; this gives you the ability to dodge Triple Shot with minimal movement, as you only need to weave in between the shots instead of going around the whole spread
  • Alternatively, you can circle Greed at high speeds to avoid getting hit by the Triple Shot

Appears in:

  • Mini-boss room (Boss)
  • Chapter III, Corpse, Cathedral, Sheol, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 20

Attacks & Behavior:

  • Behavior
    Walks around randomly and performs 2 attacks

  • Spawn Charger
    Spawns a charger.

  • Ipecac
    Fires an Ipecac-like projectile towards the player

Tips for the fight:

  • Focus on the chargers if there are more than two of them

Mini-Bosses – The Super Deadly Sins

This section hosts information for the following bosses:

  • Super Envy
  • Super Gluttony
  • Super Wrath
  • Super Pride
  • Super Lust
  • Super Greed
  • Super Sloth

Appears in:

  • Mini-boss room (Boss)
  • Cathedral, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 7.5

Behavior:

  • Behavior
    Floats diagonally. Splits into three large heads upon death. Large heads split into 2-3 medium heads. Medium heads split into two small heads. Small heads do not split and die normally

  • Death
    Super Envy upon death drops a troll bomb, or, rarely, the Forever Alone item

Tips for the fight:

  • Focus on one large head at a time

Appears in:

  • Mini-boss room (Boss)
  • Corpse, Cathedral, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 25

Attacks & Behavior:

  • Behavior
    Walks around aimlessly and performs 2 attacks

  • Brimstone
    If the player is adjacent cardinally to Super Gluttony, they can charge up and release a brimstone laser in front of them and also behind them shortly after.

  • Upgraded Radial Burst
    Fires 8 projectiles in all directions along with a small Monstro-like spray of projectiles aimed towards the player

  • Death
    Upon death Super Gluttony drops either a few red hearts or the Bucket of Lard item

Tips for the fight:

  • Try to bait Super Gluttony into using its Brimstone Laser; this gives you a decent attack window

Appears in:

  • Mini-boss room (Boss)
  • Cathedral, Sheol, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 30

Behavior:

  • Behavior
    Walks around erratically and occasionally spawns a Super Troll Bomb

  • Death
    Upon death Super Wrath drops a few bombs or the Mr. Mega item

Tips for the fight:

  • You can use your tears to knock the troll bombs back a bit if they’re too close

Appears in:

  • Mini-boss room (Boss)
  • The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 25

Attacks & Behavior:

  • Behavior
    Walks aimlessly and performs 2 attacks

  • Upgraded Lasers
    Fires 4 lasers diagonally and additionally shoots a 6-shot in a hexagonal pattern in a random orientation

  • Super Troll Bombs
    Spawns 2 Super Troll Bombs

  • Death
    Upon death Super Pride drops either a tarot card or the Dead Cat item

Tips for the fight:

  • For obvious reasons stay cardinal to Super Pride, never diagonal
  • You can use your tears to knock the troll bombs back a bit if they’re too close

Appears in:

  • Mini-boss room (Boss)
  • The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 25

Behavior:

  • Behavior
    Chases the player, while leaving behind creep. Accelerates over time.

  • Death
    Upon death Super Lust either drops a pill or the Yum Heart item

Tips for the fight:

  • Flight, or the Callus trinket are good things to have when fighting this boss
  • High tear rate and/or speed help a lot in this fight.

Appears in:

  • Mini-boss room (Boss)
  • Any shop after Caves II and after encountering normal Greed (Boss)
  • Chapter III (extremely rare), Cathedral, Sheol, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 25

Attacks & Behavior:

  • Behavior
    Walks around erratically and performs 2 attacks. Any of Super Greed’s projectile attacks or contact damage from them make the player drop a few coins (this also deducts coins from the player’s coin count)

  • Spawn Keeper
    Spawns two Keeper enemies

  • Quad Shot
    Fires a quad shot towards the player

  • Death
    Upon death Super Greed either drops a ton of coins or the Quarter item

Tips for the fight:

  • Heavily prioritise killing the Keepers over damaging Super Greed
  • Because of how quad shot works, you can dodge it entirely by just not moving, and weaving in between the center projectiles. Because of that, constantly stay cardinal to Super Greed and at least 5 tiles away from them

Appears in:

  • Mini-boss room (Boss)
  • Corpse, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 25

Attacks & Behavior:

  • Behavior
    Walks aimlessly and performs 2 attacks

  • Spawn Spider
    Fires 2 Spider enemies towards the player

  • Ipecac
    Fires two Ipecac-like projectiles towards the player

  • Death
    Upon death Super Sloth drops either a tarot card or the Bob’s Curse item

Tips for the fight:

  • Prioritise killing the spiders over damaging Super Sloth

Mini-Bosses – Ultra Pride

Appears in: Mini-boss room (Boss)
HP: 85
Stage HP: 25

Attacks & Behavior:

  • Behavior
    Exists as two entities; Edmund (large entity) and Florian (small entity). Both have different attack sets

  • Attacks & Behavior (Edmund)
    • Walks aimlessly and performs either of these two attacks:
    • Fires three arcing, homing projectiles towards the player
    • Fires a long line of creep in the closest cardinal direction to the player

  • Behavior (Florian)
    • Floats towards the player and fires a homing shot towards them if they’re close enough. Occasionally teleports to a location further from the player.

  • Death
    If Edmund is killed last, they drop the Left Hand trinket. If Florian is killed last, they have a chance to drop the Eternal D6 item. Otherwise, Florian drops a random room clear pickup

Tips for the fight:

  • Only take the Left Hand if you’re in a bad place in terms of health. The constant red chests may be a good source of soul hearts.

Mini-Bosses – Krampus

Appears in: Devil Room
HP: 60
Stage HP: 45

Attacks & Behavior:

  • Behavior
    Floats around aimlessly and performs two attacks

  • Brimstone Lasers
    Stops and fires four brimstone lasers in either cardinal or diagonal directions. The lasers rarely can rotate by 90 degrees when fired. This will be telegraphed by Krampus dashing towards the player before firing the lasers

  • Projectiles
    Fires a triple shot and then a quad shot towards the player

  • Death
    Upon death Krampus will always drop either the Lump of Coal item, or the Head of Krampus item

Tips for the fight:

  • [none]

Mini-Bosses – Uriel & Gabriel

This section hosts information for the following bosses:

  • Uriel
  • Gabriel

Appears in:

  • (Boss) In an Angel Room from an angel statue. It needs to be bombed to summon the boss
  • Cathedral (Enemy, extremely rare)

HP: 400

Attacks & Behavior:

  • Behavior
    Tries to position himself above the player. Performs 2 attacks

  • 5-Shot
    Folds his wings and fires a spread of five shots towards the player shortly after

  • Lasers
    Fires lasers in either of these two patterns

    • One laser towards the bottom of the screen
    • Two diagonal lasers downwards

    This attack is telegraphed by Uriel’s glowing hands

Tips for the fight:

  • Stay horizontal to Uriel to not get hit by the lasers

Appears in:

  • (Boss) In an Angel Room from an angel statue. It needs to be bombed to summon the boss
  • Cathedral (Enemy, extremely rare)

HP: 660

Attacks & Behavior:

  • Behavior
    Tries to position himself above the player. Performs 3 attacks

  • Projectile Ring/Diagonal Lasers
    Folds his wings and either fires out a ring of 12 projectiles or fires lasers in diagonal directions

  • Spawn Angelic Baby
    Folds his wings and spawns an Angelic Baby shortly after

  • Cardinal Lasers
    Gabriel’s hands start glowing before he fires lasers in cardinal directions

Tips for the fight:

  • Prioritise killing the Angelic Babies over damaging Gabriel

Bosses – Introduction


Bosses are very strong monsters found in Boss Rooms at the end of a floor. Bosses need to be killed to progress to the next floor. Boss encounters can have a few properties, listed below

Champions

  • Most bosses, just like enemies, have a champion version associated with them, which give them unique abilities/traits

Posthumous/alternate versions

  • Certain bosses are strongly related to other bosses i.e. by being their posthumous form (e.g.: Gemini (Normal), Blighted Ovum (posthumous), Steven (Alternate)). These alternate/posthumous versions are usually harder than the base version, but appear later in the game. Alternate versions of bosses often need to be unlocked first before they can appear in runs. They also often have their own specific boss rewards which override the normal Boss Room pool items.

Double Troubles

  • Sometimes when entering a boss room, you can stumble upon a Double Trouble. This version of a boss room contains 2 bosses (most of the time, they’re exactly the same (example: Monstro + Monstro)) from the previous chapter

All bosses are listed below in their own sections. Bosses will be ordered in the chapter they appear in, with the exception of alternate or posthumous bosses, which will be grouped with the base boss. In such case the section title will have a number in parentheses, indicating how many versions of this boss there are, including the base boss. (example: Bosses – Monstro (3), Bosses – Harbingers (5)).
If the boss does not have their alternate/posthumous version, the number will not appear (example: Bosses – Baby Plum)

Bosses – Gemini (3)

This section hosts information for the following bosses:

  • Gemini
  • Blighted Ovum
  • Steven

Appears in:

  • Basement, Burning Basement (Boss)
  • Caves, Catacombs (Double Trouble)
  • Womb, Utero, Scarred Womb, Sheol, Cathedral, The Chest (Enemy)

HP: 280 (each twin has 140)
Description: Simple chaser boss. The main, bigger twin is called Contusion and the smaller one is called Suture.

Behavior:

  • Contusion chases the player with Suture attached to them
  • Contusion occasionally speeds up, indicated by a different animation, before stopping shortly after to catch their breath for around 3 seconds.
  • Suture fires a projectile at the player if they’re in their line of sight. This line of sight can be blocked by solid obstacles.
  • When Contusion is killed, Suture detaches and starts floating towards the player. Suture takes heavy knockback from tears during this phase.
  • Killing Suture before killing Contusion does not change Contusion’s behavior.

Tips for the fight:

  • It’s often better to kill Suture first, as they can become a pretty big annoyance if Contusion is killed first. Suture can easily be reached or even bombed while Contusion is catching his breath.
  • Contusion is easy to avoid if there are rocks in the arena, which the player can hide behind.
  • If you have a surplus of bombs, you should definetely bomb Suture. Takes only two bombs and makes the fight a lot easier and faster.

Champion versions:

  • Cyan:
    • No difference in behavior. Contusion drops a soul heart if killed last.
  • Green:
    • Twins start separated. No other difference in behavior

Appears in:

  • Cellar (Boss)
  • Necropolis (Double Trouble)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 140
Description: Posthumous version of Gemini. Significantly harder than the base boss. Twin names are the same as Gemini’s

Behavior:

  • Contusion chases the player and occasionally speeds up. Unlike normal Contusion, blighted Contusion does not stop to catch their breath. Blighted Contusion also leaves behind damaging creep behind them
  • Suture is now detached from Contusion and is immortal. They slowly float towards the player. They also fire a brimstone laser if the player is horizontal to them. They only die once Contusion is killed.

Tips for the fight:

  • The creep is the main source of damage you take in this fight. It’s usually unavoidable, so if you have bombs, use them. This fight is best finished fast.
  • Alternatively you can use flight to hover over a rock and pick off blighted Contusion from a safe place. Note that Suture will still be able to hit the player, so you’ll have to change your safe spot every now and then

Appears in:

  • Basement, Burning Basement (Boss)
  • Sheol (Enemy)

HP: 280 (each twin has 140)
Unlock method: Defeat Basement 40 times
Description: Alternate version of Gemini. Reference to Time ♥♥♥♥ by Edmund McMillen. Slightly harder than the base boss. The twins do not have names, they will be referred to as Big Steven and Little Steven.

Behavior:

  • Behavior is very similar, almost identical to Gemini.
  • Big Steven chases the player, occasionally speeding up before needing to catch their breath for 3 seconds.
  • Little Steven is directly attached to Big Steven. They fire projectiles at the player if they’re in their line of sight, just like Suture.
  • Little Steven will detach when Big Steven’s health reaches <50%. After this, they behave identically to an enraged Suture, chasing the player and taking heavy knockback from tears.
  • Upon death, Big Steven releases 2 radial bursts of fast and slow moving projectiles.
  • Upon death, Little Steven releases a single burst of medium speed projectiles.

Tips for the fight:

  • As with Gemini, it’s best to take care of Little Steven first.
  • As with Gemini, taking cover behind rocks helps a lot to dodge Big Steven.
  • The projectile bursts upon their death have a fixed pattern. These projectiles always go in cardinal and ordinal directions, meaning the player can dodge them easily as long as they are not cardinal or ordinal to the twins when they die.

Bosses – Dingle (2)

This section hosts information for the following bosses:

  • Dingle
  • Dangle


Appears in:

  • Basement, Burning Basement (Boss)
  • Caves, Catacombs, Womb (Double Trouble)
  • Chapter III, Chapter IV, Cathedral, The Chest (Enemy)

HP: 300
Description: Simple boss, but can overwhelm the player at times.

Behavior & Attacks:

  • Behavior
    Stands still and cycles between three attacks

  • Triple Shot
    Smiles and fires a triple shot towards the player shortly after

  • Whistle
    Whistles, spawning 1-3 Dips in the process, before firing a triple shot towards the player.

  • Dash
    Dashes three times at the player in quick succession, before stopping to catch their breath.

Tips for the fight:

  • Always keep your distance during this fight.
  • When Dingle is whistling, the Dips might rarely fly out instead of spawning normally, which usually will hit the player if they’re standing close to Dingle.
  • You can easily manage dodging 0-4 Dips alongside Dingle, but if more spawn in, they will become difficult to dodge.

Champion versions:

  • Black
    • Has one, very fast dash instead of three
    • Spawns Spiders instead of Dips
    • Triple Shot is replaced by 8 shots travelling outwards in ordinal and cardinal directions
  • Red
    • Has four, slower dashes instead of three
    • Spawns Red Poop obstacles instead of Dips


Appears in:

  • Basement, Burning Basement (Boss)
  • Necropolis, Womb (Double Trouble with Brownie)
  • Chapter III (Double Trouble with Turdlings)
  • The Chest (Enemy)

HP: 375
Unlock method: Defeat ??? as 3 different characters
Description: Alternate version of Dingle. Harder than the base boss.

Attacks & Behavior:

  • Behavior
    Stands still and cycles between three attacks

  • Triple Shot
    Smiles and fires a triple shot towards the player shortly after

  • Whistle
    Whistles, spawning 1-3 Brownie Dips in the process, before firing a triple shot towards the player

  • Dash
    Dashes two times in quick succession at the player. Rarely, Dangle may spawn a Corn Mine when beginning the dash, which explodes immediately, poisoning him. When poisoned, Dangle will leave behind damaging creep.

Tips for the fight:

  • Keeping distance is even more of a priority with Dangle; his Brownie Dips always fly out instead of spawning in gently, which more often than not will result in the player getting hit if they’re in close-medium range of Dangle.
  • Always prioritise killing Brownie Dips, their movement is very erratic. With 3.50 damage, they can be killed in one shot.

Bosses – Duke of Flies (4)

This section hosts information for the following bosses:

  • Duke of Flies
  • Lil Blub
  • The Husk
  • Min Min

Appears in:

  • Chapter I (Boss)
  • Chapter II (Double Trouble with either Monstro, Rag Man or another Duke)
  • Chapter III, Chapter IV, Cathedral, The Chest (Enemy)

HP: 110
Description: Enemy-spawner-type boss. Uses their spawns both as a shield and main attack.

Behavior & Attacks:

  • Behavior
    Slowly floats diagonally and cycles between three attacks

  • Attack Flies
    Spawns 3 Attack Flies if less than 5 flies are orbiting him

  • Large Attack Fly
    Spawns a Large Attack Fly which instead of orbiting Duke, goes straight for the player

  • Release Flies
    If >4 Attack Flies are orbiting Duke, he sends them outwards, making them stop orbiting Duke and instead chase the player

  • Death
    Duke of Flies bursts into Flies and Attack Flies upon death

Tips for the fight:

  • Due to his low HP, it’s usually best to focus on his spawns before they overwhelm the player
  • Duke due to his low speed can easily be bombed, lowering his health to 10 HP, making the fight an even bigger cakewalk

Champion versions:

  • Green
    • Spawns Moters instead of Large Attack Flies
    • Fires blood shots in ordinal & cardinal directions upon sending flies towards the player
    • Can release flies at any moment, not just when >4 are orbiting Duke.
  • Orange
    • +15% size
    • +25% health (for a total of 137.5 HP)
    • Spawns Suckers instead of Large Attack Flies

Appears in:

  • Downpour, Dross (Boss)

HP: 130
Description: Alternate, water bloated version of the Duke of Flies. Harder than the base boss

Behavior & Attacks:

  • Behavior
    Floats diagonally and cycles between five attacks

  • Small Leeches
    Spawns 2-3 Small Leeches which swarm Lil Blub until he performs another attack.

  • Large Leech
    Spawns a single, larger Small Leech which chases Isaac

  • Radial Burst
    Fires out 6 projectiles in a radial burst

  • Leap
    Leaps at the player. Upon landing, either:

    • creates a burst of disorganized arcing projectiles

    or

    • fires out 8 shots in cardinal and ordinal directions

    When low on health, Lil Blub can chain this attack up to five times, and will use this attack more often in general

  • Death
    Upon death, Lil Blub bursts into a fountain of projectiles which rain down shortly after.

Tips for the fight:

  • A single bomb can bring down Lil Blub to just 30 HP, making the fight way easier
  • Keep your distance

Appears in:

  • The Catacombs (Boss)
  • The Depths, Necropolis (Double Trouble)
  • Utero, Sheol, The Chest, Dark Room (Enemy)

HP: 150
Description: Posthumous version of the Duke of Flies. Slightly harder than the base boss

Attacks & Behavior:

  • Behavior
    Flies diagonally at high speeds while cycling between three attacks

  • Flies & Spiders
    Spawns 1-2 Attack Flies along with a Spider. The Attack Flies will orbit the Husk, blocking shots

  • Projectile Spray
    Fires a spray of projectiles, similar to Monstro

  • Release Flies
    Releases flies, making them chase the player, while also firing 8 shots in cardinal and ordinal directions.

  • Death
    Upon death, the Husk bursts into Flies, Attack Flies and Pooters

Tips for the fight:

  • A single bomb can reduce the Husk’s health to just 50 HP, making the fight much easier
  • Due to Husk’s low health, the player should prioritise his spawns instead, as they can overwhelm the player if not dealt with
  • Keep your distance
  • Boom Flies spawned by the Dark Gray champion Husk can damage him, wounding him heavily.

Champion versions:

  • Dark Gray
    • Reduced movement speed
    • +15% size
    • +56% HP (for a total of 234)
    • Spawns Boom Flies instead of Spiders/Attack Flies
  • Red
    • Increased movement speed
    • -25% size
    • Only performs projectile-based attacks

Appears in: Downpour (Boss)
HP: 280
Description: Alternate version of the Husk, technically also the posthumous version of Lil Blub. Harder than the Husk.

Attacks & Behavior (First Phase):

  • Behavior
    Floats slowly towards the player and cycles between two attacks

  • Spawn Willo
    Spits out a Willo, which fires at the player before returning to orbit Min Min. These Willos can also fire at the player at random while orbiting Min Min. There is a max limit of 4 Willos orbiting Min Min. After this limit has been reach she can perform the Triple Shot attack.

  • Triple Shot
    Causes all orbiting Willos to fire out three projectiles opposite towards Min Min’s position.

  • Phase 2
    After reaching around 40% HP, Min Min sheds the corpse she’s hiding in and triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    Floats towards the player and cycles between four attacks

  • Attack Kept: Triple Shot
    Min Min can still perform Triple Shot.

  • Attack Kept: Spawn Willo
    Min Min can still perform Spawn Willo.

  • Spawn Willo (modified)
    Min Min spawns up to 4 Willos at once before performing Triple Shot.

  • Release Ring
    Min Min releases all orbiting Willos to chase the player. These Willos come back to Min Min shortly after.

  • Lights
    Min Min disappears into the floor and spawns five groups of 1-5 lights at random positions in the room. Willos appear shortly after out of those lights before firing at the player and disappearing back into the light

Tips for the fight:

  • High damage is really useful as it allows the player to one-shot Willos. The least amount of damage you need to do so is 6.00
  • As always, keeping your distance is a good move
  • This is the only Duke fight out of the four on which bombs do not almost insta-kill the boss. Still, 2 bombs can immediately force Min Min into phase 2

Bosses – Harbingers (5) #1

This sections hosts information for the following bosses:

  • Famine
  • Pestilence
  • War
  • Death
  • Conquest

Appears in:

  • Chapter I (Boss)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 240
Unlock method: Defeat Mom
Description: First and arguably the easiest of the harbingers. Very simple attack set. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Slowly floats vertically in the direction of the player and cycles between two attacks

  • Spawn Pooter
    Spawns a Pooter with a limit of 2 in the room at once.

  • Charge
    When the player is horizontal to Famine, they charge, going through the wall and reappearing on the other side.

  • Phase 2
    Reducing Famine’s HP to around 30% triggers Phase 2

Behavior (Second Phase):

  • Behavior
    Famine’s stead and also their body explodes, leaving the head. This head floats towards the player slowly and continuosly shoots a triple shot towards Isaac

Tips for the fight:

  • Pooters are usually a big nuisance on this fight, so try to keep forcing Famine to charge by staying horizontal to him.
  • While not necessary, circling Famine in phase 2 usually results in the player never getting hit
  • While not necessarily a tip for the fight itself, it’s still worth to mention that Famine has a significantly higher chance of spawning as the Basement/Cellar/Burning Basement I or II boss if the player used the Book of Revelations at least once in Chapter I

Champion versions:

  • Blue
    • Charges more often
    • Veers slightly towards the player while charging
    • Instead of spawning Pooters, Famine shoots out 6 shots in a hexagonal pattern in a random orientation
    • During Phase 2, Famine shoots a Monstro-like spray instead of his usual triple shot

Appears in:

  • Chapter II (Boss)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 280
Unlock method: Defeat Mom
Description: Second harbinger. Slightly harder than Famine. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Floats around randomly, leaving creep behind themselves. Cycles between two attacks

  • Ipecac Shot
    Shoots an Ipecac-like shot at the player. This shot leaves damaging creep upon contact.

  • Spawn Maggot
    Spawns either a Charger or a Spitty with a maximum of 4 spawns in the room at once.

  • Phase 2
    Depleting around 40% of Pestilence’s HP triggers the second phase

Attacks & Behavior (Second Phase):

  • Behavior
    Pestilence’s head explodes. Floats around randomly, leaving creep behind themselves. Cycles between two attacks

  • Spawn Attack Fly
    Spawns two Attack Flies

  • Ipecac Shot
    Shoots an Ipecac-like shot at the player. This shot leaves damaging creep upon contact. Pestilence performs this attack more often in this phase

Tips for the fight:

  • The creep can sometimes lock you in if you’re not careful. Be smart about where Pestilence’s Ipecac shots land.
  • If you have a surplus of bombs, you can bomb Pestilence twice to instantly initiate the second phase, eliminating most of the challenge in this fight.
  • While not necessarily a tip for the fight itself, it’s still worth to mention that Pestilence has a significantly higher chance of spawning as the Caves/Catacombs/Flooded Caves I or II boss if the player used the Book of Revelations at least once on Chapter II

Champion versions:

  • Light Gray
    • Leaves slowing, non-damaging white creep instead of the usual, damaging green creep.
    • Spawns Trites instead of Chargers/Spitties in Phase 1
    • Spawns Spiders instead of Attack Flies in Phase 2
    • Shoots 6 shots in a hexagonal pattern in a random orientation instead of the Ipecac shot

Appears in:

  • Chapter III (Boss)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 500
Unlock method: Defeat Mom
Description: Third horseman. Slightly harder than Pestilence. Has two phases

Behavior & Attacks (First Phase):

  • Behavior
    Floats around randomly and cycles between three attacks

  • 8-Shot
    Fires eight shots in cardinal and ordinal directions

  • Charge
    Charges off-screen and reappears from the other side. War stops charging after he has crossed the screen three times

  • Troll Bombs
    Ascends off-screen and spawns five troll bombs, before reappearing from the side shortly after

  • Phase 2
    Dropping War’s HP to ~40% triggers Phase 2

Behavior (Second Phase):

  • Behavior
    War’s stead blows up, dropping him on the ground. War starts chasing the player, gradually building up speed. Dealing enough damage to War makes him trip, which resets his speed.

Tips for the fight:

  • Repositioning the troll bombs using your tears can often save you from getting hit by them, when they knock each other across the screen.
  • War can get easily stuck on a bomb in Phase 2, dealing considerable damage to him.
  • While not necessarily a tip for the fight itself, it’s still worth to mention that War has a significantly higher chance of spawning as the Depths/Necropolis/Dank Depths I boss if the player used the Book of Revelations at least once on Depths/Necropolis/Dank Depths I

Champion versions:

  • Dark Grey
    • +15% size
    • +25% HP (for a total of 625)
    • Summons two mega troll bombs during Troll Bombs instead of five troll bombs
    • Summons a single troll bomb when charging.
    • Shoots six projectiles in a hexagonal pattern when he trips

Bosses – Harbingers (5) #2

Section had to be split due to section text limt

Appears in:

  • Chapter III (Boss)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 450
Unlock method: Defeat Mom
Description: Fourth horseman. Can sometimes get replaced by Conquest. Significantly harder than War. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Floats around randomly and cycles between three attacks

  • Scythes
    Spawns a single scythe on each of the four walls of the room. These scythes will accelerate towards the player shortly after.

  • Homing Scythes
    Spawns two homing scythes in a random position in the room, which chase the player until destroyed

  • Hourglass
    Uses an Hourglass-like effect on the player, slowing down their movement and tear speed

  • Phase 2
    Depleting enough of Death’s HP triggers the second phase

Behavior (Second Phase):

  • Behavior
    Death dismounts his horse and floats around randomly, while the horse charges through the top, middle and then the bottom of the screen until destroyed. Death himself during this will only spawn two Knight enemies periodically.

Tips for the fight:

  • Staying close to a wall prevents a non-homing scythe from spawning, this can be used to make dodging this attack easier.
  • Homing scythes should be prioritised. So should be the Knights in Phase 2
  • Death’s stead takes damage whenever Death takes damage in Phase 2, meaning that focusing on the horse during the second phase is usually a lost cause.
  • While not necessarily a tip for the fight itself, it’s still worth to mention that Death has a significantly higher chance of spawning as the Womb/Utero/Scarred Womb I boss if the player used the Book of Revelations at least once on Womb/Utero/Scarred Womb I

Champion versions:

  • Black
    • +15% size
    • +25% HP (for a total of 562.5)
    • Can’t use the Hourglass in Phase 1
    • Spawns Kamikaze Leeches instead of homing scythes
    • Spawns Red Maws instead of Knights

Appears in:

  • Chapter III (Boss)
  • Cathedral, The Chest, Dark Room (Enemy)

HP: 500
Unlock method: Take 10 items from Angel Rooms
Description: Alternate version of Death. Attack set is very similar to War’s. Unlike all the other horsemen, Conquest has only one phase

Attacks & Behavior:

  • Behavior
    Floats around randomly and cycles between three attacks

  • Charge
    Charges off-screen and reappears on the other side, along with multiple copies of him. These copies all share the same health bar, including Conquest’s.

  • Homing Quad Shot
    Shoots out four homing shots in cardinal directions

  • Light Beams
    Ascends off-screen and spawns 8-10 Crack of Sky beams in random locations. These beams damage the player

Tips for the fight:

  • Stay away from him cardinally; otherwise the homing shots may easily tag you
  • Conquest’s clones along with himself take heavy knockback from tears, this can either save the player from being hit or do the opposite.

Bosses – Fistula (2)

This section hosts information for the following bosses:

  • Fistula
  • Teratoma

Appears in:

  • Caves, Flooded Caves (Boss)
  • Caves, Flooded Caves, Depths, Dank Depths, Chapter IV (Enemy, only in small form)
  • Depths, Dank Depths, Chapter IV, The Chest (Enemy, in medium form)
  • Chapter IV, Corpse, Sheol, Cathedral, The Chest (Enemy, in large form)

HP: 60 (Large), 15 (Medium), 8 (Small)
Description: Low health, but can overwhelm the player with ease.

Behavior:

  • Starts in the large form and floats diagonally around the room. Upon death, splits into four medium parts. Each medium part splits into two small parts. Each small part splits into a single Charger, unless it is over a pit/obstacle; in such case, no charger will be spawned.

Tips for the fight:

  • As stated in the description, this boss can overwhelm the player quickly. If possible, take care of a single part at a time.
  • Having piercing helps a lot in this fight.

Champion versions:

  • Dark Gray
    • +15% size
    • +25% HP
    • Decreased movement speed
    • Large part splits into three medium parts instead of the usual four
    • Small parts spawn Boom Flies instead of Chargers

Appears in:

  • Utero (Boss)
  • Catacombs, Necropolis, Sheol (Enemy, only in small form)
  • Catacombs, Chapter III, Sheol, Dark Room, Corpse (Enemy, in medium form)
  • Sheol, The Chest, Dark Room, Corpse (Enemy, in large form)

HP: 60 (Large), 15 (Medium), 8 (Small)
Description: Posthumous version of Fistula. On par in terms of difficulty.

Behavior:

  • Starts in large form and floats diagonally around the room. Killing the large part spawns three medium parts, which then split into two small parts each if killed. The small parts split into two spiders upon death, unless it dies over a pit/obstacle; in such case, no spiders will spawn.

Tips for the fight:

  • Same procedure as with Fistula; take care of a single part at a time.
  • By the time you reach this boss most of the times you’ll have build good enough to shred Teratoma to bits in seconds.

Bosses – Gurglings (5) #1

This section hosts information for the following bosses:

  • Gurglings
  • Turdlings
  • Gurdy Jr.
  • Gurdy
  • Mama Gurdy

Appears in:

  • Basement, Burning Basement (Boss)
  • Catacombs (Double Trouble with Turdlings)
  • Chapter IV (Enemy)

HP: 120 (60 per Gurgling)
Description: First and youngest of the Gurdy family. Low health, yet very annoying.

Behavior:

  • Constantly leaves creep behind themselves and charges at the player if they’re cardinally adjacent to them. Upon finishing the charge they either fire 6 shots in a hexagonal pattern in a random orientation or spawn two attack flies.

Tips for the fight:

  • The less time you spend fighting them, the better. Just bomb them and get it over with.
  • Try to get them to not charge at all, the more they charge, the higher your chances are of getting hit by some random projectile/creep puddle/attack fly/another gurgling/???????????????????
  • Do not hit them when they are charging, they take heavy knockback during this and will usually veer right into the player because of that

Champion versions:

  • Black
    • Leaves troll bombs at regular intervals when charging
  • Yellow
    • Significantly increased movement speed
    • Three Gurglings spawn instead of two
    • Does not leave creep

Appears in:

  • Basement, Burning Basement (Boss)
  • Catacombs (Double Trouble with Gurglings)
  • Chapter IV (Double Trouble with Dangle)
  • The Chest (Enemy)

HP: 100 (50 per each Turdling)
Unlock method: Defeat ??? as three different characters
Description: Alternate version of the Gurglings. Slightly harder than the base boss.

Behavior:

  • Crawls around the room randomly. Charges at the player when they’re aligned with them in any cardinal direction. They leave brown, slidy creep behind them when charging. At the end of a charge, they spawn 4 Brownie Corns.

Tips for the fight:

  • Prioritise the Brownie Corns over anything else, they are a massive nuisance during the fight.
  • As with the normal Gurglings, the less time you spend fighting them, the better; just bomb them and get it over with.

Appears in:

  • Chapter II (Boss)
  • Depths (Double Trouble)
  • Chapter IV, Cathedral, The Chest, Dark Room (Enemy)

HP: 250
Description: Second boss in the Gurdy family. Can be annoying sometimes

Behavior & Attacks:

  • Behavior
    Stands still and cycles between three attacks.

  • Spawn Pooter
    Spawns a Pooter

  • Radial Burst
    Jumps and spawns a radial burst of eight projectiles in cardinal and ordinal directions upon landing.

  • Charge
    Charges at the player, bouncing of walls and gradually losing speed before coming to a stop. This attack is used more the less HP Gurdy Jr. has and they will use it constantly when below 50% HP.

Tips for the fight:

  • Gurdy Jr. takes heavy knockback when charging. This can be used to slow them down greatly, reducing the chance of the player being hit
  • Do not prioritise Pooters, as they will most likely die when Gurdy Jr. performs a charge anyway.

Champion versions:

  • Blue
    • Two Gurdy Juniors spawn instead of one
    • -42% size
    • -45% HP for each Gurdy Jr. (137.5 for each Gurdy Jr., 275 in total)
    • Only uses Charge
  • Gold
    • +15% size
    • +25% HP (for a total of 312.5)
    • Can’t perform Radial Burst
    • Spawns Super Pooters instead of normal Pooters

Bosses – Gurglings (5) #2

Appears in:

  • Caves, Flooded Caves (Boss)
  • Chapter IV (Double Trouble)
  • The Chest (Enemy)

HP: 595
Description: Third boss in the Gurdy family. Stationary turret and monster spawner

Attacks & Behavior:

  • Behavior
    Spawns in the upper middle section of the room, sometimes accompanied by additional enemies, and cycles between four attacks

  • Spawn Attack Fly
    Spawns two Attack Flies behind them

  • Spawn Pooter
    Spawns a Pooter to their right side

  • Spawn Boil
    Spawns two Boils to their sides

  • 5-Shot
    Shoots a spread of five shots at the player. Gurdy can fire this spread to their sides and in front of them; which side will be chosen depends on the current position of the player; if the player is in the left third of the room, Gurdy will fire the spread to their left; if the player is in the middle of the room, Gurdy will fire the spread in front of them, and if the player is in the right third of the room, Gurdy will fire the spread to their right side.

Tips for the fight:

  • Eliminate all the spawns as soon as possible, especially Boils
  • The 5-Shot can be easily dodged with practice.

Champion versions:

  • Dark
    • +11% size
    • Can’t perform 5-Shot

Appears in: Womb, Scarred Womb (Boss)
HP: 750
Description: Last boss of the Gurdy family. Expect to get hit at least once if you don’t have flight.

Attacks & Behavior:

  • Behavior
    Resides at the top of the screen and cycles between four attacks

  • Spikes
    Spawns spikes in random locations. There’s a very small delay before they can deal damage

    • Occasionally Mama Gurdy will retreat off-screen before performing this attack. They will perform Vomit shortly after

  • Vomit
    Spews vomit-like projectiles towards the bottom of the screen. These projectiles leave slowing, orange creep upon contact with the ground

  • 5-Shot
    Fires 1-5 spreads of five projectiles at the player

  • Burst
    Fires a disorganized burst of projectiles at the player

Tips for the fight:

  • As stated in the description; expect to get hit if you don’t have flight; the spikes do not give you enough time to react and will usually hit you if you get unlucky with where they spawn.
  • The Callus trinket does not work against Mama Gurdy’s spikes
  • Weaving from left to right and vice versa is usually enough to dodge the projectile attacks

Bosses – The Haunt (3)

This section hosts information for the following bosses:

  • The Haunt
  • The Forsaken
  • The Heretic

Appears in:

  • Cellar (Boss)
  • Chapter III (Double Trouble)
  • Chapter III, Chapter IV, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 200
Description: Pretty difficult boss, especially in the first phase if you’re on base stats. Has two phases

Behavior (First Phase):

  • Behavior
    Is invulnerable and floats around randomly with three Lil Haunts circling them. After a while, one Lil Haunt becomes vulnerable and starts chasing the player. Killing the first Lil Haunt makes the last two become vulnerable. Killing these two starts the second phase

Attacks & Behavior (Second Phase):

  • Behavior
    Loses invulnerability. Floats to the top of the room and starts moving left and right along the wall, while cycling between two attacks. The Haunt will dash towards the player if said player is near the top wall.

  • 5-Shot
    Fires a spread of five projectiles towards the bottom of the screen. This attack is not telegraphed

  • Brimstone Laser
    Fires a brimstone laser. This attack is slightly telegraphed

Tips for the fight:

  • Due to how Lil Haunt AI works, you’re usually going to get cornered by them. Try to kill them quickly if possible
  • The best solution for this boss is to just straight up bomb them twice when the second phase begins; this can easily be done by quickly running to the top of the screen and planting a bomb; the Haunt will dash towards it and get stuck on it right before it explodes.
  • The best way to not get hit during Phase 2 is to attack the Haunt in between their attacks; after they attack, you get a guaranteed 2-3 second window to attack the boss.
  • If you get the Pink champion, for the love of god please bomb it.

Champion versions:

  • Black
    • Only two Lil Haunts circle the Haunt; these two L. Haunts will become vulnerable at once
    • Can’t perform Brimstone laser; instead, spawns 1-2 spiders
  • Pink
    • -50% HP (for a total of 100)
    • Only one Lil Haunt will circle the Haunt
    • Their brimstone laser attack gets upgraded; instead of one laser heading straight down, two diagonal ones get fired, which also bounce off walls once.
    • 5-Shot gets replaced by a spread of eight shots aimed towards the player

Appears in:

  • Flooded Caves, Catacombs (Boss)
  • The Chest, Dark Room (Enemy)

HP: 220
Unlock method: Defeat ??? as three different characters
Description: Posthumous version of the Haunt. Actually easier than the base boss

Behavior:

  • Behavior
    Starts vulnerable. Spawns 1-2 Bonies and becomes invulnerable as long as at least one Bony is alive. When the Bonies are killed, the Forsaken moves to the center of the room and fires three rotating brimstone lasers, before spawning Bonies again shortly after.

Tips for the fight:

  • You can get around 2-3 free hits on the Bonies when they spawn in. Makes fighting them easier.
  • Staying horizontal to the Forsaken is usually recommended, as the lasers never spawn facing horizontally.

Champion versions:

  • Black
    • Bony spawns get replaced by Black Bonies
    • Spawns 4 Dank Death’s Heads instead of using the brimstone attack

Appears in: Mausoleum (Boss)
HP: 789
Description: Techincally a posthumous version of The Haunt. Is difficult, but also is actually one of the easier Mausoleum bosses. Has two phases

Behavior (First Phase):

  • Behavior
    Five Exorcists spawn in a star pattern in the middle of the room. These Exorcists are invincible and resurrect the Heretic, before they get turned into Fanatics. These Fanatics are killable and chase the player, occasionally firing two spiraling shots. During all this, the Heretic is idle and invincible. After killing all enemies in the room, the Heretic becomes vulnerable and Phase 2 begins

Attacks & Behavior (Second Phase):

  • NOTE
    The Heretic’s arena always contains several unlit fireplaces, which are used in the Laser attack

  • Behavior
    Floats around randomly and cycles between three attacks

  • Fireballs
    Lobs seven fireballs towards the player which spawn 6 fires in a hexagonal, fixed pattern upon contact with the ground. Landing locations of the fireballs are marked. After all fireballs explode, the Heretic lunges towards the player. Upon landing, eight lines of fire spread out in cardinal and ordinal directions.

  • Laser
    The Heretic lights up 5-6 fireplaces scattered around the edges of the room, before spawning brimstone lasers between them. The order of lighting the fireplaces indicates the direction in which the lasers will be travelling

  • Charge
    Floats off-screen before charging in from the side towards the player. In total, the Heretic charges 4 times. Sometimes, the Heretic might disappear instead of biting down on the player, only to reappear and repeat the attack for a theoretical total of five charges.

  • Death
    Upon death, Heretic’s eye hits the ground and spawns lines of fire in all cardinal directions

Tips for the fight:

  • The exorcists, while appearing as invincible, can be in fact killed in certain circumstances, for example: when a Euthanasia tear hits one of them, they will be killed regardless of their invincibilty. This however has no effect on the resurrection process.
  • During the Laser attack, it’s usually best to hug one of the side walls if you can’t keep up with the laser order. Staying in the middle of the room is always a death wish

Bosses – Larry Jr. (4)

This section hosts information for the following bosses:

  • Larry Jr.
  • The Hollow
  • Tuff Twins
  • The Shell

Appears in:

  • Basement, Burning Basement (Boss)
  • Chapter II (Double Trouble with either Monstro, Pin or another Larry Jr)
  • Chapter III (Double Trouble with Sisters Vis)
  • Chapter II, Chapter III, Chapter IV, Sheol, The Chest (Enemy)

HP: 22 per segment
Description: Simple, segmented worm-like boss.

Behavior:

  • Behavior
    Crawls around the room randomly, turning when met with an obstacle or a wall. Leaves behind poop grid tiles occasionally. Splits into two functioning copies upon destroying a segment if the right conditions are met.

Tips for the fight;

  • If possible, stay away and pick Larry off from a distance.
  • The poop tiles that Larry leaves behind do not drop pickups. However, exiting the room and returning will make the poops spawn pickups again.
  • Sometimes a Grub enemy may replaced a second Larry Jr., if such case occurs, kill the Grub immediately, as they can be a big nuisance

Champion versions:

  • Blue
    • +15% size
    • +45% HP (for a total of 32 per segment)
    • Reduced movement speed
    • Does not spawn poop
  • Green
    • Sometimes fires a projectile in the direction they’re facing

Appears in:

  • Catacombs (Boss)
  • Depths (Double Trouble)
  • Chapter III, Chapter IV, Sheol (Enemy)

HP: 22 per segment
Description: Posthumous version of Larry Jr. Slightly harder than the base boss

Behavior:

  • Behavior
    Flies diagonally around the room, bouncing off walls. Leaves behind poop grid tiles occasionally. Splits into two functional copies of itself when a segment is destroyed, if the right conditions are met.

Tips for the fight:

  • As with Larry, keep your distance and pick them off from far away.
  • The poop trick with Larry applies to this boss as well.
  • As with Larry, a Grub may replace one of the Hollows. If such case occurs, kill the Grub immediately, as they can be a big nuisance

Champion versions:

  • Dark Gray
    • +15% size
    • +25% HP (for a total of 27.5 per segment)
    • Each segment has a chance to spawn a Boom Fly when destroyed
  • Gold
    • +15% size
    • +25% HP (for a total of 27.5 per segment)
    • Each segment drops a coin upon death
  • Green
    • Stops occasionally to fire a triple shot in front of itself
    • Each segment has a chance to spawn a Charger when destroyed

Appears in: Mines (Boss)
HP: 35 per segment
Description: Alternate, mines-themed version of Larry Jr. Unlike during the Larry fight, a Grub cannot replace one of the Tuff Twins. Significantly harder than the base boss

Behavior:

  • Behavior
    Crawls around randomly around the room, turning when met with an obstacle or wall. Is indestructible by default because of their rock armor. Spawns Inks if the head segment has armor. Each segment has their own armor. This armor can be destroyed using explosives, whether they be your own bombs or the red bombs spawned by Bomb Grimaces, which always spawn along with the boss. An exposed segment takes damage normally and also spews out blood shots in a small radius if it’s a body segment, or spawns a Sucker if if’s a head segment. Just like Larry Jr., a Tuff Twin can split into two functioning copies upon destroying a segment if the right conditions are met.

Tips for the fight:

  • As with Larry Jr., keep your distance
  • Explosions aren’t the only thing that can destroy their armor; special tears from the Terra and Sulfuric Acid items can also destroy their armor, eliminating the need to screw around with bombs.
  • Their boss room is easily identifiable; it is always a double room (rectangular shape). Unfortunately, this doesn’t always mean that the boss will be the Tuff Twins, as Great Gideon also always spawns in a double room. However, they only spawn in a vertical double room, so if you see a horizontal double room, you can be sure that it’s the Tuff Twins

Appears in: Ashpit (Boss)
HP: 35 per segment
Description: Alternate, mines-themed version of the Hollow. Technically also a posthumous version of the Tuff Twins. On par with difficulty to the Tuff Twins.

Behavior:

  • Behavior
    Unlike all the other worm bosses, the Shell always spawns in a pair of worms, 5 segments each. Flies diagonally, bouncing off walls and slightly veering towards the player if they’re in close distance. Same armor mechanic as the Tuff Twins (Bomb Grimaces also spawn), however, the head is indestructible no matter what and is only killed after the segment attached to it is killed. Exposed middle segments shoot triple shots at the player occasionally, while exposed end segments spawn Fly Bombs. Unlike the Tuff Twins, fully armored versions do not do anything and just fly around the room. This worm boss cannot split into two functioning copies, as opposed to all of the other ones.

Tips for the fight:

  • Tackle things one at a time; focus on one worm, destroy a part of their armor, kill the segments and you’ve got yourself a breather, repeat. This boss can get quite hectic if multiple segments are exposed at once
  • Just like the Tuff Twins, the Shell always spawns in a double room in a random orientation. If you see a horizontal double room as the boss room in the Ashpit, expect the Shell. If you see a vertical one, it can either be the Shell or Great Gideon

Bosses – Monstro (3)

This section hosts information for the following bosses:

  • Monstro
  • Monstro II
  • Gish

Appears in:

  • Basement, Burning Basement (Boss)
  • Chapter II (Double Trouble with either Larry Jr., Fistula, Duke of Flies or another Monstro)
  • Chapter III, Chapter IV, Cathedral, The Chest, Dark Room (Enemy)

HP: 250
Description: Baby’s first boss. Simple attack set, that at the same time doesn’t consist of moving in a random direction

Attacks & Behavior:

  • Behavior
    Stands still and cycles between three attacks

  • Hop
    Hops towards the player

  • Spray
    Fires a spray of disorganized projectiles towards the player

  • Leap
    Leaps off-screen and attempts to land on the player. Releases a spray of projectiles in all directions upon impact

Tips for the fight:

  • Monstro can sometimes spawn with enemies alongside them. Prioritise them before dealing with Monstro
  • Other than that it’s just dodging their attacks while dealing damage
  • If you get the red champion version, it’s best to just bomb one of the red Monstros and finish them off to make the fight way easier

Champion versions:

  • Gray
    • +15% size
    • +25% HP (for a total of 312.5)
    • Can’t perform Leap
  • Red
    • Two Monstros spawn instead of one
    • -25% size
    • -55% HP (112.5 HP per each red Monstro, 225 in total)

Appears in:

  • Depths, Dank Depths (Boss)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 633
Description: Posthumous version of Monstro. Significantly tankier, but not much harder

Attacks & Behavior:

  • Behavior
    Stands still and cycles between three attacks

  • Hop
    Hops towards the player

  • Brimstone Laser
    Fires a brimstone laser horizontally if the player is in the line of fire.

  • Double Leap
    Leaps towards the player, attempting to land on them. Fires 8 projectiles in cardinal and ordinal directions upon impact. Afterwards, Monstro II repeats the process, but instead spawns 4 Suckers upon impact.

Tips for the fight:

  • After spawning the four Suckers, the player can provoke Monstro II to fire their brimstone laser, which will eliminate most of the spawned Suckers
    • Monstro II landing on top of the Suckers kills them as well

Champion versions:

  • Red
    • -20% size
    • Faster movement speed and attack speed
    • Spawns two Suckers instead of four

Appears in:

  • Depths, Dank Depths (Boss)
  • Dark Room (Enemy)

HP: 633
Unlock method: Complete Chapter III 20 times
Description: Alternate version of Monstro II. Easier than Monstro II.

Attacks & Behavior:

  • Behavior
    Stands still and cycles between three attacks

  • Hop
    Hops towards the player

  • Tar Bomb
    Fires an Ipecac-like shot towards the player. This shot leaves black, slowing, yet non-damaging creep behind upon contact with the ground

  • Double Leap
    Functions exactly to Monstro II’s Double Leap, except the first leap spawns a puddle of black creep, and the second leap spawns two Clots

Tips for the fight:

  • Prioritise Clots, they can catch the player off guard with ease
  • If you have flight, you can just float over an obstacle to prevent Gish from moving, since they then will have nowhere to move to. Gish may still rarely fire a tar bomb though

Bosses – Pin (4)

This section hosts information for the following bosses:

  • Pin
  • Wormwood
  • The Frail
  • Scolex

Appears in:

  • Cellar (Boss)
  • Chapter II (Double Trouble with Mega Fatty, Larry Jr., Chub, Blighted Ovum or another Pin)
  • Chapter III, Chapter IV, The Chest (Enemy)

HP: 100
Description: Worm-type boss, leaps out of the floor to attack the player.

Attacks & Behavior:

  • Behavior
    Cycles between two attacks

  • Leap
    Leaps from a distance of 4-6 tiles towards the player, often firing four shots in ordinal directions from its last segment. Retreats away from the player after burrowing back into the ground

  • Bomb Shot
    Fires an Ipecac-like shot towards the player

Tips for the fight:

  • Do not get cornered
  • A single bomb can instakill Pin, so if you have a surplus of bombs, you know what to do.

Champion versions:

  • Black
    • Shoots out 6 spiraling shots instead of the Bomb Shot, similar to the Nightcrawler enemy
    • Shoots 6 blood shots instead of 4 when leaping

Appears in: Downpour, Dross (Boss)
HP: 200
Description: Downpour-themed version of Pin. Significantly harder than the base boss.

Attacks & Behavior:

  • Behavior
    Cycles between two attacks, performs a special attack once at 33% health

  • Lunge
    Lunges from a pit towards the player, releasing 4 shots in cardinal directions once, chasing them afterwards in a small zig-zag pattern. Returns back to the nearest pit after a while.

  • Projectile Spray
    Emerges from a pit and fires a Monstro-like spray of projectiles towards the player before swiftly descending back into the water

  • 33% HP
    At 33% HP, Wormwood abandons their current waypoint and paths to the nearest pit. After fully submerging, Wormwood starts poking the player from underneath the floor, spawning Pit grid tiles. Wormwood pokes the player 3-6 times in total before trying to breach the wall. This will be telegraphed by a crack appearing at the left/right wall at the player’s current horizontal position.
    Upon breaching the wall, Wormwood flies out horizontally at very high speeds, spawning 3 Small Leeches in the process

Tips for the fight:

  • For some reason, when Wormwood hasn’t fired the 4 shots after they have lunged, they can’t be damaged, meaning you’ll have to wait for Wormwood to fire the four shots before you can hit them.
  • The pit tiles spawned by Wormwood, when they’re at low health, can sometimes make dead ends, which can become fatal, especially if the player doesn’t have flight. Be wary of where Wormwood is spawning these grid tiles.

Appears in: Catacombs, Flooded Caves (Boss)
HP: 300 (100 in first phase, 200 in second phase)
Unlock method: Defeat ??? as three different characters
Description: Posthumous version of Pin. Harder than the base boss. Has two phases

Attacks & Behavior (First Phase):

  • Behaves identically to Pin. Dealing 100 damage to the Frail triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    Cycles between three attacks

  • Leap
    Leaps out of the ground towards the player, often firing out 4 shots in ordinal directions, each of which then split into four more shots in cardinal or ordinal directions

  • Brimstone Laser
    Emerges head first and either:

    • Fires two Brimstone Lasers towards the player’s position one after another
    • Fires a single, spinning Brimstone Laser, which follows the player’s movements

  • Creep Burst
    Emerges tail first and a burst of white projectiles in all directions. These projectiles leave white, slowing yet non-damaging creep upon landing

Tips for the fight:

  • Keep your distance, especially when The Frail is leaping
  • If you cannot afford to get hit, you should focus on dodging all of Frail’s leaps. You get an attack window when The Frail is using their brimstone laser attacks.

Champion versions:

  • Black
    • Phase 1 gets skipped completely, including health, meaning the Frail has 200 HP instead of 300

Appears in: Womb, Scarred Womb (Boss)
HP: 300
Description: Womb-themed Pin. Hardy, but has a pretty simple attack set.

Attacks & Behavior:

  • Behavior
    Is invulnerable except for their blinking, red tail segment, which takes damage normally.

  • Leap
    Leaps towards the player from a distance of around 4-6 tiles. Unlike Pin or Frail, Scolex does not fire out blood shots when flying through the air.

  • Projectile Spray
    Emerges head first and fires a Monstro-like spray of projectiles at the player.

  • Blood Bombs
    Emerges tail first and fires three Ipecac-like shots towards the player

Tips for the boss:

  • This boss is a patience test more than anything, just keep dodging. The Blood Bombs attack is a pretty good attack window for the player

Bosses – Widow (2)

This section hosts information for the following bosses:

  • Widow
  • The Wretched

Appears in:

  • Cellar (Boss)
  • Scarred Womb, Cathedral, The Chest, Dark Room (Enemy)

HP: 130
Description: A Trite on drugs. Relatively difficult.

Attacks & Behavior:

  • Behavior
    Stands still and cycles between three attacks

  • Hop
    Hops towards the player

  • Spawn Sack
    Spawns a Sack enemy, while also leaving a puddle of white, slowing yet non-damaging creep

  • Spawn Spider
    Spits out a Spider

Tips for the fight:

  • The Widow can kill her own spawns if she lands on top of them. This can be used to quickly deal with the Sacks she spawns
  • Running in a big circle around the arena is usually a good way to dodge her attacks
  • A single bomb can bring her down to 30 HP

Champion versions:

  • Red
    • -50% size
    • Spawns Boils instead of Sacks
    • Spawns Attack Flies instead of Spiders
  • Black
    • Spawns Big Spiders instead of Sacks
    • White Creep turns into Black Creep, no functional difference
    • Fires out 6 blood shots in a hexagonal pattern in a random orientation instead of spawning spiders

Appears in:

  • Catacombs (Boss)
  • Depths (Double Trouble)
  • Utero, Sheol, The Chest, Dark Room (Enemy)

HP: 215
Description: Posthumous version of the Widow. Slightly harder than the base boss

Attacks & Behavior:

  • Behavior
    Stands still and cycles between three attacks

  • Hop
    Hops towards the player

  • Radial Burst
    Leaves a puddle of white, harmless creep and fires out 8 shots in cardinal and ordinal directions

  • Spawn Random Spider
    Spawns either:

    • 2 Spiders
    • 1 Big Spider
    • 1 Trite

  • Death
    Spawns 1-3 Spiders right when her health goes down to 0. Stay alert, as it can easily catch you off guard

Tips for the fight:

  • The Wretched can kill her own spawns if she lands on top of them. This can be used to quickly deal with the spiders she spawns
  • Running in a big circle around the arena is usually a good way to dodge her attacks
  • By the time you reach Chapter II you should have a handful of bombs on you. Two bombs is enough to bring the Wretched down to just 15 HP

Bosses – Little Horn (2)

This section hosts information for the following bosses:

  • Little Horn
  • Big Horn

Appears in:

  • Chapter I (Boss)
  • Depths, Necropolis (Double Trouble with Rag Man)
  • Dank Depths (Double Trouble with Loki)
  • Womb, Utero (Double Trouble with The Fallen)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 200
Unlock method: Defeat ??? as three different characters
Description: Stubby demon that uses ranged attacks and tries its best to avoid the player, often causing damage to themselves in the process.

Attacks & Behavior:

  • Behavior
    Floats away from the player and cycles between six attacks

  • Teleport
    Spawns a pitfall under itself and teleports in a random location away from the player

  • Spawn Dark Ball
    Spawns a Dark Ball

  • Spawn Pitfall
    Spawns 3-5 pitfalls which move outwards

  • Spawn Pitfall Trap
    Spawns a single pitfall under itself, which stays for several seconds before disappearing

  • (Mega) Troll Bomb
    Spawns a pitfall under itself and throws a troll bomb/mega troll bomb into it shortly after. The bomb then appears near the player

  • Chain Teleport
    Jumps into a pitfall, while leaving a troll bomb behind themself, and appears shortly after in a random place. The process is repeated 3-5 times

Tips for the fight:

  • It’s not uncommon to see fireplaces in Little Horn’s arena. The player can make Little Horn retreat towards them, potentially dealing heavy damage to them.
  • Another way in which Little Horn can damage themself is by taking damage from their own troll bomb. There aren’t many good ways to force that to happen though, it’s mostly just a matter of luck
  • If you encounter the Orange champion and haven’t got any armor, say goodbye to your Deal Room chance; the orange bombs are really janky and at times can deal contact damage without the player actually being near one.

Champion versions:

  • Orange
    • Can’t spawn Mega Troll Bombs
    • Instead of a Dark Ball, Little Horn spits out an orange bomb towards the player. This bomb deals contact damage and leaves a damaging fire upon exploding.
    • Little Horn also throws orange bombs instead of normal troll bombs, except when using the Chain Teleport attack
  • Black
    • Cannot attack with troll bombs or pits of any kind. Instead, Little Horn only spawns Dark Balls and teleports around

Appears in:

  • Chapter II (Boss)
  • The Chest, Dark Room (Enemy)

HP: 480
Unlock method: Defeat ??? as 6 different characters
Description: Adult version of Little Horn. Harder than the base boss

Attacks & Behavior:

  • Behavior
    Stationary. Uses their arms and head to attack the player. Has 4 arm attacks and 3 head attacks

  • Arm Attacks
    2-3 pitfall-like holes spawn, out of which Big Horn’s hands come out shortly after. These hands can either:

    • Throw a single troll bomb towards the player
    • Throw a spread of three troll bombs towards the player. These bombs have a chance to have the effects of Hot Bombs, or Sad Bombs if Big Horn is fought in the Flooded Caves.
    • Quickly slap the ground three times, while simultaneously moving towards the player
    • Bring out a Little Horn, which spawns three Dark Balls. If Big Horn dies when holding Little Horn, Little Horn will continue the fight, albeit with very low HP

  • Head Attacks
    A single, slightly larger pitfall spawns, out of which Big Horn comes out shortly after. Big Horn can either:

    • Spawn two, large Dark Balls, which move diagonally across the room
    • Spawn a single, large Dark Ball, which homes in on the player
    • Combine the two previous attacks and spawn two diagonally moving balls and one homing one

Tips for the fight:

  • Prioritise killing any Dark Balls that are on the screen
  • After Big Horn has spat out the Dark Ball(s), there is a brief window where a bomb can be knocked into their mouth, dealing considerable damage.

Bosses – Rag Man (2)

This section hosts information for the following bosses:

  • Rag Man
  • Rag Mega

Appears in:

  • Cellar, Burning Basement (Boss)
  • Depths, Necropolis (Double Trouble with Little Horn)
  • Mausoleum, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 200
Unlock method: Defeat ??? as three different characters
Description: All-around difficult boss. When you see him in the Basement, you might as well just restart.

Attacks & Behavior:

  • Behavior
    Walks around randomly and cycles between three attacks

  • Homing Shots
    Fires 1, 3 or 5 homing shots at the player in quick succession

  • Spawn Ragling
    Ragman throws his head, which rolls around, gradually losing speed. When the head has come to a stop, a Ragling spawns from it. Ragman himself during this attack will behave like a Gusher, walking around randomly and spewing shots. As opposed to normal Gushers, Rag Man’s shots will home in on the player if they’re close enough, indicated by their purple appearance

  • Revive
    Briefly stops and revives any surrounding Ragling corpses. This attack always heals Rag Man for 10 HP

Tips for the fight:

  • This fight becomes hectic very fast. With base stats, Rag Man’s head and his Raglings have too much HP to kill them quick enough to not overwhelm the player after a while.
  • Rag Man’s shots home in extremely well, even being able to perform a tight loop to reach the player. Stay far away from them
  • If you have two or more bombs and got no use for them, you might as well bomb Rag Man twice and finish him off before he has a chance to attack.

Champion versions:

  • Black
    • Rag Man’s head spawns 2 Spiders instead of a Ragling
    • Can’t revive Raglings. Instead, Rag Man fires a Monstro-like spread towards the player
  • Orange
    • Can’t fire homing shots

Appears in:

  • Chapter II (Boss)
  • Mausoleum, The Chest, Dark Room (Enemy)

HP: 120
Unlock method: Defeat ??? as six different characters
Description: Posthumous/evolved version of Rag Man. Easier or harder, depending on how you handle the fight

Attacks & Behavior:

  • Behavior
    Floats diagonally and cycles between three attacks. Has 3 invincible balls orbiting him. These balls detach from Rag Mega one by one and start chasing the player after Rag Mega has taken enough damage

  • Spawn Ragling
    Spawns a Ragling

  • Resurrection Beams
    Spawns three beams, which revive any dead Raglings they hit

  • Invincibility
    Wraps himself in bandages, becoming invincible for a short while

Tips for the fight:

  • This isn’t even a suggestion, just bomb him

Bosses – Baby Plum

Appears in:

  • Chapter I (Boss)
  • Sheol, Cathedral (Enemy)

HP: 234
Description: Boss version of a Red Boom Fly. Fairly simple boss

Attacks & Behavior:

  • Behavior
    Floats towards the player and cycles between three attacks

  • Twirl
    Twirls towards the player, sending out a spiral of projectiles

  • Slam
    Slams into the ground, spawning a puddle of creep and firing out two rings of fast and slow projectiles

  • Bounce
    Spits a diagonal stream of projectiles, propelling herself backwards and bouncing off any walls

  • Death
    Upon death, Baby Plum releases a ring of 10 projectiles

Tips for the fight:

  • The player doesn’t necessarily have to kill Baby Plum to end the fight. Baby Plum can be spared by not dealing any damage to her for around 20-40 seconds. This will make Baby Plum fly off-screen and award the player the Plum Flute item. Subsequent spares also reward the player with the Plum Flute.
  • Baby Plum will often spawn with a few Red Boom Flies alongside her. Prioritise them
  • Keep your distance

Bosses – Rainmaker

Appears in: Downpour (Boss)
HP: 240
Description: Simple, yet tricky at the same time.

Attacks & Behavior:

  • Behavior
    Very slowly floats towards the player and cycles between four attacks

  • Water Line
    Spawns a horizontal line on both sides, 6 projectiles each and fires them towards the player shortly after

  • Water Ring
    Spawns a ring of 12 projectiles around themself and fires them towards the player shortly after

  • Bubble
    Spawns a large bubble above their head and pops it, releasing a burst of projectiles in random directions

  • Twirl
    Twirls towards the player while spawning projectiles near themself. These projectiles hover in the air for a short time before being fired towards the player. At the end of this attack Rainmaker releases an additional radial burst in cardinal and ordinal directions

  • Death
    Upon death, the Rainmaker kills all of their projectiles, effectively turning the room into a safe space

Tips for the fight:

  • Due to their Water Line attack, staying horizontal to Rainmaker is generally a bad move
  • Walking in a big circle around the room is an easy and good way to dodge Rainmaker’s attacks

Bosses – Clog

Appears in: Dross (Boss)
HP: 420
Description: Tanky, yet simple. Turns into a mess if not handled correctly

Attacks & Behavior:

  • Behavior
    Sits in the middle of the screen and cycles between four attacks

  • Spawn Drip
    Spawns Drips until there are 2-4 of them in the room

  • Spawn Poop
    Creates three lines of farts. Each fart has a chance to spawn a poop. 1-2 of these poops will be Corny Poops

  • Spin
    Spins, causing the water to circulate around them, catching the player and any other entities in its current. Clog only performs this attack if there are >2 Drips in the room

  • Projectile Spirals
    Shoots out four spiraling lines of projectiles. These lines can either consist of fast projectiles, with large gaps in between, or slow projectiles with small gaps in between

  • Death
    Upon death, Clog kills all Drips in the room. Other entities unaffected

Tips for the fight:

  • During the Spin attack, try to stay against the current, picking off any Drips that come by. Do this especially when there are any poops/corny poops in the room
  • The Flush! active item insta-kills Clog
  • The player will be unaffected by the water current if they have flight
  • Butt Bombs heal Clog, making them ineffective against them
  • Spawn Poop is completely RNG-dependent when it comes to getting hit. The poop lines can be in any orientation, and rarely you may get unlucky enough to end up with a corny poop right in your face

Bosses – Colostomia

Appears in: Dross (Boss)
HP: 380
Description: A sack of sh#t, both literally and figuratively. Explosion-themed in regard to its attacks. Expect to lose some HP on this boss. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Stands still and cycles between two attacks

  • Slide
    Slides in the closest cardinal direction to the player, releasing shots perpendicularily from both sides and creating trails of explosive gas

  • Butt Bomb
    Fires a Butt Bomb towards the player. This bomb can blow up the nearby explosive gas

  • Phase 2
    Dropping Colostomia to 50% HP triggers the second phase

Attacks & Behavior (Second Phase):

  • Behavior
    The bag containing Colostomia explodes, leaving Colostomia adhered to the floor. This new form cycles between three attacks and constantly generates harmful brown creep in its vicinity

  • Leap
    Repositions itself by jumping to another nearby location, releasing 8 shots upon landing

  • Fart
    Farts, creating a ring of explosive gas

  • Butt Bombs
    Fires 2 Butt Bombs towards the player

Tips for the fight:

  • Try to get Colostomia to slide for as little distance as possible, in order to limit how many projectiles they fire out.
  • Be wary of where the explosive gas is. One wrong slide can cover the entire room with gas
  • Unlike the first phase, the second phase is fairly easy. Once you’ve killed the first phase you basically won the fight. Just keep your distance.

Bosses – Turdlet

Appears in: Dross (Boss)
HP: 180
Description: Fairly simple segmented boss, but can catch the player off guard at times. Has two phases

Behavior (First Phase):

  • Behavior
    Always spawns in 5 segments, including the head. Constantly moves in wide turns to reach the player. Occasionally huddles together and springs back shortly after, moving very fast and bouncing off any obstacles or walls. At around 40% HP Turdlet enters Phase 2

Behavior (Second Phase):

  • Behavior
    Splits into two copies of itself, each of which have two segments. These copies have the same AI as Turdlet’s first phase

Tips for the fight:

  • This boss is so simple and fragile that there are no real tips for them.

Bosses – Chub (4)

This section hosts information for the following bosses:

  • Chub
  • CHAD
  • Carrior Queen
  • The Matriarch

Appears in:

  • Caves, Flooded Caves (Boss)
  • Chapter II (Double Trouble with Pin)
  • Chapter III (Double Trouble with Gurglings or another Chub
  • Chapter III, Chapter IV, Corpse, Cathedral, The Chest, Dark Room (Enemy)

HP: 350
Description: Boss version of the Chargers. Simple, but tanky.

Attacks & Behavior:

  • Behavior
    Crawls around randomly

  • Charge
    Charges at the player when they’re aligned cardinally to it. Chub can eat bombs while charging, stopping them briefly before dealing considerable damage to them

  • Spawn Charger
    Spawns a Charger

Tips for the fight:

  • This fight is a test of patience more than anything, especially with base stats. You can speed up the process by bombing Chub
  • Prioritise killing Chub’s spawns

Champion versions:

  • Cyan
    • Reduced movement speed
    • +15% size
    • +25% HP (for a total of 437.5)
    • Spawns Boils instead of Chargers
  • Orange
    • Increased movement speed
    • -15% size
    • -15% HP (for a total of 297.5)
    • Spawns Spitties instead of Chargers

Appears in:

  • Caves, Flooded Caves (Boss)
  • The Chest (Enemy)

HP: 350
Unlock method: Complete Chapter II 30 times
Description: Alternate version of Chub. Slightly harder than the base boss

Behavior:

  • Behavior
    CHAD’s behavior is identical to Chub’s with a few exceptions, these are:

    • CHAD spawns Suckers instead of Chargers
    • CHAD gets faster and smaller the less HP they have

Tips for the fight:

  • The tips for Chub also apply for this boss.

Appears in:

  • Catacombs (Boss)
  • The Chest, Dark Room (Enemy)

HP: 350
Description: Posthumous version of Chub. Significantly tankier than the base boss. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Crawls around randomly. Is invulnerable, except for the last, fleshy segment which takes damage normally

  • Spawn Red Poop
    Spawns a permanent red poop

  • Charge
    Charges at the player when they’re aligned cardinally to it. Carrior Queen can eat bombs while charging, stopping them briefly before dealing considerable damage to them

  • Phase 2
    Bringing Carrior Queen down to 50% HP triggers the second phase

Behavior (Second Phase):

  • Behavior
    Crawls diagonally, bouncing off of any rocks, walls or poops

Tips for the fight:

  • Don’t bother with trying to damage their behind. If you have bombs, use them

Champion versions:

  • Pink
    • Increased movement speed
    • +100% HP (for a total of 700)
    • Phase 2 nonexistent
    • Occasionally spawns small Heart enemies, which damage Carrior Queen when they die

Appears in:

  • Womb, Scarred Womb (Boss)
  • Cathedral, The Chest (Enemy)

HP: 700
Unlock method: Defeat ??? as 6 different characters
Description: A mix of Chub and Fistula. Significantly harder than the base boss. Has three phases

Attacks & Behavior (First Phase):

  • Behavior
    Hops randomly around the room and cycles between three attacks. Spawns 1-2 small Fistulas after taking 140 damage, and 100 damage afterwards

  • Spawn Fistuloid
    Sacrifices 30 HP to spawn a Fistuloid, which either chases the player or orbits the Matriarch, with a cap of 4 on screen at once.

  • Chubbers
    Jumps and spawns 8 Chubber projectiles in cardinal and ordinal direction upon landing, which then rebound back to the Matriarch

  • Projectile
    Spews out a projectile, which leaves creep in its trajectory and also upon landing

  • Phase 2
    Bringing the Matriarch down to around 50% HP triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    No visual indication of the phase switch. Retains all attacks from Phase 1

  • Fistuloid Swarm
    Rapidly spawns Fistuloids, which blink red, before dying, and shooting their maggots in the process.

  • Phase 3
    Bringing the Matriarch down to around 20% HP triggers Phase 3

Behavior (Third Phase):

  • Behavior
    Plays a short stagger animation before splitting into one medium Fistula, two small Fistulas, a Fistuloid and a low health Chub. The behavior of the Chub is slightly different; Chub will always charge upon spawning and will spit any bombs that they eat back out towards the player.

Tips for the fight:

  • Let’s face it, this fight is a mess. Pay attention to anything that’s either near your character or anything that’s approaching it, and react accordingly. Especially watch out for the creep-leaving projectiles

Bosses – Dark One (2)

This section hosts information for the following bosses:

  • Dark One
  • Adversary

Appears in:

  • Catacombs (Boss)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 520
Description: Fairly simple attack set, not much else to say

Attacks & Behavior:

  • Behavior
    Floats around randomly and cycles between four attacks

  • Darkness
    Dims the room, causing a Curse of Darkness-esque effect for a short time

  • Projectile Burst
    Fires out a ring of 12 projectiles in all directions

  • Charge
    Charges towards either edge of the screen and wraps around two times before stopping. Uses this attack more often if the player is horizontal to the Dark One

  • Brimstone
    If the player is below the Dark One, they have a chance of firing a Brimstone laser downwards

Tips for the fight:

  • For obvious reasons do not stay below the Dark One. Staying horizontal to them isn’t a good move either, unless you want to fight for eternity, since the Dark One is hard to hit when charging. Staying above the Dark One gives you the biggest window to attack, but watch out for the ring of projectiles, as it can easily catch you off guard

Appears in:

  • Necropolis (Boss)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 520
Description: Posthumous version of the Dark One. Harder than the base boss

Attacks & Behavior:

  • Behavior
    Floats around randomly and cycles between four attacks

  • Darkness
    Dims the room, causing a Curse of Darkness-esque effect for a short time

  • Spawn Spiders
    Spawns 3 Spiders

  • Leap
    Flies off-screen and tries to land on the player. Creates rock waves stretching for ~3 tiles upon landing

  • Brimstone
    If the player is adjacent cardinally to the Adversary, they fire a Brimstone laser in the closest cardinal direction to the player. This beam bends slightly and follows the player’s movements

Tips for the fight:

  • The Brimstone beam curves significantly the further you are from the boss. Stay close to them in order to avoid damage
  • Prioritise killing the spiders

Bosses – Mega Fatty (3)

This section hosts information for the following bosses:

  • Mega Fatty
  • The Cage
  • Sisters Vis

Appears in:

  • Caves, Flooded Caves (Boss)
  • Chapter II (Double Trouble with Pin)
  • Chapter III (Double Trouble with another Mega Fatty)
  • Chapter III, Chapter IV, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 600
Description: Absolute tank. Fights with them are usually very long and frustrating

Attacks & Behavior:

  • Behavior
    Stands still and cycles between four attacks

  • Leap
    Leaps off-screen and tries to land on the player. Spawns a puddle of harmful creep on impact

  • Fast Leap
    Leaps off-screen extremely fast and tries to land on the player. Spawns a puddle of harmful creep on impact

  • Vomit
    Breathes in, pulling in any entities towards them and vomits out a stream of projectiles into the air, which come back down shortly after. This stream constantly aims at the player’s position

  • Fart
    Farts and either spawns 1-3 Dips or launches a spray of projectiles behind them

Tips for the fight:

  • Keep moving to avoid the Fast Leap.
  • Prioritise damaging Mega Fatty over their spawns, only killing them when they’re in your way. The less time the fight takes, the better

Champion versions:

  • Brown
    • +15% HP (for a total of 690)
    • Can’t perform Vomit
    • Releases 3-4 rock waves upon impact when performing Leap (not Fast Leap). These waves spawn in a random orientation, but they usually go in cardinal directions, slightly shifted to the left/right depending on the player’s position
  • Red
    • -33% size
    • -10% HP (for a total of 540)
    • Creates Red Poop instead of Dips
    • Shoots out 6 projectiles in a hexagonal pattern upon landing when performing Fast Leap
    • Fires out four spiraling lines of projectiles which radiate outward during Vomit instead of the usual stream of projectiles

Appears in:

  • Depths (Boss)
  • Womb, Utero (Double Trouble)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 800
Description: Posthumous version of Mega Fatty. Even tankier than the base boss (even has more HP than Mom), however the difficulty is sort of on par.

Attacks & Behavior:

  • Behavior
    Stands still and cycles between four attacks

  • Leap
    Leaps off-screen and tries to land on the player. Spawns 4 rock waves and a puddle of creep upon impact

  • Spawn Vis
    Spawns a grey-colored Vis. The change is purely cosmetic

  • Vomit
    Vomits out 4 spiraling lines of projectiles which radiate outward. These lines have a chance to have holes in them, giving more room to dodge.

  • Roll
    Curls up into a ball and rolls around the room, bouncing off walls. With enough knockback, Cage’s trajectory can be changed.

Tips for the fight:

  • You have way more reaction time with the Cage than with Mega Fatty. The Cage makes up for that by having slightly more difficult attacks however
  • Unlike during the Mega Fatty fight, prioritise killing Cage’s spawns over dealing damage to the Cage
  • The “Slow” status effect works on the Cage in a detrimental way to the player, as it can make dodging Vomit harder.
  • Staying diagonal to the Cage usually lets you avoid the rock waves

Champion versions:

  • Green
    • Periodically leaves harmful green creep
    • Can’t spawn Vises
  • Pink
    • Two Cages spawn instead of one
    • -50% HP (400 for each pink Cage, 800 in total)
    • Can’t leap

Appears in:

  • Chapter III, Utero, Scarred Womb (Boss)
  • Chapter III (Double Trouble with Larry Jr.)
  • Chapter IV (Double Trouble with either the Husk or Lokii)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 700 (350 per sister)
Unlock method: Defeat ??? as 6 different characters
Description: Technically an alternate version of The Cage, suggested by visual and attack similarities. Surprisingly easier than the Cage, even easier than Mega Fatty in fact. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Spawns in two. Stands still and cycles between three attacks

  • Roll
    Both sisters curl up in balls and start rolling around the room, bouncing off walls and eachother. One sister will leave green creep and start rolling towards the player, while the other will leave brown creep and roll away from the player. One sister stops rolling before the other, opens their chest, faces the player in the closest cardinal direction to them, and does either one of these two attacks:

    • Fires a gigantic Brimstone beam, which rarely also sweeps back and forth in a wide arc
    • Fires 2-4 lines of slow-moving projectiles

  • Spawn Vis/Begotten
    Each sister spawns one Vis or Begotten, for a total of 2 Vises/Begottens

  • Laser
    Both sisters leap into the air and land on either the horizontal or vertical walls before opening their chests and firing a massive brimstone laser in front of them for a short time.

  • Phase 2
    Killing either of the two sisters triggers Phase 2

Behavior (Second Phase):

  • Behavior
    The remaining sister becomes enraged. When enraged, they’re unable to leap, and will always fire a laser or the projectile waves after rolling. If the remaining sister was the one that was spawning brown creep, the creep will be green instead

Tips for the fight:

  • The only attack that can catch the player off guard are the rolls they often perform. Just like the Cage, a Sister Vis can be redirected if enough knockback is dealt to them
  • Their laser attack gives the player a very large attack window
  • Try to distribute damage evenly along the two sisters, as focusing on just one will make the other one prematurely enraged

Bosses – Mega Maw (2)

This section hosts information for the following bosses:

  • Mega Maw
  • The Gate

Appears in:

  • Caves, Flooded Caves (Boss)
  • Chapter IV, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 350
Description: Boss version of the Maw enemy. Relatively difficult attack set

Attacks & Behavior:

  • Behavior
    Stationary. Cycles between three attacks

  • Projectile Spray
    Breathes in and fires a Monstro-like spray of projectiles at the player shortly after

  • Spawn Hopper
    Spawns a hopper

  • Fire
    Shoots out fast fire projectiles in either of these three patterns:

    • Two rings of five spread out flames. Each ring rotates in different directions
    • A ring of nine flames
    • A rotating ring of nine flames

Tips for the fight:

  • Focus on dodging the fire attacks; non-fire attacks give you a decent attack window
  • Prioritise Hoppers only if they’re close

Champion versions:

  • Black
    • Can’t shoot fires
    • Spawns 1-2 spiders instead of Hoppers
  • Red
    • Has a different and significantly harder-to-dodge set of attacks. Projectiles of this attack deal a full heart of damage.
      • Fires a ring of 9 blood shots that spiral outward
      • Fires 4 lines of curving blood shots
      • Fires 4 lines of waving blood shots
      • Fires 10 lines of blood shots in all directions

Appears in:

  • Depths, Dank Depths (Boss)
  • Womb, Utero (Double Trouble with another Gate)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 500
Description: Technically a posthumous version of the Mega Maw, even though the Gate depicts a giant Host.

Attacks & Behavior:

  • Behavior
    Stationary. Cycles between three attacks

  • Spawn Leaper
    Spawns a Leaper, which lands anywhere in the room

  • Brimstone
    Fires a Brimstone laser which connects with all alive Leapers, or other enemies, but doesn’t necessarily connect with the player.

  • Blood Shots
    Fires blood shots in either of these three patterns:

    • A ring of 9 projectiles rotating in either direction while spiraling outwards
    • Two rings of 6 projectiles which rotate in different directions while expanding outwards
    • A ring of 11 projectiles in all directions

Tips for the fight:

  • Same tips as for Mega Maw; focus on dodging projectiles and attack when the Gate is using their non-projectile attacks
  • Stay far away from any Leapers and make sure to stand above the Gate when they’re using their Brimstone attack

Champion versions:

  • Black
    • +25% HP (for a total of 625)
    • Flings Big Spiders at the player instead of spawning Leapers
    • Does not perform the Brimstone attack
  • Red
    • Has a different, more complex set of attacks
      • Fires 5 lines of slow-moving homing purple shots.
      • Fires 8 lines of blood shots that spiral outwards.
      • Fires 7 lines of blood shots that pulsate outwards.
      • Fires 8 lines of blood shots that move outwards in a zigzag pattern.

Bosses – Peep (2)

This section hosts information for the following bosses

  • Peep
  • Bloat

Appears in:

  • Chapter II (Boss)
  • Womb, Scarred Womb, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 450
Description: Meaty sack of piss. Run ender if you’re either low on health or still on default stats.

Attacks & Behavior:

  • Behavior
    Very slowly slides around randomly, cycling between three attacks. At 75% and 25% HP, one of Peep’s eyeballs pop out of their head. These eyeballs move diagonally and are invincible, killed only by Peep’s death.

  • Leap
    Leaps into the air and tries to land on the player. Spawns a radial burst of projectiles upon impact

  • Radial Burst
    Hops and releases a radial burst of projectiles on impact

  • Creep
    Spawns a puddle of yellow creep under themself

Tips for the fight:

  • Keep an eye on Peep’s eyeballs. Staying above Peep usually gives the player the least chance to be hit by them

Champion versions:

  • Dark Cyan
    • Starts with both eyes popped out
  • Yellow
    • -15% size
    • Constantly leaves creep under themself

Appears in:

  • Necropolis, Utero (Boss)
  • Cathedral, The Chest, Dark Room (Enemy)

HP: 450
Description: Posthumous version of Peep. Slightly harder than the base boss

Attacks & Behavior:

  • Behavior
    Spawns along two invincible eyes. These eyes float diagonally and die only when the Bloat dies. Bloat itself slowly slides around randomly, cycling between four attacks

  • Brimstone
    If the player is horizontal to the Bloat or below it, the Bloat fires Brimstone lasers either to its sides or below it, depending on the player’s position. The Bloat cannot fire these lasers above themself

  • Radial Burst
    Jumps and releases a radial burst of projectiles upon landing

  • Creep
    Spawns large puddles of red creep around itself

  • Leap
    Leaps into the air and tries to land on the player. Spawns a puddle of creep and sends out a radial burst of projectiles upon impact

Tips for the fight:

  • For obvious reasons, do not stay horizontal to, or below the Bloat. Try to stay above them. If this isn’t possible, stay diagonal to them and wait until they leap and relocate themselves to a better position, where you can hit them from above.
  • Just like with Peep, keep an eye on the Bloat’s eyeballs

Champion versions:

  • Green
    • Fires three Ipecac-like shots instead of their usual radial burst
    • Spawns 1-2 Chargers alongside releasing red creep

Bosses – Polycephalus (3)

This section hosts information for the following bosses:

  • Polycephalus
  • Stain
  • The Pile

Appears in:

  • Catacombs (Boss)
  • Caves (Double Trouble)
  • Chapter III, Chapter IV, Sheol, The Chest, Dark Room (Enemy)

HP: 200
Description: Burrows underground and jumps out near the player to surprise them. Even then they’re a fairly simple boss

Attacks & Behavior:

  • Behavior
    Burrows underground, becoming invincible and after some time also invisible, as the ground sprite becomes gradually smaller the longer Polycephalus is underground. Approaches the player while underground and pops back up when near them before performing any of these four attacks

  • Spawn Round Worm
    Spawns a Round Worm

  • Projectile Spray
    Fires a Monstro-like projectile spray at the player

  • Radial Burst
    Fires 8 projectiles in cardinal and ordinal directions

  • Triple Shot
    Fires a wide triple shot at the player

Tips for the fight:

  • When Polycephalus goes underground, make sure to stay near them, to ensure that they pop back up before the ground sprite fades away. The last thing you want is a Polycephalus, which could pop up virtually anywhere, even right on you.
  • Back up from Polycephalus when they’re about to perform an attack. This gives you moderate time to react.
  • A good attack window is when Polycephalus is done with performing their attack and is about to burrow underground
  • Prioritise Polycephalus’ spawns over them
  • Just two bombs can make quick work of Polycephalus, and when you encounter the Bright Red champion, even a single bomb can make the fight drastically easier

Champion versions:

  • Bright Red
    • Spawns in two. Each bright red Polycephalus has 100 HP instead of 200.
    • Cannot spawn Round Worms
  • Dark Red
    • Summons Para-Bites instead of Round Worms
    • Every projectile-based attack is replaced by a ring of six projectiles

Appears in:

  • Caves, Flooded Caves (Boss)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 400
Unlock method: Defeat ??? as three different characters
Description: Posthumous version of Polycephalus. Slightly harder than the base boss

Attacks & Behavior:

  • Behavior
    Behavior is identical to Polycephalus’; burrow > pop up near the player and perform attack > repeat. Their attack set is different however

  • Spawn Charger
    Spawns two Chargers

  • Tendrils
    Whips out its tendrils to their right and left side, spawning creep below them and near Stain themself.

  • Projectile Barrage
    Sends out two, spiral-like barrages of projectiles. The first consists of fast-moving bullets which gradually slow down, and the second consists of slow-moving bullets which gradually speed up

Tips for the fight:

  • Same strategy as with Polycephalus
  • Do not stay horizontal to the Stain to avoid damage from their tendrils

Champion versions:

  • Gray
    • Spawns Round Worms instead of Chargers
    • Can’t perform Projectile Barrage

Appears in:

  • Necropolis, Ashpit (Boss)
  • The Chest, Dark Room (Enemy)

HP: 580
Description: Posthumous version of the Stain. Significantly harder than the Stain

Attacks & Behavior:

  • Behavior
    Slowly moves towards the player, cycling between four attacks

  • Spawn Bony
    Spawns a Bony

  • Spikes
    Spawns lines of spikes in the cardinal directions, starting from the edges of the arena and moving towards the Pile.

  • Burrow
    Burrows underground and quickly repositions themself to another random point in the room, indicated by where the ground sprite is moving. Pops back up shortly after and fires a line of 5 projectiles towards the player. The Pile performs this attack 3 times in total before switching to the next one

  • Charge
    Charges towards the player, stopping only when met with a wall. Creates two diagonal rock waves away from the wall upon impact along with a spray of projectiles which is aimed towards the player

Tips for the fight:

  • Pray to RNGesus that the Pile ends up not performing either Charge or Spikes, as most of the times when the Pile will be performing these attacks you will be in a spot, where it is hard to dodge them.
  • Heavily prioritise killing Bonies over damaging the Pile

Bosses – Bumbino

Appears in:

  • Chapter II (Boss)
  • Cathedral (Enemy)

HP: 385
Description: Bumbo as a boss. An annoying one at that.

Attacks & Behavior:

  • Behavior
    Walks towards the player, swiping at any obstacles in the way, destroying them. If there are any coins on the ground, Bumbo prioritises collecting coins over killing the player. Cycles between three attacks. All of Bumbino’s attacks deal a full heart of damage

  • Double Swipe
    Swipes once at the player, and then swipes again, but in the opposite direction. After swiping twice, Bumbino smashes the ground, releasing rock waves diagonally and firing rock projectiles in all directions.

  • Charge
    If the player is close to the wall and is aligned vertically to Bumbino, they quickly charge at the player and only stop when they hit a wall. Upon impact, Bumbino sends a spray of rock projectiles behind them and rocks start falling from the ceiling. Their landing position is telegraphed by a small shadow that appears for ~1s before the rock falls.

  • Butt Bomb
    Rarely launches a butt bomb towards the player

Tips for the fight:

  • This fight can go two ways; either you have a build that can melt Bumbino in seconds or Bumbino melts you in seconds. You’re almost guaranteed to get hit at least once in this fight.
  • When the rocks start falling down, constantly path to the nearest area without shadows to ensure that no rocks hit you.
  • Since Bumbino only uses Charge when they’re vertically aligned to you, you’d think that constantly staying horizontal to them would avoid having to dodge Charge at all if Bumbino can’t perform the attack in the first place, however, Bumbino tries very hard to constantly cycle between his Charge and Double Swipe attacks, meaning that after Double Swipe, Bumbino is going to perform Charge no matter what, and will align themself with the player to do so. Even then, staying horizontal to them is somewhat difficult, considering that obstacles are often present in the arena in large amounts.

Bosses – Reap Creep

Appears in:

  • Depths, Dank Depths, Mines (Boss)
  • The Chest (Enemy)

HP: 690
Description: A Wall Creep combined with a Blind Creep and a Rage Creep turned into a boss. Relatively hard attack set. Has three phases

Attacks & Behavior (First Phase):

  • Behavior
    Spawns in the middle and quickly hops onto the northern wall. Tries to align itself vertically to the player afterwards.

  • Spawn Wall Creep
    Spawns a Wall Creep on either the left or right wall

  • Projectile Stream
    Fires a continuous stream of projectiles, while trying to align with the player

  • Phase 2
    Bringing Reap Creep down to 66% HP triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    Switches to its Blind Creep form and loses all attacks from Phase 1.

  • Spawn Enemy
    Spawns either a Trite or 3-4 spiders

  • Projectile Spray
    Fires a large, Monstro-like projectile spray

  • Projectile Waves
    Fires a few waves of spaced projectiles

  • Phase 3
    Bringing Reap Creep down to 33% HP triggers Phase 3

Attacks & Behavior (Third Phase):

  • Behavior
    Switches to its Rage Creep form. Loses all attacks from Phase 2

  • Brimstone Laser
    Charges up, before firing a brimstone laser in either of these two patterns:

    • One, semi-large brimstone laser aimed at the bottom of the screen. When charging up, and when using the attack itself, Reap Creep tries to align with the player. This attack is telegraphed by a coarse inhale.
    • Four diagonal lasers, 2 on each side, which partially close in on the center. When charging up, and when using the attack itself, Reap Creep tries to align with the player. This attack is telegraphed by a deep “hum”.

  • Charge
    Charges to either the left or right side of the screen, causing rocks to fall from above. Their landing position is indicated by a small shadow, ~1,5s before they collide with the ground. Some of these rocks have a chance to be spiders, or Rock Spiders if Reap Creep is fought in the Mines.

Tips for the fight:

  • During Phase 1, stay in the middle of the screen to avoid being hit by a newly spawned Wall Creep
  • During Reap Creep’s attacks in Phase 2, stay to him aligned horizontally as much as possible. This will either dodge the projectile waves completely or give you tons of room to dodge the projectile spray
  • During both Phase 1 and 2, prioritise Reap Creep’s spawns over damaging Reap Creep
  • During Phase 3, listen to Reap Creep to know which brimstone attack is coming up. Alternatively, staying horizontal to the Reap Creep can avoid both attacks. However, because the northern side of the arena is always one big pit, you need flight to align yourself horizontally to Reap Creep. Even without flight, you still have a ~20-degree margin of error, so if you can’t align yourself perfectly, you still have a chance of dodging the attack

Bosses – Hornfel

Appears in: Mines (Boss)
HP: 240
Description: Bomb-themed boss. Uses minecarts to move around. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Spawns in a special boss room, where there are multiple boss room doors connected to each other using rails. Hornfel rides along these tracks while cycling between four attacks. Sometimes Hornfel may enter the arena alongside 2 Fly Bombs. Sometimes an additional minecart enters the arena, which contains either a Fireplace or TNT or an enemy.

  • Bombs
    Throws 1-2 bombs at the player. These have a chance to be Hot Bombs or Sad Bombs

  • Brimstone Bombs
    Throws three brimstone bombs in random places

  • Decoys
    Enters the arena alongside two decoys, which have little to no HP and explode into 6 troll bombs upon death.

  • Bomb Flurry
    Accelerates along one set of tracks, rapidly throwing out bombs near himself, before eventually slowing down and puking out a fireball, which spawns lines of fire along the cardinal directions upon impact.

  • Phase 2
    Depleting all of Hornfel’s HP triggers Phase 2

Behavior (Second Phase):

  • Behavior
    Runs to the nearest boss room door in an attempt to escape. If Hornfel manages to escape, the fight ends

  • Death
    If you manage to kill Hornfel before he escapes, he can drop either three bombs, the Brimstone Bombs item, or the Remote Detonator item.

Tips for the fight:

  • Hornfel is immune to his own explosions. Player-created explosions still hurt him though
  • If the Decoy attack happens right after Brimstone Bombs, the decoys might get unavoidably killed by the Brimstone Bomb lasers, spawning 12 troll bombs
  • Enemies inside minecarts almost never attack, so it’s pointless to focus on them
  • During Bomb Flurry it’s best to just stay as far away from Hornfel as possible and just wait out the attack
  • Prioritise killing any Fly Bombs that may be present

Bosses – Great Gideon

Appears in: Mines, Ashpit (Boss)
HP: 6 waves
Description: Stone grimace on drugs. Summons enemies to fight for them.

Attacks & Behavior:

  • Behavior
    Spawns near the northern wall of the room. Spawns six waves of enemies. The player needs to defeat the wave before going onto the next. Great Gideon additionally performs attacks of their own. These include:

  • Projectile Bubble
    Spits five projectiles in a cone shape towards the player. The center projectile is significantly bigger and stops mid-trajectory before exploding into 8 projectiles which travel in cardinal and ordinal directions

  • Vacuum
    Sucks in all entities and also causes harmful rock projectiles to spawn along the left, right and back walls, which get sucked in as well.

  • Furnace
    Heats up and spews out fiery projectiles towards the bottom middle of the screen. Some of these projectiles leave damaging fire behind.

  • Special Attack
    Once the 4th wave spawns in, Great Gideon will always create a line of Pit tiles towards the bottom of the screen, which divides the arena into two “rooms”. There will always be one gap in this line, allowing the player to go to the other side if needed.

  • Death
    Killing all 6 waves deactivates Great Gideon, ending the fight

Tips for the fight:

  • The camera for some reason likes to pan to Great Gideon when they’re using the Vacuum attack. This can easily result in the player getting hit by an unexpected rock. This can be partially remedied by staying at the bottom of the arena.
  • If you have a Chaos Card which you do not want to use for any specific final boss, you can use it on Great Gideon to open up a special crawlspace. This crawlspace contains loot in the form of two chests, a single key and two items.
    • Make sure to hit Great Gideon themself with the card, not their spawns.

Bosses – Singe

Appears in: Ashpit (Boss)
HP: 444
Description: Explosion/fart/spike-themed boss. Tough fight if not dealt with fast enough.

Attacks & Behavior:

  • Behavior
    Always spawns alongside 4 spiked rocks, which can be knocked about by explosions or physical contact. Slowly walks towards the player and cycles between four attacks

  • Charge
    Erratically runs towards the player, before stopping to explode.

  • Fart
    Farts, creating explosive gas

  • Stagger
    Depleting enough of Singe’s HP triggers this attack. Suddenly stops, before exploding into the air, creating a small circle of pits. Lands back down shortly after somewhere near the player. An additional spiked rock lands along Singe.

  • Fiery Fart
    After the second Stagger, Singe can perform this attack. Stands still and farts fire at the player, while also being pushed back. This fire can travel for as much as 4/5 of the horizontal room length

Tips for the fight:

  • The spiked rocks can fall into pits, despawning them. However, they come back shortly after whenever Singe performs Charge
    • Only one rock comes back per Charge.
  • Explosion-based items like Ipecac, or Dr. Fetus can also knock the spiked rocks around. This can be used to intentionally despawn them, making the fight easier. More often than not though, this combo results in unnecessary damage.
  • The spiked rocks can damage Singe if they have enough momentum

Bosses – Loki (2)

This section hosts information for the following bosses:

  • Loki
  • Lokii

Appears in:

  • Chapter III (Boss)
  • Utero (Double Trouble)
  • Chapter IV, Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 350
Description: Very simple attack set, which may still catch the player off guard sometimes.

Attacks & Behavior:

  • Behavior
    Always spawns alongside a single Poky. Floats around randomly and cycles between two attacks. Loki also occasionally teleports to a random place in the room

  • Spawn Boom Fly
    Spawns a Boom Fly

  • Projectiles
    Fires projectiles in either of these two patterns:

    • 8 projectiles in all directions
    • 4 projectiles in cardinal directions followed by 4 projectiles in ordinal directions and then 4 projectiles in cardinal directions again.

Tips for the fight:

  • [none]

Appears in:

  • Chapter IV (Boss)
  • Utero, Sheol, The Chest, Dark Room (Enemy)

HP: 700
Description: Posthumous version of Loki. Slightly harder than the base boss

Behavior:

  • Behavior
    The fight is identical to fighting 2 Loki’s at once. The only difference is that both of the Loki’s spawn Red Boom Flies instead of normal Boom Flies

Tips for the fight:

  • Focus on one Lokii at a time

Bosses – Mask of Infamy (2)

This section hosts information for the following bosses:

  • Mask of Infamy
  • The Visage

Appears in:

  • Necropolis (Boss)
  • Dark Room (Enemy)

HP: 350 (150 mask, 200 heart)
Description: Tedious. That’s all. Has two phases

Behavior (First Phase):

  • Behavior
    Always spawns alongside its heart. Is invulnerable until the heart is destroyed. The mask turns to the player and chases them at an increased speed if they’re adjacent to the Mask of Infamy in any cardinal direction. Paths directly to the player every time the heart takes damage. The heart can fire 8 shots in all directions if the player is nearby

  • Phase 2
    Killing the heart triggers phase 2

Behavior (Second Phase):

  • Behavior
    The mask can now be damaged by shooting its eye in its back. The front is still invulnerable though. The behavior of the mask is otherwise the same.

Tips for the fight:

  • This fight is extremely tedious without piercing shot, as at most you’ll get one or two shots at the mask before it starts chasing you in Phase 2. More often than not it’s just better to bomb it twice to finish it off quickly

Appears in: Gehenna (Boss)
HP: 620
Description: Gehenna-themed version of the Mask of Infamy. Significantly harder than the base boss. Has three phases

Behavior (First Phase):

  • Behavior
    In the first phase, the mask and heart are bound together by a chain, which has 150 HP. This chain also has a fixed length, and extends to only four tiles, however, the mask can temporarily extend the chain and ram into the nearest wall, spawning a burst of rock projectiles, before returning back to the original chain.

  • Phase 2
    Killing the chain triggers the second phase

Attacks & Behavior (Second Phase):

  • Behavior (Mask)
    Behaves identically to the Mask of Infamy in its second phase. Can be used by the heart to perform certain attacks. The mask can also be deactivated permanently, until Phase 3 begins, if it takes 100 damage.

  • Behavior (Heart)
    Avoids the player and occasionally fires a chain towards the mask and performs one of the following four attacks:

  • Brimstone Helix
    The heart pulls the mask to itself and causes the mask to fire two brimstone lasers in a double helix pattern. This causes both to get slightly pushed back

  • Swing
    Attaches the chain to the mask and swings it around in a spiral while also bringing the two closer. The mask fires purple projectiles outward while being reeled in. If the mask collides with wall before it unites with the heart, it creates rock projectiles on impact

    • The mask will not fire projectiles when it’s deactivated

  • Leap
    Pulls the mask in, leaps off-screen and tries to land on the player. Creates diagonal rock waves and a disorganized burst of rocks upon impact.

  • Chain
    Swings the chain at the player instead of the heart. If the chain connects, the player is unavoidably brought into the heart, dealing contact damage in the process. If the chain hits a wall, the heart is pulled towards it, creating a burst of rocks and purple projectiles. This attack can only be used when the mask is deactivated

  • Phase 3
    Bringing the heart down to 50% HP triggers Phase 3

Attacks & Behavior (Third Phase):

  • Behavior
    The heart sheds its outer layer and gains a new set of attacks, while discarding the previous one. Erratically floats around randomly

  • Energy Ball
    Spawns an energy ball. These are used in other attacks and can be killed; they have 50 HP. If the mask is deactivated, any energy ball that collides with it will reactivate it, causing it to fire a brimstone laser backwards, which propells it into a wall. The mask spawns a burst of rocks upon contact with the wall. Energy balls which collide with the activated mask still interact with it; causing it to fire another brimstone laser behind itself

  • Radial Burst
    Briefly stops and fires a ring of 16 projectiles

  • Fiery Radial Burst
    If there are 3 or more energy balls in the arena, the mask deactivates and the mask starts charging up before releasing 4 waves of tightly-packed fires and 4 short-ranged diagonal brimstone lasers. The only way to dodge this attack is to hide behind the mask.

Tips for the fight:

  • Deactivating the mask in Phase 2 makes the fight slightly easier. Other than that there’s not much else to say, seriously; you either melt the boss immediately or the boss melts you immediately.

Bosses – The Siren

Appears in: Mausoleum (Boss)
HP: 666
Description: Uses your familiars as an additional way to attack you.

Attacks & Behavior:

  • Behavior
    Floats around randomly and cycles between six attacks

  • Charm
    Sings, turning the player’s familiars against them. These familiars will start orbiting the Siren.

  • Spawn Siren Minion
    If the siren has less than three familiars/orbitals orbiting her, she spawns 3 minions of her own. These minions behave identically to Brother Bobby.

  • Familiars
    Glides around, letting her familiars use their effects against the player. After a while, the Siren swings in the direction of the player, releasing her ring of familiars. This ring will explode into a ring of projectiles upon contact with a wall. The amount of projectiles in the ring depends on the amount of familiars killed. The player’s familiars will not be killed and will be returned to the player instead. They will still count towards the projectile ring, however

  • Creep
    Sinks into the floor, chasing the player, indicated by the black creep she leaves behind. Reappears shortly after.

  • Scream
    Screams and starts emitting a shockwave and spawning nine pulsating rings of projectiles, one after another. The shockwave pushes the player and their projectiles back like an inverted Gaping Maw

  • Swipe
    Swipes at the player and additionally fires a 5-shot towards them

Tips for the fight:

  • During Charm, more often than not, your familiars will deal immediate contact damage to you when they become charmed. This can be remedied by positioning them correctly. This is not the case for orbitals; they will immediately be teleported to the Siren
  • Turn down your volume if you have it high. The screams are ear-wrenching

Bosses – Horny Boys

Appears in: Gehenna (Boss)
HP: 707
Description: Hornfel and Loki fused together. Semi-difficult

Attacks & Behavior:

  • Behavior
    Floats around randomly and cycles between five attacks

  • Projectiles
    Chains together numerous consecutive tear patterns while gradually increasing the rate in which they are fired. At the end of the attack, Hornfel vomits out three fireballs, which leave fire lines in cardinal directions

  • Brimstone Bombs
    Teleports, while throwing short-fused Brimstone Bombs. In total, the Horny Boys teleport 3 times.

  • Sad Bombs
    Throws Sad Bombs at their feet to create a smokescreen, before teleporting to another location and repeating the attack. In total, the attack is performed 5 times

    • The Sad Bombs work normally, and spawn a radial burst of 8 projectiles in all directions

  • Triple Bomb
    Juggles three bombs and fires them at the player shortly after. These bombs have a chance to be Hot Bombs or Sad Bombs

  • Spawn Boom Fly
    Spawns a Boom Fly accompanied by three Eternal Fly Bombs orbiting it.

Tips for the fight:

  • [none]

Bosses – Blastocyst

Appears in:

  • Womb, Scarred Womb (Boss)
  • Chapters I-IV (Enemy, in small form)
  • Chapter IV, The Chest, Dark Room (Enemy, in medium form)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 460 in total (Large form has 190 HP, medium form has 75, small forms have 30. There is 1 large form, 2 medium forms and 4 small forms in total)
Description: Only the large form is a somewhat difficult boss. The rest is a cakewalk.

Attacks & Behavior (Large Form):

  • Behavior
    Stands still and occasionally hops towards the player. Cycles between two attacks

  • Hop
    Hops, creating a disorganized burst of projecitles around themself

  • Leap
    Leaps and tries to land on the player. Upon impact, creates a radial burst of 8 projectiles which travel in all directions

  • Medium Form
    Killing the large Blastocyst makes it split into two medium copies of itself

Behavior (Medium Form):

  • Behavior
    Hops around aimlessly and sometimes spawns a hexagonal burst of projectiles upon impact

Behavior (Small Form):

  • Behavior
    Hops around aimlessly and sometimes fires 4 shots in cardinal directions

  • Death
    When the small form killed, an Embryo enemy is left behind

Tips for the fight:

  • Once you kill the large form, you basically won the fight

Bosses – Daddy Long Legs (2)

This section hosts information for the following bosses:

  • Daddy Long Legs
  • Triachnid

Appears in:

  • Utero (Boss)
  • Cathedral, The Chest, Dark Room (Enemy)

HP: 500
Description: A literal giant enemy spider. Mainly uses their legs to attack the player

Attacks & Behavior:

  • Behavior
    Stationary. Cycles between three attacks

  • Stomp
    Stomps the player 4 (occasionally five) times, before slamming down in the vertical middle of the screen, firing out 8 shots in all directions

  • Quick Stomp
    Stomps 4 times at random locations. One of these is guaranteed to be near the player

  • Spawn Spider
    Spawns 2-3 Spiders

Tips for the fight:

  • During Stomp, do not stand in the vertical middle of the screen. Otherwise you’ll take unavoidable damage when Daddy Long Legs slams down

Appears in: Utero, Scarred Womb (Boss)
HP: 500
Unlock method: Defeat Isaac 10 times
Description: Alternate version of Daddy Long Legs. Slightly easier than the base boss

Attacks & Behavior:

  • Attacks & Behavior
    Behavior of Triachnid is identical to that of Daddy Long Legs, except Triachnid uses only three limbs at a time, and each of his attacks spawn slowing, white creep. Triachnid also spawns a single Trite instead of spiders

Tips for the fight:

  • Same as Daddy Long Legs; during Stomp, do not stand in the vertical middle of the screen. Otherwise you’ll take unavoidable damage when Triachnid slams down

Bosses – Mr. Fred

Appears in: Womb, Scarred Womb (Boss)
HP: 500
Description: Boss version of the Fred enemy. Extremely easy.

Attacks & Behavior:

  • Behavior
    Stationary. Stays in the middle of the room and cycles between three attacks. He also spawns alongside 4 Homunculi. He can release them at any time.

  • Spawn Fred
    Spawns a Fred

  • Burrow
    Burrows into the ground and reappears shortly after, releasing 8 shots in all directions

  • Creep Shot
    Fires out four large projectiles in cardinal directions, which leave creep behind themself. They leave a bigger puddle of creep upon contact with the ground

Tips for the fight:

  • The Homunculi that accompany Mr. Fred cannot release themself, and are only released under Mr. Fred’s command

Bosses – Rotgut, Chimera, The Scourge

This section hosts information for all of the corpse bosses: Rotgut, Chimera, and the Scourge


Appears in: Corpse I (Boss)
HP: 1800
Description: A boss so complex you might as well classify it as a final boss. If you encounter them, say goodbye to your run. Has three phases

Behavior (First Phase):

  • Behavior
    Stationary. Sits in the middle of the room and spews projectiles and enemies everywhere.

  • Phase 2
    Killing the first phase forces Rotgut to suck the player inside themself. This triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    The player jumps into Rotgut and enters a crawl space-like interior, with a maggot sitting on the right. The interior consists of two floors: the platform, and the floor. The maggot’s attacks are the following:

  • Brimstone Laser
    Fires a brimstone laser which covers the entire floor of the room

  • Bomb
    Spits out a projectile, which lands on the platform. Upon contact, this projectile splits into multiple arcing projectiles

  • Vomit
    Charges up before vomiting projectiles, Attack Flies and Maggots towards the floor.

  • Waving Shots
    Spews out a couple of projectiles moving in a wave pattern. These projectiles cover both the platform and the floor

  • Gas & Projectiles
    Spews out projectiles and toxic gas towards the platform

  • Phase 3
    Killing the maggot lets the player enter the heart chamber, where Phase 3 begins

Behavior (Third Phase):

  • Behavior
    Sits at the top middle of the screen, similar to Mom’s Heart or It Lives. Each pulse of the heart releases a ring of projectiles. The other attacks are so complex and undodgeable that it’s not even worth it to describe them.

Tips for the fight:

  • Either you melt the boss instantly or you die instantly, there’s no other fucking tip. This boss is impossible

Appears in: Corpse I (Boss)
HP: 950
Description: Similar in difficulty to Rotgut. Their lower HP makes them an easier fight than Rotgut, even though both are impossible anyway

Attacks & Behavior:

  • nope, i’m done, i’m fucking done– i spawn him in, take a look at his attacks and immediately decide that whoever was designing this sodding piece of shit was on some HEAVY drugs. i am not going to waste my precious time on describing each of his attacks in detail because 3/4 of them are impossible to dodge anyway. i’m done. fuck the scourge, fuck this game, fuck my life, fuck everything. the fact that i’m even writing this instead of following protocol just shows how bullshit this boss is.

Tips for the fight:

  • 🙂

Appears in: Corpse I (Boss)
HP: 545
Description: Unlike the other two, this one can actually be dodged consistently. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Chases the player while performing any of these four attacks:

  • Spawn Maggots
    Spawns 5 small Maggots

  • Spawn Sick Boom Fly
    Spits out a Sick Boom Fly and slaps it towards the player

  • Jump
    Jumps twice towards the player. During the first jump, Chimera fires out 8 projectiles in all directions upon impact, and during the second jump, they release rock waves in all diagonal directions

  • Vomit
    Vomits out 8 Ipecac-like projectiles towards the player’s position. Landing positions are marked

  • Phase 2
    Bringing Chimera down to roughly 50% HP triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    Chimera performs one last charge before tripping, which divides the head and body into separate entities. Both have a unique set of attacks

  • Attacks & Behavior (Body)
    • Chases the player while occasionally peforming any of the attacks below
    • Fires a brimstone laser downwards, which propells it into a wall
    • Runs towards the player and starts rolling around
    • If the head dies first, it starts endlessly rolling around

  • Attacks & Behavior (Head)
    • The head slides around aimlessly while performing any of the attacks below
    • Fires 4 waves of 5 lines of projectiles at the player
    • Dashes three times towards the player. The third dash is always aimed towards the body, which picks up the head and throws it towards the player. The head during this will leave projectiles behind itself and will spawn a disorganized burst of projectiles upon collision with a wall
    • If the body dies first, the head will continuously perform long charges towards the player

Tips for the fight:

  • Focus on Chimera’s spawns during Phase 1; they become a real nuisance if not dealt with quickly
  • Staying far away from the head during Phase 2 gives you more reaction time to dodge the projectile attack it rarely performs

Bosses – Dogma

Unlike what you’d think, Dogma, by the game’s definition at least, is NOT a final boss, mostly because they don’t have their own completion mark, but also because their relatively low health and simple attack set would not classify them as a final boss anyway, even if they’re a part of the Beast fight.
The Ultra Harbingers will be listed inside of the Beast’s final boss section.

HP: 2400
Armor: 30
Description: Dogma is the first boss out of 6, which the player fights in the Home floor. They are Isaac’s portrayal of the christian broadcasts he used to watch with his mother. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Dogma is tethered to the TV, which protects him from damage. This TV needs to be destroyed to allow the player to hit Dogma. Damaging creep actively appears under Dogma throughout the entirety of Phase 1

  • Aura Tears
    Dogma will fire 3-4 waves of godhead-like tears. Staying in their aura for too long damages the player

  • Tear Burst
    Dogma will fire 4 consecutive bursts of tears, each one containing more tears than the previous one. When below 60% health, Dogma will sometimes stop the tears mid-flight, leaving them to float in place. This variation occurs more often the less health Dogma has

  • Laser Tears
    Dogma will fire 3-4 waves of a random arrangement of tears, which spawn harmless beams upon landing. After a while, damaging lasers spawn in place of these beams.

  • Static Brimstone
    Dogma will fire a brimstone beam in the closest cardinal direction to the player. This beam actively bends towards the player, and will switch sides if the player moves too far away from it. The laser can switch only 3-4 times

  • Phase 2
    Destroying the TV triggers the second phase

Attacks & Behavior (Second Phase):

  • Behavior
    Upon destroying the TV, Dogma falls into the ground and reappears shortly after as an orb, which grows a pair of wings. This new form will slowly float towards the player.

  • Feather Spread
    Dogma will gather their wings together and fire a spread of feathers towards the player. This is usually the first attack that Dogma performs

  • Orb of Light
    Dogma will create a ball of light over their head. Harmless beams of light protrude from this ball, which then stop and become damaging lasers. This attack repeats 3 times in total before Dogma throws the ball towards the player which does the same attack, albeit with a smaller amount of beams. Dogma will not attack until the ball and its’ beams have disappeared.

  • Ophanim
    Dogma shapeshifts into a winged wheel and flies out of the screen. Shortly after Dogma charges towards the player from the same direction they disappeared from, simultaneously firing 3 layers of 12 feathers. Dogma will charge the player 6 times in total before the attack is over.

  • Death
    Depleting Dogma’s health kills them, gives the player the Dogma item, and triggers the Beast fight

Tips for the fight:

  • The player spawns extremely close to Dogma, and not moving or moving up always results in the player being damaged. To avoid this, instantly move down to get away from Dogma before he deals contact damage to the player.
  • The only really difficult attack the first phase has is the brimstone beam, which can still be dodged consistently with practice. The best way to dodge this attack is to stay diagonal to Dogma, and trying to get the laser to switch as many times as possible
  • The player has to stand for a decently long time inside the tear aura to actually get hit, meaning you get tons of room for error during this attack. Just make sure not to hit the tear itself
  • Staying far away from Dogma allows for more reaction time
  • When Dogma enters their second phase, the player can put a bomb near them when they appear as an orb, the bomb doesn’t make much of a difference but it’s at least something.
  • The only breather you get during the second phase is the ball of light attack, which is usually easy to avoid and pretty slow-paced.
  • Running around in circles during the Ophanim attack is usually surprisingly effective, just make sure not to hit the feathers. Try to put as much distance between you and Dogma before he releases the 3 layers of feathers.
  • The feather spread can catch you off guard, keep your distance
  • A useful attribute to have in this fight is speed. 1.50-2.00 speed is optimal, while anything below 1.00 can sometimes result in unavoidable damage

Bosses – Universal

This section hosts information for the following bosses:

  • The Fallen
  • Headless Horseman

Appears in:

  • Anywhere from Basement II to Womb I if the player has entered the premises of a devil room (Boss)
  • Sheol, The Chest, Dark Room (Enemy)

HP: 60
Stage HP: 45
Description: It’s always a pleasant surprise to find this boss. Has two phases

Attacks & Behavior (First Phase):

  • Behavior
    Flies aimlessly and peforms 2 attacks

  • Projectile Spread
    Fires a spread of three shots, and then four shots towards the player

  • Charge
    Starts chasing the player at an increased speed. Once the Fallen takes enough damage, they fire 4 Brimstone lasers in all cardinal directions

  • Phase 2
    At 50% HP, the Fallen enters its second phase

Behavior (Second Phase):

  • Behavior
    Splits into two copies of itself. These copies have an identical AI to The Fallen in Phase 1

  • Death
    Upon death, the Fallen drops an item from the Devil Room item pool instead of the Boss Room pool.

Tips for the fight:

  • Focus on one Fallen at once in Phase 2

Appears in:

  • Anywhere from Basement II to Womb I (Boss)
  • Necropolis (Enemy, only head)
  • Sheol, Cathedral, The Chest, Dark Room (Enemy)

HP: 160
Stage HP: 30
Description: It’s always an unpleasant surprise to find this boss. Exists as two separate entities

Behavior:

  • Behavior
    Spawns as two separate entities, the head and the body. The head can either shoot a triple shot towards the player or start charging, wrapping around the screen three times before stopping, while the body only shoots Ipecac-like projectiles towards the player, which leave a big puddle of creep upon impact

  • Death
    The Headless Horseman always drops the Pony item upon death instead of a Boss Room pool item.

Tips for the fight:

  • Focus on the head first; its triple shot is extremely annoying

Boss Rush

Pictured: The inside of a typical Boss Rush arena, this one in particular featuring 4 items to choose from

Boss Rush is a special optional area located in Chapter III and its alternate versions (including Mausoleum and Gehenna).

It can be accessed only after beating Mom in under 20 minutes (25 in Mausoleum/Gehenna).
Doing so will spawn the door leading to the room. This door will despawn upon exiting the room if the in-game timer goes past 20/25 minutes.

The room itself is a 2×2 room, containing either 2, 4 or 8 items inside, which the player can choose from. Picking up an item despawns the others and triggers the Boss Rush.

The Boss Rush consists of 15 waves, each of which spawns two random bosses that the player needs to fight to proceed to the next wave. The bosses are pulled from Chapters I-III, with a few from Chapter IV as well.

Killing the 15th wave will end the Boss Rush, spawning an additional item as a reward.

The Boss Rush counts as a completion mark, meaning the player will have to complete it with each character in order to 100% the game. Once that’s done though, the player can still use the Boss Rush to their advantage by teleporting out of the room after picking up an item. This is made easier with the guaranteed marked skull in Depths II once the Strange Door has been unlocked.

This method does give you just one item instead of the usual two you’d get from fighting Boss Rush normally, but it beats fighting through 30 bosses, risking your run in the process, especially if your run isn’t suited for such a challenge yet.

Final Bosses – Introduction

Final Bosses are super-strong class bosses, which have special attack patterns, a lot of health, and usually end, or choose the path of your run

In TBoI: Rebirth there are 12 final bosses, with 2 of them being in Greed Mode

Final Bosses – Mom


Appears in: Second floor of Chapter III, regardless of the floor version.
HP: 645
Phases: 1

Arena, Attacks & Behavior:

  • Arena
    Mom’s arena has 4 boss room doors in the middle of each wall. Mom can use these doors to perform attacks

  • Behavior
    Upon spawing, always stomps once in the middle of the room. Exists off-screen and comes on-screen to perform any of these attacks:

  • Stomp
    Grunts before stomping the player with her foot. A giant shadow under the player also telegraphs the stomp

    • The foot deals contact damage even after the stomp

  • Flesh
    A bit of Mom’s skin peeps out of the door and spawns a random low-tier monster

  • Eye
    One of mom’s eyes peeps out of the door. The eyes are harmless except for their contact damage.

  • Hand
    If the player is near any door, one of Mom’s hands rushes out of the door in an attempt to deal contact damage to the player

  • Death
    Upon death, Mom:

    • Kills all enemies in the room (except for Globins, which get turned into goo)
    • Drops The Polaroid and/or the Negative items (if unlocked)
      • If the Polaroid or the Negative are not unlocked, Mom will drop an item from the Boss Room item pool
    • Has a 5% chance to spawn the Void gateway (if unlocked) if the player has >20 items or >10 damage.
    • Triggers the Epilogue ending cutscene if she is defeated for the first time

Tips for the fight:

  • The player is permanently trapped inside the room, even after Mom has been killed. Make sure that you’re done with everything on the floor before fighting Mom
    • The player can still get out by teleporting, via items such as tarot cards (The Fool, The Hermit, The Moon, The Stars), pills (Telepills effect) or active or even passive items (Teleport, Cursed Eye (charge the shot and bomb yourself while the shot is still charging) etc.)
  • If possible, move in a small circle around the middle, to have the best chance of avoiding the stomp while also not risking being hit by the hand. Alternatively, you can stand in a corner, where there’s no obstacles and wait for Mom to stomp there
  • Prioritise killing any chaser-type enemies over damaging Mom

Champion versions:

  • Blue
    • +23% HP (for a total of 793.4 HP)
    • Spawns different enemies from her normal version, these are:
      • Trites
      • Spiders
      • Big Spiders
      • Buttlicker
      • Keeper
  • Red
    • More aggressive AI: doesn’t spawn enemies, uses her hands more often, her eyes shoot a triple shot upon spawning, stomps significantly more often

Alternate path version:
Mom has a special, stronger version of herself, which appears in Mausoleum II or Gehenna II.
The differences between the two versions are:

  • Alt Mom can perform a triple-stomp, where she stomps the player three times in quick succession, with the third stomp releasing explosions in cardinal directions
  • Alt Mom’s eyes fire brimstone lasers in a double helix pattern if the player is in their line of sight
  • The enemies Alt Mom spawns are significantly stronger than default Mom’s. These include:
    • Cursed Globins
    • Fetal Demons
    • Rag Man’s Raglings
    • Suckers
    • Attack Flies
    • Psychic Horfs
  • Alt Mom cannot use her hands, unlike default Mom

Final Bosses – Mom’s Heart


Appears in: Second floor of Chapter IV (except for the Corpse), or in Mausoleum II/Gehenna II
HP: 950
Unlock method: Kill Mom
Phases: 3

Arena, Attacks & Behavior (First Phase):

  • Arena
    As opposed to Mom, Mom’s Heart’s arena is a normal boss arena. The player always spawns on the middle bottom of the arena, regardless of the door position

  • Behavior
    Sits in the top middle of the arena. Spawns accompanied by two eyes. Killing each eye spawns another one in its place at the top of the screen. When fighting the eyes, Mom’s Heart will retreat upwards and fire a pattern of 4 slow projectile lines, which slowly rotate clockwise. Mom’s Heart is invulnerable when she’s in the ceiling. When the second set has been killed, Mom’s Heart alternates between two states

  • Projectile State
    Fires projectiles in various patterns, these include:

    • 10 projectiles in all directions that expand outwards either continuously or in a pulsating manner
    • 3 pulsating curved lines of projectiles that rotate and expand outwards
    • 2 rings of ten projectiles that pulsate outwards at different intervals
    • A single, continuous line of projectiles that follows the player
    • 8 slightly curved lines of projectiles that rotate and expand outwards
    • 5 lines of projectiles that mimic the player’s movements
    • 4 curved lines of projectiles that continuously rotate and expand outwards.

  • Summon State
    Mom’s Heart spawns two enemies of a singular type and stops performing her special projectile attacks shortly after, before retreating to the ceiling and firing the four projectile lines. Killing the enemies is required to progress, and doing so will revert Mom’s Heart to the projectile state. Just like with the Eyes, the enemies spawned by Mom’s Heart are replaced once by another one after they have been killed.

  • Phase 2
    Bringing Mom’s Heart down to 60% HP triggers Phase 2

Behavior (Second Phase):

  • Behavior
    Mom’s Heart cannot retreat to the ceiling anymore and constantly performs her projectile attacks along with occasionally spawning two enemies of the same type

  • Phase 3
    Bringing Mom’s Heart down to 10% HP triggers Phase 3

Behavior (Third Phase):

  • Behavior
    Mom’s Heart abandons all of her previous attacks and fires 4 diagonal brimstone lasers, which rotate either clockwise or counter-clockwise shortly after.

  • Death
    Upon death, Mom’s Heart fires out a ring of 14 projectiles and also:

    • Spawns the End Chest
    • Has a 10% chance to spawn the Void gateway (if unlocked)

Tips for the fight:

  • High range helps you deal with the Eyes at the beginning of the fight. If you have items like Technology, you can take care of the two side Eyes, and then rush to the top of the screen to quickly kill the two replacements.
  • A single bomb can kill Mom’s Heart in any point of time in Phase 3, essentially evading the whole phase altogether

Alternate path version:
Mom’s Heart has a special, stronger version of herself, which appears in Mausoleum II or Gehenna II. To access her, the player needs to complete the Repentance puzzle and open the door leading to her chamber, which appears after defeating Alt Mom. Alt Mom’s Heart has completely different, and much more complex behavior:

  • The player needs to kill only two Eyes instead of four.
  • Alt Mom’s Heart never retreats to the ceiling except when fighting the Eyes
  • Alt Mom’s Heart never summons enemies and is permanently in the projectile state. Her attacks are different from normal Mom’s Hearts. They are the following:
    • 2 interwined rings of 8 projectiles that expand outwards at different speeds.
    • 2 lines of projectiles that rotate and expand outwards in a spiral motion.
    • 5 lines of projectiles that rotate and pulsate outwards.
    • A ring of 12 projectiles that expands outwards, along with 2 rings of 4 projectiles that expand outwards and rotate in opposite directions at a higher speed.
    • 2 rings of 8 projectiles that expand outwards and rotate in opossite directions, creating curved lines that encase certain areas.

Upon death, Alt Mom’s Heart fires the 14-projectile ring, and opens the passageway to the Corpse. This passageway is in the room, in which the player fought Alt Mom

Final Bosses – It Lives!


Appears in: Second floor of Chapter IV (except for the Corpse).
Unlock method: Kill Mom’s Heart 11 times
HP: 950
Phases: 3
Permanently replaces Mom’s Heart in Chapter IV (except for the Corpse) once unlocked

Behavior:

  • Behavior
    Behavior is near-identical to Mom’s Heart with a few exceptions:

    • Spawns Knights instead of Swingers, and has a chance to spawn a boss instead of enemies.
      • It Lives can spawn either Chub, Teratoma, Fistula or Polycephalus
    • Shoots one set of double projectiles when retreating upwards after spawning enemies/bosses

  • Death
    Upon death, It Lives:

    • Fires out a ring of 14 projectiles
    • Opens the gateway to ??? if it has been killed in under 30 minutes
    • Opens the gateways to Sheol and Cathedral
    • Has a 10% chance to open the gateway to the Void (if unlocked)

Tips for the fight:

  • Tips for Mom’s Heart also apply for this boss

Final Bosses – Hush


Appears in: ???
HP: 6666 (7666 if counting the first form)
Unlock method: Defeat Mom’s Heart 10 times
Phases: 8 (3 in first form, 5 in true form)

Arena, Attacks & Behavior (First Form):

  • Arena
    Standard 2×2 arena.

  • Behavior
    Behaves identically to ???, albeit with 1000 HP instead of 2000 and longer projectile range

  • True Form
    Killing the first phase spawns the true form of Hush

Attacks & Behavior (First Phase):

  • Behavior
    Emerges from the top middle of the room. Performs 1 attack

  • Bullet Hell
    Fires barrages of glowing projectiles in certain patterns, combining 1-3 different patterns of projectiles. These patterns include:

    • Rings of projectiles that alternate between rotating clockwise and counterclockwise as they move outwards.
    • U-shaped salvos aimed at the player.
    • Lines of projectiles aimed at the player that either gain (yellow), lose (blue), or maintain (green) momentum as they travel (these lines have spaces between them every 4-5 shots).
    • 2-4 repeating volleys of 4 projectiles, with equal spacing between each volley (the angle these volleys are shot out at rotates as the attack continues).

  • Phase 2
    Hush enters the second phase when brought down to 80% HP

Attacks & Behavior (Second Phase):

  • Behavior
    Sinks into the ground, becoming invulnerable. Reemerges after a few seconds and relocates to the middle of the room. Hush retains all attacks from Phase 1 and gain a new one. Its Bullet Hell attack also gains two new patterns, these are:

    • A very dense ring of projectiles with a single gap, aimed towards the player’s general direction
    • 3-5 spirals of projectiles, with even spacing between each spiral

  • Hush Flies
    Spawns a swarm of Hush Flies, which either orbit Hush, fly in the direction the player was in when they spawned, or chase the player.

    • These flies have a short invincibility window. This period lasts for ~5s

  • Phase 3
    Hush enters the third phase when brought down to 60% HP

Attacks & Behavior (Third Phase):

  • Behavior
    Retains all attacks from the previous phases. Gains two more attacks and the Bullet Hell attack gains one more pattern:

    • A very wide spread of projectiles that closes in on where the player was standing when fired.

  • Hush Gapers
    Spawns a large amount of Blue Gapers before sinking into the ground to relocate. Hush can rarely spawn Blue Boils while relocating

  • Continuum
    Fires three wavy lines of Continuum shots in one of the four cardinal directions. These shots wrap around the screen once while constantly accelerating. Hush performs this attack 2-5 times in a row before moving onto the next one

  • Phase 4
    Hush enters the fourth phase when brought down to 40% HP

Attacks & Behavior (Fourth Phase):

  • Behavior
    Gains two new attacks. Attack cooldown is significantly reduced

  • Panic Bullet Hell
    Hush sinks into the ground and either moves aimlessly or chases the player, while performing the Bullet Hell attack and occasionally spawning Blue Boils. The Panic Bullet Hell can only use patterns from Phase 1 of the true form.

  • Splitters
    Hush fires out three, large projectiles. These projectiles split multiple times into three smaller copies of themself. This attack usually covers 2/3 of the arena in projectiles. Hush can, and will usually perform other attack before the projectiles from this attack disappear.

  • Phase 5
    Hush enters the fifth phase when brought down to 20% HP

Attacks & Behavior (Fifth Phase):

  • Behavior
    Can’t perform Hush Flies anymore. Retains all other attacks from the previous phases and gains one more attack

  • Lasers
    Fires two lasers into the air, which come back down shortly after and start chasing the player at rapid speeds. These lasers also leave behind slidy creep. While firing the lasers, Hush will also fire out five, wavy projectile lines.

  • Death
    Upon death, Hush:

    • Kills all projectile entities and enemies
    • Drops the End Chest if killed for the first time
    • Opens the gateways to Sheol, Cathedral and the Void on subsequent kills

Tips for the fight:

  • An Era Walk rard or the I’m Drowsy pill effect help a lot during this fight. Keep in mind that I’m Drowsy will make it impossible to dodge the laser attack, since the laser speed is based off the player’s unmodified speed
  • Try to kill Hush ASAP after they reach 40% HP. Hush in this state can perform some nasty combos, which will usually result in unavoidable damage

Final Bosses – Satan


Appears in: Sheol
HP: 1200
Phases: 3

Arena & Behavior (First Phase):

  • Arena
    Standard 1×1 arena

  • Behavior
    Satan himself appears as a devil statue. 4 seconds after entering the boss room, The Fallen spawns below the statue, accompanied by 2 Kamikaze Leeches.

  • Phase 2
    Killing all of the enemies awakens Satan and triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    The aforementioned statue turns into Satan’s second phase. This new form tries to stay in the middle of the screen and performs three attacks

  • Half Rings
    Fires half-rings of 8 projectiles out of both of his hands

  • Projectiles
    Fires a spread of 5, then 4 projectiles at the player

  • Brimstone
    If the player is below Satan, he can fire a Brimstone laser in either of these patterns:

    • One laser directly downwards from his mouth
    • Two lasers from both of their hands, which partially close in on the center

  • Phase 3
    Depleting Satan’s HP triggers the third phase

Behavior (Third Phase):

  • Behavior
    Satan flies off-screen and tries to stomp the player using both of their hooves. The stomps happen one after another, and both hooves are retracted when both have stomped. Kamikaze Leeches spawn at random intervals during this phase.

  • Death
    Upon death, Satan:

    • Kills all existing Kamikaze Leeches
    • Drops the End Chest (which serves as a gateway to the Dark Room, if the player has the Negative)
    • Has a small chance to spawn the portal to the Void

Tips for the fight:

  • Placing a bomb under the statue right before the Fallen spawns eliminates both of the Kamikaze Leeches and in most cases skips the first phase of the Fallen entirely
  • Constantly baiting Satan into using his brimstone attack makes the fight trivial
  • Prioritise Kamikaze Leeches in Phase 3

Final Bosses – Isaac


Appears in: Cathedral
HP: 2000
Phases: 3

Arena, Attacks & Behavior (First Phase):

  • Arena
    Standard 1×1 arena

  • Behavior
    Stationary. Lies in the middle of the room and doesn’t attack until damage is dealt to him. After any amount of damage has been dealt, Isaac starts attacking the player

  • Projectiles
    Fires projectiles in either of these patterns:

    • 10 lines of projectiles in every direction.
    • 8 groups of projectiles in a that curve back towards him.
    • 8 groups of long-range spinning projectiles along with 10 slightly curved lines of shorter-range projectiles in every direction.

  • Phase 2
    Isaac enters his second phase when brought down to 66% HP

Attacks & Behavior (Second Phase):

  • Behavior
    Stationary. Isaac stands up and gains a new set of attacks, discarding the old one

  • Projectiles
    Fires projectiles in either of these two patterns:

    • Shoots 4 projectiles in a cross pattern, which splits into four short-ranged projectiles after a short time, similar to the Cricket’s Body item.
    • Shoots 8 projectiles in all directions.

  • Light
    Summons two beams of light, both in random locations

  • Spawn Angelic Baby
    Spawns two Angelic Babies below himself

  • Phase 3
    Isaac enters his third phase when brought down to 33% HP

Attacks & Behavior (Third Phase):

  • Behavior
    Isaac grows a pair of wings and is no longer stationary. Erratically chases the player and cycles between two attacks

  • Projectiles
    Fires projectiles in either of the Phase 1 patterns

  • Light Barrage
    Teleports off-screen and summons light beams to cover the screen, starting from one of the top corners to the opposite bottom corner. Isaac always performs this attack at the start of this phase and repeats this process every time he takes a certain amount of damage.

  • Death
    Upon death, Isaac:

    • Drops the End Chest (which serves as a gateway to the The Chest, if the player has the Polaroid)
    • Has a chance to open up the portal to the Void

Tips for the fight:

  • Isaac’s projectile attacks make it hard to get close to him, or even cardinal to him. Items, which block projectiles are extremely helpful in this fight
  • Because Isaac does not attack the player until he takes damage, you can set up a powerful first hit (i.e. using the Remote Detonator to circle Isaac with bombs, and then using it to blow all of them up at once), assuming you don’t have any familiars, which may hit Isaac regardless of whether you want it or not
  • If possible, speed through Isaac’s first and second phases, as they can get really hectic if not dealt with quickly

Final Bosses – ???


Appears in: The Chest
HP: 2000
Phases: 3

Arena, Attacks & Behavior (First Phase):

  • Arena
    Standard 1×1 arena

  • Behavior
    Just like Isaac, ??? lies in the middle of the room, refraining from attacking the player until he himself receives damage. After ??? takes any amount of damage, he starts attacking the player. ??? regardless of current phase:

    • Will fire occasionally projectiles directly towards the player
    • Will have a chance for a few of his projectiles to be homing

  • Projectiles
    Fires projectiles in either of these two patterns:

    • Shoots 7-8 rapid-fire lines of projectiles in all directions that expand outwards. After taking enough damage, these lines curve while travelling.
    • Shoots 8 lines of 2 projectiles in all directions that expand outwards. Each line consists of one normal projectile and one homing projectile. After taking enough damage, these lines curve while travelling.

  • Spawn Random Fly
    Spawns either an Attack Fly, a Moter or a Pooter to orbit ???

    • The pooters shoot immediately after spawning

  • Phase 2
    ??? enters his second phase when brought down to 66% HP

Attacks & Behavior (Second Phase):

  • Behavior
    Still stationary. Stands up and gains a new attack set, but doesn’t lose the ability to spawn flies. 2 Eternal Flies start orbiting ???, partially blocking incoming shots

  • Projectiles
    Fires homing projectiles in either of these two patterns:

    • 4 projectiles in an offset X pattern.
    • 8 projectiles in all directions.

  • Phase 3
    ??? enters his third phase when brought down to 33% HP

Behavior (Third Phase):

  • Behavior
    ??? grows a pair of wings and starts slowly hovering towards the player while firing projectile patterns from Phase 1. ??? also spawns flies more frequently and can teleport near the player.

  • Death
    Upon death, ???:

    • Drops the End Chest
    • Has a chance to spawn the portal leading to the Void

Tips for the fight:

  • Tips for Isaac also apply for this boss

Final Bosses – The Lamb


Appears in: Dark Room
HP: 2600
Phases: 2

Arena, Attacks & Behavior (First Phase):

  • Arena
    Standard 1×1 arena

  • Behavior
    Floats towards the player and performs three attacks. Attack Flies may rarely spawn when the Lamb is performing their attacks.

  • Projectiles
    Fires projectiles in any of these three patterns:

    • 6 rings of 10 projectiles outwards with one projectile always aimed in the player’s direction. The Lamb continues to move towards the player at a very slow pace while performing this attack
    • Rotating waves of 3 projectiles in a around itself in all directions that split apart once they make contact with any surface, similar to the Cricket’s Body item
    • 5 rotating lines of projectiles.

  • Homing Projectiles
    Fires 2-4 lines of homing projectiles in a spread, that rotate to follow the player’s movements.

  • Explosive Projectiles
    Fires small, Ipecac-like projectiles around itself. The Lamb usually begins the fight with this attack

  • Phase 2
    Bringing the Lamb down to 50% HP triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    Splits into two entities: the head, and the body. Both have unique attack sets, and both need to be killed to end the fight

  • Attacks & Behavior (Head):
    • Floats towards the player and performs any of the attacks below:
    • Charges extremely fast towards the player, stopping at the edge of the room.
    • Performs any projectile attack from Phase 1
    • Fires four Brimstone beams in the cardinal directions. The beams can rarely rotate 90 degrees either clockwise or counterclockwise.
    • Fires a large burst of homing projectiles towards the player

  • Attacks & Behavior (Body):
    • Stationary
    • Fires a large burst of disorganized projectiles in all directions and spawns up to 5 Attack Flies
    • Creates a temporary Curse of Darkness effect upon death

  • Death
    Upon death, The Lamb:

    • Drops the End Chest
    • Has a chance to spawn the portal leading to the Void

Tips for the fight:

  • This boss can be quite hectic, make sure to kill it fast.
  • Projectile-blocking items help a lot in this fight

Final Bosses – Mega Satan


Appears in: The Chest Golden Door/Dark Room Golden Door
HP: 5000
Armor: 90
Phases: 2

Arena, Attacks & Behavior (First Phase):

  • Arena
    Standard 1×2 arena, with the upper 1/3 inaccessible. Contains a pentagram in the middle, which the player needs to step on to spawn Mega Satan

  • Behavior
    When spawned, Mega Satan sits in the inaccessible part of the room, accompanied by his two hands. Performs 5 attacks

  • Projectiles
    Closes his eyes, and fires projectiles in either of these patterns:

    • 3-5 lines of blood projectiles. The angle these shots are fired at alternates between rotating clockwise and counterclockwise. The less lines of projectiles there are, the faster they travel and rotate.
    • Spreads of brown projectiles that split into 4 smaller projectiles after traveling far enough, similarly to the Cricket’s Body item.
    • 2 spirals of blood projectiles that very rapidly rotate clockwise, creating semi-circular waves of projectiles.
    • Rings of blood projectiles, fired in rapid bursts of 3.
    • 2 spirals of blood projectiles that rotate clockwise at different speeds.
    • 3 lines of blood projectiles that alternate between slowly curving right and left with every shot fired. The angle these lines of projectiles are fired out at alternates between slightly rotating clockwise and counterclockwise.

  • Mega Blast
    Closes his eyes and fires a wide brimstone laser downwards.

  • Head Slam
    Slams his head into the floor 1-3 times, creating disorganized bursts of projectiles with each slam

  • Rock Wave
    Holds up one hand and slams it down near the player, creating a circular rock wave, which streches out for 3-4 tiles

  • Rock Wave+
    Slams the floor 6 times with both of his hands, creating horizontal rock waves, which travel downwards, and decrease in size as they do so.

  • Support
    Occasionally spawns mini-bosses/weak bosses to aid Mega Satan in fighting the player. Mega Satan can spawn the following sets of enemies:

    • Gluttony & Envy
    • Sloth & Pride
    • Wrath & Greed
    • Lust
    • The Hollow

    Stagger 1
    After taking 750 damage (85% HP), Mega Satan backs up into the darkness, becoming invincible.
    Shortly after, Famine and Pestilence spawn.
    Killing both spawns War and Death.
    Killing both of them makes Mega Satan vulnerable again.

    Stagger 2
    After taking 1500 damage (70% HP), Mega Satan becomes invulnerable again and spawns Super Envy.
    Killing Super Envy spawns Super Lust and Super Wrath.
    Killing both spawns Super Greed, Super Sloth, Super Pride and Super Gluttony.
    Killing all four makes Mega Satan vulnerable again

    Stagger 3
    After taking 2250 damage (55% HP), Mega Satan becomes invulnerable again and spawns Fallen Uriel, a reskin of Uriel with slightly more HP.
    Killing Fallen Uriel spawns Fallen Gabriel, which just like Fallen Uriel, has slightly more HP than their normal variant.
    Killing Fallen Gabriel makes Mega Satan vulnerable again.

    Phase 2
    Bringing Mega Satan down to 40% HP triggers Phase 2

Attacks & Behavior (Second Phase):

  • Behavior
    Mega Satan falls into the darkness, and pops back up as a skull shortly after. Has a completely new set of attacks, which only include complex projectile patterns; Mega Satan loses his hands and also cannot spawn bosses in this phase.

  • Projectiles
    Fires projectiles in either of these patterns:

    • 2 spirals of projectiles that slowly rotate counterclockwise. The shots zig-zag as they travel outward.
    • 2 lines of projectiles that alternate between curving left and right. These lines combine to create curving lines with a safe space that moves from the left of the arena to the right.
    • Rings of projectiles, with every other wave fluctuating in speed as it travels.
    • Many lines of projectiles that slowly curve to the left (black) and right (red); these lines create safe spaces to maneuver in that slowly shift to the right.
    • Many lines of projectiles that wiggle as they travel and slowly curve to the left (black) and right (red); these lines create unmoving safe spaces between them.
    • Six lines of projectiles, half of which slowly curve to the left (black) and right (red). These lines create safe spaces that slowly move towards Mega Satan.
    • Rings of projectiles that rotate clockwise (red) and counterclockwise (black) simultaneously.
    • Several lines of projectiles that slowly wiggle as they travel, similarly to the Wiggle Worm trinket. The angle these shots are fired at either rotates clockwise or alternates between rotating clockwise and counterclockwise.
    • Many lines of projectiles that spin as they travel, similarly to the Ring Worm trinket. The angle these shots are fired at constantly randomizes
    • Dense rings of projectiles that wiggle as they travel.
    • Several lines of projectiles that make large zig-zags as they travel.
    • Several lines of projectiles that continuously converge onto each other

  • Death
    Upon death, Mega Satan:

    • Kills all projectile entities
    • Immediately cuts the game to Ending 16 after finishing the death animation
    • Has a 50% chance to not end the game, and instead spawns the End Chest alongside a portal to the Void.

Tips for the fight:

  • Even with lots of health, this fight can still screw you over. Make sure to have a really good build, otherwise, you’ll have a bad time
  • During the second stagger, prioritise Super Pride over the other three minibosses

Final Bosses – Delirium


Appears in: The Void
HP: 10000
Armor: Variable, and only present in boss form. Does not apply for the true form
Phases: 1

Arena & Behavior:

  • Arena
    Standard 2×2 arena

  • Behavior
    Stationary in true form. Occasionally teleports to a random position in the room. Transforms into bosses the player has previously fought in their run, and uses their attacks against the player, while also performing its own, unique projectile attacks, which are:

    • 20 projectiles that slowly rotate clockwise or counterclockwise slowly while expanding
    • 16 projectiles outwards in all directions
    • 14 projectiles that rotate clockwise, counterclockwise, or back and forth while expanding.
    • 10 Projectiles that fluctuate in and out while expanding.
    • 8 slow-moving green-tinted Ipecac-like projectiles in all directions.
    • 6 projectiles that travel outwards in a zig-zag pattern.
    • 4 projectiles outwards in a lop-sided cross.
    • 4 lines of 3 projectiles that spiral outwards.
    • Spread of 5 projectiles in Isaac’s direction.
    • A burst of projectiles that travel outwards in random directions
    • A stray short-range projectile in a random direction.

    Delirium’s attack and movement speed increases the more damage they take. This is indicated by them turning red.

  • Additional Notes
    • Delirium may rarely transform into two bosses
    • Delirium may assume the form of a champion boss, instead of the normal version
    • Delirium will occasionally switch to its true form for a while
    • When switching to a multi-phase boss, the boss will assume the phase based on Delirium’s current HP
    • Delirium regains a very small amount of health when switching to a boss

  • Death
    Upon death, Delirium:

    • Spawns the End Chest upon finishing their death animation

Tips for the fight:

  • Delirium gains an absurd amount of boss armor over time, turning even the strongest of builds into dog toys. Make sure to come to the fight with a lot of health, because regardless of how good your build is, the fight will take time
  • Particularly horrible bosses to encounter prior to fighting Delirium are:
    • Mama Gurdy (the spike attack and the projectile attacks. also possible telefragging)
    • Mega Satan (ability to summon harbingers/deadly sins/angels)
    • Baby Plum (unfathomable speed when decently enraged)
    • Gemini or Steven (Suture does not disappear when Delirium transforms into another boss)
    • The Haunt (brimstone attack)
    • Fistula or Teratoma (very high speed when in small form)
    • Polycephalus, The Stain or The Pile (pops up right on the player)
    • Adversary (homing brimstone)
    • Daddy Long Legs/Triachnid (for being Daddy Long Legs)
  • Due to the previous point, it may sometimes be better to try to head straight for Delirium when in the Void instead of fighting the other bosses
  • Constantly keep your eyes on Delirium, do not lose sight.
  • A good benchmark when wondering if you can beat Delirium is if you can beat Hush without getting damaged. If you were able to do that, you stand a decent chance at defeating Delirium.

Final Bosses – Mother


Appears in: Corpse II
HP: 4222
Armor: 90
Phases: 2

Arena, Attacks & Behavior (First Phase):

  • Arena
    1×1 arena, which gets expanded to 1×2 in Phase 2

  • Behavior
    Stays at the top of the screen and cycles between five attacks. Mother takes damage to her head and her two hands, which all share the same health bar, unlike in the Mega Satan fight, where damaging Mega Satan’s hands disables them for a while.

  • Knife
    Mother takes out a knife from either her left or right side and throws it towards the bottom of the screen. This knife sends out projectile lines perpendicular to it. When the knife hits the wall it spawns a radial burst of projectiles. This attack happens very fast

  • Ground Slam
    Mother slams the ground with either her left or right hand, which releases a radial burst of 5 projectile lines and ~3 maggots.

  • Maggots
    Mother straightens her hand, which explodes afterwards, releasing ~7 maggot-like projectile lines which home in on the player after a while.

  • Horde
    Mother slightly hides off-screen and summons a horde of undead Isaac-like enemies spawning from the bottom of the screen. Any of these enemies which reach Mother get flung by her at the player. The intensity of the spawning increases until Mother slams both of her fists upwards, which causes all of these enemies to die.

  • Fistula
    Mother spits out a fistula-like ball which then she starts knocking at the player. The ball additionally spawns a radial burst of projectiles every time it hits a wall up to 1 times. Mother hitting the ball resets this counter, making the ball able to spawn the burst again. After a while, Mother slams the fistula open, splitting it into smaller parts, which split further and then spawn a horde of maggots.

  • Phase 2
    Dealing enough damage to Mother triggers Phase 2.

Attacks & Behavior (Second Phase):

  • Behavior
    Mother retreats into herself, and fires a massive Brimstone laser downwards shortly after, which expands the arena. Flies out of the corpse, and Phase 2 is initiated. Slowly floats towards the player and performs four attacks

  • Spin
    Mother starts spinning, shooting out small wavy lines of projectiles. This attack lasts around 5 seconds.

  • Projectile Ball
    Mother starts sucking in debris from the environment. This debris can damage the player. The direction of the sucking changes depending on the player’s position. After a while, Mother spits out a ball of projectiles, which splits into smaller copies of itself after impact. These copies spawn small radial bursts of projectiles.

  • Slide
    Mother jumps into the air, and starts sliding across the side of the room Isaac is in. Mother then slides on the opposite side. After the 2 slides are done, she lands back in the middle, spawning rock waves and short-ranged wavy projectile lines.

  • Barrage
    Mother spawns a barrage of projectile lines, indicated by the glowing lines which appear ~0.5s before impact. This attack repeats ~6 times.

  • Death
    Upon death, Mother:

    • Kills all projectile entities
    • Spawns the End Chest

Tips for the fight:

  • High speed and small size really help for this fight. 1.50-2.00 speed is optimal
  • Try not to stress and focus on dodging, attacking in between Mother’s attacks.
  • Your success is largely dependant on RNG in Phase 1; if you get the Fistula attack, say goodbye to your run.
  • For the Maggots attack, it’s best to stay opposite of the exploding hand; this gives you the most reaction time
  • For the Horde attack, it’s best to weave right to left in the bottom-middle of the screen, shooting any undead Isaacs that come from under the player
  • For the Spin attack, you can actually just weave up-down/left-right or sometimes even stay in place.
  • During the Slide attack, Mother always slides from the side farthest from the player

Final Bosses – The Beast – Ultra Horsemen of the Apocalypse

This section is split into two because of the 8’000 section character limit
Appears in: Hell
HP: 10000 (17800 if counting harbingers) (20200 if counting harbingers and Dogma)
Armor: 60
Phases:

  • 3, if counting the Beast itself
  • 10, if counting the Beast and the Harbingers
  • 12, if counting the Beast, Harbingers and Dogma

This fight is triggered when the player defeats Dogma. The screen turns off like an old TV and a cutscene plays. After it ends, or if skipped, the fight begins.


The boss battle begins by fighting the four ultra harbingers; Ultra Famine, Ultra Pestilence, Ultra War and Ultra Death


HP: 2000
Armor: 30
Phases: 2

Attacks & Behavior (First Phase):

  • Behavior
    Appears from the right side of the screen and floats in the air. Cycles between two attacks

  • Charge
    Ultra Famine charges off screen and comes back from the same side, shooting five lines of five projectiles in a radial half burst and then floats offscreen and does the same attack from the other side. In total, Famine fires the burst 5 times before the attack ends.

  • Oscillation
    Ultra Famine floats off screen and comes back from the same side, oscillating up and down while also spawning flies behind him. These flies stay still in the air for 1-2 seconds before starting to float towards the player

  • Phase 2
    Depleting enough of Famine’s health triggers the second phase

Attacks & Behavior (Second Phase):

  • Behavior
    Ultra Famine’s body and stead explode, leaving the head, which has only one attack.

  • Blood Storm
    Ultra Famine floats to the center of the screen and fires 6 simultaneous bursts of tears with alternating orientations. Stray bullets fly out of Famine very often.

  • Death
    Depleting all of Famine’s health kills him and makes Ultra Pestilence spawn

HP: 1800
Armor: 30
Phases: 2

Attacks & Behavior (First Phase):

  • Behavior
    Appears from the right side of the screen, accompanied by a swarm of flies, and cycles between two attacks

  • Toxic Bomb
    Pestilence shoots a projectile in an arc towards the player’s position. Upon contact with lava, this projectile spawns a column of toxic gas and spawns 4 lava projectiles on each side of the explosion which are launched up to about 3/4ths of the screen’s height. In total, Pestilence shoots three of those projectiles. The toxic gas stays up until the end of the maggot attack

  • Maggot Attack
    Pestilence launches a maggot from his right eye, which loops around the screen three times before switching sides and doing the same thing before landing back in Pestilence’s eye. The maggot appears from a random height on the screen, making this attack usually pretty devastating.

  • Phase 2
    Depleting enough of Pestilence’s health triggers the second phase

Attacks & Behavior (Second Phase)

  • Behavior
    Pestilence’s head explodes, leaving the body. Floats in place and has two attacks.

  • Ball of Flies
    Pestilence’s stead sometimes coughs out a ball of flies. This ball floats towards the player and spawns flies upon taking damage.

  • Tear Rain
    Pestilence’s body sprays out a spread of tears towards the sky, which fall down slowly shortly after.

  • Death
    Depleting all of Pestilence’s HP kills him and spawns Ultra War

HP: 2000
Armor: 30
Phases: 2

Attacks & Behavior (First Phase):

  • Behavior
    Appears from the right side of the screen and cycles between two attacks

  • Giga Bomb
    Ultra War throws a large bomb, which explodes in a cross pattern, and spawns 8 lines of projectiles flying in both cardinal and diagonal directions when it explodes. In total, Ultra War throws three of these bombs before using his next attack.

  • Fireballs
    Ultra War flies off screen and wraps around the lava pool, spawning fireballs in an alternating pattern.

  • Phase 2
    Depleting enough of War’s health triggers the second phase

Attacks and Behavior (Second Phase):

  • Behavior
    Ultra War’s stead explodes and War himself turns black. Floats midair

  • Lunge
    Ultra War starts floating towards the player and lunges at them diagonally, shooting fires in all cardinal directions shortly afterwards. In total, Ultra War lunges two times.

  • Bounce
    Ultra War pulls out a giga bomb and hugs it. After it explodes, War starts bouncing upwards before plummetting into the lava. When War emerges, 4-6 lava fireballs launch into the sky.

  • Death
    Depleting all of War’s health kills him and spawns Ultra Death

HP: 2000
Armor: 30
Phases: 1

Attacks & Behavior:

  • Behavior
    Appears from the right side of the screen and cycles between three attacks

  • Scythe Swarm
    Spawns 11 scythes opposite to him, which float towards the player’s position. In total, Death uses this attack three times before switching to the next

  • Skull Swarm
    Death floats off-screen and comes back from the same side, accompanied by a swarm of skulls. These skulls oscillate up and down. After a while, Death summons three, harmless scythes which kill all of the skulls

  • Shadow Attack
    The screen darkens and death disappears into the darkness. Death appears close to the player and swings his scythe at them. In total, Death performs this attack four times.

  • Death
    Depleting all of Death’s health kills him and angers The Beast

Final Bosses – The Beast

Defeating all ultra horsemen spawns The Beast.

Attacks & Behavior (First Phase):

  • Behavior
    Appears on the right half of the screen and cycles between three attacks

  • Charge
    The Beast charges at the player, while harmful stalactites and stalagmites spawn behind them

  • Inhale
    The Beast starts inhaling 8 rings of fire, which have one small gap each, through which the player can fly to avoid damage.

  • Giga Brimstone
    At the end of Inhale, the Beast fires a massive Brimstone laser, covering most of the screen. The only safe space is all the way on top of the screen.

  • Phase 2
    After the Beast reaches 50% health, the second phase triggers. There is no visual indication of Phase 2 triggering

Attacks (Second Phase):

  • Attack Lost: Inhale, Giga Brimstone
    The Beast is no longer able to perform Inhale and Giga Brimstone

  • Attacks Kept: Charge (buffed)
    The Beast is still able to perform Charge, and now stalactites can also be broken and will fall down when near the player.

  • Radial Burst
    The Beast fires a radial burst of fire, and a burst of fast-moving projectiles, piercing the horizontal safe space in between the fire.

  • Souls
    The Beast roars and spawns four Souls of the Beast, which float around in a weird pattern before homing onto the player.

  • Submerge
    The Beast submerges into the lava and starts firing fireballs from the lava at increasing intensity. Afterwards the Beast emerges, accompanied by a few more fireballs flying out from the lava.

  • Phase 3
    When the Beast reaches 33% health, the third phase triggers

Attacks & Behavior (Third Phase):

  • Behavior
    The Beast loses all previous attacks and is forced to submerge and reappear on the other side.

  • Charge
    The Beast performs the charge attack endlessly. Stalactite/stalagmite spawns are slightly increased and cannot be broken anymore. The Beast takes visual damage the less health it has.

  • Death
    Upon death, the Beast:

    • Triggers the final ending cutscene upon finishing its death animation

Tips for the fight:

  • As with the ultra horsemen, the faster you kill the Beast, the less damage you’ll take
  • As with the ultra horsemen, high speed helps; 1.50-2.00 is optimal, while anything below 1.00 very often results in unavoidable damage
  • Famine’s Oscillate attack is extremely hard to dodge, and will almost always result in the player getting hit if they cannot kill the flies fast enough, which usually happens on a decent-good build. Killing the flies is necessary, as Famine will usually charge from the side the player is currently trying to dodge the flies on, which in most cases results in unfair damage.
  • Pestilence’s balls of flies can be knocked into the lava with enough fire rate/knockback, which deals considerable damage to them
  • War should be taken care of before they have the chance to lunge for the 3rd time in Phase 2, the 3rd lunge can easily catch the player offguard
  • Death’s Scythes can actually be killed. This can be used as a last resort if there is no space to dodge them.
  • During Inhale, do not stand close to the Beast. The Beast sucks the player in stronger the closer they are to it, and when standing right next to the Beast it’s near impossible to get out.
  • During the buffed charge, you can avoid the falling stalactites either by standing very close to the Beast or by standing very far away from it, since these stalactites always fall when they reach the middle of the screen
  • Rotten Tomato is a very good item to have on this fight; the horsemen will have their attention diverted from you and will focus on whatever has the status effect and the Beast itself can get hit by its own stalactites and fire rings.
  • Dr. Fetus is an automatic defeat on this fight, and if you have piercing along with it you’re even more screwed.
  • Practice makes perfect. This fight is one of the fights that can be no-hit with practice without the need of good RNG (including Dogma)

Final Bosses – Ultra Greed


Appears in: Greed Mode, Ultra Greed Floor
HP: 3500
Armor: 85-170, amount depends on HP lost
Phases: 1 (2 in Greedier Mode)

Arena, Attacks & Behavior:

  • Arena
    Standard 1×2 arena, with shopkeepers near both of the vertical walls

  • Behavior
    Stands still. Performs 5 attacks. Ultra Greed’s projectile/melee attacks cause the player to drop coins. Ultra Greed can pick these coins up and heal himself using them.
    Ultra Greed’s movement and attack speed increases the less health he has

  • Charge
    Moves towards the player if they’re cardinal to Ultra Greed

  • Spawn Keeper
    Stomps 4 times, with each stomp spawning a Keeper enemy. There is a cap of 4 Keepers alive at once

  • Projectiles
    Spits out 3, 4 or 5 coin projectiles towards the player. Rarely can spit out a Monstro-like spray of coins

  • Spin
    Spins, firing coin projectiles in random directions

  • Lottery
    Ultra Greed stops moving and his eyes start spinning. The outcome of the roll determines the type of coin that’s going to rain down from the ceiling. 4 possible coin types can spawn:

    • Blank Coin – Spawns if Ultra Greed’s eyes do not match. Deals contact damage. HP withers away over time
    • Key Coin – Spawns if Ultra Greed’s eyes are both keys. Sits in place and if not destroyed, turns into a key after some time, which opens one of the arena doors, spawning a large amount of Greed Gapers
    • Heart Coin – Spawns if Ultra Greed’s eyes are both hearts. Sits in place and if not destroyed, heals Ultra Greed for 13 HP
    • Bomb Coin – Spawns if Ultra Greed’s eyes are both bombs. Sits in place and explodes if not destroyed

  • Block
    If there are too many entities in the room, Ultra Greed will assume a defensive stance, making him unable to take damage until most of the entities are killed.

  • Death/Phase 2
    Upon death, Ultra Greed:

    • Spawns the End Chest along with the Greed Donation Machine
      • Does not apply for Greedier Mode. In Greedier, Ultra Greed will turn into Ultra Greedier upon death, and will continue the fight

Tips for the fight:

  • If you maxed out the Greed Donation Machine already, make sure to bring as little coins as possible during the Ultra Greed fight in order to prevent him from regaining health using your coins
  • After Lottery, if the Bomb Coins fell down, make sure to check the shopkeepers and pick up any of the coins dropped by them, so Ultra Greed won’t be able to use them to heal himself
  • Star of Bethlehem is a guaranteed win
  • Prioritise killing the Keeper enemies over damaging Ultra Greed
  • The coins spawned during Lottery have large amounts of HP. Trying to kill them is a lost cause

Final Bosses – Ultra Greedier


Appears in: Greedier Mode, Ultra Greed Floor
HP: 2500
Armor: 60

Attacks & Behavior:

  • Behavior
    Spawns from Ultra Greed’s death statue. When spawned, all arena doors spew out a brimstone laser. Has a completely new set of attacks

  • Projectiles
    Fires a spread of 3, 4 or 5 explosive projectiles towards the player. Rarely fires a Monstro-like spray of explosive projectiles

  • Slam
    Slams his fists into the ground, causing the arena doors to spew out brimstone lasers.

  • Leap
    Leaps off-screen and tries to land on the player, while also dropping explosive coins. Spawns 4 rock waves upon impact.

  • Stomp
    Stomps the ground 4 times, causing Bomb Coins to fall

  • Death
    Upon death, Ultra Greedier:

    • Turns the room to gold
    • Spawns the End Chest along with the Greed Donation Machine

Tips for the fight:

  • Keep as much distance between you and Ultra Greedier as possible. Constantly stay in a corner, in which Ultra Greedier is not present and wait for him to leap, before moving to another corner.

Achievements – Introduction

TBoI: Rebirth contains 637 secret screens, assuming all DLCs are installed.
All of these achievemetns will be listed down below, sorted by secret screen number

Base game achievements are from:
ID 1 (Magdalene)
to
ID 178 (Lord of the Flies)

Afterbirth achievements are from:
ID 179 (Fart Baby)
to
ID 276 (Mega)

Afterbirth+ achievements are from:
ID 277 (Backasswards)
to
ID 403 (Bound Baby)

Repentance achievements are from:
ID 404 (Bethany)
to
ID 637 (Dead God)

IMPORTANT:


Most achievements will have “[RTN]” in the “Unlocks:” section of the table.

This stands for “refer to name”, and means that the achievement will unlock the thing it is referring to in the name/image.

For example, the achievement Magdalene (ID 1) will unlock the Magdalene character, as evidenced by the achievement name and picture.

Achievements #1

These are achievements from ID 1 to ID 19

Magdalene
———————-
———————————————————————————
Requirements
Have 7 or more red heart containers at once
Unlocks:
[RTN]

Cain
———————-
———————————————————————————
Requirements
Have 55 or more coins at once
Unlocks:
[RTN]

Judas
———————-
———————————————————————————
Requirements
Defeat Satan
Unlocks:
[RTN]

The Womb
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

The Harbingers
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
Allows the Famine, Pestilence, War, and Death bosses to
spawn from now on

Cube of Meat
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Book of Revelations
———————-
———————————————————————————
Requirements
Defeat a Harbinger
Unlocks:
[RTN]

A Noose
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 3 times
Unlocks:
The Transcendence item

The Nail
———————-
———————————————————————————
Requirements
Complete Boss Rush as Azazel
Unlocks:
[RTN]

A Quarter
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 8 times
Unlocks:
[RTN]

A Fetus in a Jar
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 9 times
Unlocks:
The Dr. Fetus item

A Small Rock
———————-
———————————————————————————
Requirements
Destroy 100 tinted rocks
Unlocks:
[RTN]

Monstro’s Tooth
———————-
———————————————————————————
Requirements
Beat Chapter I
Unlocks:
[RTN]

Lil’ Chubby
———————-
———————————————————————————
Requirements
Beat Chapter II
Unlocks:
[RTN]

Loki’s Horns
———————-
———————————————————————————
Requirements
Defeat Lokii
Unlocks:
[RTN]

Something from the Future
———————-
———————————————————————————
Requirements
Beat the Basement 40 times
Unlocks:
Allows the Steven boss to spawn from now on

Something Cute
———————-
———————————————————————————
Requirements
Beat Chapter II 30 times
Unlocks:
Allows the C.H.A.D. boss to spawn from now on

Something Sticky
———————-
———————————————————————————
Requirements
Beat Chapter III 20 times
Unlocks:
Allows the Gish boss to spawn from now on

A Bandage
———————-
———————————————————————————
Requirements
Have 4 instances of the Ball of Bandages item at once in a run
Unlocks:
The Super Bandage item

Achievements #2

These are achievements from ID 20 to ID 38

A Cross
———————-
———————————————————————————
Requirements
Defeat Isaac as Magdalene
Unlocks:
The Relic item

A Bag of Pennies
———————-
———————————————————————————
Requirements
Defeat Isaac as Cain
Unlocks:
The Sack of Pennies item

The Book of Sin
———————-
———————————————————————————
Requirements
Defeat each deadly sin at least once
Unlocks:
[RTN]

Little Gish
———————-
———————————————————————————
Requirements
Defeat Gish
Unlocks:
[RTN]

Little Steven
———————-
———————————————————————————
Requirements
Defeat Steven
Unlocks:
[RTN]

Little C.H.A.D.
———————-
———————————————————————————
Requirements
Defeat C.H.A.D.
Unlocks:
[RTN]

A Gamekid
———————-
———————————————————————————
Requirements
Enter 10 arcades
Unlocks:
[RTN]

A Halo
———————-
———————————————————————————
Requirements
Kill Mom/Mom’s Heart/It Lives using the Bible active item
Unlocks:
[RTN]

Mr. Mega
———————-
———————————————————————————
Requirements
Destroy 10 tinted rocks
Unlocks:
[RTN]

The D6
———————-
———————————————————————————
Requirements
Defeat Isaac as ???
Unlocks:
The D6 item, and allows Isaac to start with the D6 as his
starting item

The Scissors
———————-
———————————————————————————
Requirements
Die 100 times
Unlocks:
[RTN]

The Parasite
———————-
———————————————————————————
Requirements
Pick up at least two of these four items in a single run:

  • Cricket’s Head
  • Bob’s Rotten Head
  • Dead Cat
  • Tammy’s Head
Unlocks:
[RTN]

???
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 10 times
Unlocks:
[RTN]

Everything is Terrible!!!
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 5 times
Unlocks:
Makes the game slightly more challenging from now on

It Lives!
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 11 times
Unlocks:
[RTN]

Mom’s Contact
———————-
———————————————————————————
Requirements
Obtain three Mom-related items in a run
Unlocks:
[RTN]

The Necronomicon
———————-
———————————————————————————
Requirements
Use the XIII – Death tarot card 4 times
Unlocks:
[RTN]

Basement Boy
———————-
———————————————————————————
Requirements
Beat Chapter I without taking damage
Unlocks:

Spelunker Boy
———————-
———————————————————————————
Requirements
Beat Chapter II without taking damage
Unlocks:

Achievements #3

These are achievements from ID 39 to ID 58

Dark Boy
———————-
———————————————————————————
Requirements
Beat Chapter III without taking damage
Unlocks:

Mama’s Boy
———————-
———————————————————————————
Requirements
Beat Chapter IV without taking damage
Unlocks:

Golden God!
———————-
———————————————————————————
Requirements
Defeat ??? and the Lamb
Unlocks:

Eve
———————-
———————————————————————————
Requirements
Don’t pick up any hearts for two floors in a row
Unlocks:
[RTN]

Mom’s Knife
———————-
———————————————————————————
Requirements
Defeat Satan as Isaac
Unlocks:
[RTN]

The Razor
———————-
———————————————————————————
Requirements
Defeat Satan as Eve
Unlocks:
The Razor Blade item

Guardian Angel
———————-
———————————————————————————
Requirements
Defeat Satan as Magdalene
Unlocks:
[RTN]

A Bag of Bombs
———————-
———————————————————————————
Requirements
Defeat Satan as Cain
Unlocks:
The Bomb Bag item

Demon Baby
———————-
———————————————————————————
Requirements
Defeat the Lamb as Azazel
Unlocks:
[RTN]

Forget Me Now
———————-
———————————————————————————
Requirements
Defeat Satan as ???
Unlocks:
[RTN]

The D20
———————-
———————————————————————————
Requirements
Defeat ??? as Isaac
Unlocks:
[RTN]

Celtic Cross
———————-
———————————————————————————
Requirements
Defeat ??? as Magdalene
Unlocks:
[RTN]

Abel
———————-
———————————————————————————
Requirements
Defeat the Lamb as Cain
Unlocks:
[RTN]

Curved Horn
———————-
———————————————————————————
Requirements
Defeat the Lamb as Judas
Unlocks:
[RTN]

Sacrificial Dagger
———————-
———————————————————————————
Requirements
Defeat ??? as Eve
Unlocks:
[RTN]

Bloody Lust
———————-
———————————————————————————
Requirements
Defeat Isaac as Samson
Unlocks:
[RTN]

Blood Penny
———————-
———————————————————————————
Requirements
Defeat ??? as Samson
Unlocks:
[RTN]

Blood Rights
———————-
———————————————————————————
Requirements
Defeat Satan as Samson
Unlocks:
[RTN]

The Polaroid
———————-
———————————————————————————
Requirements
Defeat Isaac 5 times
Unlocks:
[RTN]

Dad’s Key
———————-
———————————————————————————
Requirements
Pick up Key Piece 1 and Key Piece 2 in a single run
Unlocks:
[RTN]

Achievements #4

These are achievements from ID 59 to ID 77

Blue Candle
———————-
———————————————————————————
Requirements
Donate 900 coins to the Donation Machine
Unlocks:
The Candle item

Burnt Penny
———————-
———————————————————————————
Requirements
Complete challenge #13
Unlocks:
[RTN]

Lucky Toe
———————-
———————————————————————————
Requirements
Blow up 20 Shopkeepers
Unlocks:
[RTN]

Epic Fetus
———————-
———————————————————————————
Requirements
Complete challenge #19
Unlocks:
[RTN]

SMB Super Fan
———————-
———————————————————————————
Requirements
Complete challenge #14
Unlocks:
[RTN]

Counterfeit Penny
———————-
———————————————————————————
Requirements
Play either the Shell Game, or the Hell Game 100 times
Unlocks:
[RTN]

Guppy’s Hairball
———————-
———————————————————————————
Requirements
Obtain the Guppy transformation
Unlocks:
[RTN]

A Forgotten Horseman
———————-
———————————————————————————
Requirements
Take 10 items from angel rooms
Unlocks:
Allows the Conquest boss to spawn

Samson
———————-
———————————————————————————
Requirements
Complete two floors in a row without taking damage
Unlocks:
[RTN]

Something Icky
———————-
———————————————————————————
Requirements
Defeat Isaac 10 times
Unlocks:
[RTN]

!Platinum God!
———————-
———————————————————————————
Requirements
Unlock all of the base game’s achievements, and collect all
of its items at least once, with the exception of the Lost and
his unlockable items
Unlocks:

Isaac’s Head
———————-
———————————————————————————
Requirements
Complete Boss Rush as Isaac
Unlocks:
[RTN]

Maggy’s Faith
———————-
———————————————————————————
Requirements
Defeat the Lamb as Magdalene
Unlocks:
[RTN]

Judas’ Tongue
———————-
———————————————————————————
Requirements
Defeat Satan as Judas
Unlocks:
[RTN]

???’s Soul
———————-
———————————————————————————
Requirements
Defeat the Lamb as ???
Unlocks:
[RTN]

Samson’s Lock
———————-
———————————————————————————
Requirements
Defeat the Lamb as Samson
Unlocks:
[RTN]

Cain’s Eye
———————-
———————————————————————————
Requirements
Defeat ??? as Cain
Unlocks:
[RTN]

Eve’s Bird Foot
———————-
———————————————————————————
Requirements
Defeat Isaac as Eve
Unlocks:
[RTN]

The Left Hand
———————-
———————————————————————————
Requirements
Defeat Ultra Pride, or Defeat ??? as Judas
Unlocks:
[RTN]

Achievements #5

These are achievements from ID 78 to ID 97

The Negative
———————-
———————————————————————————
Requirements
Defeat Satan 5 times
Unlocks:
[RTN]

Azazel
———————-
———————————————————————————
Requirements
Make three deals with the devil in a single run
Unlocks:
[RTN]

Lazarus
———————-
———————————————————————————
Requirements
Have 4 or more soul hearts at once
Unlocks:
[RTN]

Eden
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart
Unlocks:
[RTN]

The Lost
———————-
———————————————————————————
Requirements
Die via the Sacrifice Room spikes whilst holding the
Missing Poster trinket
Unlocks:
[RTN]

Dead Boy
———————-
———————————————————————————
Requirements
Complete Chapter VI without taking damage
Unlocks:

The Real Platinum God
———————-
———————————————————————————
Requirements
Unlock every base game achievement, and collect every
base game item
Unlocks:

Lucky Rock
———————-
———————————————————————————
Requirements
Destroy 100 rocks
Unlocks:
[RTN]

The Cellar
———————-
———————————————————————————
Requirements
Defeat all Basement bosses
Unlocks:
[RTN]

The Catacombs
———————-
———————————————————————————
Requirements
Defeat all Caves bosses
Unlocks:
[RTN]

The Necropolis
———————-
———————————————————————————
Requirements
Defeat all Depths bosses
Unlocks:
[RTN]

Rune of Hagalaz
———————-
———————————————————————————
Requirements
Complete challenge #1
Unlocks:
[RTN]

Rune of Jera
———————-
———————————————————————————
Requirements
Complete challenge #2
Unlocks:
[RTN]

Rune of Ehwaz
———————-
———————————————————————————
Requirements
Complete challenge #3
Unlocks:
[RTN]

Rune of Dagaz
———————-
———————————————————————————
Requirements
Complete challenge #4
Unlocks:
[RTN]

Rune of Ansuz
———————-
———————————————————————————
Requirements
Complete challenge #5
Unlocks:
[RTN]

Rune of Perthro
———————-
———————————————————————————
Requirements
Complete challenge #6
Unlocks:
[RTN]

Rune of Berkano
———————-
———————————————————————————
Requirements
Complete challenge #20
Unlocks:
[RTN]

Rune of Algiz
———————-
———————————————————————————
Requirements
Complete challenge #8
Unlocks:
[RTN]

Chaos Card
———————-
———————————————————————————
Requirements
Complete challenge #9
Unlocks:
[RTN]

Achievements #6

These are achievements from ID 98 to ID 118

Credit Card
———————-
———————————————————————————
Requirements
Complete challenge #10
Unlocks:
[RTN]

Rules Card
———————-
———————————————————————————
Requirements
Complete challenge #11
Unlocks:
[RTN]

Swallowed Penny
———————-
———————————————————————————
Requirements
Complete challenge #12
Unlocks:
[RTN]

Robo-Baby 2.0
———————-
———————————————————————————
Requirements
Complete challenge #16
Unlocks:
[RTN]

Death’s Touch
———————-
———————————————————————————
Requirements
Complete challenge #17
Unlocks:
[RTN]

Technology .5
———————-
———————————————————————————
Requirements
Complete challenge #18
Unlocks:
[RTN]

Missing No
———————-
———————————————————————————
Requirements
Complete Boss Rush as Lazarus
Unlocks:
[RTN]

Isaac’s Tears
———————-
———————————————————————————
Requirements
Defeat Isaac as Isaac
Unlocks:
[RTN]

Guillotine
———————-
———————————————————————————
Requirements
Defeat Isaac as Judas
Unlocks:
[RTN]

Judas’ Shadow
———————-
———————————————————————————
Requirements
Complete Boss Rush as Judas
Unlocks:
[RTN]

Maggy’s Bow
———————-
———————————————————————————
Requirements
Complete Boss Rush as Magdalene
Unlocks:
[RTN]

Cain’s Other Eye
———————-
———————————————————————————
Requirements
Complete the Boss Rush as Cain
Unlocks:
[RTN]

Black Lipstick
———————-
———————————————————————————
Requirements
Defeat the Lamb as Eve
Unlocks:
[RTN]

Eve’s Mascara
———————-
———————————————————————————
Requirements
Complete Boss Rush asEve
Unlocks:
[RTN]

Fate
———————-
———————————————————————————
Requirements
Defeat ??? as ???
Unlocks:
[RTN]

???’s Only Friend
———————-
———————————————————————————
Requirements
Complete Boss Rush as ???
Unlocks:
[RTN]

Samson’s Chains
———————-
———————————————————————————
Requirements
Complete Boss Rush as Samson
Unlocks:
[RTN]

Lazarus’ Rags
———————-
———————————————————————————
Requirements
Defeat Isaac as Lazarus
Unlocks:
[RTN]

Broken Ankh
———————-
———————————————————————————
Requirements
Defeat Satan as Lazarus
Unlocks:
[RTN]

Store Credit
———————-
———————————————————————————
Requirements
Defeat ??? as Lazarus
Unlocks:
[RTN]

Achievements #7

These are achievements from ID 119 to ID 138

Pandora’s Box
———————-
———————————————————————————
Requirements
Defeat the Lamb as Lazarus
Unlocks:
[RTN]

Suicide King
———————-
———————————————————————————
Requirements
Complete challenge #7
Unlocks:
[RTN]

Blank Card
———————-
———————————————————————————
Requirements
Defeat Isaac as Eden
Unlocks:
[RTN]

Book of Secrets
———————-
———————————————————————————
Requirements
Defeat Satan as Eden
Unlocks:
[RTN]

Mysterious Paper
———————-
———————————————————————————
Requirements
Defeat ??? as Eden
Unlocks:
[RTN]

Mystery Sack
———————-
———————————————————————————
Requirements
Defeat the Lamb as Eden
Unlocks:
[RTN]

Undefined
———————-
———————————————————————————
Requirements
Complete Boss Rush as Eden
Unlocks:
[RTN]

Satanic Bible
———————-
———————————————————————————
Requirements
Defeat Isaac as Azazel
Unlocks:
[RTN]

Daemon’s Tail
———————-
———————————————————————————
Requirements
Defeat Satan as Azazel
Unlocks:
[RTN]

Abaddon
———————-
———————————————————————————
Requirements
Defeat ??? as Azazel
Unlocks:
[RTN]

Isaac’s Heart
———————-
———————————————————————————
Requirements
Defeat Isaac as the Lost
Unlocks:
[RTN]

The Mind
———————-
———————————————————————————
Requirements
Defeat Satan as the Lost
Unlocks:
[RTN]

The Body
———————-
———————————————————————————
Requirements
Defeat ??? as the Lost
Unlocks:
[RTN]

The Soul
———————-
———————————————————————————
Requirements
Defeat the Lamb as the Lost
Unlocks:
[RTN]

D100
———————-
———————————————————————————
Requirements
Complete Boss Rush as the Lost
Unlocks:
[RTN]

Blue Map
———————-
———————————————————————————
Requirements
Donate 10 coins to the Donation Machine
Unlocks:
[RTN]

There’s Options
———————-
———————————————————————————
Requirements
Donate 50 coins to the Donation Machine
Unlocks:
[RTN]

Black Candle
———————-
———————————————————————————
Requirements
Donate 150 coins to the Donation Machine
Unlocks:
[RTN]

Red Candle
———————-
———————————————————————————
Requirements
Donate 400 coins to the Donation Machine
Unlocks:
[RTN]

Stop Watch
———————-
———————————————————————————
Requirements
Donate 999 coins to the Donation Machine
Unlocks:
[RTN]

Achievements #8

These are achievements from ID 139 to ID 157

Wire Coat Hanger
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 4 times
Unlocks:
[RTN]

Ipecac
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 5 times
Unlocks:
[RTN]

Experimental Treatment
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 6 times
Unlocks:
[RTN]

Krampus
———————-
———————————————————————————
Requirements
Make 20 deals with the devil
Unlocks:
Allows Krampus to spawn in Devil Rooms

Head of Krampus
———————-
———————————————————————————
Requirements
Defeat Krampus
Unlocks:
[RTN]

Super Meat Boy
———————-
———————————————————————————
Requirements
Acquire 4 instances of the Cube of Meat item in a single run
Unlocks:

Butter Bean
———————-
———————————————————————————
Requirements
Destroy 100 poops
Unlocks:
[RTN]

Little Baggy
———————-
———————————————————————————
Requirements
Acquire at least two of these five items in a single run:

  • Growth Hormones
  • Speed Ball
  • Experimental Treatment
  • Roid Rage
  • The Virus
Unlocks:
[RTN]

Blood Bag
———————-
———————————————————————————
Requirements
Use a Blood Donation Machine 30 times
Unlocks:
[RTN]

The D4
———————-
———————————————————————————
Requirements
Blow up 30 slot machines
Unlocks:
[RTN]

Missing Poster
———————-
———————————————————————————
Requirements
Defeat the Lamb as Isaac
Unlocks:
[RTN]

Rubber Cement
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 2 times
Unlocks:
[RTN]

Store Upgrade lv.1
———————-
———————————————————————————
Requirements
Donate 20 coins to the Donation Machine
Unlocks:
Shops have more items/pickups on sale

Store Upgrade lv.2
———————-
———————————————————————————
Requirements
Donate 100 coins to the Donation Machine
Unlocks:
Shops have more items/pickups on sale

Store Upgrade lv.3
———————-
———————————————————————————
Requirements
Donate 200 coins to the Donation Machine
Unlocks:
Shops have more items/pickups on sale

Store Upgrade lv.4
———————-
———————————————————————————
Requirements
Donate 600 coins to the Donation Machine
Unlocks:
Shops have more items/pickups on sale

Angels
———————-
———————————————————————————
Requirements
Beat Chapter VI
Unlocks:
Allows the player to acquire Key Pieces

Godhead
———————-
———————————————————————————
Requirements
Earn all completion marks as the Lost
Unlocks:
[RTN]

Darkness Falls
———————-
———————————————————————————
Requirements
Defeat Satan and ??? as Eve
Unlocks:
[RTN]

Achievements #9

These are achievements from ID 158 to ID 176

The Tank
———————-
———————————————————————————
Requirements
Have 7 or more red heart containers at once
Unlocks:
[RTN]

Solar System
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 3 times
Unlocks:
[RTN]

Suicide King
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 11 times
Unlocks:
[RTN]

Cat Got Your Tongue
———————-
———————————————————————————
Requirements
Obtain the Guppy transformation
Unlocks:
[RTN]

Demo Man
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 9 times
Unlocks:
[RTN]

Cursed!
———————-
———————————————————————————
Requirements
Have 7 or more red heart containers at once
Unlocks:
[RTN]

Glass Cannon
———————-
———————————————————————————
Requirements
Complete challenge #19, and defeat Lokii at least once
Unlocks:
[RTN]

The Family Man
———————-
———————————————————————————
Requirements
Have Key Piece 1 and Key Piece 2 at the same time
Unlocks:
[RTN]

Purist
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Lost Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Isaac
Unlocks:
[RTN]

Cute Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Magdalene
Unlocks:
[RTN]

Crow Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Eve
Unlocks:
[RTN]

Shadow Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Judas
Unlocks:
[RTN]

Glass Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Cain
Unlocks:
[RTN]

Wrapped Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Lazarus
Unlocks:
[RTN]

Begotten Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Azazel
Unlocks:
[RTN]

Dead Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as ???
Unlocks:
[RTN]

-0- Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as the Lost
Unlocks:
[RTN]

Glitch Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Eden
Unlocks:
[RTN]

Achievements #10

These are achievements from ID 177 to ID 195

Fighting Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Samson
Unlocks:
[RTN]

Lord of the Flies
———————-
———————————————————————————
Requirements
Acquire the Beelzebub transformation
Unlocks:
[RTN]

Fart Baby
———————-
———————————————————————————
Requirements
Defeat Hush as Isaac
Unlocks:
The Farting Baby item

Purity
———————-
———————————————————————————
Requirements
Defeat Hush as Magdalene
Unlocks:
[RTN]

D12
———————-
———————————————————————————
Requirements
Defeat Hush as Cain
Unlocks:
[RTN]

Betrayal
———————-
———————————————————————————
Requirements
Defeat Hush as Judas
Unlocks:
[RTN]

Fate’s Reward
———————-
———————————————————————————
Requirements
Defeat Hush as ???
Unlocks:
[RTN]

Athame
———————-
———————————————————————————
Requirements
Defeat Hush as Eve
Unlocks:
[RTN]

Blind Rage
———————-
———————————————————————————
Requirements
Defeat Hush as Samson
Unlocks:
[RTN]

Maw of the Void
———————-
———————————————————————————
Requirements
Defeat Hush as Azazel
Unlocks:
[RTN]

Empty Vessel
———————-
———————————————————————————
Requirements
Defeat Hush as Lazarus
Unlocks:
[RTN]

Eden’s Blessing
———————-
———————————————————————————
Requirements
Defeat Hush as Eden
Unlocks:
[RTN]

Sworn Protector
———————-
———————————————————————————
Requirements
Defeat Hush as the Lost
Unlocks:
[RTN]

Incubus
———————-
———————————————————————————
Requirements
Defeat Hush as Lilith
Unlocks:
[RTN]

Keeper now holds… A Penny!
———————-
———————————————————————————
Requirements
Defeat Hush as Keeper
Unlocks:
Gives the Keeper one coin at the start, and makes him
start with three coin containers instead of two

Lil’ Chest
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Isaac
Unlocks:
[RTN]

Censer
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Magdalene
Unlocks:
[RTN]

Evil Eye
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Cain
Unlocks:
[RTN]

My Shadow
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Judas
Unlocks:
[RTN]

Cracked Dice
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as ???
Unlocks:
[RTN]

Achievements #11

These are achievements from ID 196 to ID 215

Cracked Dice
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as ???
Unlocks:
[RTN]

Black Feather
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Eve
Unlocks:
[RTN]

Lusty Blood
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Samson
Unlocks:
[RTN]

Lilith
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Azazel
Unlocks:
[RTN]

Key Bum
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Lazarus
Unlocks:
[RTN]

GB Bug
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Eden
Unlocks:
[RTN]

Zodiac
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as the Lost
Unlocks:
[RTN]

Box of Friends
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Lilith
Unlocks:
[RTN]

Rib of Greed
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Keeper
Unlocks:
[RTN]

Cry Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Isaac
Unlocks:
[RTN]

Red Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Magdalene
Unlocks:
[RTN]

Green Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Cain
Unlocks:
[RTN]

Brown Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Judas
Unlocks:
[RTN]

Blue Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as ???
Unlocks:
[RTN]

Lil’ Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Eve
Unlocks:
[RTN]

Rage Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Samson
Unlocks:
[RTN]

Black Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Azazel
Unlocks:
[RTN]

Long Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Lazarus
Unlocks:
[RTN]

Yellow Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Eden
Unlocks:
[RTN]

White Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as the Lost
Unlocks:
[RTN]

Achievements #12

These are achievements from ID 216 to ID 235

Big Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Lilith
Unlocks:
[RTN]

Noose Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Keeper
Unlocks:
[RTN]

Rune Bag
———————-
———————————————————————————
Requirements
Defeat Isaac as Lilith
Unlocks:
[RTN]

Cambion Conception
———————-
———————————————————————————
Requirements
Defeat ??? as Lilith
Unlocks:
[RTN]

Serpent’s Kiss
———————-
———————————————————————————
Requirements
Defeat Satan as Lilith
Unlocks:
[RTN]

Succubus
———————-
———————————————————————————
Requirements
Defeat the Lamb as Lilith
Unlocks:
[RTN]

Immaculate Conception
———————-
———————————————————————————
Requirements
Complete Boss Rush as Lilith
Unlocks:
[RTN]

Goat Head Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Lilith
Unlocks:
[RTN]

Gold Heart
———————-
———————————————————————————
Requirements
Complete challenge #21
Unlocks:
[RTN]

Get Out of Jail Free Card
———————-
———————————————————————————
Requirements
Complete challenge #22
Unlocks:
[RTN]

Gold Bomb
———————-
———————————————————————————
Requirements
Complete challenge #23
Unlocks:
[RTN]

2 new pills
———————-
———————————————————————————
Requirements
Complete challenge #24
Unlocks:
The “Percs!” and “Addicted!” pill effects

2 new pills
———————-
———————————————————————————
Requirements
Complete challenge #25
Unlocks:
The “Re-Lax” and “???” pill effects

Poker Chip
———————-
———————————————————————————
Requirements
Complete challenge #26
Unlocks:
[RTN]

Stud Finder
———————-
———————————————————————————
Requirements
Complete challenge #27
Unlocks:
[RTN]

D8
———————-
———————————————————————————
Requirements
Complete challenge #28
Unlocks:
[RTN]

Kidney Stone
———————-
———————————————————————————
Requirements
Complete challenge #29
Unlocks:
[RTN]

Blank Rune
———————-
———————————————————————————
Requirements
Complete challenge #30
Unlocks:
[RTN]

Blue Womb
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 10 times
Unlocks:
[RTN]

1001%
———————-
———————————————————————————
Requirements
Unlock every Rebirth and Afterbirth achievement, and collect
every Rebirth and Afterbirth item at least once
Unlocks:
[RTN]

Achievements #13

These are achievements from ID 236 to ID 253

Keeper holds Wooden Nickel
———————-
———————————————————————————
Requirements
Defeat Isaac as Keeper
Unlocks:
Allows the Keeper to start with the Wooden Nickel active item

Store Key
———————-
———————————————————————————
Requirements
Defeat Satan as Keeper
Unlocks:
[RTN]

Deep Pockets
———————-
———————————————————————————
Requirements
Defeat ??? as Keeper
Unlocks:
[RTN]

Karma
———————-
———————————————————————————
Requirements
Defeat the Lamb as Keeper
Unlocks:
[RTN]

Sticky Nickels
———————-
———————————————————————————
Requirements
Complete the Boss Rush as Keeper
Unlocks:
[RTN]

Super Greed Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Keeper
Unlocks:
[RTN]

Lucky Pennies
———————-
———————————————————————————
Requirements
Donate a coin to the Greed Donation Machine
Unlocks:
[RTN]

Special Hanging Shopkeepers
———————-
———————————————————————————
Requirements
Donate 10 coins to the Greed Donation Machine
Unlocks:
[RTN]

Wooden Nickel
———————-
———————————————————————————
Requirements
Donate 30 coins to the Greed Donation Machine
Unlocks:
[RTN]

Cain holds Paperclip
———————-
———————————————————————————
Requirements
Donate 68 coins to the Greed Donation Machine
Unlocks:
Allows Cain to start with the Paper Clip trinket

Everything is Terrible 2!!!
———————-
———————————————————————————
Requirements
Donate 111 coins to the Greed Donation Machine
Unlocks:
Makes the fight with Ultra Greed slightly harder

Special Shopkeepers
———————-
———————————————————————————
Requirements
Donate 234 coins to the Greed Donation Machine
Unlocks:
[RTN]

Eve now holds Razor Blade
———————-
———————————————————————————
Requirements
Donate 439 coins to the Greed Donation Machine
Unlocks:
Allows Eve to start with the Razor Blade active item

Store Key
———————-
———————————————————————————
Requirements
Donate 666 coins to the Greed Donation Machine
Unlocks:
[RTN]

Lost holds Holy Mantle
———————-
———————————————————————————
Requirements
Donate 879 coins to the Greed Donation Machine
Unlocks:
Allows the Lost to start with the Holy Mantle passive item

Keeper
———————-
———————————————————————————
Requirements
Donate 1’000 coins to the Greed Donation Machine
Unlocks:
[RTN]

Hive Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as ???
Unlocks:
[RTN]

Buddy Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Isaac
Unlocks:
[RTN]

Achievements #14

These are achievements from ID 254 to ID 273

Colorful Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Magdalene
Unlocks:
[RTN]

♥♥♥♥♥ Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Eve
Unlocks:
[RTN]

Cracked Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Eden
Unlocks:
[RTN]

Dripping Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Lazarus
Unlocks:
[RTN]

Blinding Baby
———————-
———————————————————————————
Requirements
Use the Blank Card active item while holding the
XIX – The Sun tarot card
Unlocks:
[RTN]

Sucky Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Azazel
Unlocks:
[RTN]

Dark Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Lilith
Unlocks:
[RTN]

Picky Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Cain
Unlocks:
[RTN]

Revenge Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Samson
Unlocks:
[RTN]

Belial Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Judas
Unlocks:
[RTN]

Sale Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Keeper
Unlocks:
[RTN]

XXXXXXXXL
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

SPEED!
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Blue Bomber
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 11 times (and destroy 10 tinted rocks)
Unlocks:
[RTN]

PAY TO PLAY
———————-
———————————————————————————
Requirements
Defeat Isaac as Cain
Unlocks:
[RTN]

Have a Heart
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

I RULE!
———————-
———————————————————————————
Requirements
Defeat Mega Satan
Unlocks:
[RTN]

BRAINS!
———————-
———————————————————————————
Requirements
Defeat Isaac 5 times
Unlocks:
[RTN]

PRIDE DAY!
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Onan’s Streak
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Achievements #15

These are achievements from ID 274 to ID 293

The Guardian
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Generosity
———————-
———————————————————————————
Requirements
Donate 999 coins to the Greed Donation Machine
Unlocks:

Mega
———————-
———————————————————————————
Requirements
Defeat Mega Satan as every non-tainted character
Unlocks:
The Mega Blast active item

Backasswards
———————-
———————————————————————————
Requirements
Defeat Mega Satan
Unlocks:
[RTN]

Aprils Fool
———————-
———————————————————————————
Requirements
Defeat Mom
Unlocks:
[RTN]

Pokey Mans
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 11 times
Unlocks:
[RTN]

Ultra Hard
———————-
———————————————————————————
Requirements
Defeat Mega Satan
Unlocks:
[RTN]

PONG
———————-
———————————————————————————
Requirements
Defeat Isaac 5 times
Unlocks:
[RTN]

D Infinity
———————-
———————————————————————————
Requirements
Defeat Delirium as Isaac
Unlocks:
[RTN]

Eucharist
———————-
———————————————————————————
Requirements
Defeat Delirium as Magdalene
Unlocks:
[RTN]

Silver Dollar
———————-
———————————————————————————
Requirements
Defeat Delirium as Cain
Unlocks:
[RTN]

Shade
———————-
———————————————————————————
Requirements
Defeat Delirium as Judas
Unlocks:
[RTN]

King Baby
———————-
———————————————————————————
Requirements
Defeat Delirium as ???
Unlocks:
[RTN]

Bloody Crown
———————-
———————————————————————————
Requirements
Defeat Delirium as Samson
Unlocks:
[RTN]

Dull Razor
———————-
———————————————————————————
Requirements
Defeat Delirium as Eve
Unlocks:
[RTN]

Eden’s Soul
———————-
———————————————————————————
Requirements
Defeat Delirium as Eden
Unlocks:
[RTN]

Dark Prince’s Crown
———————-
———————————————————————————
Requirements
Defeat Delirium as Azazel
Unlocks:
[RTN]

Compound Fracture
———————-
———————————————————————————
Requirements
Defeat Delirium as Lazarus
Unlocks:
[RTN]

Euthanasia
———————-
———————————————————————————
Requirements
Defeat Delirium as Lilith
Unlocks:
[RTN]

Holy Card
———————-
———————————————————————————
Requirements
Defeat Delirium as the Lost
Unlocks:
[RTN]

Achievements #16

These are achievements from ID 294 to ID 313

Crooked Penny
———————-
———————————————————————————
Requirements
Defeat Delirium as Keeper
Unlocks:
[RTN]

Void
———————-
———————————————————————————
Requirements
Defeat Delirium as Apollyon
Unlocks:
[RTN]

D1
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Isaac
Unlocks:
[RTN]

Glyph of Balance
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Magdalene
Unlocks:
[RTN]

Sack of Sacks
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Cain
Unlocks:
[RTN]

Eye of Belial
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Judas
Unlocks:
[RTN]

Meconium
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as ???
Unlocks:
[RTN]

Stem Cell
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Samson
Unlocks:
[RTN]

Crow Heart
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Eve
Unlocks:
[RTN]

Metronome
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Eden
Unlocks:
[RTN]

Bat Wing
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Azazel
Unlocks:
[RTN]

Plan C
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Lazarus
Unlocks:
[RTN]

Duality
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Lilith
Unlocks:
[RTN]

Dad’s Lost Coin
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as the Lost
Unlocks:
[RTN]

Eye of Greed
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Keeper
Unlocks:
[RTN]

Black Rune
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Apollyon
Unlocks:
[RTN]

Locust of Wrath
———————-
———————————————————————————
Requirements
Defeat Isaac as Apollyon
Unlocks:
The Locust of War trinket

Locust of Pestilence
———————-
———————————————————————————
Requirements
Defeat Satan as Apollyon
Unlocks:
[RTN]

Locust of Famine
———————-
———————————————————————————
Requirements
Defeat ??? as Apollyon
Unlocks:
[RTN]

Locust of Death
———————-
———————————————————————————
Requirements
Defeat the Lamb as Apollyon
Unlocks:
[RTN]

Achievements #17

These are achievements from ID 314 to ID 331

Locust of Conquest
———————-
———————————————————————————
Requirements
Complete Boss Rush as Apollyon
Unlocks:
[RTN]

Hushy
———————-
———————————————————————————
Requirements
Defeat Hush as Apollyon
Unlocks:
[RTN]

Brown Nugget
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Apollyon
Unlocks:
[RTN]

Mort Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Apollyon
Unlocks:
[RTN]

Smelter
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Apollyon
Unlocks:
[RTN]

Apollyon Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Apollyon
Unlocks:
[RTN]

New Area
———————-
———————————————————————————
Requirements
Defeat Hush
Unlocks:
The Void floor

Once More with Feeling!
———————-
———————————————————————————
Requirements
Initiate a Victory Lap and complete it by defeating the Lamb
Unlocks:
The “Gulp!” pill effect

Hat trick!
———————-
———————————————————————————
Requirements
Win the game three times in a row.
Resetting the run or dying resets the counter.
Unlocks:
The Ace of Clubs card

5 Nights at Mom
———————-
———————————————————————————
Requirements
Win the game three times in a row, using a different character
for each run.
Resetting the run or dying resets the counter
Unlocks:
Super Secret Rocks

Sin collector
———————-
———————————————————————————
Requirements
Acquire every entry in the Bestiary
Unlocks:
The “Feels Like I’m Walking on Sunshine!” pill effect

Dedication
———————-
———————————————————————————
Requirements
Participate in 31 daily challenges
Unlocks:
The “Horf!” pill effect

ZIP!
———————-
———————————————————————————
Requirements
Defeat the Lamb in under 20 minutes
Unlocks:
The Ace of Diamonds card

It’s The Key
———————-
———————————————————————————
Requirements
Defeat the Lamb without picking up any hearts, coins or bombs
throughout the entire run
Unlocks:
The Ace of Spades card

Mr. Resetter!
———————-
———————————————————————————
Requirements
Reset the run seven times in a row
Unlocks:
Half Soul Hearts

Living on the edge
———————-
———————————————————————————
Requirements
Complete a whole chapter start to finish while having only
half a heart.
Unlocks:
The Ace of Hearts card

U Broke It!
———————-
———————————————————————————
Requirements
Obtain 50 items in a single run
Unlocks:
The “Vurp!” pill effect

Laz Bleeds More!
———————-
———————————————————————————
Requirements
Complete challenge #31
Unlocks:
Allows Lazarus to start with the Anemic item, and Lazarus
Risen will have it permanently active

Achievements #18

These are achievements from ID 332 to ID 350

Maggy Now Holds a Pill!
———————-
———————————————————————————
Requirements
Complete challenge #32
Unlocks:
Allows Magdalene to start with a Full Health pill

Charged Key
———————-
———————————————————————————
Requirements
Complete challenge #33
Unlocks:
[RTN]

Samson Feels Healthy!
———————-
———————————————————————————
Requirements
Complete challenge #34
Unlocks:
Allows Samson to start with the Child’s Heart trinket

Charged Key
———————-
———————————————————————————
Requirements
Complete challenge #35
Unlocks:
[RTN]

The Marathon
———————-
———————————————————————————
Requirements
Win five daily challenges in a row.
The challenges do not need to be in a row chronologically,
only winning counts.
Unlocks:
The Cracked Crown trinket

RERUN
———————-
———————————————————————————
Requirements
Complete three Victory Laps and start a 4th
Unlocks:
The RERUN option, which is available after winning and ending
a run

Delirious
———————-
———————————————————————————
Requirements
Defeat Delirium
Unlocks:
The Delirious and Lil Delirium items

1000000%
———————-
———————————————————————————
Requirements
Acquire every AB+ achievement, collect every AB+ item, and
complete the Bestiary
Unlocks:
[RTN]

Apollyon
———————-
———————————————————————————
Requirements
Defeat Mega Satan
Unlocks:
[RTN]

Greedier!
———————-
———————————————————————————
Requirements
Donate 500 coins to the Greed Donation Machine
Unlocks:
The Greedier mode

Burning Basement
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 11 times
Unlocks:
[RTN]

Flooded Caves
———————-
———————————————————————————
Requirements
Defeat It Lives 16 times
Unlocks:
[RTN]

Dank Depths
———————-
———————————————————————————
Requirements
Defeat It Lives 21 times
Unlocks:
[RTN]

Scarred Womb
———————-
———————————————————————————
Requirements
Defeat It Lives 30 times
Unlocks:
[RTN]

Something wicked this way comes!
———————-
———————————————————————————
Requirements
Defeat ??? as 3 different characters
Unlocks:
A plethora of new bosses

Something wicked this way comes+!
———————-
———————————————————————————
Requirements
Defeat ??? as 6 different characters
Unlocks:
A plethora of new bosses

The gate is open!
———————-
———————————————————————————
Requirements
Defeat the Lamb
Unlocks:
A plethora of new enemies

Black Hole
———————-
———————————————————————————
Requirements
Defeat 20 Portal enemies
Unlocks:
[RTN]

Mystery Gift
———————-
———————————————————————————
Requirements
Destroy 500 rocks
Unlocks:
[RTN]

Achievements #19

These are achievements from ID 351 to ID 369

Sprinkler
———————-
———————————————————————————
Requirements
Beat Chapter I without taking damage
Unlocks:
[RTN]

Angry Fly
———————-
———————————————————————————
Requirements
Acquire the Beelzebub transformation
Unlocks:
[RTN]

Bozo
———————-
———————————————————————————
Requirements
Destroy 5 rainbow poops
Unlocks:
[RTN]

Broken Modem
———————-
———————————————————————————
Requirements
Win seven daily challenges
Unlocks:
[RTN]

Buddy in a Box
———————-
———————————————————————————
Requirements
Acquire 5 familiars in a single run
Unlocks:
[RTN]

Fast Bombs
———————-
———————————————————————————
Requirements
Defeat Little Horn 20 times
Unlocks:
[RTN]

Lil Delirium
———————-
———————————————————————————
Requirements
Defeat Delirium
Unlocks:
[RTN]

Hairpin
———————-
———————————————————————————
Requirements
Use batteries to recharge your active item 20 times
Unlocks:
[RTN]

Wooden Cross
———————-
———————————————————————————
Requirements
Sleep in a bed
Unlocks:
[RTN]

Butter!
———————-
———————————————————————————
Requirements
Complete two Victory Laps and start a 3rd
Unlocks:
[RTN]

Huge Growth
———————-
———————————————————————————
Requirements
Increase in size 5 times in a single run
Unlocks:
[RTN]

Ancient Recall
———————-
———————————————————————————
Requirements
Use cards and/or runes 20 times
Unlocks:
[RTN]

Era Walk
———————-
———————————————————————————
Requirements
Collect both the Broken Watch and Stop Watch items at least
once
Unlocks:
[RTN]

Coupon
———————-
———————————————————————————
Requirements
Purchase from shops or devil rooms 50 times
Unlocks:
[RTN]

Telekinesis
———————-
———————————————————————————
Requirements
Beat Chapter II without taking damage
Unlocks:
[RTN]

Moving Box
———————-
———————————————————————————
Requirements
Use the Pandora’s Box active item in the Dark Room
Unlocks:
[RTN]

Jumper Cables
———————-
———————————————————————————
Requirements
Pick up at least three of these items/trinkets in a single run:

  • 4.5 Volt
  • 9 Volt
  • The Battery
  • Car Battery
  • Battery Pack
  • Watch Battery
  • AAA Battery
Unlocks:
[RTN]

Leprosy
———————-
———————————————————————————
Requirements
Beat Chapter III without taking damage
Unlocks:
[RTN]

Technology Zero
———————-
———————————————————————————
Requirements
Pick up two “Technology” items in a single run
Unlocks:
[RTN]

Achievements #20

These are achievements from ID 370 to ID 388

Filigree Feather
———————-
———————————————————————————
Requirements
Pick up both Key Piece 1 and Key Piece 2 in a single run
Unlocks:
[RTN]

Mr. ME!
———————-
———————————————————————————
Requirements
Open 20 locked chests
Unlocks:
[RTN]

7 Seals
———————-
———————————————————————————
Requirements
Defeat all 5 Harbingers
Unlocks:
[RTN]

Angelic Prism
———————-
———————————————————————————
Requirements
Defeat an Angel 10 times
Unlocks:
[RTN]

Pop!
———————-
———————————————————————————
Requirements
Beat Chapter IV without taking damage
Unlocks:
[RTN]

Door Stop
———————-
———————————————————————————
Requirements
Blow up 50 doors/secret room entrances
Unlocks:
[RTN]

Death’s List
———————-
———————————————————————————
Requirements
Make 25 deals with the devil
Unlocks:
[RTN]

Haemolacria
———————-
———————————————————————————
Requirements
Pick up the Blood Clot item 10 times
Unlocks:
[RTN]

Lachryphagy
———————-
———————————————————————————
Requirements
Collect 10 “tears up” items/pills in a single run
Unlocks:
[RTN]

Schoolbag
———————-
———————————————————————————
Requirements
Visit each shop from Basement I to Depths II
Unlocks:
[RTN]

Trisagion
———————-
———————————————————————————
Requirements
Take 25 items from Angel Rooms
Unlocks:
[RTN]

Extension Cord
———————-
———————————————————————————
Requirements
Pick up the Battery, 9 Volt and Car Battery items at least once
Unlocks:
[RTN]

Flat Stone
———————-
———————————————————————————
Requirements
Pick up the Rubber Cement item 5 times
Unlocks:
[RTN]

Sacrificial Altar
———————-
———————————————————————————
Requirements
Make 50 deals with the devil
Unlocks:
[RTN]

Lil Spewer
———————-
———————————————————————————
Requirements
Kill yourself using either Ipecac, Bob’s Rotten Head, or the
“Horf!” pill effect
Unlocks:
[RTN]

Blanket
———————-
———————————————————————————
Requirements
Sleep in 10 beds
Unlocks:
[RTN]

Marbles
———————-
———————————————————————————
Requirements
Use 5 pills with the “Gulp!” effect in a single run
Unlocks:
[RTN]

Mystery Egg
———————-
———————————————————————————
Requirements
Spawn three charmed enemies in the same room
Unlocks:
[RTN]

Rotten Penny
———————-
———————————————————————————
Requirements
Have 20 or more blue flies at the same time
Unlocks:
[RTN]

Achievements #21

These are achievements from ID 389 to ID 407

Baby-Bender
———————-
———————————————————————————
Requirements
Use the “I – The Magician” tarot card, or the Telepathy With
Dummies active item while already having homing tears
Unlocks:
[RTN]

The Forgotten
———————-
———————————————————————————
Requirements
Refer to Characters – Unlock Criteria
Unlocks:
[RTN]

Bone Heart
———————-
———————————————————————————
Requirements
Same requirements as The Forgotten
Unlocks:
[RTN]

Marrow
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as the Forgotten
Unlocks:
[RTN]

Slipped Rib
———————-
———————————————————————————
Requirements
Defeat Isaac as the Forgotten
Unlocks:
[RTN]

Pointy Rib
———————-
———————————————————————————
Requirements
Defeat Satan as the Forgotten
Unlocks:
[RTN]

Jaw Bone
———————-
———————————————————————————
Requirements
Defeat ??? as the Forgotten
Unlocks:
[RTN]

Brittle Bones
———————-
———————————————————————————
Requirements
Defeat the Lamb as the Forgotten
Unlocks:
[RTN]

Divorce Papers
———————-
———————————————————————————
Requirements
Complete Boss Rush as the Forgotten
Unlocks:
[RTN]

Hallowed Ground
———————-
———————————————————————————
Requirements
Defeat Hush as the Forgotten
Unlocks:
[RTN]

Finger Bone
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as the Forgotten
Unlocks:
[RTN]

Dad’s Ring
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as the Forgotten
Unlocks:
[RTN]

Book of the Dead
———————-
———————————————————————————
Requirements
Defeat Delirium as the Forgotten
Unlocks:
[RTN]

Bone Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as the Forgotten
Unlocks:
[RTN]

Bound Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as the Forgotten
Unlocks:
[RTN]

Bethany
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Lazarus without
dying whatsoever
Unlocks:
[RTN]

Jacob & Esau
———————-
———————————————————————————
Requirements
Defeat Mother
Unlocks:
[RTN]

The Planetarium
———————-
———————————————————————————
Requirements
Collect three astrology-related items in a run
Unlocks:
[RTN]

A Secret Exit
———————-
———————————————————————————
Requirements
Defeat Hush 3 times
Unlocks:
The Downpour, Mines, and Mausoleum floors

Achievements #22

These are achievements from ID 408 to ID 427

Forgotten Lullaby
———————-
———————————————————————————
Requirements
Blow up Siren’s skull, which is dropped after defeating her
Unlocks:
[RTN]

Fruity Plum
———————-
———————————————————————————
Requirements
Defeat Baby Plum 10 times
Unlocks:
[RTN]

Plum Flute
———————-
———————————————————————————
Requirements
Spare Baby Plum
Unlocks:
[RTN]

Rotten Heart
———————-
———————————————————————————
Requirements
Enter the Corpse for the first time
Unlocks:
[RTN]

Dross
———————-
———————————————————————————
Requirements
Defeat all Downpour bosses
Unlocks:
[RTN]

Ashpit
———————-
———————————————————————————
Requirements
Defeat all Mines bosses
Unlocks:
[RTN]

Gehenna
———————-
———————————————————————————
Requirements
Defeat all Mausoleum bosses
Unlocks:
[RTN]

Red Key
———————-
———————————————————————————
Requirements
Open Mom’s Box in Home
Unlocks:
[RTN]

Wisp Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Bethany
Unlocks:
[RTN]

Book of Virtues
———————-
———————————————————————————
Requirements
Defeat Isaac as Bethany
Unlocks:
[RTN]

Urn of Souls
———————-
———————————————————————————
Requirements
Defeat Satan as Bethany
Unlocks:
[RTN]

Blessed Penny
———————-
———————————————————————————
Requirements
Defeat ??? as Bethany
Unlocks:
[RTN]

Alabaster Box
———————-
———————————————————————————
Requirements
Defeat the Lamb as Bethany
Unlocks:
[RTN]

Beth’s Faith
———————-
———————————————————————————
Requirements
Complete Boss Rush as Bethany
Unlocks:
[RTN]

Soul Locket
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Bethany
Unlocks:
[RTN]

Divine Intervention
———————-
———————————————————————————
Requirements
Defeat Hush as Bethany
Unlocks:
[RTN]

Vade Retro
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Bethany
Unlocks:
[RTN]

Star of Bethlehem
———————-
———————————————————————————
Requirements
Defeat Delirium as Bethany
Unlocks:
[RTN]

Hope Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Bethany
Unlocks:
[RTN]

Glowing Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Bethany
Unlocks:
[RTN]

Achievements #23

These are achievements from ID 428 to ID 447

Double Baby
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart on Hard mode as Jacob & Esau
Unlocks:
[RTN]

The Stairway
———————-
———————————————————————————
Requirements
Defeat Isaac as Jacob & Esau
Unlocks:
[RTN]

Red Stew
———————-
———————————————————————————
Requirements
Defeat Satan as Jacob & Esau
Unlocks:
[RTN]

Birthright
———————-
———————————————————————————
Requirements
Defeat ??? as Jacob & Esau
Unlocks:
[RTN]

Damocles
———————-
———————————————————————————
Requirements
Defeat the Lamb as Jacob & Esau
Unlocks:
[RTN]

Rock Bottom
———————-
———————————————————————————
Requirements
Complete Boss Rush as Jacob & Esau
Unlocks:
[RTN]

Inner Child
———————-
———————————————————————————
Requirements
Defeat Ultra Greed as Jacob & Esau
Unlocks:
[RTN]

Vanishing Twin
———————-
———————————————————————————
Requirements
Defeat Hush as Jacob & Esau
Unlocks:
[RTN]

Genesis
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Jacob & Esau
Unlocks:
[RTN]

Suplex!
———————-
———————————————————————————
Requirements
Defeat Delirium as Jacob & Esau
Unlocks:
[RTN]

Solomon’s Baby
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as Jacob & Esau
Unlocks:
[RTN]

Illusion Baby
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Jacob & Esau
Unlocks:
[RTN]

Meat Cleaver
———————-
———————————————————————————
Requirements
Defeat Mother as Isaac
Unlocks:
[RTN]

Options?
———————-
———————————————————————————
Requirements
Defeat the Beast as Isaac
Unlocks:
[RTN]

Yuck Heart
———————-
———————————————————————————
Requirements
Defeat Mother as Magdalene
Unlocks:
[RTN]

Candy Heart
———————-
———————————————————————————
Requirements
Defeat the Beast as Magdalene
Unlocks:
[RTN]

Guppy’s Eye
———————-
———————————————————————————
Requirements
Defeat Mother as Cain
Unlocks:
[RTN]

A Pound of Flesh
———————-
———————————————————————————
Requirements
Defeat the Beast as Cain
Unlocks:
[RTN]

Akeldama
———————-
———————————————————————————
Requirements
Defeat Mother as Judas
Unlocks:
[RTN]

Redemption
———————-
———————————————————————————
Requirements
Defeat the Beast as Judas
Unlocks:
[RTN]

Achievements #24

These are achievements from ID 448 to ID 467

Eternal D6
———————-
———————————————————————————
Requirements
Defeat Mother as ???
Unlocks:
[RTN]

Montezuma’s Revenge
———————-
———————————————————————————
Requirements
Defeat the Beast as ???
Unlocks:
[RTN]

Bird Cage
———————-
———————————————————————————
Requirements
Defeat Mother as Eve
Unlocks:
[RTN]

Cracked Orb
———————-
———————————————————————————
Requirements
Defeat the Beast as Eve
Unlocks:
[RTN]

Bloody Gust
———————-
———————————————————————————
Requirements
Defeat Mother as Samson
Unlocks:
[RTN]

Empty Heart
———————-
———————————————————————————
Requirements
Defeat the Beast as Samson
Unlocks:
[RTN]

Devil’s Crown
———————-
———————————————————————————
Requirements
Defeat Mother as Azazel
Unlocks:
[RTN]

Lil Abaddon
———————-
———————————————————————————
Requirements
Defeat the Beast as Azazel
Unlocks:
[RTN]

Tinytoma
———————-
———————————————————————————
Requirements
Defeat Mother as Lazarus
Unlocks:
[RTN]

Astral Projection
———————-
———————————————————————————
Requirements
Defeat the Beast as Lazarus
Unlocks:
[RTN]

‘M
———————-
———————————————————————————
Requirements
Defeat Mother as Eden
Unlocks:
[RTN]

Everything Jar
———————-
———————————————————————————
Requirements
Defeat the Beast as Eden
Unlocks:
[RTN]

Lost Soul
———————-
———————————————————————————
Requirements
Defeat Mother as the Lost
Unlocks:
[RTN]

Hungry Soul
———————-
———————————————————————————
Requirements
Defeat the Beast as the Lost
Unlocks:
[RTN]

Blood Puppy
———————-
———————————————————————————
Requirements
Defeat Mother as Lilith
Unlocks:
[RTN]

C Section
———————-
———————————————————————————
Requirements
Defeat the Beast as Lilith
Unlocks:
[RTN]

Keeper’s Sack
———————-
———————————————————————————
Requirements
Defeat Mother as Keeper
Unlocks:
[RTN]

Keeper’s Box
———————-
———————————————————————————
Requirements
Defeat the Beast as Keeper
Unlocks:
[RTN]

Lil Portal
———————-
———————————————————————————
Requirements
Defeat Mother as Apollyon
Unlocks:
[RTN]

Worm Friend
———————-
———————————————————————————
Requirements
Defeat the Beast as Apollyon
Unlocks:
[RTN]

Achievements #25

These are achievements from ID 468 to ID 486

Bone Spurs
———————-
———————————————————————————
Requirements
Defeat Mother as the Forgotten
Unlocks:
[RTN]

Spirit Shackles
———————-
———————————————————————————
Requirements
Defeat the Beast as the Forgotten
Unlocks:
[RTN]

Revelation
———————-
———————————————————————————
Requirements
Defeat Mother as Bethany
Unlocks:
[RTN]

Jar of Wisps
———————-
———————————————————————————
Requirements
Defeat the Beast as Bethany
Unlocks:
[RTN]

Magic Skin
———————-
———————————————————————————
Requirements
Defeat Mother as Jacob & Esau
Unlocks:
[RTN]

Friend Finder
———————-
———————————————————————————
Requirements
Defeat the Beast as Jacob & Esau
Unlocks:
[RTN]

The Broken
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Isaac
Unlocks:
Tainted Isaac

The Dauntless
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Magdalene
Unlocks:
Tainted Magdalene

The Hoarder
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Cain
Unlocks:
Tainted Cain

The Deceiver
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Judas
Unlocks:
Tainted Judas

The Soiled
———————-
———————————————————————————
Requirements
Open the red room closet in Home as ???
Unlocks:
Tainted ???

The Curdled
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Eve
Unlocks:
Tainted Eve

The Savage
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Samson
Unlocks:
Tainted Samson

The Benighted
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Azazel
Unlocks:
Tainted Azazel

The Enigma
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Lazarus
Unlocks:
Tainted Lazarus

The Capricious
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Eden
Unlocks:
Tainted Eden

The Baleful
———————-
———————————————————————————
Requirements
Open the red room closet in Home as the Lost
Unlocks:
Tainted Lost

The Harlot
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Lilith
Unlocks:
Tainted Lilith

The Miser
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Keeper
Unlocks:
Tainted Keeper

Achievements #26

These are achievements from ID 487 to ID 505

The Empty
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Apollyon
Unlocks:
Tainted Apollyon

The Fettered
———————-
———————————————————————————
Requirements
Open the red room closet in Home as the Forgotten
Unlocks:
Tainted Forgotten

The Zealot
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Bethany
Unlocks:
Tainted Bethany

The Deserter
———————-
———————————————————————————
Requirements
Open the red room closet in Home as Jacob & Esau
Unlocks:
Tainted Jacob

Glitched Crown
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Isaac
Unlocks:
[RTN]

Belly Jelly
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Magdalene
Unlocks:
[RTN]

Blue Key
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Cain
Unlocks:
[RTN]

Sanguine Bond
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Judas
Unlocks:
[RTN]

The Swarm
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted ???
Unlocks:
[RTN]

Heartbreak
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Eve
Unlocks:
[RTN]

Larynx
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Samson
Unlocks:
[RTN]

Azazel’s Rage
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Azazel
Unlocks:
[RTN]

Salvation
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Lazarus
Unlocks:
[RTN]

TMTRAINER
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Eden
Unlocks:
[RTN]

Sacred Orb
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Lost
Unlocks:
[RTN]

Twisted Pair
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Lilith
Unlocks:
[RTN]

Strawman
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Keeper
Unlocks:
[RTN]

Echo Chamber
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Apollyon
Unlocks:
[RTN]

Isaac’s Tomb
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Forgotten
Unlocks:
[RTN]

Achievements #27

These are achievements from ID 505 to ID 524

Vengeful Spirit
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Bethany
Unlocks:
[RTN]

Esau Jr.
———————-
———————————————————————————
Requirements
Defeat the Beast as Tainted Jacob
Unlocks:
[RTN]

Bloody Mary
———————-
———————————————————————————
Requirements
Unlock Bethany, the Blood Bag item, and defeat Mom’s Heart
11 times
Unlocks:
[RTN]

Baptism By Fire
———————-
———————————————————————————
Requirements
Defeat Satan as Bethany, Defeat Mom’s Heart 11 times and
unlock Maggy’s Faith
Unlocks:
[RTN]

Isaac’s Awakening
———————-
———————————————————————————
Requirements
Defeat Mother
Unlocks:
[RTN]

Seeing Double
———————-
———————————————————————————
Requirements
Defeat Mother
Unlocks:
[RTN]

Pica Run
———————-
———————————————————————————
Requirements
Defeat Mom’s Heart 11 times and unlock the Marbles item
Unlocks:
[RTN]

Hot Potato
———————-
———————————————————————————
Requirements
Unlock Tainted Forgotten
Unlocks:
[RTN]

Cantripped!
———————-
———————————————————————————
Requirements
Unlock Tainted Cain
Unlocks:
[RTN]

Red Redemption
———————-
———————————————————————————
Requirements
Unlock Tainted Jacob
Unlocks:
[RTN]

DELETE THIS
———————-
———————————————————————————
Requirements
Unlock Tainted Eden
Unlocks:
[RTN]

Dirty Mind
———————-
———————————————————————————
Requirements
Complete challenge #36
Unlocks:
[RTN]

Sigil of Baphomet
———————-
———————————————————————————
Requirements
Complete challenge #37
Unlocks:
[RTN]

Purgatory
———————-
———————————————————————————
Requirements
Complete challenge #38
Unlocks:
[RTN]

Spirit Sword
———————-
———————————————————————————
Requirements
Complete challenge #39
Unlocks:
[RTN]

Broken Glasses
———————-
———————————————————————————
Requirements
Complete challenge #40
Unlocks:
[RTN]

Ice Cube
———————-
———————————————————————————
Requirements
Complete challenge #41
Unlocks:
[RTN]

Charged Penny
———————-
———————————————————————————
Requirements
Make Battery Beggars pay out with an item 5 times
Unlocks:
[RTN]

The Fool
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Lost
Unlocks:
The reversed The Fool tarot card

Achievements #28

These are achievements from ID 525 to ID 542

The Magician
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Judas
Unlocks:
The reversed The Magician tarot card

The High Priestess
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Lilith
Unlocks:
The reversed The High Priestess tarot card

The Empress
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Eve
Unlocks:
The reversed The Empress tarot card

The Emperor
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted ???
Unlocks:
The reversed The Emperor tarot card

The Hierophant
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Bethany
Unlocks:
The reversed The Hierophant tarot card

The Lovers
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Magdalene
Unlocks:
The reversed The Lovers tarot card

The Chariot
———————-
———————————————————————————
Requirements
Complete challenge #42
Unlocks:
The reversed The Chariot tarot card

Justice
———————-
———————————————————————————
Requirements
Complete challenge #43
Unlocks:
The reversed Justice tarot card

The Hermit
———————-
———————————————————————————
Requirements
Complete challenge #44
Unlocks:
The reversed The Hermit tarot card

Wheel of Fortune
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Cain
Unlocks:
The reversed Wheel of Fortune tarot card

Strength
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Samson
Unlocks:
The reversed Strength tarot card

The Hanged Man
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Keeper
Unlocks:
The reversed The Hanged Man tarot card

Death
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Forgotten
Unlocks:
The reversed Death tarot card

Temperance
———————-
———————————————————————————
Requirements
Complete challenge #45
Unlocks:
The reversed Temperance tarot card

The Devil
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Azazel
Unlocks:
The reversed The Devil tarot card

The Tower
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Apollyon
Unlocks:
The reversed The Tower tarot card

The Stars
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Isaac
Unlocks:
The reversed The Stars tarot card

The Sun and the Moon
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Jacob
Unlocks:
The reversed The Sun tarot card, and the reversed
The Moon tarot card

Achievements #29

These are achievements from ID 543 to ID 561

Judgement
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Lazarus
Unlocks:
The reversed Judgement tarot card

The World
———————-
———————————————————————————
Requirements
Defeat Ultra Greedier as Tainted Eden
Unlocks:
The reversed The World tarot card

Old Capacitor
———————-
———————————————————————————
Requirements
Kill 10 Battery Beggars
Unlocks:
[RTN]

Brimstone Bombs
———————-
———————————————————————————
Requirements
Kill Hornfel instead of letting him escape
Unlocks:
[RTN]

Mega Mush
———————-
———————————————————————————
Requirements
Earn all Hard mode completion marks as every non-tainted
character
Unlocks:
[RTN]

Mom’s Lock
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Isaac
Unlocks:
[RTN]

Dice Bag
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Isaac
Unlocks:
[RTN]

Holy Crown
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Magdalene
Unlocks:
[RTN]

Mother’s Kiss
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Magdalene
Unlocks:
[RTN]

Gilded Key
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Cain
Unlocks:
[RTN]

Lucky Sack
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Cain
Unlocks:
[RTN]

Your Soul
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Judas
Unlocks:
[RTN]

Number Magnet
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Judas
Unlocks:
[RTN]

Dingle Berry
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted ???
Unlocks:
[RTN]

Ring Cap
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted ???
Unlocks:
[RTN]

Strange Key
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Eve
Unlocks:
[RTN]

Lil Clot
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Eve
Unlocks:
[RTN]

Temporary Tattoo
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Samson
Unlocks:
[RTN]

Swallowed M80
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Samson
Unlocks:
[RTN]

Achievements #30

These are achievements from ID 562 to ID 580

Wicked Crown
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Azazel
Unlocks:
[RTN]

Azazel’s Stump
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Azazel
Unlocks:
[RTN]

Torn Pocket
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Lazarus
Unlocks:
[RTN]

Torn Card
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Lazarus
Unlocks:
[RTN]

Nuh Uh!
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Eden
Unlocks:
[RTN]

Modeling Clay
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Eden
Unlocks:
[RTN]

Kid’s Drawing
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Lost
Unlocks:
[RTN]

Crystal Key
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Lost
Unlocks:
[RTN]

The Twins
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Lilith
Unlocks:
[RTN]

Adoption Papers
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Lilith
Unlocks:
[RTN]

Keeper’s Bargain
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Keeper
Unlocks:
[RTN]

Cursed Penny
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Keeper
Unlocks:
[RTN]

Cricket Leg
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Apollyon
Unlocks:
[RTN]

Apollyon’s Best Friend
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Apollyon
Unlocks:
[RTN]

Polished Bone
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Forgotten
Unlocks:
[RTN]

Hollow Heart
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Forgotten
Unlocks:
[RTN]

Expansion Pack
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Bethany
Unlocks:
[RTN]

Beth’s Faith
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Bethany
Unlocks:
[RTN]

RC Remote
———————-
———————————————————————————
Requirements
Defeat Satan, Isaac, ??? and the Lamb as Tainted Jacob
Unlocks:
[RTN]

Achievements #31

These are achievements from ID 581 to ID 599

Found Soul
———————-
———————————————————————————
Requirements
Defeat Mother as Tainted Jacob
Unlocks:
[RTN]

Member Card
———————-
———————————————————————————
Requirements
Spend 40+ coins in a single shop
Unlocks:
[RTN]

Golden Razor
———————-
———————————————————————————
Requirements
Acquire 99 coins and spend them all.
Picking up coins while depleting your 99 coins will void the
achievement.
Any form of decreasing your coin count works
Unlocks:
[RTN]

Spindown Dice
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Isaac
Unlocks:
[RTN]

Hypercoagulation
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Magdalene
Unlocks:
[RTN]

Bag of Crafting
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Cain
Unlocks:

Dark Arts
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Judas
Unlocks:
[RTN]

IBS
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted ???
Unlocks:
[RTN]

Sumptorium
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Eve
Unlocks:

Berserk!
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Samson
Unlocks:
[RTN]

Hemoptysis
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Azazel
Unlocks:
[RTN]

Flip
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Lazarus
Unlocks:

Corrupted Data
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Eden
Unlocks:
Items in secret rooms and I AM ERROR rooms have an
extremely small chance to be converted into a
TMTRAINER-affected item.

Ghost Bombs
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Lost
Unlocks:
[RTN]

Gello
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Lilith
Unlocks:
[RTN]

Keeper’s Kin
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Keeper
Unlocks:
[RTN]

Abyss
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Apollyon
Unlocks:
[RTN]

Decap Attack
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Forgotten
Unlocks:
[RTN]

Lemegeton
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Bethany
Unlocks:
[RTN]

Achievements #32

These are achievements from ID 600 to ID 618

Anima Sola
———————-
———————————————————————————
Requirements
Defeat Delirium as Tainted Jacob
Unlocks:
[RTN]

Mega Chest
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Isaac
Unlocks:
[RTN]

Queen of Hearts
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Magdalene
Unlocks:
[RTN]

Gold Pill
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Cain
Unlocks:
[RTN]

Black Sack
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Judas
Unlocks:
[RTN]

Charming Poop
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted ???
Unlocks:
[RTN]

Horse Pill
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Eve
Unlocks:
[RTN]

Crane Game
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Samson
Unlocks:
[RTN]

Hell Game
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Azazel
Unlocks:
[RTN]

Wooden Chest
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Lazarus
Unlocks:
[RTN]

Wild Card
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Eden
Unlocks:
[RTN]

Haunted Chest
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Lost
Unlocks:
[RTN]

Fool’s Gold
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Lilith
Unlocks:
[RTN]

Golden Penny
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Keeper
Unlocks:
[RTN]

Rotten Beggar
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Apollyon
Unlocks:
[RTN]

Golden Battery
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Forgotten
Unlocks:
[RTN]

Confessional
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Bethany
Unlocks:
[RTN]

Golden Trinket
———————-
———————————————————————————
Requirements
Defeat Mega Satan as Tainted Jacob
Unlocks:
Allows trinkets to spawn as their golden versions

Soul of Isaac
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Isaac
Unlocks:
[RTN]

Achievements #33

These are achievements from ID 619 to ID 637

Soul of Magdalene
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Magdalene
Unlocks:
[RTN]

Soul of Cain
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Cain
Unlocks:
[RTN]

Soul of Judas
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Judas
Unlocks:
[RTN]

Soul of ???
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted ???
Unlocks:
[RTN]

Soul of Eve
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Eve
Unlocks:
[RTN]

Soul of Samson
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Samson
Unlocks:
[RTN]

Soul of Azazel
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Azazel
Unlocks:
[RTN]

Soul of Lazarus
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Lazarus
Unlocks:
[RTN]

Soul of Eden
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Eden
Unlocks:
[RTN]

Soul of the Lost
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Lost
Unlocks:
[RTN]

Soul of Lilith
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Lilith
Unlocks:
[RTN]

Soul of the Keeper
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Keeper
Unlocks:
[RTN]

Soul of Apollyon
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Apollyon
Unlocks:
[RTN]

Soul of Bethany
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Bethany
Unlocks:
[RTN]

Soul of Jacob and Esau
———————-
———————————————————————————
Requirements
Complete Boss Rush and defeat Hush as Tainted Jacob
Unlocks:
[RTN]

A Strange Door
———————-
———————————————————————————
Requirements
Defeat Mother
Unlocks:
The Strange Door in Depths II

Death Certificate
———————-
———————————————————————————
Requirements
Earn every Hard mode completion mark
as every character
Unlocks:
[RTN]

Dead God
———————-
———————————————————————————
Requirements
Obtain all items and achievements
Unlocks:

Challenges – Introduction

Challenges were in TBoI since its flash version, introduced in the Wrath of the Lamb expansion.
At that time, the game had a measly 10 challenges.
Nowadays, in TBoI: Rebirth, the game contains 45 challenges, assuming all of the DLC is installed.

Challenges are custom runs, with a specific goal in the form of a final boss, and limitations, which can range from treasure rooms not spawning, to being blindfolded, to having your companion explode every few seconds.

Completing challenges rewards you by unlocking certain things.
Achievements cannot be earned when playing a challenge.

All challenges are listed down below, sorted by the order they appear in the menu.

Challenges #1

# and Name
1. Pitch Black
———————-
———————————————————————————
Goal
Mom
Starting items
Rules
Permanent Curse of the Darkness and Curse of the Unknown.
Shops can’t spawn.
Unlocks:
Rune of Hagalaz
Tips

# and Name
2. High Brow
———————-
———————————————————————————
Goal
Mom
Starting items
  • Number One
  • E Coli
  • Butt Bombs
  • Flush!
  • Petrified Poop
Rules
Treasure Rooms can’t spawn
Unlocks:
Rune of Jera
Tips

# and Name
3. Head Trauma
———————-
———————————————————————————
Goal
Mom
Starting items
  • Tiny Planet
  • Soy Milk
  • Small Rock
  • Iron Bar
Rules
Treasure Rooms can’t spawn
Unlocks:
Rune of Ehwaz
Tips
Lump of Coal/Brimstone are run savers

# and Name
4. Darkness Falls
———————-
———————————————————————————
Goal
Satan
Starting items
  • Pentagram
  • Dead Bird
  • ♥♥♥♥♥ of Babylon
  • Razor Blade
  • Sacrificial Dagger
  • Dark Matter
Rules
The player starts as Eve.
Treasure Rooms can’t spawn
Unlocks:
Rune of Dagaz
Tips

# and Name
5. The Tank
———————-
———————————————————————————
Goal
Mom
Starting items
  • Infamy
  • Bucket of Lard
  • Thunder Thighs
  • Yum Heart
Rules
The player starts as Magdalene.
Treasure Rooms can’t spawn
Unlocks:
Rune of Ansuz
Tips

# and Name
6. Solar System
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
  • Distant Admiration
  • Forever Alone
  • Halo of Flies
  • Transcendence
Rules
Blindfolded.
Treasure rooms can’t spawn
Unlocks:
Rune of Perthro
Tips
Most familiars, or items that deal damage independent of
the player in general are very good in this challenge

# and Name
7. Suicide King
———————-
———————————————————————————
Goal
Isaac
Starting items
  • Ipecac
  • Mr. Mega
  • My Reflection
  • A random pill
Rules
The player starts as Lazarus.
Treasure Rooms can’t spawn
Unlocks:
Suicide King playing card
Tips

# and Name
8. Cat Got Your Tongue
———————-
———————————————————————————
Goal
Mom
Starting items
  • Guppy’s Hair Ball
  • Guppy’s Head
  • Guppy’s Tail
Rules
Blindfolded.
The player is granted an additional three soul hearts and
three black hearts.
Treasure Rooms can’t spawn
Unlocks:
CHALLENGEUNLOCK
Tips

# and Name
9. Demo Man
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
  • Dr. Fetus
  • Remote Detonator
  • Match Stick
Rules
Treasure Rooms can’t spawn
Unlocks:
Chaos Card
Tips
I recommend dropping the Match Stick, as you probably
won’t need bomb pickups anyway.

# and Name
10. Cursed!
———————-
———————————————————————————
Goal
Mom
Starting items
  • Blue Map
  • The Compass
  • Raw Liver
  • Treasure Map
  • Yum Heart
  • Child’s Heart
Rules
The player starts as Magdalene.
Permament Curse of the Cursed, which turns every non-special
door into a spiked door, which deals half a heart of damage.
Unlocks:
Credit Card
Tips
Flat File is extraordinarily good in this challenge.

# and Name
11. Glass Cannon
———————-
———————————————————————————
Goal
Satan
Starting items
  • Epic Fetus
  • Loki’s Horns
Rules
The player starts as Judas.
Treasure Rooms can’t spawn
Unlocks:
Rules Card
Tips

# and Name
12. When Life Gives You Lemons
———————-
———————————————————————————
Goal
Mom
Starting items
  • 9 Volt
  • Habit
  • Lemon Mishap
  • A Lemon Party pill
Rules
Treasure Rooms can’t spawn
Unlocks:
Card Against Humanity
Tips

# and Name
13. Beans!
———————-
———————————————————————————
Goal
Mom
Starting items
  • 9 Volt
  • The Bean
  • Black Bean
  • Butt Bombs
  • Pyro
Rules
Blindfolded.
Treasure Rooms can’t spawn
Unlocks:
Burnt Penny
Tips
Limit your bomb usage to 16 per floor

Challenges #2

# and Name
14. It’s in the Cards
———————-
———————————————————————————
Goal
Mom
Starting items
  • 9 Volt
  • The Battery
  • Deck of Cards
  • Starter Deck
  • 2 random tarot cards
Rules
Treasure Rooms can’t spawn
Unlocks:
SMB Super Fan
Tips

# and Name
15. Slow Roll
———————-
———————————————————————————
Goal
Mom
Starting items
  • Cupid’s Arrow
  • My Reflection
  • Polyphemus
Rules
Fire rate fixed at 0.49
Damage fixed at 100.00
Treasure Rooms can’t spawn.
Unlocks:
Swallowed Penny
Tips

# and Name
16. Computer Savvy
———————-
———————————————————————————
Goal
Mom
Starting items
  • Spoon Bender
  • Technology
  • Technology 2
Rules
Treasure Rooms can’t spawn
Unlocks:
Robo-Baby 2.0
Tips

# and Name
17. Waka Waka
———————-
———————————————————————————
Goal
Mom
Starting items
  • Anti-Gravity
  • Strange Attractor
Rules
Treasure Rooms can’t spawn
Unlocks:
Death’s Touch
Tips

# and Name
18. The Host
———————-
———————————————————————————
Goal
Mom
Starting items
  • The Mulligan
  • Spiderbaby
  • Tick
Rules
Treasure Rooms can’t spawn
Unlocks:
Technology .5
Tips

# and Name
19. The Family Man
———————-
———————————————————————————
Goal
Isaac
Starting items
  • BFFS!
  • Brother Bobby
  • Dad’s Key
  • Rotten Baby
  • Sister Maggy
Rules
Blindfolded.
Treasure Rooms can’t spawn
Unlocks:
Epic Fetus
Tips

# and Name
20. Purist
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
Rules
Treasure Rooms can’t spawn
Unlocks:
Rune of Berkano
Tips

# and Name
21. XXXXXXXXL
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
Rules
All floors are the size of a Womb XL floor.
This doesn’t merge floors together though, unlike Curse
of the Labyrinth
Unlocks:
Gold Heart
Tips

# and Name
SPEED!
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
Rules
Most areas of the game are drastically sped up.
The player has a soft time limit of 16 minutes to
kill Mom’s Heart.
After 16 minutes elapse, the player starts taking damage
every 10 seconds
Unlocks:
Get Out of Jail Free Card
Tips
A good benchmark for entering the Womb is 7-5
minutes left.
Tech X is an insta-win

# and Name
23. Blue Bomber
———————-
———————————————————————————
Goal
Satan
Starting items
  • Brother Bobby
  • Kamikaze
  • Mr. Mega
  • Pyromaniac
Rules
Blindfolded.
The player starts as ???.
Treasure Rooms can’t spawn
Unlocks:
Gold Bomb
Tips

# and Name
24. PAY TO PLAY
———————-
———————————————————————————
Goal
Isaac
Starting items
  • Money = Power
  • Sack of Pennies
  • 50 coins
Rules
Each door costs a coin to open.
The player dies when they run out of money.
Treasure Rooms can’t spawn
Unlocks:
The “Percs!” and “Addicted!” pill effects
Tips

# and Name
25. Have a Heart
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
Charm of the Vampire
Rules
All heart drops get converted into money.
The player starts with one full red heart container, and
11 empty ones.
Most healing sources other than Charm of the Vampire
don’t work.
Unlocks:
The “Re-lax” and “???” pill effects
Tips

# and Name
26. I RULE!
———————-
———————————————————————————
Goal
Mega Satan
Starting items
  • Mom’s Knife
  • Trinity Shield
  • The Boomerang
  • The Ladder
  • Key Piece 1
  • Key Piece 2
Rules
Treasure Rooms can’t spawn
Unlocks:
Poker Chip
Tips

# and Name
27. Brains!
———————-
———————————————————————————
Goal
???
Starting items
  • Bob’s Brain (x3)
  • Thunder Thighs
Rules
Blindfolded.
The player starts as ???
Unlocks:
Stud Finder
Tips

Challenges #3

# and Name
28. PRIDE DAY!
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
  • 3 Dollar Bill
  • Rainbow Baby
  • Rainbow Worm
Rules
Cannot drop, nor replace the Rainbow Worm
Unlocks:
D8
Tips

# and Name
29. Onan’s Streak
———————-
———————————————————————————
Goal
Isaac
Starting items
  • Chocolate Milk
  • Book of Belial
Rules
Missing a tear deals damage to the player (doesn’t work with
some tear effects/changers).
Unlocks:
Kidney Stone
Tips

# and Name
30. The Guardian
———————-
———————————————————————————
Goal
GOAL
Starting items
  • Holy Grail
  • Spear of Destiny
  • Isaac’s Heart
  • Punching Bag
Rules
Isaac’s Heart follows Punching Bag instead of the player
Unlocks:
Blank Rune
Tips
Stock up on health

# and Name
31. Backasswards
———————-
———————————————————————————
Goal
Basement I
Starting items
10 random items
Rules
The player spawns in the Mega Satan fight with 10 random
items. Going to the spawn room of each floor will make the
player ascend to the floor before (e.g. going into the spawn room
of the Chest will lead the player to Cathedral).
Ascending a floor takes away one red heart container and the
oldest passive item the player has on them.
Treasure Rooms can’t spawn.
Unlocks:
Lazarus starts with Anemic, and Lazarus Risen
has the Anemic effect always active
Tips

# and Name
32. Aprils Fool
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
Rules
Each floor’s boss is the Bloat.
The map displays the floor layout accurately, but does not
do the same for the player’s position.
Pickups and items aren’t what they appear to be.
Active items and consumables have random effects.
Stonies have a chance to be replaced by Cross Stonies.
The player’s health is displayed incorrectly.
Unlocks:
Maggy starts with a Full Health pill
Tips

# and Name
33. Pokey Mans
———————-
———————————————————————————
Goal
Isaac
Starting items
  • Friendly Ball
  • Mom’s Eyeshadow
Rules
Each use of the Friendly Ball spawns a random friendly monster.
The Friendly Ball is fully charged if a monster spawned by it is
killed.
Treasure Rooms can’t spawn
Unlocks:
Charged Key
Tips

# and Name
34. Ultra Hard
———————-
———————————————————————————
Goal
Mega Satan
Starting items
Rules
All enemies are champions if possible.
No heart pickups drop.
All bosses are double trouble if possible.
Unlocks:
Samson starts with Child’s Heart
Tips

# and Name
35. PONG
———————-
———————————————————————————
Goal
???
Starting items
  • Cupid’s Arrow
  • Rubber Cement
Rules
Damage fixed at 100.00
Fire rate fixed at 0.20
Unlocks:
Greed’s Gullet
Tips

# and Name
36. Scat Man
———————-
———————————————————————————
Goal
Mom
Starting items
  • 9 Volt
  • Skatole
  • The Poop
  • E Coli
  • Butt Bombs (x3)
  • Dirty Mind
  • BFFS!
  • Thunder Thighs
  • Mysterious Candy
Rules
Blindfolded.
Treasure Rooms can’t spawn
Unlocks:
Dirty Mind
Tips

# and Name
37. Bloody Mary
———————-
———————————————————————————
Goal
Satan
Starting items
  • Blood Oath
  • Blood Bag
  • Anemic
  • Book of Belial
  • Child’s Heart
Rules
The player starts as Bethany.
Treasure Rooms can’t spawn
Unlocks:
Sigil of Baphomet
Tips

# and Name
38. Baptism By Fire
———————-
———————————————————————————
Goal
Isaac
Starting items
  • Urn of Souls
  • Schoolbag
  • Guppy’s Paw
  • Maggy’s Faith
Rules
Blindfolded.
Treasure Rooms can’t spawn
Unlocks:
Purgatory
Tips

# and Name
39. Isaac’s Awakening
———————-
———————————————————————————
Goal
Mother
Starting items
  • Trinity Shield
  • Spirit Sword
  • Mom’s Bracelet
Rules
Treasure Rooms can’t spawn
Unlocks:
Spirit Sword
Tips

# and Name
40. Seeing Double
———————-
———————————————————————————
Goal
Mom’s Heart
Starting items
Jacob:

  • 20/20

Esau:

  • 20/20
  • X-Ray Vision
Rules
The player starts as Jacob & Esau.
Enemy spawns are doubled.
Treasure Rooms can’t spawn
Unlocks:
Broken Glasses
Tips

Challenges #4

# and Name
41. Pica Run
———————-
———————————————————————————
Goal
Isaac
Starting items
  • Mom’s Box
  • Mom’s Purse
  • Marbles
Rules
All item pedestals are replaced by random trinkets.
Marbles activates on every hit
Unlocks:
Ice Cube
Tips

# and Name
42. Hot Potato
———————-
———————————————————————————
Goal
Satan
Starting items
Rules
The player starts as Tainted Forgotten
Tainted Forgotten’s body cannot fire tears and explodes every 2.5s
Unlocks:
The reversed The Chariot tarot card
Tips

# and Name
43. Cantripped!
———————-
———————————————————————————
Goal
Mom
Starting items
Rules
The player starts as Tainted Cain.
Each item pedestal is replaced by a special item card.
These cards can be picked up and are stored in the UI
on the bottom right.
Pressing Q will activate the selected item’s effect for
the duration of the room.
Each boss reward is the Starter Deck item, which
increases the max amount of cards the player can
hold.
Unlocks:
The reversed Justice tarot card
Tips

# and Name
44. Red Redemption
———————-
———————————————————————————
Goal
Mother
Starting items
  • Red Key
  • Dad’s Key
Rules
Level generation is heavily altered, and the player needs
to use the Red Key to navigate the floor.
The Red Key can be used infinitely, but has only 20 uses before
Dark Esau spawns. Each 5 uses after the initial Dark Esau spawn
will spawn another Dark Esau. Going to another floor will
remove only one Dark Esau.
Unlocks:
The reversed The Hermit tarot card
Tips
Some form of mapping is required to even survive in this
challenge.

# and Name
45. DELETE THIS
———————-
———————————————————————————
Goal
???
Starting items
TMTRAINER
Rules
The environment and soundtrack are also randomised
alongside TMTRAINER’s base effect.
Unlocks:
The reversed Temperance tarot card
Tips
The challenge is invisible, and is located below the
challenge list instead of directly on it.

Completion Marks

Completion marks and the post-it notes hosting them have been added in TBoI: Rebirth. They track the progress of a character that note is assigned to
Each mark represents a final boss

  • The heart represents Mom’s Heart/It Lives!
  • The cross represents Isaac
  • The square with a dot inside of it represents ???
  • The penny symbol represents Greed Mode
  • The inverted cross represents Satan
  • The hollow rectangle represents The Lamb
  • The brimstone symbol represents Mega Satan
  • The star represents Boss Rush
  • The melted face represents Hush
  • The knife represents Mother (Corpse II)
  • The note represents The Beast
  • The tattered note represents Delirium
  • If the boss has been defeated on Hardmode, the mark will have a red outline (and the tattered note will be covered in blood)

Secret Seeds – Introduction


Inputting certain seeds in the main menu activates special effects, that affect your run in different ways. There are 72 such seeds.
The seeds will be categorized into their respective sections.
NOTE: Certain seeds disable achievements.


How to activate special seeds

1. In the character selection screen, open the seed input box
2. Type in the seed
3. If inputted correctly, a popup will appear, confirming the activation of the effect

The steps are pictured below



Secret Seeds – Curses

These seeds apply curses to the player for the whole duration of the run.

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
DARK
NESS
Permanent Curse of Darkness
No
LABY
RNTH
Permanent Curse of the Labyrinth
Yes
L0ST
  
Permanent Curse of the Lost
No
VNKN
0WN
Permanent Curse of the Unknown
No
MAZE
 
Permanent Curse of the Maze
No
BL1N
D
Permanent Curse of the Blind
No
CVRS
ED
Permanent Curse of the Cursed
No

Secret Seeds – Curse Immunities

These seeds grant immunities to certain/all curses

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
N1TE
L1TE
Permanent immunity to Curse of
Darkness
Yes
THRE
AD
Permanent immunity to Curse of the
Labyrinth
Yes
F0VN
Permanent immunity to Curse of the
Lost
Yes
N0W1
KN0W
Permanent immunity to Curse of the
Unknown
Yes
PATH
F1ND
Permanent immunity to Curse of the
Maze
Yes
BRA1
LLE
Permanent immunity to Curse of the
Blind
Yes
BLCK
CNDL
Permament immunity to all curses
Yes

Secret Seeds – Damage Modifiers

These are all the seeds that have something do to with damage to the player

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
HARD
HARD
The player takes 1 heart of damage
from everything
No
BRTL
B0NS
The player takes 12 hearts of damage
from everything
No
D0NT
ST0P
The player takes damage if they stop
moving
No
THEG
H0ST
Isaac takes damage every 50 seconds.
A timer starts @ 45 seconds, which will
warn the player of incoming damage.
If the player is invulnerable in the 50th
second, they will take no damage.
No
30M1
N1TS
The player gets 30 minutes to finish
the game. After 30 minutes have
passed, the player starts taking
damage every second
No

Secret Seeds – Control Modifiers

These seeds affect the player’s controls

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
1CES
KATE
Makes the ground slippery
No
BRAV
ERY
The player fires tears in the direction
they move.
Removes the normal ability to fire tears
No
C0WR
D1CE
The player fires tears away from the
direction they’re moving
Removes the normal ability to fire tears
No
DRAW
KCAB
Movement and firing controls are
reversed
No
AX1S
ALGN
The player cannot move diagonally
(strafe)
No

Secret Seeds – Camouflage

These seeds camouflage certain parts of the game or make them straight up invisible

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
CAM0
K1DD
The player’s character blends into the
ground
No
CAM0
F0ES
Enemies blend into the ground
No
CAM0
DR0P
Pickups blend into the ground
No
WH0A
WHAT
Previous three effects combined
No
1MN0
B0DY
Makes the player invisible
No
BL1N
DEYE
Makes the enemies invisible
No

Secret Seeds – Player Appearance

These seeds change how the player’s character looks

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
THEB
LANK
The player’s character has no face
No
KAPP
The player’s character turns gray
No
H0H0
H0H0
The player’s character wears a
christmas hat
No
T0PH
EAVY
The player’s character’s head
is large
No
T1NY
D0ME
The player’s character’s head
is small
No
PTCH
BLCK
The player’s character’s body and
their tears turn completely black
No

Secret Seeds – VFX

These seeds change certain visual effects in the game

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
TEAR
GL0W
The player’s character’s tears glow
Yes
BL00
00DY
Gore is amplified
No

Secret Seeds – HUD

These seeds affect the HUD

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
B00B
T00B
Applies an overlay that makes it look
like the game is being played on a CRT
monitor
No
DYSL
EX1A
Letters in words are misarranged
No
KEEP
TRAK
Removes the HUD
No
MED1
C1NE
All pills and their descriptions get
replaced by ???, regardless if the
player has taken them before or not
No
FACE
D0WN
All cards and their descriptions get
replaced by ???, regardless if the
player has used them before or not
No

Secret Seeds – Enemy Modifiers

These are the seeds which affect enemies

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
CHAM
P10N
All enemies turn into their champion
versions (if possible)
Yes
C0CK
FGHT
All enemies are permanently charmed
Yes
C0NF
ETT1
All enemies are permanently confused
Yes
FEAR
M1NT
All enemies are permanently scared
Yes
FRA1
DN0T
All enemies become scared every few
seconds
Yes
CLST
RPH0
All enemies are permanently charmed
and scared
Yes

Secret Seeds – Sound Modifiers

These seeds affect sounds in the game

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
FART
SNDS
All sounds are replaced with farts
No
SL0W
4ME2
Sound speed is affected by the player’s
walking speed
No
HART
BEAT
The lower the player’s health is,
the slower the music gets
No
ANDA
NTE
Music is slowed down
No
LARG
HET0
Music is significanly slowed down
No
ALLE
GR0
Music is sped up
No
PRES
T0
Music is significantly sped up
No

Secret Seeds – Miscellaneous

These are the seeds which could not be grouped into their separate categories

Seed
Effect
Disables achievements?
———–
—————————————————–
—————————————-
BASE
MENT
The basement floor repeats infinetely
Yes
KEEP
AWAY
Pickups mimic the player’s movements
Yes
G0NE
S00N
Pickups disappear after a certain
amount of time
No
FREE
2PAY
The player starts with 69 coins.
Items and consumables cost money
Yes
PAC1
F1SM
The player can’t damage enemies. All
doors stay open. The health of bosses
slowly drains when you’re in a boss
room
Yes
C0ME
BACK
Enemies respawn after they have
been killed and the player comes back
to the room they were killed in. This
also applies to bosses
Yes
N0RE
TVRN
The player gets caged in when in boss
rooms, similar to the fight with Mom
No
BRWN
SNKE
The player leaves a trail of poop
behind them
Yes
ALM1
GHTY
Godmode
Yes
K1DS
M0DE
Co-op babies are invincible
Yes
SVPE
RH0T
Time moves relative to the player’s
speed
Yes
M0DE
SEVN
The Retro Vision pill effect is
applied permanently
No

Debug Console

The Debug Console is a tool which, as the name suggests, can be used to debug the game.

It can be opened using the ~ key, but needs to be enabled beforehand in the options.ini file,
located inside:

[YOURPC] > Documents > My Games > Binding of Isaac Repentance

Inside options.ini, you need to find the line EnableDebugConsole=0, and switch the value from 0 to 1. Upon restarting the game, the console will be enabled.

Having the Debug Console enabled will disable achievements if the player has not defeated Mom yet on the current savefile. It will also prevent the player from being able to play daily challenges for as long as it is enabled.

The Debug Console has 35 available commands, plus 10 commands that are hidden from the player.
They will be listed down below.

Debug Console Commands #1

Commands are listed in the order they appear in the console

spawn

Spawns an entity in the center of the room based on the given information
The syntax is as follows:

spawn [enemy].[type].[subtype].[champion]

Spawning invalid entities will usually crash the game.
Spawning the Coplayer entity will crash the game, and can rarely corrupt save data

Example: “spawn 10.3.3.1” This will spawn a maggot-spawning Yellow Champion Rotten Gaper
goto

Teleports the player to the floor’s specific room layout based on the given information.
The syntax is as follows:

FOR NORMAL ROOMS: goto d.[room_ID] FOR SPECIAL ROOMS: goto s.[room_type].[room_ID]

The game will also suggest an x tag alongside s and d, but it does nothing,
and attempting to go to a room using the x tag will not work, and will print an error in the console.

Example: “goto s.boss.1010” This will teleport the player to Monstro’s boss room
stage

Teleports the player to a floor based on the given information
The syntax is as follows:

stage [stage_ID]

Appending a letter to the stage number will send the player to the floor’s alternate version

Example: “stage 6d” This will send the player to Gehenna II
gridspawn

Spawns a grid tile in a specified spot in the room based on the given information.
The syntax is as follows:

gridspawn [tile_ID] [grid_ID]

The player can specify the position where the grid tile will be spawned by appending a grid ID (from 0 to 134) number after the tile ID.
Not appending such a number will result in the command placing the tile in a random grid cell in the room.

Example: “gridspawn 1300 53” This will spawn a TNT tile in grid 53

debug 11 can be used to look up the grid IDs

debug

Toggles a debug mode based on the given number (from 1 to 13)
The syntax is as follows:

debug [#]

debug 1 will draw a marker at the position of each entity
debug 2 will show the tile ID of each grid cell. Usually doesn’t work properly
debug 3 will make the player invulnerable to damage.
debug 4 gives the player a flat +40.0 damage
debug 5 displays room info on the bottom of the screen
debug 6 draws red circles on top of entities which represent their hitboxes
debug 7 displays how much damage entities are taking, including the player
debug 8 gives infinite active item charge
debug 9 gives +50.0 luck
debug 10 makes all enemies take extreme amounts of damage many times per second
debug 11 shows the ID and coordinates of grid cells
debug 12 displays a tiny menu showing the player’s currently held items and temporary effects
debug 13 functions like debug 6, but for grid tiles

giveitem

Gives the player an item based on the given information
The syntax is as follows:

“giveitem [item]” Where [item] represents the item’s name, or its tag composed of its type+ID (e.g. c15, which corresponds to the “<3” item)

The command can be shortened to just g, as shown in the examples below

Examples: “giveitem Polyphemus” will give the player the Polyphemus item “giveitem pol” will also give the player Polyphemus “g c169” will also give the player Polyphemus “g pol” will also give the player Polyphemus

Collectibles are prefixed as follows:

“c” stands for ‘collectible’, and will give the player a passive/active item. Example: c700, which corresponds to the Echo Chamber passive item “t” stands for ‘trinket’, and will give the player a trinket. Example: t128, which corresponds to Finger Bone “p” stands for ‘pill’, and will give the player a pill with a specific pill effect. Example: p15, which corresponds to the Tears Down pill effect “k” stands for ‘card’, and will give the player a card with a specific effect. Example: k1, which corresponds to the ‘0 – The Fool’ tarot card. Runes, soul stones, and other non-pill consumables will also use card IDs
remove

Removes items from the player based on the given information
The syntax is as follows:

“remove [item]” The [item] tag functions identically to giveitem’s [item] tag

The command can be shortened to just r, as shown in the examples below.
An asterisk can also be used to remove one instance of every item in the game from the player’s inventory

Examples: “remove polyphemus” will remove a single instance of the Polyphemus item from the player. “r pol” will also remove a single instance of the Polyphemus item from the player. “r c169” will also remove a single instance of the Polyphemus item from the player. “r *” will remove one instance of every item in the game from the player
costumetest

Grants the player 2-6 random costumes. Used for costume compatibility testing.
The player can append a number to specify the amount of random costumes.

Example: “costumetest 3” will give the player 3 random costumes
time

Prints the in-game time in the console

restart

Restarts the run.
A number from 0 to 40 can be appended to specify which character they want to be after the restart.
Inputting an invalid number will crash the game

Example: “restart 1” will restart the run, and set the current character to Magdalene
listcollectibles

Prints in the console a list of collectibles the player has, and how many of each.

repeat

Repeats the last given command.
A number can be appended to specify how many times the command should be repeated.
This number caps at 10’000

Example: “repeat 109” will repeat the last given command 109 times
clearseeds

Removes all easter egg seeds that are currently active in the run

seed

Starts a run with the given seed

Example: “seed GGGG GGGG” will start a run with the GGGG GGGG seed
challenge

Restarts the run and starts a challenge run based on the given challenge ID (1-45)
Inputting challenge 0 will start a normal run, and not a challenge one.

Example: “challenge 45” will start the DELETE THIS challenge

Starting a challenge run with an invalid ID crashes the game

combo

Gives the player a specified amount of items from an item pool based on the given information.
The syntax is as follows:

combo [pool_ID].[item_amount]

The pool ID is auto-suggested by the console, so I will not be putting every pool in here.

Examples: “combo 0.120” will give the player 120 random items from the Treasure Room item pool “combo 12.1” will give the player a random item from the Curse Room item pool
cutscene

Plays a cutscene based on the given ID (1-26)

Example: “cutscene 10” plays the cutscene for unlocking the Experimental Treatment item
clearcache

Unknown effect.

Debug Console Commands #2

macro

Triggers a set of commands based on the given information.
The commands are as follows:

“macro mom” triggers the following commands: • stage 6 • g Bible • g k5 • debug 3 • debug 4 “macro momh” triggers the following commands: • stage 8 • g Bible • g k5 • debug 3 • debug 4 “macro hush” triggers the following commands: • stage 9 • g k5 • combo 0.8 • combo 2.8 • combo 1.3 • combo 4.3 “macro bigchest” triggers the following commands: • stage 10a • g Polaroid • g Negative • debug 3 • debug 4 • g Mutant • g Soy • giveitem Belt • repeat 5 • giveitem Lord of the Pit • debug 10 • g k5 “macro hud” triggers the following commands: • giveitem Dead Cat • repeat 2 • giveitem Guppy’s Collar • giveitem MEAT! • repeat 12 • giveitem Compass • giveitem Blue Map • giveitem Treasure Map • giveitem Baggy • giveitem p2 • giveitem p3 • giveitem Purse • giveitem Paper Clip • giveitem Petrified • giveitem My Little Unicorn “macro fc” triggers the following commands: • debug 3 • debug 8 • debug 9 • giveitem Soy • giveitem Bar • giveitem Pad “macro ms” triggers the ‘goto s.boss.5000’ command, which teleports the player to the Mega Satan fight. “macro mss” triggers the following commands: • goto s.boss.5000 • giveitem Soy • giveitem Mutant • debug 3 • debug 4 “macro ug” triggers the following commands: • stage 11a • goto s.boss.6000 “macro ugg” triggers the following commands: • stage 11a • goto s.boss.6000 • giveitem Sad Onion • giveitem Sad Onion • giveitem Torn • giveitem Torn • giveitem Mutant • giveitem Pentagram • giveitem A Dollar • giveitem Pyro • giveitem debug 3 “macro qk” triggers the following commands: • giveitem Belt • repeat 5 • giveitem Lord of the Pit • giveitem Treasure Map • giveitem Blue Map • giveitem Compass • giveitem Black Candle • giveitem X-Ray • giveitem We Need to Go Deeper • debug 8 • giveitem Dollar • giveitem Pyro • giveitem Skeleton Key • debug 3 • debug 10
playsfx

Plays a sound effect based on the given ID

Example: “playsfx 791” will play the narrator sound effect for using a ??? horse pill
prof

No function

profstop

Used to stop “prof”

curse

Grants a curse (or a set of curses) based on the given number (1-128)

reseed

Generates a new copy of the current floor using a different run seed

eggs

Unlocks all easter egg seeds. Cannot be undone

copy

Copies a specified amount of previously given console commands into the clipboard.

“copy 3” will copy the last three given commands to your clipboard
luarun

Runs a LUA file based on the file path given

luamem

Reports memory usage for LUA

luamod

Runs a mod’s ‘main.lua’ file based on the mod folder name given

reloadshaders

Reloads graphical shaders

lua

Directly runs a line of LUA code.
The command can be shortened to just “l

clear

Clears the console

metro

Guarantees the next item chosen when using the Metronome active item.
The syntax works the same as giveitem, or remove

delirious

Guarantees the next boss chosen when using the Delirious active item, based on the boss ID given (1-61)

reloadfx

Reloads floor-specific visual effects

Hidden Console Commands

restock

Restocks all shops

giveitem2

Functionally identical to giveitem, but gives the items to a secondary character instead, such as Esau.
The command can be shortened to just “g2

Example: “g2 c169” will give the Polyphemus item to the secondary character
remove2

Functionally identical to remove, but removes the items of a secondary character instead, such as Esau.
The command can be shortened to just “r2

Example: “r2 c169” will remove a single instance of the Polyphemus item from the secondary character
forceroom

Gives 1000.0 weight to the specified room, making it very likely to appear once the reseed command is used to regenerate the floor
Has a syntax identical to the goto command.

Example: “forceroom s.boss.1010” will force the boss room of the reseeded floor to be a Monstro fight.

The command does not overwrite final boss rooms, or rooms of a similar nature, as the forced room follows the same generation rules as a normal room.

addplayer

Adds another player entity based on the given information
The syntax is as follows:

addplayer [amount] [character_ID] The [character_ID] parameter works identically to the one used in the restart command

The player entities have the exact same moveset as the player

rewind

Triggers the Glowing Hourglass active item effect

testbosspool

Prints a list of boss names and percentage chance for them to spawn (100%=10000) for current floor.

netstart

Used in setting up online co-op.
by SlayXc2 explains the process quite well

netdelay

Changes network delay to a specific value (e.g. netdelay 1).
Used to remedy connection issues; the value should be set as low as possible if your connection is good and viceversa

reloadwisps

Reloads Book of Virtues wisps and Abyss locusts

Note Dump

This section hosts any notes, tips or pieces of trivia which were not able to be included in the guide for a multitude of reasons.

Guide Trivia #1: Items
  • The most complicated item, based on guide description length, is the Blood Puppy item, with its guide description having 925 characters (spaces included). If we count the notes alongside the description, the character count goes up to 1’219. This equates to roughly 15.2% of a section’s max length
  • The most common item, based on the amount of item pools it appears in, is the Mom’s Bottle of Pills item, which appears in seven unique item pools.
  • The Scat Man challenge starts you off with the most unique items, at 9.

Guide-making trivia #1: The basics
  • Steam guides use BBCode, a simpler form of HTML.
    The Steam version of this language is also limited, since you can’t use [style] tags, [color] tags, etc. (The [img] tag is also now [previewicon]), essentially limiting you to the (almost) very basics.

  • The hard character limit of a Steam guide section is 8’000 characters, while the hard limit for section titles is 128. This limit can be surpassed by inserting an image, but saving the section will always result in a “FAILURE CODE: 8” until the characters past 8’000 are removed.

Guide-making trivia #2: Section titles and tag parsing
  • Section titles can actually parse just as many tags as section bodies, meaning it is very much possible to put a table in the title of a section, although there will be a huge space below the title.
  • The property above also applies to images, although insering them into a title is quite finicky, since you need to insert the image into the body first, and then cut and paste that image code into the title. The resulting title looks extremely awkward depending on what image you use, and usually putting images into the title is just a bad idea, especially since clicking the section will usually result in the user being redirected to the page of the image itself.

Guide Trivia #2: Length
  • The guide has 334 sections. If we were to assume that each section reaches the 8’000 character limit, the guide would contain roughly 2.6 million characters. In reality, this number is probably somewhere between 1.3 to 2.0 million. If you were to make a handwritten physical copy of this guide, it would take you a little under a month (26 days) if we were to assume the theoretical 2’600’000 character model.
  • If we were to include the entire section list, to the right of the guide, in a single image,

    View post on imgur.com

    [imgur.com]. The image is 310 by 10349 pixels and weighs 778 KB (.png format).

Gameplay tricks #1: Increasing FOV
  • You can increase the area you can see at once in-game by downscaling the window. For this reason, this method only works in windowed mode.
  • If you want to have increased FOV and have the game in fullscreen at once, you’ll have to go to the options.ini file and screw around with the MaxRenderScale= parameter.
  • Increasing FOV is super useful in Greed Mode, where awareness is a huge part of how your run is going to go.
  • Comparison between FOVs:

Gameplay tricks #2: Relog scumming
  • When in combat, and you’re sure that damage is inevitable and will soon occur, you can exit the run and continue it again. This will set you at the beginning of the room, and respawn all enemies in the spots they spawned in, essentially reverting time and preventing the aforementioned “inevitable” damage.
  • This does not reset pickup counts, so if you took a hit, you took a hit, and you’re not going back. This also does not recharge items like the Holy Mantle, or revert Holy Card charges. This method also works for pressing buttons in trap rooms.
  • Keep in mind that this technique is pretty scummy, and it’s up to you and your moral compass to decide whether you want to use it or not

Miscellaneous note #1: Plan C against Final Bosses
  • Out of the 12 final bosses, Plan C can fully kill 7 of them while also giving the player enough time to live for the completion mark to register. The other four final bosses require Plan C to be used in their last phase for the completion mark to be granted, while killing Mother with Plan C will not grant the completion mark regardless of in which phase the item was used.
    Final Boss
    Killable w/ Plan C?
    Mom
    Yes.
    Obviously does not grant a completion mark, but Mom is considered a final boss anyway.
    Mom’s Heart / It Lives
    Yes
    Satan
    Kills only one phase.
    Killing the last phase grants the completion mark.
    Isaac
    Yes
    The Lamb
    Kills only one phase.
    Killing the last phase grants the completion mark.
    ???
    Yes
    Hush
    Kills only one phase.
    Killing the last phase grants the completion mark.
    Mega Satan
    Kills only one phase.
    Killing the last phase grants the completion mark.
    Delirium
    Yes (with exploit)[1]
    Mother
    No
    The Beast
    Yes[2]
    Ultra Greed
    Yes.
    Kills only one phase in Greedier.
    Killing the last phase grants the completion mark.
  • [1] – Pausing after every burst of static and unpausing when it goes away lets Delirium die faster, granting the completion mark.

    View post on imgur.com

    [imgur.com]

  • [2] – This is because all of the Ultra Horsemen and the Beast itself are fully loaded when the player enters the arena. Using Plan C kills all of the Horsemen and the Beast at once, granting the completion mark.

» END «

» END «

Special Thanks

I’d like to thank:

  • スydonia for helping me with the Items chapter and for creating the guide for original TBoI, inspiring me to do the Rebirth version
  • The Official TBoI: Rebirth Wiki[bindingofisaacrebirth.gamepedia.com] for most of the information

Changelog

Here will be listed all changes made to the guide
Big changes will have their date underlined

Time zone: CEST (GMT+1)

14th July 2018, 20:09
Creation of the guide

12th February 2019, 23:49
Guide published

13th February 2019, 16:26
Fixed alphabetical order in Achievements – Characters

13th February 2019, 21:06
Fixed formatting error in Achievements – Challenges #1

17th February 2019, 14:52
Added note about long loading times in the guide description

5th March 2019, 17:04
Added the Milestones section

9th March 2019, 14:47
Fixed grammatical issues in the Debug Console section

16th March 2019, 22:32
Made some small changes to the Custom Content section

18th March 2019, 22:15
Renamed the Fun Facts section to Fun Facts/Trivia
Added a lot more stuff to the Fun Facts/Trivia section

19th March 2019, 15:46
Added the Future Plans section

20th March 2019, 21:39
Fixed a gramatical issue in the Active Treasure Room Items #4 section

28th April 2019, 12:55
Changed “Secrets” in the Index to “Achievements”

3rd May 2019, 19:11
Added the Perhaps check out my other megaguide: section

17th May 2019, 16:38
Remade the Milestones section

17th May 2019. 16:43
Fixed gramatical issue in the Fun Facts/Trivia section

2nd June 2019, 18:07
Fixed the horrible formatting in the Attributes section
Changed the formatting in this section from [b][h1]date[/h1][/b], [b]event[/b] to [b]date[/b], event

6th June 2019 – The Renovations Update pt. 1
(16:32) Renovated Pickups – Hearts
(16:36) Renovated Pickups – Coins
(16:39) Renovated Pickups – Bombs
(16:40) Renovated Pickups – Keys
(16:46) Renovated Pickups – Chests
(16:50) Renovated Consumables – Tarot Cards
(16:55) Renovated Consumables – Playing Cards
(16:57) Renovated Consumables – Special Cards
(17:03) Renovated Consumables – Runes

9th June 2019, 11:43
Fixed grammatical errors in Victory Laps

10th June 2019, 11:21
Updated Debug Console

22nd June 2019 – The Renovations Update pt. 2
(12:04) Updated Characters
(12:06) Updated Characters #2
(12:08) Renovated Rules – Special Rooms #1
(12:10) Renovated Rules – Special Rooms #2
(12:21) Renovated Rules – Floors
(12:27) Updated Modes
(12:30) Renovated Machines
(12:34) Renovated Status Effects
(12:37) Renovated Tear Effects
(12:44) Renovated Mini Bosses – Other
(12:46) Renovated Bosses – Introduction
(13:16) Renovated 11 achievement sections. The rest is awaiting completion
(24th June, 20:40) Renovated 12 achievement sections
(24th June, 20:46) Renovated Custom Challenge Launcher – Challenge Creation
(24th June, 20:50) Completely renovated ▓ END ▓

[UNKNOWN] 2019, [UNKNOWN]
Added Head of Krampus to Other Items (thanks, shosple colupis)
! ░ This entry was added with the Lump of Coal entry because I forgot to add it.

12th August 2019, 12:57
Added Lump of Coal to Other Items (thanks, HairyOreo)

12th August 2019, 13:07
Added the ANNOUNCEMENTS section

12th August 2019, 13:24
Moved the ANNOUNCEMENTS section to the very top of the guide, and deleted Future Plans

8th November 2019
(16:40) Fixed grammatical issues in Index
(16:45) Fixed grammatical issues in Consumables – Introduction
(16:47) Fixed grammatical issues in Consumables – Tarot Cards
(16:49) Fixed grammatical issues in Consumables – Playing Cards
(16:53) Fixed grammatical issues in Consumables – Special Cards
(16:59) Fixed grammatical issues in Characters – Strategies

9th November 2019
(18:29) Fixed grammatical issues in Modes
(18:30) Fixed grammatical issues in Active Shop Items #3
(18:31) Fixed grammatical issues in Bosses – Chapter I #1
(18:32) Fixed grammatical issues in Bosses – Chapter I #2
(18:34) Fixed grammatical issues in Bosses – Chapter II #1
(18:35) Fixed grammatical issues in Bosses – Chapter II #2
(18:36) Fixed grammatical issues in Bosses – Chapter III #1
(18:37) Fixed grammatical issues in Bosses – Chapter IV
(18:38) Fixed grammatical issues in Final Bosses – Hush
(18:39) Fixed grammatical issues in Final Bosses – The Lamb
(18:39) Fixed grammatical issues in Final Bosses – Mega Satan
(18:40) Fixed grammatical issues in Achievements – ???
(18:41) Fixed grammatical issues in Achievements – Other #1
(18:41) Fixed grammatical issues in Challenges – Tips
(18:42) Fixed grammatical issues in Debug Console
(18:43) Fixed grammatical issues in Fun Facts/Trivia

27th December 2019, 21:17
Removed the Perhaps check out my other megaguide: section, due to the other comprehensive guide being severely outdated. As for the comprehensive guide itself, it’s visibility was set to Private until it has been updated with new content.

27th December 2019, 21:45
Removed the Fun Facts/Trivia section.

27th December, 2019 – Section Names Update
(21:55) Added section name image to Controls
(21:57) Added section name image to Index
(21:58) Added section name image to Environment – Introduction
(21:59) Added section name image to Pickups – Introduction
(22:00) Added section name image to Consumables – Introduction
(22:00) Added section name image to Attributes
(22:01) Added section name image to Characters
(22:02) Added section name image to Rules – Floors
(22:02) Added section name image to Victory Laps
(22:03) Added section name image to Modes
(22:03) Added section name image to Machines and Beggars
(22:04) Added section name image to Status Effects
(22:04) Added section name image to Tear Effects
(22:05) Added section name image to Item Pools
(22:05) Added section name image to Items – Introduction
(22:06) Added section name image to Trinkets – Introduction
(22:07) Added section name image to Transformations – Introduction
(22:07) Added section name image to Enemies – Introduction
(22:08) Added section name image to Mini-Bosses – Introduction
(22:09) Added section name image to Bosses – Introduction
(22:10) Added section name image to Final Bosses – Introduction
(22:11) Added section name image to Achievements – Introduction
(22:11) Added section name image to Challenges – Introduction
(22:12) Added section name image to Completion Marks
(22:12) Added section name image to The Breakening
(22:13) Added section name image to Custom Challenge Launcher – Introduction
(22:14) Added section name image to Debug Console
(22:15) Added section name image to Custom Content – Introduction
(22:16) Added section name image to ▓ END ▓
(22:17) Added section name image to Special Thanks
(22:18) Added section name image to Milestones
(22:19) Added section name image to this section

8th March 2020, 17:00
Changed the wording in Custom Content – Antibirth

8th March 2020, 17:05
Added Lost and Forgotten to the Custom Content section

26th April 2020, 16:21
Removed Fun Facts from the Index, and added Milestones

26th April 2020
(16:37) Updated Environment – Introduction
(16:42) Updated Environment – Rocks
(16:42) Updated Environment – Fires
(16:44) Updated Environment – Poops
<TEXT LIMIT>

Changelog #2

(16:45) Updated Environment – Gaps
(16:46) Updated Environment – Creep
(16:48) Updated Environment – Spikes
(16:48) Updated Environment – Turrets
(16:49) Updated Environemnt – Other

20th June 2020, 11:20
Updated Environment – Creep

23rd June 2020
(15:25) Removed Milestones
(15:26) Modified guide description

21st July 2020. 22:25
Removed Milestones from the index

15th September 2020, 19:42 – 20:00
Updated the visuals and added/updated some information to all “Final Bosses” sections.

18th September 2020, 19:52 – 20:00
Updated descriptions for the following items:

  • Monstro’s Lung
  • Brimstone

25th October 2020, 18:23 – 18:41
Renovated Rules – Floors
Updated Rules – Special Rooms #1 and Rules – Special Rooms #2
Updated Items – Introduction

24th September 2020
(8:16) Fixed a visual issue in Pickups – Chests
(8:18) Fixed a visual issue in Pickups – Hearts
The fixes above are temporary, and will be replaced by a better looking version later today i am a lazy ass mf

27th January 2021
(13:27) Updated Introduction and changed date formatting in Announcements to ISO 8601

31st January 2021
(21:30) Renamed Characters – Strategies to Characters – Tips
(22:15) Updated tips for challenges 1.-12. in Challenges – Tips. More updates tomorrow, if I don’t forget.

1st February 2021
(8:50) Updated tips for challenges 13.-15. in Challenges – Tips. More updates later this afternoon.
(17:59) Split Challenges – Tips into two parts due to section size limit.
(19:59) Improved visual quality of the table in Enemies – Champions
(19:59) Updated tips for challenges 15.-23. in Challenges – Tips. More updates tomorrow

2nd February 2021
(19:03) Updated tips for challenges 24., 25., 26., 28., 29., 31. and 35.

4th February 2021
(13:34) Updated tip for challenge 27.

8th February 2021
(19:42) Updated tips for challenges 33. and 32.

12th February 2021
(11:25) Changed line length in Trinkets #1.
(11:35) Changed line length in Trinkets #2-#8.

17th February 2021
(07:55) Fixed a typo in Trinkets #6

27th March 2021
(17:04) Fixed a typo in Machines & Beggars

31st March 2021
(21:32) Tweaked visuals in Characters #2
(21:35) Added unlock conditions for Bethany and Jacob & Esau in Characters #2
(22:18) Added a note about how to access The Corpse, it’s located in Characters #2 under Jacob & Esau, but it will be moved into its own separate section once mod support comes back.
(22:21) NOTE: The tables for Bethany and JacobEsau will also not be present. Their tables will be moved to Characters #3, and the unlock conditions will be moved to Characters – Unlock conditions once mod support comes back
(22:24) NOTE: Considering adding a section about easter egg seeds, might do that tomorrow

2nd April 2021
(10:38) Updated recharge for Blank Card in Active Treasure Room Items #1
(11:32) Slightly tweaked some things in Characters #2
(12:32) Tweaked visuals in Characters
(12:44) Tweaked visuals in Characters #2
(13:01) Updated Attributes to match Repentance values
(13:08) Updated tables in Characters #1 to match Repentance values
(13:45) FIxed error in Attributes: base range stat changed from 6.00 to 6.50
(13:48) Fixed the same error in Characters and Characters #2
(13:53) Updated tables in Characters #2 to match Repentance values
(14:03) Updated Custom Content – Antibirth
(14:07) Created Secret Seeds and updated Index
(14:48) Finished Secret Seeds – Introduction
(14:51) Created Secret Seeds – Curses
(15:01) Finished Secret Seeds – Curses
(15:01) Created Secret Seeds – Curse Immunities
(15:06) Finished Secret Seeds – Curse Immunities
(15:10) Created Secret Seeds – Damage Modifiers
(15:15) Finished Secret Seeds – Damage Modifiers
(15:15) Created Secret Seeds – Control Modifiers
(15:20) Finished Secret Seeds – Control Modifiers
(15:30) Made all the secret seeds tables even in width
(15:30) Added a note in THE BREAKENING
(15:32) Created Secret Seeds – Camouflage
(15:36) Finished Secret Seeds – Camouflage
(15:37) Created Secret Seeds – Player Appearance
(15:45) Finished Secret Seeds – Player Appearance
(15:51) NOTE: Taking a short break
(16:51) Created Secret Seeds – VFX
(16:54) Finished Secret Seeds – VFX
(16:55) Created Secret Seeds – HUD
(17:00) Finished Secret Seeds – HUD
(17:03) Created Secret Seeds – Enemy Modifiers
(17:07) Finished Secret Seeds – Enemy Modifiers
(17:08) Created Secret Seeds – Sound Modifiers
(17:11) Finished Secret Seeds – Sound Modifiers
(17:12) Created Secret Seeds – Miscellaneous
(17:26) Finished Secret Seeds – Miscellaneous
(17:54) Updated Characters – Tips and also added tips for the Repentance characters
(17:55) Created Characters #3
(18:30) Finished Characters #3
(18:39) Updated hardmode in Modes to match Repentance
(18:48) Created Characters – Unlock Criteria
(19:00) Finished Characters – Unlock Criteria
(19:02) NOTE: Taking a break from updating the guide for today. I’ll come back with more updates tomorrow
(20:05) Updated 20/20 in Passive Treasure Room Items #1

3rd April 2021
(12:02) Created Rules – Repentance Floors
(14:24) Finished Rules – Repentance Floors
(14:30) Created Rules – Repentance Floors – Unlocking the Corpse
(14:34) Updated Characters – Unlock Criteria
(15:37) Finished Rules – Repentance Floors – Unlocking the Corpse
(15:42) Updated Items – Introduction

4th April 2021
(19:35) Removed fake info in Rules – Repentance Floors – Unlocking the Corpse

6th April 2021
(18:33) Updated description for Technology 2

8th April 2021
(13:11) Updated Debug Console, added (outdated) tags
(13:26) Updated Completion Marks to match Repentance
(13:34) Updated Rules – Repentance Floors, created Rules – Repentance Floors – Going Home
(14:36) Finished Rules – Repentance Floors – Going Home
(16:47) Changed text markup in Bosses – Chapter IV
(16:51) Changed text markup in Bosses – Chapter I #1, Bosses – Chapter II #2, Bosses – Chapter III #1, Bosses – Chapter III #2
(17:02) Updated all final boss images to look better.

9th April 2021
(09:48) Updated Controls; added controls for Jacob & Esau

12th April 2021
(14:38) Created Bosses – Home
(16:02) Finished Bosses – Home
(18:06) Added important note in Bosses – Introduction
(18:14) Created Final Bosses – The Beast
(20:10) Renamed Final Bosses – The Beast to Final Bosses – The Beast – Ultra Horsemen of the Apocalypse
(20:11) Finished Final Bosses – The Beast – Ultra Horsemen of the Apocalypse
(20:12) Created Final Bosses – The Beast
(20:46) Finished Final Bosses – The Beast
(20:47) NOTE: Alright, that’s it for today. Coming back for more tomorrow; gonna start working on the boss section redesigns

14th April 2021
(12:06) Tweaked visuals in Bosses – Home
(12:07) NOTE: Came up with an idea on how to take care of the boss renovation
(12:20) Added tips for the Beast fight in Final Bosses – The Beast
(13:30) Created Enemies – Armor
(14:22) Finished Enemies – Armor
(14:42) Updated Bosses – Introduction
(17:50) 19/102 new boss pictures done, taking a break

Changelog #3

15th April 2021
(11:17) Removed THE BREAKENING and Custom Content from the index
(11:18) Finally decided to remove the THE BREAKENING and Custom Content sections from the guide. These sections were not archived; they are lost forever.
(11:34) Created a temporary checklist section
(18:02) ~32/102 new boss pictures done

17th April 2021
(15:15) 42/102 new boss pictures done
(16:08) [repentance checklist] Visual rework of Rules – Curses finished
(16:17) Visual update to Rules – The Map
(??:??) Renamed Rules – Deal Room Spawning to Rules – Deal Rooms
(16:53) Visual update to Rules – Deal Rooms
(19:10) [repentance checklist] Finished Final Bosses – Mother

18th April 2021
(15:51) [repentance checklist] Added all of the new repentance challenges to Challenges #2

19th April 2021
(20:39) ~60/102 new boss pictures done

20th April 2021
(15:14) 73/73 new boss pictures done; i made a miscalculation and counted final + mini bosses towards the total. working on mini-boss pictures now, since final boss pics were done a long time ago
(16:55) 18/18 new mini-boss pictures done, gonna start taking care of the renovation tomorrow if i feel like it
(21:42) Felt like it, finished Bosses – Geminis. More updates coming tomorrow hopefully
(21:48) Added missing champion versions for Gemini and tweaked visuals in Bosses – Geminis

21st April 2021
(11:40) Finished Bosses – Dingles
(11:43) Updated guide categories and description

22nd April 2021
(10:00) Changed title style of the new boss sections and updated Bosses – Introduction to match the new changes
(12:46) Finished Bosses – Duke of Flies (4)
(12:47) NOTE: dingle is missing his champion versions, gonna add them later
(20:00) Added missing champion versions for Dingle

23rd April 2021
(18:30) Finished Bosses – Harbingers (5) #1
(18:43) Finished Bosses – Harbingers (5) #2

24th April 2021
(20:40) Finished Bosses – Fistula (2)
(20:53) 20% of Bosses – Gurglings (5) done, I’ll do the rest tomorrow

25th April 2021
(13:18) Finished Bosses – Gurglings (5) #1
(13:39) Finished Bosses – Gurglings (5) #2
(21:42) Finished Bosses – The Haunt (3)

26th April 2021
(18:44) 50% of Bosses – Larry Jr (4) done, I’ll do the rest tomorrow

27th April 2021
(11:13) Finished Bosses – Larry Jr (4)
(11:29) Updated Rules – Repentance Floors
(11:58) Heavy content update to Rules – Repentance Floors – Unlocking the Corpse
(12:29) Gallery added to Rules – Repentance Floors – Unlocking the Corpse

28th April 2021
(12:13) Finished Bosses – Monstro (3)

29th April 2021
(11:27) Finished Bosses – Pin (4)

30th April 2021
(11:48) Finished Bosses – Widow (2)
(21:09) Finished Bosses – Little Horn (2)
(22:27) Updated tips for The Beast
(22:30) Updated tips for Dogma

1st May 2021
(18:53) Finished Bosses – Rag Man (2)

2nd May 2021
(15:24) Slight content and visual update to Bosses – Introduction
(16:12) Finished Bosses – Baby Plum
(19:04) Finished Bosses – Rainmaker
(19:15) Finished Bosses – Clog
(19:34) Finished Bosses – Colostomia
(19:50) Finished Bosses – Turdlet
(????) Finished Bosses – Chub (4)

3rd May 2021
(19:27) Updated visuals for Index
(19:52) Finished Bosses – Dark One (2)

4th May 2021
(21:08) Finished Bosses – Mega Fatty (3)

5th May 2021
(17:55) Replaced an incorrect tip in Bosses – Turdlet
(21:47) Finished Bosses – Mega Maw (2)

6th May 2021
(19:03) Finished Bosses – Peep (2)

7th May 2021
(20:04) Finished Bosses – Polycephalus (3)

8th May 2021
(17:40) Finished Bosses – Bumbino
(18:17) Finished Bosses – Reap Creep

9th May 2021
(14:01) Finished Bosses – Hornfel
(14:20) Finished Bosses – Great Gideon
(14:36) Finished Bosses – Singe
(15:16) Finished Bosses – Loki (2)
(20:22) Finished Bosses – Mask of Infamy (2)
(20:41) Finished Bosses – The Siren
(20:52) Finished Bosses – Horny Boys
(21:08) Finished Bosses – Blastocyst
(21:33) Finished Bosses – Daddy Long Legs (2)
(21:45) Finished Bosses – Mr. Fred
(22:35) Finished Bosses – Rotgut, Chimera, The Scourge
(22:35) NOTE: Alright, so that’s the bosses done. I’ll move onto the mini-bosses tomorrow
(22:40) Updated Bosses – Dogma (originally Bosses – Home)
(22:42) NOTE: Forgot about the universal bosses. I’ll have to take care of these tomorrow, got no time right now. I genuinely feel sorry for Steam’s servers desperately trying to figure out what the fuck i’m doing

10th May 2021
(09:03) Forgot to mention; Removed the old boss sections permamently from the guide
(21:48) Updated Mini-Bosses – The Deadly Sins to match the visual style of all Boss sections. Also removed super deadly sins from the section; they’ll be hosted in a section of their own

11th May 2021
(10:42) Updated Bosses – Universal to match the visual style of all Boss sections.
(11:15) Finished Mini-Bosses – The Super Deadly Sins
(11:27) Finished Mini-Bosses – Ultra Pride
(11:32) Finished Mini-Bosses – Krampus
(11:47) Finished Mini-Bosses – Uriel & Gabriel
(12:47) Updated Final Bosses – Mom to match the visual style of all Boss sections and added info about the mausoleum/gehenna version of mom

12th May 2021
(12:23) Updated Final Bosses – Mom’s Heart to match the visual style of all Boss sections and added info about the mausoleum/gehenna version of mom’s heart
(13:33) Updated Final Bosses – It Lives to match the visual style of all Boss sections

13th May 2021
(11:27) Updated Final Bosses – Hush to match the visual style of all Boss sections
(11:54) Added a note about stage HP in Mini-Bosses – Introduction
(14:33) Updated Final Bosses – Satan to match the visual style of all Boss sections

14th May 2021
(09:41) Updated Final Bosses – Isaac to match the visual style of all Boss sections
(10:25) Updated Final Bosses – ??? to match the visual style of all Boss sections

15th May 2021
(14:51) Updated Final Bosses – The Lamb to match the visual style of all Boss sections
(22:05) Updated Final Bosses – Mega Satan to match the visual style of all Boss sections
(22:31) Updated Final Bosses – Delirium to match the visual style of all Boss sections
(22:35) Updated Final Bosses – Mother to match the style of all Final Boss sections
(22:38) Updated Final Bosses – The Beast – Ultra Harbingers of the Apocalypse to match the style of all Final Boss sections
(22:41) Updated Final Bosses – The Beast to match the style of all Final Boss sections
(22:46) removed one (1) apostrophe

16th May 2021
(19:44) Updated Final Bosses – Ultra Greed to match the visual style of all Boss sections
(20:34) Updated Final Bosses – Ultra Greedier to match the visual style of all Boss sections
(20:37) NOTE: the bosses have been finally dealt with, now i can focus on other things

17th May 2021
(22:16) Major visual overhaul to Environment – Rocks

18th May 2021
(11:56) Major visual overhaul to Environment – Fires
(12:41) Major visual overhaul to Environment – Poops

19th May 2021
(20:47) Major visual overhaul to Environment – Gaps
(22:00) Major visual overhaul to Environment – Creep

20th May 2021
(16:35) Major visual overhaul to Environment – Spikes
(17:58) Major visual overhaul to Environment – Turrets
(19:32) Major visual overhaul to Environment – Other

Changelog #4

21st May 2021
(11:35) Major visual overhaul to Pickups – Hearts
(12:00) Major visual overhaul to Pickups – Coins
(12:21) Major visual overhaul to Pickups – Bombs
(12:31) Major visual overhaul to Pickups – Keys
(12:45) Major visual overhaul to Pickups – Batteries
(13:37) Major visual overhaul to Pickups – Chests
(14:09) Major visual overhaul to Pickups – Sacks

22nd May 2021
(13:29) Replaced sprite for the Mimic Chest with the correct one in Pickups – Chests
(14:18) Added the M0DE SEVN secret seed to the secret seed table
(15:56) Major visual overhaul to Consumables – Tarot Cards
(18:10) Finished Consumables – Reverse Tarot Cards
(18:13) Finished Consumables – Reverse Tarot Cards Unlock Conditions

23rd May 2021
(17:12) Major visual overhaul to Consumables – Playing Cards

24th May 2021
(21:43) Major visual overhaul to Consumables – Special Cards

25th May 2021
(21:09) Major visual overhaul to Consumables – Runes

26th May 2021
(10:47) Updated Consumables – Pills
(11:29) Finished Consumables – Pill Effects
(11:44) Finished Consumables – Pill Effects/Notes
(12:29) Major visual overhaul to Attributes

27th May 2021
(08:33) Slight update to Characters
(08:43) Slight update to Characters #2
(09:03) Slight update to Characters #3
(09:36) Visual update to Characters – Unlock Criteria
(11:16) Major update to Characters – Tips #1
(11:50) Finished Characters – Tips #2
(12:16) NOTE: gonna do tainted chars either later in the day or tomorrow. gonna have that table in there as a placeholder for now

28th May 2021
(20:09) Finished Tainted Characters
(20:09) NOTE: this is obviously just a part of the whole thing. not adding a section part number to keep it consistent with the non-tainted char section

29th May 2021
(▓▓:▓▓) Finished Tainted Characters #2
(17:47) Finished Tainted Characters #3
(17:57) Fixed info errors and corrected visuals in Characters
(18:01) Corrected visuals in Characters #2
(18:04) Corrected visuals in Characters #3
(18:08) Slight update to Characters – Unlock Criteria

30th May 2021
(17:45) Finished a part of Tainted Characters – Tips #1
(17:54) Finished Tainted Characters – Tips #1
(18:43) Finished Tainted Characters – Tips #2

1st June 2021
(18:27) Updated tips for Delirium
(18:27) NOTE: wow i really did forget to do anything in regard to the guide yesterday. guess that breaks the update streak
(20:23) I’m disbanding the entire ‘RULES’ section into smaller ones. The Index has already been updated accordingly, but the sections themself will be split up tomorrow.

2nd June 2021
(18:30) Converted Rules – Floors into Floors – Introduction
(21:00) Finished Floors – Chapter I
(21:45) Added a gif showcasing the current in Dross. The best size I could manage without turning the gif illegible was ~1.6MB
(21:58) Embedded a little piece of trivia about Dogma in his boss banner in his section. Hovering over the image should display it. Please report any cases of this not working as intended; I really want to know if this works on various, preferrably all clients.
(22:05) Renamed the corpse and home unlock sections to match the new style

3rd June 2021
(17:44) Finished Floors – Chapter II
(22:38) Finished Floors – Chapter III
(22:41) Corrected info about room size in Attributes
(22:54) Added notes about SVFX for Downpour and Dross

4th June 2021
(16:19) Finished Floors – Chapter IV
(17:20) Finished Floors – The Blue Womb
(17:35) Finished Floors – Chapter V
(17:54) Finished Floors – Chapter VI
(19:11) Finished Floors – Chapter VII (Endgame)

5th June 2021
(15:12) Reworded things in Floors – Unlocking the Corpse and generally improved visuals
(15:32) Reworded and tidied up Floors – Going Home
(16:07) Converted Rules – Special Rooms #1 into Special Rooms – Introduction

6th June 2021
(10:21) Updated tips for a few characters in Tainted Characters – Tips #2, mainly Tainted Forgotten
(15:08) FInished(?) Special Rooms #1
(17:43) Finished Special Rooms #1.
(18:41) Finished Special Rooms #2
(19:28) Finished Special Rooms #3
(19:42) Finished Special Rooms #4
(20:50) Updated Deal Rooms, and removed the Rules – prefix
(20:52) Removed Rules – prefix from Curses
(20:55) Updated The Map, and removed the Rules – prefix
(21:03) Converted Modes into Modes – Introduction
(21:20) Finished Modes – Hardmode
(21:54) Finished a part of Modes – Greed(ier). The rest is coming tomorrow

7th June 2021
(19:07) Finished Modes – Greed(ier)

8th June 2021
(18:55) Updated Machines & Beggars with new visuals and repentance content
(18:55) Deleted Tear Effects
(20:00) Finished Entity Effects
(20:44) Deleted Item Pools and instead merged them into Items – Introduction, which also got an update of its own
(20:49) NOTE: alright, now i’ll see if i can rip the item sprites from the game itself. it should be possible. if i succeed and motivate myself enough to keep doing this, the whole, new, renovated, etc., item section will be done by the end of the month, POSSIBLY before the 20th.
(21:35) NOTE: used the unpacker we got with the game, worked as expected. still need to sort items into passives and actives. i will sort them by internal ID now instead of the name though, since the internal files also sort by ID
(21:41) Updated Items – Introduction accordingly
(22:13) NOTE: all items sorted, ill start working on this tomorrow

9th June 2021
(15:53) Added a single “l”
(19:33) Finished Passive Items #1, the most boring part of this guide renovation begins.
(21:06) Finished Passive Items #1 to Passive Items #4
(22:19) Finished Passive Items #5 and Passive Items #6
(22:20) NOTE: if i keep up this pace, ill be done with the items surely before the 20th

10th June 2021
(16:35) Finished Passive Items #7 and Passive Items #8, and also fixed line length in all item sections
(18:17) Finished Passive Items #9 and Passive Items #10
(20:17) Finished Passive Items #11 and Passive Items #12
(21:04) Finished Passive Items #13

11th June 2021
(19:11) Finished Passive Items #14 and Passive Items #15
(20:09) Finished Passive Items #16

12th June 2021
(10:08) Finished Passive Items #17 to Passive Items #19
(11:27) Finished Passive Items #20 to Passive Items #22
(13:29) Finished Passive Items #23 to Passive items #25
(18:30) added lol.png
(20:29) Finished Passive Items #26 to Passive Items #28
(21:26) Finished Passive Items #29 and Passive Items #30

13th June 2021
(12:17) Finished Passive Items #31
(13:08) Finished Passive Items #32
(13:52) Finished Passive Items #33
(16:29) Removed the Controls section
(17:40) Finished Passive Items #34 and Passive Items #35
(17:40) NOTE: all pre-repentance items finished in just 5 days! pretty good. at this pace i should be done with trinkets in 2-3 days, enemies in a week, and achievements in 1-2 weeks (after i finish the item section, that is. either way, all of the above should be finished before the end of July, possibly even the end of June if a miracle happens)
(18:23) Finished Passive Items #36
(19:12) Finished Passive Items #37
(21:32) Finished a part of Passive Items #38, up to Mars

Changelog #5

14th June 2021
(19:00) Finished Passive Items #38
(20:14) Finished Passive Items #39 to Passive Items #40
(22:08) Finished Passive Items #41 to Passive Items #46
(22:31) Finished Active Items #1
(22:31) NOTE: the passive items are OVER. actives should be finished either on June 16th or June 17th
(22:35) Updated Note
(22:39) Updated Introduction

15th June 2021
(17:00) Finished Active Items #2
(20:32) Finished Active Items #3 to Active Items #6

16th June 2021
(16:36) NOTE: taking a break from active items to focus on things left behind earlier
(19:47) Finally added buckets to Environment – Rocks
(19:55) Finally added gas and the spikeball to Environment – Other
(20:50) Finished Consumables – Soul Stones
(21:05) Finished Characters – Birthright
(21:12) Added Broken Hearts to Pickups – Hearts
(21:19) Added a note about familiars, orbitals, blue flies and blue spiders in Items – Introduction
(21:20) NOTE: “aCtIvEs ShOuLd Be FiNiShEd EiThEr On JuNe 16Th oR jUnE 17tH” my ass
(21:55) Finished Active Items #7

17th June 2021
(13:57) Corrected fake info in Machines & Beggars regarding Crane Games spawning only passive/actives, and not a mix of both
(17:31) Finished Active Items #8
(18:40) Finished Active Items #9
(19:54) Finished Active Items #10

18th June 2021
(18:47) Finished Active Items #11 to Active Items #17
(18:48) NOTE: well, my prediction was somewhat right. gonna start taking care of trinkets soon
(19:10) Finished Special Items #1 and Special Items #2
(21:58) Updated Trinkets – Introduction
(22:37) Finished Trinkets #1
(22:38) NOTE: the table structure allows for 17 tables per section on average, meaning i should be done by the time i reach the 11th or 12th page

19th June 2021
(14:26) Finished Trinkets #2 to Trinkets #4
(18:27) Finished Trinkets #5 to Trinkets #11
(20:28) Finished Trinkets #12 and Trinkets #13
(20:28) NOTE: glad i was somewhat right again about my predicitons. time to take on transformations
(21:18) Updated Transformations – Introduction
(22:35) Finished Transformations #1 and Transformations #2

20th June 2021
(11:21) Updated Enemies – Introduction
(11:32) Renamed and updated Enemies – Armor to Enemies – Entity Armor, Stage HP, and Boss Enemies
(18:38) Finished Enemies – Flies #1 to Enemies – Flies #3
(21:29) Finished Enemies – Spiders #1, Enemies – Spiders #2, and Enemies – Wall Creeps
(21:30) NOTE: Most of the time between 11:32 and 18:38 was spent on downloading enemy pictures, categorizing them, and sorting them. Creating the actual sections is very fast, and I’m expecting to be done with all enemies tomorrow, which is a pretty optimistic forecast, but I’m confident.

21st June 2021
(21:00) Finished Enemies – Poops, Enemies – Worms, Enemies – Maggots, and Enemies – Hoppers
(21:00) NOTE: I’ll be done with all of this either tomorrow of the day after tomorrow

22nd June 2021
(19:17) Finished Enemies – Pacers, Enemies – Maws, Enemies – Gapers, Enemies – Fatties
(23:00) Finished Enemies – Skinnies

23rd June 2021
(13:50) Finished mulligans, clotties, gyros and globins
(13:51) NOTE: im gonna stop writing the full section names because it just takes too long
(15:16) Finished knights, hosts, vises, boils, shopkeepers, gurgles, moles, buttlickers, bats and ghosts
(16:14) Finished bonies and death’s heads
(17:40) Finished whippers, goats, cultists, mom’s hands, masks + hearts, balls, oobs, brains, and guts
(19:52) Finished the rest of the enemies, moving onto achievements

24th June 2021
(13:55) Updated Achievements – Introduction and finished Achievements #1
(14:41) Finished Achievements #2 to Achievements #5
(??:??) Finished Achievements #6 to Achievements #14

25th June 2021
(15:05) Finished Achievements #15
(16:16) Finished Achievements #16
(17:51) Fixed all typos (except for one in the changelog) regarding the word “permament”, which has been corrected to “permanent”
Also removed the Custom Challenge Launcher section from the guide and the index
(21:46) Finished achievements up to #23

26th June 2021
(16:18) Finished all achievements
(18:00) Finished challenges #1 and #2, i’ll do #3 and #4 later
(21:30) Finished the rest of the challenges

27th June 2021
(13:47) Updated Debug Console
(16:40) Finished all console commands
(16:46) Updated » END «
(16:52) NOTE: alright so.. uhh. um.. guess that’s the whole renovation thingy done. didn’t think i’d get to this point. i guess i’ll start adding stuff from my to-do list then, hold on..
(16:54) Updated Bosses – Clog
(17:18) Finished Environment – Shopkeepers
(17:33) Added red rooms to Special Rooms #4

28th June 2021
(11:33) Finished Boss Rush
(11:37) Updated Bosses – Rainmaker
(14:10) Finished Note Dump. I’ll add more if I find something noteworthy
(14:10) NOTE: The “to-do” list is done, which means that this concludes the full renovation. It’s been an interesting journey that has now come to an end. I can finally get some ♥♥♥♥♥♥♥ rest now.

4th July 2021
(19:14) Added Miscellaneous note #1 to the note dump

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