The Monkey Paw is a trinket.
Effects
- If Isaac has half a heart or less after taking damage, this trinket drops a black heart.
- The effect can trigger up to three times, after which the trinket will disappear.
- The fingers stuck out by the paw will change to display the number of triggers left.
Notes
- The effect can trigger more than once in the same room.
In-game Footage
Gallery
2 triggers left
1 trigger left
Trivia
- This item is a reference to the supernatural short story The Monkey's Paw by W.W Jacobs.
 The Binding of Isaac: Rebirth
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