Sacred Heart

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Font TeamMeat S.pngFont TeamMeat a.pngFont TeamMeat c.pngFont TeamMeat r.pngFont TeamMeat e.pngFont TeamMeat d.png   Font TeamMeat H.pngFont TeamMeat e.pngFont TeamMeat a.pngFont TeamMeat r.pngFont TeamMeat t.png
Item icon
Item altar
Table dividing line 1.png
Character appearance
Tear appearance
Table dividing line 2.png
Angel Room Angel Room
Greed mode only Angel Room Angel Room
Table dividing line 3.png
Added in  Afterbirth(page 2, column 19, row 3)
Removed in Afterbirth(page 2, column 9, row 8)

Sacred Heart is a Special passive item.


  • x2.3 damage multiplier.
  • +1 flat damage.
  • +4.125 range.
  • +0.75 tear height.
  • -0.4 tears.
  • -25% shot speed.
  • Grants homing tears.
  • Grants homing bombs (the effect of Bobby-Bomb Bobby-BombBobby-Bomb Icon.pngGives Isaac 5 Bombs, and causes all dropped bombs to home towards the closest enemy.).
  • Grants one heart container.
  • Replenishes all red hearts.


  • Brimstone BrimstoneBrimstone Rebirth Icon.pngTears are replaced by a laser beam that pierces through all enemies and obstacles in its path and deals high damage. Can only be fired after a short charge-up period.: Blood beam gets a large damage boost and curves towards enemies.
    • Azazel: The short-ranged beam can curve if Azazel gets enough range upgrades.
  • Godhead GodheadGodhead Icon.pngIncreases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo.: The aura around the tears becomes larger and the damage caused is greatly increased.
  • Mom's Knife Mom's KnifeMom's Knife Rebirth Icon.pngIsaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.: Damage increased and knife homes onto enemies.
  • Mutant Spider Mutant SpiderMutant Spider Icon.pngGrants quadruple shot but decreases tears.: All four tears home on enemies causing massive damage. Can instantly kill most enemies in one shot.
  • Technology TechnologyTechnology Icon.pngReplaces tears with a piercing laser with unlimited range.: The laser curves towards enemies.


  • Although this item increases range, the reduction of shot speed results in a slight decrease in effective range, not accounting for homing.

In-game Footage


 PC  K4X2 K1K0 (4th floor angel room) Added in  Afterbirth  PC  MJ0A X38C (4th floor angel room) Added in  Afterbirth  PC  6FR2 46G3 (4th floor angel room)