Sack Head

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Item icon
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Character appearance
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(page 4, column 19, line 3)
Added in Afterbirth

Sack Head is a passive item added in the Binding of Isaac: Afterbirth expansion.

Effects[edit | edit source]

  • All bomb, coin, key, card, rune, pill, and battery pickups have a 33% chance to be replaced with sacks.
    • This includes pickups spawned by anything: chests, slot machines, special shopkeepers, etc.
  • Spawns a sack upon pickup.

Notes[edit | edit source]

  • Shopkeepers have a chance to drop this item when destroyed.
  • Troll Bombs can also be replaced with sacks.

Synergies[edit | edit source]

  • Contract From Below Contract From BelowContract From Below Icon.pngDoubles the number of pickups and chests spawned after clearing a room or performing some other triggering action (such as using a blood donation machine), but reduces the chance for any pickups to spawn at all.: Doubles the sacks received after clearing a room.
  • D20 D20D20 Icon.png6 roomsRerolls all pickups in the current room.: Sacks often contain batteries. The D20 rerolls opened sack items into batteries and more sacks. Rinse and repeat.
  • Added in Afterbirth †Equality! Equality!Equality! Icon.pngTurns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal.: Sacks may drop new sacks while Equality! is active, potentially resulting in massive amounts of resources from a single sack.
  • Flat Penny Flat PennyFlat Penny Icon.pngGives a 50% chance of spawning a key upon collecting a penny.: When picking up a penny, a sack might drop instead of a key. The sack might contain more pennies which leads to more sacks.
  • Head of the Keeper Head of the KeeperHead of the Keeper Icon.pngIsaac's tears become coins and now have a chance to drop pennies on the floor upon successfully hitting an enemy.: Enemies hit by Isaac's tears have a chance of dropping sacks instead of coins.
  • Lucky Rock Lucky RockLucky Rock Icon.pngEach obstacle destroyed drops one coin.: Blown up rocks have a high chance of dropping sacks instead of pennies.
  • Petrified Poop Petrified PoopPetrified Poop Icon.pngGreatly increases the chances of a pickup dropping when destroying poop.: Has a high chance to drop sacks by destroying poop.
  • Safety Scissors Safety ScissorsSafety Scissors Icon.pngTroll bombs turn into Bomb pickups before they explode. Mega troll bombs turn into 1+1 free bombs before they explode. + Curse of the Tower Curse of the TowerCurse of the Tower Icon.pngCauses Isaac to spawn 6 troll bombs on the floor every time he gets hit, similar to the Anarchist Cookbook mechanic.: Each defused bomb has a chance to be replaced with a sack, so up to six sacks can spawn from taking damage.
  • Safety Scissors Safety ScissorsSafety Scissors Icon.pngTroll bombs turn into Bomb pickups before they explode. Mega troll bombs turn into 1+1 free bombs before they explode. + Anarchist Cookbook Anarchist CookbookAnarchist Cookbook Icon.png3 roomsSpawns six troll bombs around the room.: Each defused bomb has a chance to be replaced with a sack, so up to six sacks can spawn on use. In addition, sacks can spawn batteries, which allows this to be used multiple times.
  • Guppy's Tail Guppy's TailGuppy's Tail Icon.pngIncreases chance of finding gold chests and normal chests, but reduces chance of finding pickups.: Chests often contain sacks, making most gold chests pay for themselves and then some.

In-game Footage[edit | edit source]

Gallery[edit | edit source]


The Binding of Isaac: Rebirth The Binding of Isaac: Rebirth The Binding of Isaac: Rebirth
MainPageAchievements.png Achievements MainPageAttributes.png Attributes MainPageBosses.png Bosses TarotCard.png Cards and Runes MainPageChallenges.png Challenges MainPageChapters.png Chapters
Isaac App.png Characters MainPageBabies.png Co-op MainPageItems Small.png Items Item Pools Item Pools MainPageMonsters.png Monsters MainPageObjects.png Objects
Red heart.png Pickups BlueBlue.png Pills MainPageRooms.png Rooms MainPageSeeds2.png Seeds Guppy App.png Transformations The Left Hand Icon.png Trinkets