Sack Head is a passive item added in Afterbirth.
Effects
- 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
- Shopkeepers have a chance to drop this item when destroyed.
- Troll bombs can also be replaced with sacks.
- Chests in challenge rooms can be replaced with sacks. If this happens, enemies will begin spawning when the sack is touched.
Sacks on each floor tend to have the same contents, which can be taken advantage of if cards are involved. This no longer happens as of Booster Pack #5.
Sacks on each floor tend to have the same contents, which can be taken advantage of if cards are involved. This no longer happens as of Booster Pack #5.Synergies
- Equality!: Sacks may drop new sacks while Equality! is active, potentially resulting in massive amounts of resources from a single sack.
In-game Footage
Gallery
Afterbirth item and trinket concepts, including Sack Head.
 The Binding of Isaac: Rebirth
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