Open main menu

Trinkets are a kind of collectible with their designated slot that provide passive bonuses. Only one trinket can be carried at a time and must be dropped if you wish to carry another. Some of these limitations can be bypassed with certain items; Mom's Purse Mom's Purse and Added in Afterbirth †Belly Button Belly Button allow two trinkets to be held at once, Added in Afterbirth † and trinkets can be absorbed by Added in Afterbirth †Smelter Smelter, Added in Afterbirth †Marbles Marbles, or Gulp!. Absorbed trinkets do not take up a trinket slot and act as passive effects.

The original Binding of Isaac DLC 'The Wrath of the Lamb' introduced Trinkets as a mechanic and had 33 trinkets. Rebirth has a total of 60 trinkets. Afterbirth added 29 new trinkets, for a total of 89 trinkets. Afterbirth † added 38 new trinkets, for a total of 127 trinkets.


  • It is possible to drop a trinket by holding down the key or button bound to the "Drop" function for three seconds. (Doing this is not possible with the   Tick).
  • While held,    Mom's Box doubles the effect of most trinkets.
  • Trinkets appear in a set order based on the run's seed, and each trinket can usually only be encountered once.
    • Some trinkets are set drops, such as   Mysterious Paper from    Divorce Papers and   The Left Hand from Ultra Pride, that will appear even if encountered previously.
    • Other set drops, such as   Swallowed Penny from a urn or   Umbilical Cord from a polyp will not appear if already seen.
    • If the player spawns enough trinkets, e.g. through Mom's Box, the cycle loops and begins spawning trinkets that were already encountered.
    • If the player manages to get two of the same trinket then they can have both by using gulp! on one and then picking up the other.
      • Having two of the same trinket doesn't increase the effect.

All Trinkets

Name ID Icon Quote Description
???'s Soul 57   Imaginary Friend Spawns a familiar that floats slowly around the room on a pattern similar to The Peeper and fires spectral and homing tears.
A Missing Page 48   It glows with power 5% chance to induce   The Necronomicon's effect upon taking damage.
AAA Battery 3   Trickle charge Automatically recharges the last energy slot of an activated item, effectively reducing recharge rates by one.
Ace of Spades 45   Luck of the draw Increases the chance of tarot cards or playing cards dropping after clearing a room, and the chance of finding cards when opening a chest.
Bible Tract 18   Faith up Increases chance for Eternal Hearts to spawn.
Black Lipstick 17   Evil Up Increases the chance of Black Hearts appearing.
Bloody Penny 49   Wealth of health Gives a 50% chance to drop a Half Red Heart when money is collected.
Broken Ankh 28   Eternal life? When held, Isaac has a chance to be revived as ???. Can occur multiple times in the same run.
Broken Magnet 6   It kinda works! Pulls coins towards Isaac, but ignores other pickups.
Broken Remote 4   It's broken Triggers the Teleport effect whenever an activated item is used.
Burnt Penny 50   Wealth of chaos Gives a 50% chance to drop a bomb when money is collected.
Butt Penny 24   Wealth of gas Isaac will fart when he picks up a coin. Coins have a higher chance to drop from poop.
Cain's Eye 59   May you see your destination When starting a floor, 25% chance to get the The Compass effect for the duration of a floor.
Callus 14   Your feet feel stronger Prevents damage from creep and spikes.
Cancer 39   Yay, cancer! -2 tear delay (effectively increases firerate of tears).
Cartridge 8   I remember these Chance to trigger   The Gamekid effect upon taking damage.
Child's Heart 34   It calls out to its brothers. Increases the chance of a heart pickup dropping after clearing a room, and the chance of finding a heart when opening a Chest.
Counterfeit Penny 52   Wealth of wealth Gives a 50% chance of increasing the value of every coin pickup by one.
Cursed Skull 43   Cursed? If Isaac has less than one full Red Heart after taking damage, he will be immediately teleported to the last cleared room he was in.
Curved Horn 35   DMG up Increases damage by 2.
Daemon's Tail 22   Evil up Most non-specific heart drops become Black Hearts, but heart drops are significantly less common.
Eve's Bird Foot 60   Revenge from beyond 5% chance to spawn a   Dead Bird familiar for the current room each time an enemy dies.
Fish Head 29   It stinks Spawns a Blue Fly every time Isaac takes damage.
Flat Penny 51   Wealth of answers Gives a 50% chance of spawning a key upon collecting a penny.
Flat Worm 12   Blub blub! Isaac's tears take on an oblong appearance. They also push enemies back.
Goat Hoof 37   Speed up Increases speed by 0.15.
Hook Worm 26   Zip zoop! Tears move shifting left to right forming a path of right angles. +10 to range (effective range remains about the same).
Isaac's Fork 46   Consume thy enemy Isaac has a chance to heal for 1/2 a Red Heart upon clearing a room.
Isaac's Head 54   Dead friend Gives the player Isaac's severed head as a tear-firing familiar. Fires piercing tears.
Judas' Tongue 56   Payment Received Items in the Devil Room only cost 1 heart. Soul heart trades still cost 3 soul hearts.
Liberty Cap 32   Touch Fuzzy, Get Dizzy Grants a chance of triggering Mini Mush, Odd Mushroom (Large), Odd Mushroom (Thin) or The Compass effects for the current room upon entering it.
Lucky Rock 15   There's something inside it Rocks and their variants drop 1 penny when destroyed.
Lucky Toe 42   Luck up! +1 Luck. Adds a chance to drop an extra pickup when opening a chest, destroying a machine, or blowing up a tinted rock.
Maggy's Faith 55   Faith's reward Gives an eternal heart at the start of every floor.
Match Stick 41   Tastes like burning Increases the chance of Bombs dropping after clearing a room, and the chance of finding Bombs when opening a Chest.
Missing Poster 23   ??? If Isaac dies in a Sacrifice Room, a puzzle piece will appear on his last will (  and unlocks The Lost).   Revives Isaac as The Lost if unlocked. The Missing Poster then disappears.
Mom's Pearl 38   It emanates purity Grants a secondary 10% chance of any non-specific heart drop turning into a soul heart.
Mom's Toenail 16   ??? Once a minute, Mom's foot randomly stomps down somewhere in the room.
Monkey Paw 20   Wish granted If the character has half a heart after taking damage, it drops a black heart. The effect can trigger up to three times, after which the trinket will disappear.
Mysterious Candy 25   Uh-oh! Isaac farts or poops at random intervals. Getting hit can also trigger the effect.
Mysterious Paper 21   ??? Has a chance to replicate the effects of A Missing Page, The Polaroid, The Negative, or Missing Poster.
Paper Clip 19   Master of lockpicking Locked Chests can be opened without using a key.
Petrified Poop 2   It feels lucky? Greatly increases the chances of a pickup dropping when destroying poop.
Pinky Eye 30   Poison shots Adds a 10% chance to shoot a poison tear, dealing damage over time when inflicted.
Pulse Worm 9   Wub wub! Shots pulse in size.
Purple Heart 5   Challenge up Increases the chance of encountering champion enemies and bosses.
Push Pin 31   Piercing shots Adds a 10% chance to shoot a piercing and spectral tear.
Red Patch 40   Your rage grows Grants a chance of increasing damage by 1.8 for the current room upon taking damage.
Ring Worm 11   Woop woop! Gives Isaac spinning shots.
Rosary Bead 7   Faith up Increases the chance of Angel Rooms appearing, as well as the chance to find The Bible in the Library and Shop.
Rusted Key 36   It feels lucky? Increases the chance of keys dropping after clearing a room, and the chance of finding keys when opening a Chest.
Safety Cap 44   Don't swallow it Improves the chance of pills dropping after clearing a room, and the chance of finding a Pill when opening a Chest.
Samson's Lock 58   Your rage grows 1/15 chance to increase damage by 0.5 for the current room each time an enemy dies.
Store Credit 13   YES! The next store purchase is free. The trinket disappears on purchase.
Swallowed Penny 1   Gulp! Upon taking damage, Isaac drops a penny.
The Left Hand 61   The left-hand path reaps dark rewards Replaces all types of chests with red chests.
Tick 53   Well, that's not coming off Drains 15% health of each enemy with more than 60 HP (ie. most bosses). It also restores one red heart of Isaac whenever he enters an uncleared boss room. The Tick cannot be swapped out for another trinket.
Umbilical Cord 33   Fetal Protection When Isaac's health is brought to half a red heart and no soul hearts, a Little Steven familiar spawns for the current room.
Whip Worm 27   Wooosh! Increases shot speed by 0.5, increasing effective range.
Wiggle Worm 10   Wiggle waggle! Gives Isaac's shots a wave-like trajectory. +0.3 Tears up.
  Black Feather 80   With darkness comes power Increases Isaac's damage for possessing certain evil items.
  Blasting Cap 73   Pop! Pop! Exploding bombs have a chance to drop another Bomb pickup.
  Blind Rage 81   Blind to damage Increases invincibility time after getting hit.
  Blister 77   Bounce back! Increases knockback of tears.
  Bob's Bladder 71   Creepy bombs Leaves a pool of green creep under all bombs Isaac places, which damages enemies that walk over it.
  Brown Cap 90   Fartoom! Poop blocks will explode after being destroyed.
  Child Leash 89   Keep your friends close... Causes familiars to stay closer to each other.
  Cracked Dice 67   You feel cursed... kinda. Activates the effect of   The D6,    D8,    D12, or   D20 whenever Isaac takes damage.
  Endless Nameless 79   I'm stuck in a loop... Has a 25% chance of creating a duplicate of any pill, card, or rune Isaac uses.
  Error 75   Effect not found? Gives a random trinket effect each room.
  Faded Polaroid 69   You feel faded Occasionally causes Isaac to blend into the ground, which briefly confuses all enemies in the room.
  Golden Horse Shoe 82   Feel lucky? +15% chance for a Treasure Room with two items to spawn.
  Karma 85   Karma up Donating to a donation machine has a chance to heal Isaac for a full red heart or spawn a beggar. Increases the chance that donating to a Donation Machine will increase Isaac's luck.
  Lazy Worm 66   Pft Increases Range by 4 and decreases Shot Speed by .4.
  Lil Larva 86   The poop is moving... Spawns a blue fly from every pile of poop that Isaac destroys.
  Louse 70   Itchy, tasty... Occasionally spawns a blue spider.
  Mom's Locket 87   You feel her love Grants half a red heart each time a key is used. Converts half red heart pickups into full red hearts.
  NO! 88   Never again! Prevents active items from being generated, if possible.
  Poker Chip 76   It's double down time! Chests have a 50% chance of paying out with extra pickups and a 50% chance of paying out with nothing or enemies.
  Rainbow Worm 64   Bleep Bloop Blop Isaac's tears gain a worm effect that changes every 3 seconds.
  Rib of Greed 84   Feels greedy Prevents Greed and Super Greed from appearing in shops and secret rooms, and makes coin drops after clearing rooms more likely.
  Safety Scissors 63   Fuse Cutter Troll bombs turn into Bomb pickups before they explode. Mega troll bombs turn into 1+1 free bombs before they explode.
  Second Hand 78   Extended stat effect time! Increases the time that status effects stay on enemies.
  Shiny Rock 62   It shines for its brothers Tinted rocks and rocks with crawl spaces flash white upon entering the room and every 10 seconds afterward.
  Store Key 83   Stores are open Shops can be opened without using keys.
  Stud Finder 74   The ground below feels hollow... Increases the chance to find a Crawl Space.
  Super Magnet 68   It Pulls Pulls enemies and pickups towards Isaac.
  Tape Worm 65   Floooooooooop! Doubles Isaac's range and halves his tear height.
  Watch Battery 72   Lil charge Increased chance of batteries spawning. Has a chance to add an extra charge to Isaac's activated item upon completing a room.
  Baby-Bender 127   Feed them magic! Grants Isaac's familiars homing shots.
  Bag Lunch 105   I wonder what it is Taking damage has a small chance to destroy the trinket and spawn   Lunch.
  Bat Wing 118   They are growing... Upon killing an enemy, has a chance to grant flight for the rest of the room.
  Black Tooth 95   It looks dead Adds a chance to fire a black tooth that deals double damage and poisons enemies.
  Bloody Crown 111   Drips with blood... Treasure Rooms appear in chapter 4.
  Butter! 122   Can't hold it! Using an active item will drop it onto a pedestal on the ground. Taking damage may result in dropping a passive item.
  Cracked Crown 92   Stat booster Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by ~33%.
  Crow Heart 107   Drain me Red Heart damage will be taken before Soul and Black Heart damage.
  Dim Bulb 101   I think it's broken Provides a boost to all stats when Isaac's active item is completely uncharged.
  Door Stop 124   Hold the door! The last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
  Duct Tape 109   Stuck! Stops Isaac's familiars from moving.
  Equality! 103   = Turns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal.
  Extension Cord 125   Charged friends Beams of yellow electricity flow between Isaac and his familiars, damaging any enemies between them.
  Filigree Feather 123   Angelic Spoils! Angels drop Angel Room items instead of key pieces when defeated.
  Finger Bone 128   It looks brittle Grants a chance to gain a bone heart upon taking damage.
  Fish Tail 94   It also stinks! Items and trinkets that generate Blue Flies or Blue Spiders will generate twice as many.
  Fragmented Card 102   Double moon Makes two Secret Rooms spawn on each floor.
  Hairpin 120   Danger charge Fully recharges Isaac's active item upon entering a boss fight.
  Locust of Conquest 117   I bring Conquest Upon entering a room with enemies, spawns 2-5 White Locusts which damage enemies.
  Locust of Death 116   I bring Death Upon entering a room with enemies, spawns a Black Locust that does a very high amount of damage.
  Locust of Famine 115   I bring Famine Upon entering a room with enemies, spawns a Yellow Locust that damages and slows enemies.
  Locust of Pestilence 114   I bring Pestilence Upon entering a room with enemies, spawns a Green Locust which damages and poisons enemies.
  Locust of War 113   I bring War Upon entering a room with enemies, spawns a Red Locust which detonates upon impact with enemies.
  Lost Cork 106   Uncorked Increases the radius of any creep produced by Isaac.
  Meconium 91   Eww Black poop can drop black hearts when destroyed. Poop has a chance to turn into black poop.
  Nose Goblin 98   Seems magic... Chance to fire a homing booger that sticks to enemies and deals damage over time.
  Ouroboros Worm 96   Foop foop! Tears travel in a large spiral pattern and become spectral, with a small chance to home.
  Pay to Win 112   ... Restock boxes always spawn in Item Rooms.
  Rotten Penny 126   Wealth of flies Spawns a blue fly every time a coin is picked up.
  Silver Dollar 110   Feels lucky... Shops appear in Chapter 4.
  Stem Cell 119   Regen! Heals Isaac for half a heart upon traveling to the next floor.
  Super Ball 99   Boing! Makes tears have a chance to bounce off enemies and obstacles.
  Tonsil 97   Sick... When hit, there is a small chance a removed tonsil familiar starts following Isaac, blocking enemy shots.
  Used Diaper 93   You stink Grants the Skatole effect in some rooms.
  Vibrant Bulb 100   It needs power Provides a boost to all stats when Isaac's active item is fully charged.
  Walnut 108   That's a hard nut to crack! Being hit by explosions will eventually destroy the trinket and spawn various pickups.
  Wish Bone 104   Make a wish Taking damage has a small chance to destroy the trinket and spawn a random item.
  Wooden Cross 121   My faith protects me Grants a shield that negates the first damage taken once per floor.


  •   The Polaroid was originally a trinket in the original Binding of Isaac, but it was changed into an item.
    •   Wiggle Worm was an item in the original Binding of Isaac; however, in Rebirth, it was changed into a trinket. Interestingly, these changes keep the count of items and trinkets from the original game the same.
  •   Afterbirth+'s original trinket count was 29. The Booster Packs added 9 trinkets.
  • The Game Squid is the only item that was in the original Binding of Isaac that wasn't implemented into Rebirth, let alone any of its DLCs. The reason is most likely that it was an item that was added as a result of the Eternal Edition update for the original Binding of Isaac, which was implemented a while after the release of the Binding of Isaac: Rebirth.

  The Binding of Isaac: Rebirth  
  Achievements   Attributes   Bosses   Cards and Runes   Challenges   Chapters
  Characters   Co-op   Items   Item pools   Monsters   Objects
  Pickups   Pills   Rooms   Seeds   Transformations   Trinkets