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Slipped Rib

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Treasure Room Treasure Room
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Slipped Rib Defeat Isaac as The ForgottenSlipped RibSlipped Rib
Added in Afterbirth †

Slipped Rib is an unlockable passive item added in Booster Pack #5.

Effects[edit | edit source]

  • Spawns a bone familiar that circles around Isaac and reflects enemy shots.
    • The reflected projectiles deal 5 damage if they would've hurt Isaac for half a heart, and 10 for a full heart. Enemy damage modification from item effects or by stage has no effect on this.
    • The familiar does not deal contact damage.

Synergies[edit | edit source]

  • BFFS! BFFS!BFFS! Icon.pngIncreases the size and damage of familiars.: Familiar is bigger and protects more of Isaac.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • This item is a reference to slipping rib syndrome.
  • This item may be a reference to the Adam and Eve story in Genesis, where God takes a rib from Adam's body in order to create Eve.
  • This item may be a reference to the NES game Castlevania 2: Simon's Quest, where Dracula's rib is an item used as a shield that protects from projectiles.
  • This item is Edmund's favorite Booster Pack item according to _Kilburn.


The Forgotten  Unlocks The Forgotten Unlocks The Forgotten  Unlocks
MarrowMarrowDefeat Mom's Heart or It Lives! on hard mode as The ForgottenSlipped RibSlipped RibDefeat Isaac as The ForgottenPointy RibPointy RibDefeat Satan as The ForgottenJaw BoneJaw BoneDefeat ??? as The ForgottenBrittle BonesBrittle BonesDefeat The Lamb as The ForgottenDivorce PapersDivorce PapersComplete the Boss Rush as The ForgottenHallowed GroundHallowed GroundDefeat Hush as The ForgottenFinger BoneFinger BoneDefeat Ultra Greed as The ForgottenDad's RingDad's RingDefeat Ultra Greedier as The ForgottenBook of the DeadBook of the DeadDefeat Delirium as The ForgottenBone BabyBone BabyEarn all Hard Mode Completion Marks as The ForgottenBound BabyBound BabyDefeat Mega Satan as The Forgotten
Moving Box Icon.png Booster Packs Moving Box Icon.png
#1
  • Angry FlyAngry FlySpawns a fly familiar that orbits around a random enemy and deals 5 damage per tick to enemies it comes in contact with.
  • Black HoleBlack HoleThrows a black hole on the ground which sucks in and damages enemies.
  • BozoBozoIncreases damage by a flat 0.1 and grants a soul heart. Enemies can randomly become briefly charmed or feared. Taking damage has a chance to spawn a rainbow poop.
  • Broken ModemBroken ModemEnemies, enemy shots, tears, and pickups will briefly freeze in place at random intervals.
  • Mystery GiftMystery GiftUpon use, spawns a random item from the current room's item pool, with a chance to spawn A Lump of Coal or The Poop instead.
  • SprinklerSprinklerUpon use, spawns a sprinkler that rotates and fires tears.
  • Fast BombsFast BombsGrants 7 bombs and allows bombs to be placed rapidly.
  • Buddy in a BoxBuddy in a BoxGrants a familiar with a random tear effect. The familiar is randomized at the start of each floor.
  • Lil DeliriumLil DeliriumGrants a familiar that transforms into another random familiar every 10 seconds.
  • HairpinHairpinFully recharges Isaac's active item upon entering a boss fight.
  • Wooden CrossWooden CrossGrants a Holy Mantle shield upon entering a new floor, which protects against one hit of damage.
  • Butter!Butter!Using an active item will drop it onto a pedestal on the ground. Taking damage may result in dropping a passive item.
  • Huge GrowthHuge GrowthMakes Isaac large for the current room, increasing his range and damage.
  • Ancient RecallAncient RecallSpawns 3 random cards.
  • Era WalkEra WalkFor the current room, enemies are slowed, Isaac's speed is increased, and his shot speed is decreased.
#2
  • Jumper CablesJumper CablesGrants an active item charge every 15 enemies killed.
  • CouponCouponUpon use, makes a random item from a shop, devil deal, or black market free.
  • TelekinesisTelekinesisUpon use, for the next two seconds, any enemy shots that come near Isaac are held in place. After the charge is depleted, they are fired back as tears.
  • Moving BoxMoving BoxIf the box is empty, picks up all items and pickups in a room and stores them. If the box is not empty, places all stored items and pickups in the current room.
  • Technology ZeroTechnology ZeroConnects Isaac's tears with electricity that can damage enemies.
  • LeprosyLeprosyUpon taking damage, grants a body part as an orbital, which blocks enemy shots and deals 7 damage per tick to enemies it comes in contact with. The orbitals will be destroyed if they take enough damage from enemies or enemy shots.
  • Filigree FeatherFiligree FeatherAngels drop items instead of key pieces when defeated.
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#3
  • 7 Seals7 SealsGrants a random Harbinger familiar that changes every 10 seconds.
  • Mr. ME!Mr. ME!Summons a controllable ghost that can perform various tasks depending on what it targets.
  • Angelic PrismAngelic PrismGrants a prism orbital with a large orbital radius. Tears that pass through the prism split into four multi-colored tears.
  • Pop!Pop!Replaces Isaac's tears with eyeballs that can bounce off of each other. The eyeballs are not limited by range, and will instead dissipate when they stop moving or when hitting an enemy or obstacle.
  • Door StopDoor StopThe last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
#4
  • Death's ListDeath's ListGrants a reward if all enemies in a room are killed in the order they are marked.
  • HaemolacriaHaemolacriaTears are now fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay.
  • LachryphagyLachryphagyIsaac's tears decelerate as they travel. Upon stopping or hitting an obstacle, they burst into 8 tears in all directions. Tears can be fired into other tears to feed them, increasing their damage.
  • TrisagionTrisagionTears are replaced with piercing white blasts of light.
  • SchoolbagSchoolbagAllows Isaac to hold two active items.
  • Extension CordExtension CordBeams of yellow electricity flow between Isaac and his familiars, damaging any enemies between them.
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#5
  • BlanketBlanketGrants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
  • Sacrificial AltarSacrificial AltarUpon use, sacrifices up to 2 familiars and spawns an item from the Devil Room Pool for each familiar sacrificed.
  • Lil SpewerLil SpewerSpawns a random pill, and grants a small Spewer familiar that charges up and fires different types of creep.
  • MarblesMarblesSpawns 3 random trinkets. Taking damage has a small chance to swallow Isaac's currently held trinket, gaining its effect permanently.
  • Mystery EggMystery EggSpawns an egg familiar, which cracks and turns into a random charmed enemy when Isaac is hurt. The egg regenerates upon entering a different room.
  • Flat StoneFlat StoneTears bounce off the floor. Tears that hit an enemy after bouncing deal splash damage to all nearby enemies for 25% of Isaac's tear damage.
  • MarrowMarrowGrants one bone heart and spawns three red heart pickups.
  • Slipped RibSlipped RibSpawns a bone familiar that circles around Isaac and reflects enemy shots.
  • Hallowed GroundHallowed GroundSpawns a white poop familiar, which turns into a white poop when Isaac is hurt.
  • Pointy RibPointy RibSpawns a bone familiar that can be aimed with the fire buttons and does contact damage.
  • Book of the DeadBook of the DeadUpon use, spawns a charmed Bony or an orbital bone for each enemy killed in the current room.
  • Dad's RingDad's RingCreates a ring of light around Isaac that petrifies enemies in contact.
  • Divorce PapersDivorce PapersSpawns a Mysterious Paper, increases tears, and grants a bone heart.
  • Jaw BoneJaw BoneSpawns a familiar that flies the room while firing, dealing double Isaac's tear damage to enemies that come in contact and retrieving pickups.
  • Brittle BonesBrittle BonesReplaces all red hearts with 6 empty bone hearts. Upon losing a bone heart, Isaac fires bones in 8 directions and permanently gains a tears up.
  • Broken ShovelBroken ShovelWhile held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel.
  • Broken ShovelBroken ShovelOne of two parts necessary to create Mom's Shovel.
  • Mom's ShovelMom's ShovelSpawns a trapdoor that leads to the next floor upon activation. Unlocks The Forgotten when used on a mound of dirt that appears in The Dark Room.
  • Rotten PennyRotten PennySpawns a blue fly every time a coin is picked up.
  • Baby-BenderBaby-BenderGrants Isaac's familiars homing shots.
  • Finger BoneFinger BoneGrants a chance to gain a bone heart upon taking damage.
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