Hearts (Pickup)

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Hearts Coins Bombs Keys Batteries Pills Cards Chests Added in Afterbirth  Sacks
Heart Image Worth Additional Info Unlocked By
Red Heart Red heart.png Red Heart
Half Red Heart Half Red Heart.png Half Red Heart
1+1 Free Heart 1-1 Free Heart.png Red HeartRed Heart
Added in Afterbirth † Scared Heart Red heart.png Red Heart Identical to the standard Red Heart, but will run away as the player moves towards it.
Soul Heart Soul heart.png Soul Heart
Added in Afterbirth † Half Soul Heart Half soul heart.png Half Soul Heart Mr. Resetter! Reset 7 times in a row


 PS4  Get a minus 10-win streak
Mr. Resetter!Mr. Resetter!
Added in Afterbirth † Blended Heart Red soul heart.png Red Heart/Soul Heart/Half Red HeartHalf Soul Heart Fills up a full red Heart Container, but will act as a Soul Heart when no Containers are free. If you are only missing half a heart, it will fill that half, and give you half a soul heart.
Black Heart Black heart.png Black Heart When fully lost, it will damage all enemies in the room for 40 damage, similar to The Necronomicon's effect.
Eternal Heart Eternal heart.png Eternal Heart When held until the next floor, Eternal Hearts will grant you a heart container. They will also give you a heart container if you collect two on the same floor.
Added in Afterbirth Gold Heart GoldHeart.PNG Gold Heart When a Gold Heart is lost, a few coins will be dropped around you. Added in Afterbirth † In Booster Pack #5, Gold Hearts now flash when depleted and will temporarily turn enemies golden like Midas' Touch. Gold Heart Complete challenge #21
Gold HeartGold Heart
Added in Afterbirth † Bone Heart Bone heart.png Empty Bone Heart Takes three hits to deplete and can be refilled with red hearts, but disappears permanently upon depleting. Bone Heart It's complicated
Bone HeartBone Heart

Notes[edit | edit source]

  • Unless an item effect specifically states it, a red heart always has the chance to be replaced by a Soul, Black, or Eternal heart.
  • Red heart pickups created by item, card, or pill effects can be forced to be spawned as Black or Eternal hearts instead by using the item, card, or pill in a relevant Super Secret Room.
  • If Isaac's health bar is filled with soul hearts, picking up a black heart will replace the topmost soul heart.
    • If Isaac's health bar is filled up to 11 1/2 (Soul/Black) hearts with the last one being half a Black Heart, picking up a Black Heart will fill that one and convert a full Soul Heart to a Black Heart (therefore adding half a Black Heart and converting a Soul Heart).
    • If Isaac's topmost heart is a half Soul Heart, collecting a Black Heart will complete it into a whole soul heart, and add half a Black heart.
    • Collecting a Soul Heart with half a Black Heart left will complete the Black Heart, and add half a Soul Heart.
  • Dark Bum Dark Bum
    Dark Bum Icon.pngSpawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one soul heart, one hostile Spider or one friendly blue spider.
    will not collect Blended Hearts.

Trivia[edit | edit source]

  • There are unused graphics for Half Soul Hearts and Half Black Hearts that are never seen ingame.
    • Added in Afterbirth † Half Soul Hearts were eventually added to the game as an unlockable in Afterbirth+.

Unlockable Achievements[edit | edit source]

  • Eve Eve - Don't pick up any hearts for 2 floors in a row.

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