Little Horn (Item)

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Item icon
Item altar
Table dividing line 1.png


Character appearance
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(page 5, column 18, row 1)
Added in Afterbirth †
Disambig.png This article is about the item. For the boss, see Little Horn.

Little Horn is a passive item added in Afterbirth †.

Effects[edit | edit source]

  • Adds a chance to fire piercing tears which will instantly kill any non-boss enemy.
    • The chance is 5% at 0 luck and increases to a maximum of 20% with 15 luck.
  • Running into enemies deals 3.5 damage to them.
    • Damage is dealt up to twice per second per enemy.

Notes[edit | edit source]

Synergies[edit | edit source]

  • Angelic Prism Angelic Prism: Little Horn tears can be split by the prism and will be quadrupled when they pass through it.
  • Evil Eye Evil Eye: Eyes can fire Little Horn tears. Little Horn tears won't destroy other eyes.
  • Kidney Stone Kidney Stone: The stone can have the Little Horn effect.

Interactions[edit | edit source]

  • Brimstone Brimstone: Overrides Little Horn.
  • Dr. Fetus Dr. Fetus / Epic Fetus Epic Fetus: Only occasional black-tinted cosmetic effects with no actual benefit.
  • Lachryphagy Lachryphagy: If Little Horn tears are fed, they will burst into split tears with the same effect. If Little Horn tears feed normal tears, however, the effect is lost.
  • Mom's Knife Mom's Knife: Overrides Little Horn.
  • Technology Technology: Overrides Little Horn.
  • Technology Zero Technology Zero: Electricity connected to Little Horn tears will not instantly kill enemies.
  • Tech X Tech X: Overrides Little Horn.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • This item might be a reference to Cutaneous horns, unusual keratinous skin tumors with the appearance of horns.
  • Little Horn was originally an unofficial item which was supposed to showcase the modding capabilities of Afterbirth+ in the PAX 2016 livestream. However, all items included in the demo were later added to the final game.

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