Pestilence

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Pestilence
Boss Pestilence.png
Base HP
280
Stage HP
0
Found In
The Caves

The Catacombs
Normal Enemy (Later Floors)

Dropped Items
Ball of Bandages

Cube of Meat

Unlocked By
Defeating Mom for the first time.


Pestilence is a boss that can appear in The Caves or The Catacombs. It is one of the four Harbingers, and the horseman of Chapter 2.

Behavior[edit | edit source]

Phase 1[edit | edit source]

  • Pestilence will float around the room, leaving a trail of poison.
  • In addition to the trail of poison, it will fire explosive projectiles at Isaac which too, leave poison.
  • Pestilence can also summon up to four Chargers or Spitties.

Phase 2[edit | edit source]

  • Pestilence is now headless.
  • It will keep firing the explosive projectiles at Isaac.
  • Instead of Chargers or Spitties, Pestilence will summon Attack Flies.

Champion Versions[edit | edit source]

White[edit | edit source]

This version leaves a trail of white creep, which slows the player down and shoots 6 bullets away from itself instead of explosive shots. It spawns Spiders instead of flies in Phase 2.

Gallery[edit | edit source]

Trivia[edit | edit source]

  • Pestilence appeared in the original Binding of Isaac.
  • Pestilence, while very often portrayed as one of the Four Horsemen of the Apocalypse in popular culture, is actually not present in the Bible at all (see Rev 6:2) and is an example of incorrect interpretation. The canonical Four Horsemen are Conquest (white), War (red), Famine (black) and Death (pale).
  • Pestilence means a virulent or fatal disease epidemic.
    • The entirety of Pestilence's offense deals with poison and bugs that are associated with rot.
  • Pestilence is the only Harbinger that does not have a charge attack.

Seeds[edit | edit source]

SmallIsaac.png The Binding of Isaac: Rebirth SmallIsaac.png

MainPageAchievements.png Achievements MainPageAttributes.png Attributes MainPageBosses.png Bosses TarotCard.png Cards and Runes MainPageChallenges.png Challenges MainPageChapters.png Chapters
Isaac App.png Characters MainPageBabies.png Co-op Magic Mushroom Icon.png Items Isaac's Tears Icon.png Item Pools MainPageMonsters.png Monsters MainPageObjects.png Objects
Red heart.png Pickups BlueBlue.png Pills MainPageRooms.png Rooms MainPageSeeds2.png Seeds Guppy App.png Transformations The Left Hand Icon.png Trinkets
Bosses Boss Monstro.png
Chapter 1 Blighted OvumDingleThe Duke of FliesFamineFistulaGeminiGurdy Jr.GurglingsThe HauntLarry Jr.MonstroPinStevenWidow
DLC Indicator.png DangleLittle HornRag ManTurdlings
Chapter 2 C.H.A.D.ChubDark OneGurdyGurdy Jr.The HollowThe HuskMega FattyMega MawPeepPestilencePolycephalusThe Carrion QueenThe Wretched
DLC Indicator.png The ForsakenThe FrailThe Stain
Afterbirth† Indicator.png Big HornRag Mega
Chapter 3 The AdversaryThe BloatThe CageThe Carrion QueenThe GateGishLokiMask of InfamyMonstro IIWarThe WretchedMom
DLC Indicator.png Brownie
Afterbirth† Indicator.png Sisters Vis
Chapter 4 BlastocystThe BloatConquestDaddy Long LegsDeathIt LivesLokiiMama GurdyMom's HeartMr. FredScolexTeratomaTriachnid
DLC Indicator.png Blue Womb DLC Indicator.png Hush
Chapter 5 The FallenIsaacSatan
Chapter 6 ???The LambMega Satan
DLC Indicator.png Greed Mode DLC Indicator.png Ultra Greed
Afterbirth† Indicator.png Ultra Greedier
Afterbirth† Indicator.png The Void Afterbirth† Indicator.png Delirium
Chapters 1-4 The FallenThe Headless Horseman