| 6 rooms|
| (page 3, column 8, line 3)
(page 3, column 8, line 9)
| Defeat Krampus for the 1st timeHead of Krampus|
Head of Krampus is an unlockable activated item.
- Fires a powerful Brimstone beam in four cardinal directions.
- 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.
3DS The icon of Head of Krampus as seen on the lower 3DS screen
- 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.