Sack Head

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Item icon
Item altar
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Character appearance
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Shop Shop
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Added in Afterbirth †(page 4, column 19, row 3)
Removed in Afterbirth †(page 4, column 19, row 3)
Added in Afterbirth

Sack Head is a passive item added in Afterbirth.

Effects[edit | edit source]

  • Coins have a 10% chance to be replaced with sacks. Bombs, keys, cards, runes, and batteries have a 20% chance.
    • This includes pickups spawned by most sources: room rewards, chests, slot machines, special shopkeepers, etc.
    • The exception to this are pickups spawned by Isaac himself directly, e.g. with the likes of IV Bag IV Bag or Fanny Pack Fanny Pack, and contents of other sacks.
  • Spawns a sack upon pickup.

Notes[edit | edit source]

  • The item does not replace hearts, pills and chests.
  • The item can also replace troll bombs and megatroll bombs that are not used as attacks, i.e. generated as room rewards, chest contents and such.
  • The pickup replacement is applied retroactively when the item is collected: any appropriate pickup already existing on the current level may be replaced by a sack.
  • Removed in Afterbirth † Sacks on each floor tend to have the same contents, which can be taken advantage of if cards are involved.

Synergies[edit | edit source]

  • Added in Afterbirth †Equality! Equality!: Sacks may drop new sacks while Equality! is active, potentially resulting in massive amounts of resources from a single sack.
  • D20 D20: Chests have a high likelihood of dropping sacks, and sacks have a high likelihood of dropping batteries, along with other pickups. This results in a game-breaking strategy similar to how the D20 is used in Greed Mode: open a chest, open the sacks that spawn from it, pick up a battery to charge the D20, and reroll all pickups in the room, thereby generating more chests. Repeat for unlimited money, health, golden chests, etc.

In-game Footage[edit | edit source]

Gallery[edit | edit source]

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