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Item icon
Item altar
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Greed mode only Treasure Room Treasure Room
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(page 5, column 1, row 2)
Added in Afterbirth †

Backstabber is a passive item added in Afterbirth †.

Effects[edit | edit source]

  • When tears land on the "back" of enemies, they deal double damage and inflict bleeding.
    • Bleeding enemies take damage equal to 10% of their maximum health every 5 seconds.
    • Bosses cannot be inflicted with bleeding, but will still take the extra damage.

Synergies[edit | edit source]

  • Brimstone Brimstone: Can still inflict bleeding, as long as Isaac is behind the enemy.
  • Daddy Longlegs Daddy Longlegs: Daddy Longlegs can occasionally gain the added damage and bleeding of Backstabber.
  • Shooting Familiars: Tears fired by familiars can inflict the effects of Backstabber.
  • Rubber Cement Rubber Cement: Increases chance to backstab an enemy while standing in front or to the side by the shot bouncing to hit the enemy's back.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • This item is a reference to the backstabbing mechanic in various video games, where backstabbing results in more damage done to the target. However, the mechanic of backstabbing is usually applied to melee weapons, not ranged weapons.
    • It may also be a reference to Judas' betrayal of Jesus.
  • Backstabber was originally an unofficial item which was supposed to showcase the modding capabilities of Afterbirth+ in the PAX 2016 livestream. However, all items included in the demo were later added to the final game.

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