Head Trauma

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Head Trauma
Challenge number
3
Character
Isaac App.png
HUD Red Heart.pngHUD Red Heart.pngHUD Red Heart.png
Starting Items
Tiny Planet Tiny Planet
Soy Milk Soy Milk
The Small Rock The Small Rock
Iron Bar Iron Bar
Available rooms
Item Pool Treasure Room.png: no          Item Pool Shop.png: yes
Goal
Boss Mom.png
Unlocks
Rune of Ehwaz Rune of Ehwaz

Head Trauma is Challenge #3. This challenge starts you with Tiny Planet Tiny Planet , Soy Milk Soy Milk , The Small Rock The Small Rock , and Iron Bar Iron Bar . Your goal is to defeat Mom. This Challenge is unlocked by default.

Difficulty[edit | edit source]

  • Tiny Planet Tiny Planet and Soy Milk Soy Milk will make it very difficult to target enemies. Any damage you inflict will be small and increases in damage will be almost insignificant.
  • Iron Bar Iron Bar can be a hindrance as the unpredictable movement of confused enemies can make them hard to hit.
  • As enemies get hit everywhere from the tears, it is very likely that one enemy can be pushed into you.

Strategy[edit | edit source]

  • Since targeting enemies is difficult, it may help you to learn where your shots converge in front of you. Practice will be a big factor.
  • While there is a spot behind you that can target enemies as well, the tears may cause them to be knocked into you if they are too close.
  • Rapidly hitting left and right to shoot tears will cause a better spread of tears around you and make it easier to hit enemies.
  • Keep in mind that bombs you drop can be moved by your tears. This makes them less effective in battle. Also, when dropping bombs to open Secret Rooms or clear obstacles to get to pickups, let your tears disappear first or you can end up wasting bombs.
  • Since the tears spend a long time on screen, obtaining A Lump of Coal A Lump of Coal results in a huge increase in damage output. This would make finding Krampus valuable.
  • Iron Bar Iron Bar can cause enemies to stop targeting you while they're dazed, giving you time to allow tears to hit and move to safer spots. Watch for the confused status to plot your moves.
  • Fear effects can help greatly. Enemies will become much easier to hit as once frightened they will run in a straight line away from you. This allows you to drive them against a wall and target them as they become trapped. Getting Dark Matter Dark Matter from a Devil Room can be very beneficial.
  • Transforming into Guppy is a great strategy as all tears that hit will spawn a fly. In less time you can send a huge amount of flies at enemies effectively tripling your damage.
  • It's possible to get stuck on some rooms that require you to hit faraway enemies. Without flight or bombs, these rooms must be waited out, as the doors will automatically open after two minutes.
  • Polyphemus Polyphemus will turn your tears into giant tears, effectively doubling damage without affecting Tears or Tear Speed.
  • Lost Contact Lost Contact will turn your tears into a massive shield that will make you invulnerable from most of the shots
  • Libra Libra will greatly boost Soy Milk Soy Milk 's damage output - grab it when you get the opportunity.
  • Alternatively, you can reroll your build to get rid of the Soy Milk + Tiny Planet planet combo. This makes the D4 D4 , the D100 D100 , Missing No. Missing No. and 1 or 6 pips dice rooms valuable.
    • Afterbirth† Indicator.png Challenge items can no longer be rerolled.
  • Brimstone Brimstone dramatically reduces the difficulty of the challenge. While damage per tick is still quite unremarkable (per Soy Milk), it is far easier to aim the Brimstone Brimstone beam and it can be fired at will with no charge-up time needed.
  • Ring Worm Ring Worm causes tears to fly around uncontrollably, but can make it easier to hit faraway enemies.
  • Because of the large number of tears, item that give effects upon hit (such as Holy Light, Fire Mind or The Common Cold) will be useful.

Unlockable Achievements[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