Head of Krampus

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Item icon
Item altar
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6 rooms 6 rooms
Item Pool Miniboss.png Krampus
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Added in Afterbirth (page 3, column 8, line 3)
Removed in Afterbirth (page 3, column 8, line 9)
Head of Krampus Defeat Krampus for the 1st timeHead of KrampusHead of Krampus

Head of Krampus is an unlockable activated item.


  • Fires a powerful Brimstone beam in four cardinal directions.
    • Added in Afterbirth / Removed in Afterbirth † Has a 50% chance to rotate all beams around the player 90 degrees, similar to Krampus' second Brimstone attack.


  • The power of the beams can One-Hit Kill Mom's Heart / It Lives if the item is used very close to the boss.
  • Damaging enemies with the effect of this item as Guppy will spawn multiple Blue Flies.

In-game Footage



  • This item was originally planned to appear as a Halloween Update in the original The Binding of Isaac, but was scrapped.
  • Before update 1.031, the item had a 3 room charge. It now has a 6 room charge.

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