Hearts (Pickup)

Pickups

Hearts

Coins

Bombs

Keys

Batteries

Pills

Cards

Chests

Sacks

Heart	Image	Worth	Additional Info	Unlocked By
Red Heart
Half Red Heart
1+1 Free Heart
Scared Heart			Identical to the standard Red Heart, but will run away as the player moves towards it.
Soul Heart
Half Soul Heart				Reset 7 times in a row  Switch   PS4  Get a minus 10-win streak Mr. Resetter!
Blended Heart		//	Fills up a full red Heart Container, but will act as a Soul Heart when no Containers are free. If you are only missing half a heart, it will fill that half, and give you half a soul heart.
Black Heart			When fully lost, it will damage all enemies in the room for 40 damage, similar to The Necronomicon's effect.
Eternal Heart			When held until the next floor, Eternal Hearts will grant you a heart container. They will also give you a heart container if you collect two on the same floor.
Gold Heart			When a Gold Heart is lost, a few coins will be dropped around you. In Booster Pack #5, Gold Hearts now flash when depleted and will temporarily turn enemies golden like Midas' Touch.	Complete challenge #21 Gold Heart
Bone Heart			Takes three hits to deplete and can be refilled with red hearts, but disappears permanently upon depleting.	It's complicated Bone Heart

Notes

• Unless an item effect specifically states it, a red heart always has the chance to be replaced by a Soul, Black, or Eternal heart.
• Red heart pickups created by item, card, or pill effects can be forced to be spawned as Black or Eternal hearts instead by using the item, card, or pill in a relevant Super Secret Room.
• If Isaac's health bar is filled with soul hearts, picking up a black heart will replace the topmost soul heart.
  • If Isaac's health bar is filled up to 11 1/2 (Soul/Black) hearts with the last one being half a Black Heart, picking up a Black Heart will fill that one and convert a full Soul Heart to a Black Heart (therefore adding half a Black Heart and converting a Soul Heart).
  • If Isaac's topmost heart is a half Soul Heart, collecting a Black Heart will complete it into a whole soul heart, and add half a Black heart.
  • Collecting a Soul Heart with half a Black Heart left will complete the Black Heart, and add half a Soul Heart.
• Dark Bum

  Spawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one soul heart, one hostile Spider or one friendly blue spider.

  will not collect Blended Hearts.

Trivia

• There are unused graphics for Half Soul Hearts and Half Black Hearts that are never seen ingame.
  • Half Soul Hearts were eventually added to the game as an unlockable in Afterbirth+.

Unlockable Achievements

• Eve - Don't pick up any hearts for 2 floors in a row.

• Lazarus - Have 4 or more soul hearts at one time.