Transformations

Transformations

Guppy	Beelzebub	Super Bum	Yes Mother?	Bob	Fun Guy	Leviathan	Conjoined
Spun	Seraphim	Oh Crap	Bookworm	Spider Baby	Adult	Stompy

Transformations alter Isaac's appearance and grant him special abilities.

A transformation occurs when obtaining at least three collectibles from a particular set of items.
These collectibles always share a particular theme that corresponds with the transformation.

Transformation sets

The Binding of Isaac: Rebirth

Name	Appearance	Description	Items
Beelzebub		Flight. Converts small enemy flies into blue flies.
Guppy		Flight. Spawns a blue fly each time a tear hits an enemy.

The Binding of Isaac: Afterbirth

Name	Appearance	Description	Items
Bob		Isaac gains a green trail of poisonous creep.	Bob's Rotten Head Upon use, Isaac holds a poison bomb which can be thrown towards any of the four cardinal points and explodes on impact. Bob's Brain Spawns a familiar that charges forward when shooting tears and explodes upon contact with an enemy, damaging and poisoning them. The familiar respawns after a few seconds. Bob's Curse Gives 5 bombs and grants all bombs poison effect. Ipecac Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth.
Conjoined		When attacking, the tumor faces shoot tears diagonally outwards, similar to the effect of The Wiz. -0.3 damage. Slightly decreases tears.	Brother Bobby Follows Isaac around shooting normal tears. Harlequin Baby Spawns a familiar that follows Isaac around and fires two tears at once in a V-pattern. Headless Baby Familiar that follows Isaac, leaving blood creep on the ground. Little Steven Spawns a familiar that follows Isaac around and fires homing tears. Mongo Baby Summons a familiar that copies the tears of Isaac's other familiars. Rotten Baby A familiar that spawns blue flies. Sister Maggy A familiar that follows Isaac around shooting blood tears.
Fun Guy		+1 heart container.	1up! Gives an extra life. Upon death, you will respawn in the previous room with full health and lose the 1up!. Blue Cap Grants 1 heart container and increases tears, but decreases shot speed. God's Flesh Tears now have a random chance to apply a shrinking effect, causing enemies to shrink in size and also run away from Isaac. Shrunk enemies can be crushed and killed by walking over them. Magic Mushroom Increases all stats and enlargens Isaac. Mini Mush Increases Speed and Shot Height and decreases Isaac's size, but lowers Range. Odd Mushroom Grants an empty heart container. Increases damage, range and shot height while reducing speed. Odd Mushroom +1.7 tears, +0.3 speed, reduces damage.
Leviathan		Flight. +2 black hearts.	The Nail Adds one soul heart and allows the breaking of rocks and damaging enemies by simply walking over them. Increases damage and decreases speed. All effects except for the Soul Heart wear off upon leaving the room. Abaddon Increases damage and speed, removes all red heart containers, grants six black hearts, and adds a chance to shoot fear tears. Brimstone Tears 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. The Mark Increases Damage and Speed, plus adds one Soul Heart. Maw of the Void +1.0 Damage Up. After continuously firing tears for 2.5 seconds, a red cross appears on Isaac's head that, upon releasing the fire button, creates a black ring that rapidly deals damage equal to Isaac's tear damage to any enemies in contact with it. The Pact Increases damage by 0.5, tears by 0.7 and grants two soul hearts upon pickup. Pentagram Increases damage and increases the chance for a Devil or Angel Room to appear. Spirit of the Night Grants spectral tears and flight.
Oh Crap		Whenever a pile of poop is destroyed, health is replenished by half a heart.	Flush! Changes all enemies in the room into poop. Does not work on all enemies (Knights and bosses are immune). Instantly kills Dingle, Dangle, and Brownie. The Poop Spawns a pile of poop where the character is standing and knocks nearby monsters back. May yield pickups like regular poop. E Coli Gives "Turdy Touch" Effect. Enemies that touch Isaac are changed into poop.
Seraphim		Flight. +3 soul hearts.	The Bible Upon activation, Isaac gains flight, allowing him to pass over all obstacles in the current room. Instantly kills Mom, Mom's Heart, and It Lives when activated, but will kill Isaac when activated while fighting Satan. Dead Dove Grants spectral tears and flight. Guardian Angel Spawns an orbital familiar that blocks enemy projectiles, deals contact damage to enemies, and increases the speed of all orbital familiars. The Halo Grants one Heart Container, +0.3 Damage, +0.2 Tears, +0.25 Range, +0.3 Speed, and +0.5 Tear Height. Holy Grail Grants flight and one heart container. Holy Mantle Automatically negates first taken damage in every room. Mitre Grants a chance of converting any red hearts pickups into soul hearts instead. Rosary Adds 3 Soul Hearts and increases the chance for The Bible to appear in any item pool. Sworn Protector An orbital angel which does 7 contact damage per tick and blocks enemy shots. Upon blocking 10 shots in a room it drops an eternal heart.
Spun		+2 damage. +0.15 speed. Spawns a random pill upon transformation.	Adrenaline Increases damage based on how many empty heart containers Isaac has. Euthanasia Adds a chance to fire needles. If a needle kills an enemy, it bursts into more needles. Experimental Treatment Randomly increases and decreases some of the character's stats. There will always be at least one stat increase and one decrease and the same stats can be increased/decreased multiple times. Growth Hormones Increases damage by 1 and speed by 0.4. Roid Rage Increases speed by 0.6, range by 5.25, and tear height by 0.5. Speed Ball Increases speed by 0.3 and shot speed by 20%. Synthoil Increases damage by 1, range by 5.25, and tear height by 0.5. The Virus Inflicts poison to enemies who make contact with Isaac. Speed down.
Yes Mother?		Isaac gains a stationary knife that trails directly behind him. It synergizes like Mom's Knife would.	Mom's Bottle of Pills Gives Isaac a random pill, and will cause him to drop any held Q-slot item (If any). The player will only receive six different pill types in one playthrough. Mom's Bra Upon use, petrifies all enemies in the current room for approximately 4 seconds. Mom's Pad Upon use, inflicts fear to all enemies in the room for 5 seconds. Mom's Shovel Spawns 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. Mom's Coin Purse Spawns 4 random pills around Isaac. Mom's Contacts Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up. Mom's Eye Allows Isaac to fire tears from the back of his head. Mom's Eyeshadow Tears have a chance to charm enemies. Mom's Heels Increases range. Mom's Key Spawns 2 keys. Generates additional pickups from chests. Mom's Knife Isaac'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. Mom's Lipstick Increases range and shot height. Mom's Pearls +1.25 Range Up. +0.5 Tear Height. +1 Luck Up. Mom's Perfume Adds a chance to shoot fear tears and decreases tear delay by 1. Mom's Purse Allows Isaac to hold 1 additional trinket. Mom's Razor Spawns an orbiting razor that damages enemies it touches and inflicts bleeding on enemies, causing them to slowly take damage over time. Mom's Underwear Increases range. Mom's Wig Adds a chance to spawn blue spiders when firing tears. Restores 1 red heart.
Super Bum		Replaces Bum Friend, Dark Bum, and Key Bum for Super Bum. Collects any of the other beggars' pickups, and offers twice the rewards.	Bum Friend A portable beggar who follows Isaac, picks up coins for himself, and occasionally drops a pickup after collecting a coin. Does not spawn collectibles. 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. Key Bum Spawns a portable key master that follows Isaac and collects keys, giving random chests in return.

^{1: Image depicts the familiar. This transformation does not alter Isaac's appearance.}

The Binding of Isaac: Afterbirth †

Name	Appearance	Description	Items
Bookworm		Roughly 50% of the time, Isaac shoots an extra tear, like 20/20.	Anarchist Cookbook Spawns six troll bombs around the room. The Bible Upon activation, Isaac gains flight, allowing him to pass over all obstacles in the current room. Instantly kills Mom, Mom's Heart, and It Lives when activated, but will kill Isaac when activated while fighting Satan. The Book of Belial Upon use increases damage by 2 for the current room and by a further +50% if the character also has the Blood of the Martyr. Guarantees a Devil Room or Angel Room will be open after beating a boss while holding it, or increases the chance by 12.5%. Book of Revelations Adds 1 soul heart, increases the chance for a Devil or Angel Room to appear, and increases the chance for the next boss to be a Horseman (except on XL floors and floors with fixed bosses such as Mom). Book of Secrets Upon use, gives the effect of Treasure Map, The Compass, or Blue Map for the duration of the current floor. Book of Shadows Upon use, creates a protective shield nullifying all types of damage for 10 seconds. The Book of Sin Spawns a random pickup, pill, card, or trinket. Book of the Dead Upon use, spawns a charmed Bony or an orbital bone for each enemy killed in the current room. How to Jump Gives Isaac the ability to jump (over gaps, spikes, etc.). The Necronomicon Damages all enemies in the room significantly. Monster Manual Summons a random familiar for the current room. Can summon familiars not yet unlocked. Satanic Bible Upon activation, Isaac gains a black heart. Telepathy for Dummies Upon activation, grants homing tears for the current room.
Spider Baby		Spawns a spider familiar that applies random status effects to enemies it comes in contact with.	Box of Spiders Summons 2-4 blue spiders. Spider Butt Damages all enemies in the room and slows them and their projectiles down. Mutant Spider Grants quadruple shot but decreases tears. Spider Baby When hit, spawns up to 2 blue spiders. Spider Bite Adds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them. Spider Mod Displays Isaac's tear damage and enemy health bars. Spawns a gray spider familiar that wanders around and inflicts a random status effect on any enemies it comes into contact with. Occasionally spawns a blue spider upon clearing a room.

Transformations

Guppy	Beelzebub	Super Bum	Yes Mother?	Bob	Fun Guy	Leviathan	Conjoined
Spun	Seraphim	Oh Crap	Bookworm	Spider Baby	Adult	Stompy

Upon taking three Puberty pills, Isaac will turn into an adult and gain a heart container. Isaac's voice will also become deeper.

Consuming a further three Puberty pills has no effect.

Trivia

• This transformation and Stompy are the only transformations that pills count towards.

Stompy None

• Taking damage has a chance to spawn rock waves.

Leo

Allows you to crush rocks when you walk over them.

Magic Mushroom

Increases all stats and enlargens Isaac.

One Makes You Larger pill

Notes

• Activated items (e.g. Guppy's Head

  Spawns 2-4 blue flies to damage enemies.

  ) only need to be touched in order to count. Keeping them, or even activating them once, is not required.
• Rerolling items with a dice room, the D4

  Rerolls all of Isaac's items.

  , or the D100

  Upon use, rerolls all passive items on Isaac like the D4, every pedestal item in the room like The D6, and every pickup like the D20.

  will not remove progress towards the transformation.
• Transformations can be combined with each other, keeping the effects of any and all transformations with no effects overriding others.
• Transforming into Beelzebub for the first time will unlock the Lord of the Flies achievement.
• Since none of the Afterbirth transformations unlock an achievement or item, attaining them is not required for 100% completion of the game in terms of achievements.
• Many of the Afterbirth transformations override the charge animations of items such as Monstro's Lung

  Increases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.

  and Brimstone

  Tears 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.

  , potentially making them more difficult to use.
  • There is now an option to show a charge bar that floats above Isaac.
• Familiars gained from Cambion Conception

  After taking damage a certain amount of times, a permanent demonic familiar spawns.

  or Immaculate Conception

  Upon picking up a certain amount of health, spawn a permanent angelic familiar.

  do not count towards transformation progress.

Trivia

• There are two transformations in the base game, nine more in the Afterbirth DLC, and four more in the Afterbirth † DLC.
• In the original The Binding of Isaac flash game, the transformation into Guppy was the only one available, making it chronologically the first.
  • The Eternal Edition of the original The Binding of Isaac game added another transformation that turned Isaac into an angel after gaining 7 heart containers from eternal hearts.
• Rebirth introduced Beelzebub as the chronologically second transformation.
• The original name for the Beelzebub transformation was Lord of the Flies.