Hard mode

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Hard mode changes the gameplay compared to Normal in some ways to make it more difficult. When playing in hard mode, a small red pentagram (Hard mode only) appears on the HUD, below the consumables.

  • Rooms contain more advanced enemies and in a higher number.
  • Causes champions to spawn more often; however, they award fewer pickups.
  • You are less likely to receive hearts after completing a room.
  • Only champion bosses can drop red hearts; normal bosses will not.
  • You are more likely to be cursed on each floor.
  • You are more likely to receive a harder version of a floor (e.g. Necropolis or Added in Afterbirth Dank Depths instead of The Depths).

Unlocks for Hard Mode[edit | edit source]

Character Mom's Heart Added in Afterbirth All Completion Marks
Isaac Lost Baby
Lost Baby
Defeat Mom's Heart on hard mode as Isaac
Buddy Baby
Buddy Baby
Earn all hard mode completion marks as Isaac
Magdalene Cute Baby
Cute Baby
Defeat Mom's Heart on hard mode as Magdalene
Colorful Baby
Colorful Baby
Earn all hard mode completion marks as Magdalene
Cain Glass Baby
Glass Baby
Defeat Mom's Heart on hard mode as Cain
Picky Baby
Picky Baby
Earn all hard mode completion marks as Cain
Judas Shadow Baby
Shadow Baby
Defeat Mom's Heart on hard mode as Judas
Belial Baby
Belial Baby
Earn all hard mode completion marks as Judas
??? Dead Baby
Dead Baby
Defeat Mom's Heart on hard mode as ???
Hive Baby
Hive Baby
Earn all hard mode completion marks as ???
Eve Crow Baby
Crow Baby
Defeat Mom's Heart on hard mode as Eve
Whore Baby
Whore Baby
Earn all hard mode completion marks as Eve
Samson Fighting Baby
Fighting Baby
Defeat Mom's Heart on hard mode as Samson
Revenge Baby
Revenge Baby
Earn all hard mode completion marks as Samson
Azazel Begotten Baby
Begotten Baby
Removed in Afterbirth † Defeat Mom's Heart on hard mode as Lazarus
Added in Afterbirth † Defeat Mom's Heart on hard mode as Azazel
Sucky Baby
Sucky Baby
Earn all hard mode completion marks as Azazel
Lazarus Wrapped Baby
Wrapped Baby
Removed in Afterbirth † Defeat Mom's Heart on hard mode as Azazel
Added in Afterbirth † Defeat Mom's Heart on hard mode as Lazarus
Dripping Baby
Dripping Baby
Earn all hard mode completion marks as Lazarus
Eden Glitch Baby
Glitch Baby
Defeat Mom's Heart on hard mode as Eden
Cracked Baby
Cracked Baby
Earn all hard mode completion marks as Eden
The Lost -0- Baby
-0- Baby
Defeat Mom's Heart on hard mode as The Lost
Godhead
Godhead
Removed in Afterbirth Beat Mom's Heart, Isaac, Satan, ???, and The Lamb and complete the Boss Rush on hard mode as The Lost
Added in Afterbirth Earn all 9 Completion Marks on hard mode as The Lost
Added in AfterbirthLilith Goat Head Baby
Goat Head Baby
Defeat Mom's Heart on hard mode as Lilith
Dark Baby
Dark Baby
Earn all hard mode completion marks as Lilith
Added in AfterbirthKeeper Super Greed Baby
Super Greed Baby
Defeat Mom's Heart on hard mode as Keeper
Sale Baby
Sale Baby
Earn all hard mode completion marks as Keeper
Added in Afterbirth †Apollyon Smelter
Smelter
Defeat Mom's Heart or It Lives! on hard mode as Apollyon
Apollyon Baby
Apollyon Baby
Earn all Hard Mode Completion Marks as Apollyon
Added in Afterbirth †The Forgotten Marrow
Marrow
Defeat Mom's Heart or It Lives! on hard mode as The Forgotten
Bone Baby
Bone Baby
Earn all Hard Mode Completion Marks as The Forgotten

Trivia[edit | edit source]

  • Prior to update 1.03, the reduced drop-rate affected all Pickups (not just Red Hearts).
  • Godhead Godhead
    Godhead Icon.pngIncreases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo.
    's unlock requirements were extended in the Afterbirth DLC (and further extended in the Afterbirth+ DLC) due to the addition of more completion marks, but it can still be unlocked in the base game using the same method.


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