Tonsil

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Trinket icon
Table dividing line 1.png
 
Added in Afterbirth †

Tonsil is a trinket added in Afterbirth †.

Effects[edit | edit source]

  • When hit, there is a small chance a removed tonsil familiar starts following Isaac, blocking enemy shots.
    • The effect can happen twice, after which the trinket will be destroyed.
    • The familiar does not deal damage to enemies.

Notes[edit | edit source]

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Item icon
Item altar
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474
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(page 4, column 9, row 6)
Added in Afterbirth †
  • When the familiar is generated, Isaac will gain the familiar permanently as a passive item. This allows Isaac to drop the trinket while keeping the familiar.
    • The passive Tonsil item does not exist in any item pool; thus, this is the only way to find it and make it appear in the Collection Page aside from starting with it as Eden.
  • If Eden starts with the passive tonsil item and picks up the trinket, the trinket will spawn only one familiar before being consumed.
  • On average, each familiar spawns after 16 hits.
  • Sources of self-inflicted damage, like IV Bag IV BagIV Bag Icon.pngUnlimitedUpon activation, Isaac loses a half-heart (one whole heart in The Womb onwards) for a random amount of coins, similar to the blood donation machine. or Blood Donation Machines, can spawn a familiar.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • Tonsils are soft tissue located near the back of the throat which can be removed without much noticeable difference.


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