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Questionmarkisaac For the other Angel item with a similar name, see Immaculate Heart. For another Angel item that rerolls lower quality items with a similar name, see Sacred Orb.

Sacred Heart is a passive item.

Effects[ | ]

Notes[ | ]

  • (except in Repentance) Sacred Heart is a special item.
  • Sacred Heart has the highest damage multiplier of all passive items.
  • The flat damage gained by Sacred Heart is not affected by its damage multiplier. However, other flat damage upgrades (such as those gained by Curved HornCurved Horn or (in Afterbirth † and Repentance)Collectible Void iconVoid) will be affected normally.
  • (except in Repentance) Although Sacred Heart increases range, the reduction of shot speed results in a slight decrease in effective range, not accounting for homing.

Interactions[ | ]

  • Collectible Anti-Gravity iconAnti-Gravity: Tears will track enemies while frozen in place, once one gets close enough.
  • Collectible Sacred Heart iconSacred Heart: Picking up multiple copies of the item will only result in acquiring additional heart containers, while decreasing fire rate and shot speed.
  • Character Tainted Bethany iconTainted Bethany: On pickup, grants 12 blood charges.

In-game Footage[ | ]

Trivia[ | ]

  • The Sacred Heart (also known as the Most Sacred Heart of Jesus) is a devotion practiced in Catholicism, which represents "the heart of Jesus Christ God, pierced on the cross", and God's "boundless and passionate love for mankind".


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