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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 Tick).
  • While held, Added in AfterbirthMom's Box 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 Mysterious Paper from Added in Afterbirth †Divorce Papers Divorce Papers and The Left Hand The Left Hand from Ultra Pride, that will appear even if encountered previously.
    • Other set drops, such as Swallowed Penny Swallowed Penny from a urn or Umbilical Cord 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 ???'s Soul 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 A Missing Page It glows with power 5% chance to induce The Necronomicon The Necronomicon's effect upon taking damage.
AAA Battery 3 AAA Battery Trickle charge Automatically recharges the last energy slot of an activated item, effectively reducing recharge rates by one.
Ace of Spades 45 Ace of Spades 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 Bible Tract Faith up Increases chance for Eternal Hearts to spawn.
Black Lipstick 17 Black Lipstick Evil Up Increases the chance of Black Hearts appearing.
Bloody Penny 49 Bloody Penny Wealth of health Gives a 50% chance to drop a Half Red Heart when money is collected.
Broken Ankh 28 Broken Ankh Eternal life? When held, Isaac has a chance to be revived as ???. Can occur multiple times in the same run.
Broken Magnet 6 Broken Magnet It kinda works! Pulls coins towards Isaac, but ignores other pickups.
Broken Remote 4 Broken Remote It's broken Triggers the Teleport effect whenever an activated item is used.
Burnt Penny 50 Burnt Penny Wealth of chaos Gives a 50% chance to drop a bomb when money is collected.
Butt Penny 24 Butt Penny 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 Cain's Eye 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 Callus Your feet feel stronger Prevents damage from creep and spikes.
Cancer 39 Cancer Yay, cancer! -2 tear delay (effectively increases firerate of tears).
Cartridge 8 Cartridge I remember these Chance to trigger The Gamekid The Gamekid effect upon taking damage.
Child's Heart 34 Child's Heart 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 Counterfeit Penny Wealth of wealth Gives a 50% chance of increasing the value of every coin pickup by one.
Cursed Skull 43 Cursed Skull 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 Curved Horn DMG up Increases damage by 2.
Daemon's Tail 22 Daemon's Tail Evil up Most non-specific heart drops become Black Hearts, but heart drops are significantly less common.
Eve's Bird Foot 60 Eve's Bird Foot Revenge from beyond 5% chance to spawn a Dead Bird Dead Bird familiar for the current room each time an enemy dies.
Fish Head 29 Fish Head It stinks Spawns a Blue Fly every time Isaac takes damage.
Flat Penny 51 Flat Penny Wealth of answers Gives a 50% chance of spawning a key upon collecting a penny.
Flat Worm 12 Flat Worm Blub blub! Isaac's tears take on an oblong appearance. They also push enemies back.
Goat Hoof 37 Goat Hoof Speed up Increases speed by 0.15.
Hook Worm 26 Hook Worm 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 Isaac's Fork Consume thy enemy Isaac has a chance to heal for 1/2 a Red Heart upon clearing a room.
Isaac's Head 54 Isaac's Head Dead friend Gives the player Isaac's severed head as a tear-firing familiar. Fires piercing tears.
Judas' Tongue 56 Judas' Tongue Payment Received Items in the Devil Room only cost 1 heart. Soul heart trades still cost 3 soul hearts.
Liberty Cap 32 Liberty Cap 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 Lucky Rock There's something inside it Rocks and their variants drop 1 penny when destroyed.
Lucky Toe 42 Lucky Toe 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 Maggy's Faith Faith's reward Gives an eternal heart at the start of every floor.
Match Stick 41 Match Stick 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 Missing Poster ??? If Isaac dies in a Sacrifice Room, a puzzle piece will appear on his last will (Added in Afterbirth and unlocks The Lost). Added in Afterbirth Revives Isaac as The Lost if unlocked. The Missing Poster then disappears.
Mom's Pearl 38 Mom's Pearl It emanates purity Grants a secondary 10% chance of any non-specific heart drop turning into a soul heart.
Mom's Toenail 16 Mom's Toenail ??? Once a minute, Mom's foot randomly stomps down somewhere in the room.
Monkey Paw 20 Monkey Paw 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 Mysterious Candy Uh-oh! Isaac farts or poops at random intervals. Getting hit can also trigger the effect.
Mysterious Paper 21 Mysterious Paper ??? Has a chance to replicate the effects of A Missing Page, The Polaroid, The Negative, or Missing Poster.
Paper Clip 19 Paper Clip Master of lockpicking Locked Chests can be opened without using a key.
Petrified Poop 2 Petrified Poop It feels lucky? Greatly increases the chances of a pickup dropping when destroying poop.
Pinky Eye 30 Pinky Eye Poison shots Adds a 10% chance to shoot a poison tear, dealing damage over time when inflicted.
Pulse Worm 9 Pulse Worm Wub wub! Tears pulsate in size as they travel.
Purple Heart 5 Purple Heart Challenge up Increases the chance of encountering champion enemies and bosses.
Push Pin 31 Push Pin Piercing shots Adds a 10% chance to shoot a piercing and spectral tear.
Red Patch 40 Red Patch Your rage grows Grants a chance of increasing damage by 1.8 for the current room upon taking damage.
Ring Worm 11 Ring Worm Woop woop! Gives Isaac spinning shots.
Rosary Bead 7 Rosary Bead 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 Rusted Key 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 Safety Cap 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 Samson's Lock Your rage grows 1/15 chance to increase damage by 0.5 for the current room each time an enemy dies.
Store Credit 13 Store Credit YES! The next store purchase is free. The trinket disappears on purchase.
Swallowed Penny 1 Swallowed Penny Gulp! Upon taking damage, Isaac drops a penny.
The Left Hand 61 The Left Hand The left-hand path reaps dark rewards Replaces all types of chests with red chests.
Tick 53 Tick 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 Umbilical Cord 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 Whip Worm Wooosh! Increases shot speed by 0.5, increasing effective range.
Wiggle Worm 10 Wiggle Worm Wiggle waggle! Gives Isaac's shots a wave-like trajectory. +0.3 Tears up.
Added in Afterbirth Black Feather 80 Black Feather With darkness comes power Increases Isaac's damage for possessing certain evil items.
Added in Afterbirth Blasting Cap 73 Blasting Cap Pop! Pop! Exploding bombs have a chance to drop another Bomb pickup.
Added in Afterbirth Blind Rage 81 Blind Rage Blind to damage Increases invincibility time after getting hit.
Added in Afterbirth Blister 77 Blister Bounce back! Increases knockback of tears.
Added in Afterbirth Bob's Bladder 71 Bob's Bladder Creepy bombs Leaves a pool of green creep under all bombs Isaac places, which damages enemies that walk over it.
Added in Afterbirth Brown Cap 90 Brown Cap Fartoom! Poop blocks will explode after being destroyed.
Added in Afterbirth Child Leash 89 Child Leash Keep your friends close... Causes familiars to stay closer to each other.
Added in Afterbirth Cracked Dice 67 Cracked Dice You feel cursed... kinda. Activates the effect of The D6 The D6, Added in AfterbirthD8 D8, Added in AfterbirthD12 D12, or D20 D20 whenever Isaac takes damage.
Added in Afterbirth Endless Nameless 79 Endless Nameless I'm stuck in a loop... Has a 25% chance of creating a duplicate of any pill, card, or rune Isaac uses.
Added in Afterbirth Error 75 Error Effect not found? Gives a random trinket effect each room.
Added in Afterbirth Faded Polaroid 69 Faded Polaroid You feel faded Occasionally causes Isaac to blend into the ground, which briefly confuses all enemies in the room.
Added in Afterbirth Golden Horse Shoe 82 Golden Horse Shoe Feel lucky? +15% chance for a Treasure Room with two items to spawn.
Added in Afterbirth Karma 85 Karma 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.
Added in Afterbirth Lazy Worm 66 Lazy Worm Pft Increases Range by 4 and decreases Shot Speed by .4.
Added in Afterbirth Lil Larva 86 Lil Larva The poop is moving... Spawns a blue fly from every pile of poop that Isaac destroys.
Added in Afterbirth Louse 70 Louse Itchy, tasty... Occasionally spawns a blue spider.
Added in Afterbirth Mom's Locket 87 Mom's Locket You feel her love Grants half a red heart each time a key is used. Converts half red heart pickups into full red hearts.
Added in Afterbirth NO! 88 NO! Never again! Prevents active items from being generated, if possible.
Added in Afterbirth Poker Chip 76 Poker Chip 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.
Added in Afterbirth Rainbow Worm 64 Rainbow Worm Bleep Bloop Blop Isaac's tears gain a worm effect that changes every 3 seconds.
Added in Afterbirth Rib of Greed 84 Rib of Greed Feels greedy Prevents Greed and Super Greed from appearing in shops and secret rooms, and makes coin drops after clearing rooms more likely.
Added in Afterbirth Safety Scissors 63 Safety Scissors Fuse Cutter Troll bombs turn into Bomb pickups before they explode. Mega troll bombs turn into 1+1 free bombs before they explode.
Added in Afterbirth Second Hand 78 Second Hand Extended stat effect time! Increases the time that status effects stay on enemies.
Added in Afterbirth Shiny Rock 62 Shiny Rock It shines for its brothers Tinted rocks and rocks with crawl spaces flash white upon entering the room and every 10 seconds afterward.
Added in Afterbirth Store Key 83 Store Key Stores are open Shops can be opened without using keys.
Added in Afterbirth Stud Finder 74 Stud Finder The ground below feels hollow... Increases the chance to find a Crawl Space.
Added in Afterbirth Super Magnet 68 Super Magnet It Pulls Pulls enemies and pickups towards Isaac.
Added in Afterbirth Tape Worm 65 Tape Worm Floooooooooop! Doubles Isaac's range and halves his tear height.
Added in Afterbirth Watch Battery 72 Watch Battery Lil charge Increased chance of batteries spawning. Has a chance to add an extra charge to Isaac's activated item upon completing a room.
Added in Afterbirth † Baby-Bender 127 Baby-Bender Feed them magic! Grants Isaac's familiars homing shots.
Added in Afterbirth † Bag Lunch 105 Bag Lunch I wonder what it is Taking damage has a small chance to destroy the trinket and spawn Lunch Lunch.
Added in Afterbirth † Bat Wing 118 Bat Wing They are growing... Upon killing an enemy, has a chance to grant flight for the rest of the room.
Added in Afterbirth † Black Tooth 95 Black Tooth It looks dead Adds a chance to fire a black tooth that deals double damage and poisons enemies.
Added in Afterbirth † Bloody Crown 111 Bloody Crown Drips with blood... Treasure Rooms appear in chapter 4.
Added in Afterbirth † Butter! 122 Butter! 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.
Added in Afterbirth † Cracked Crown 92 Cracked Crown Stat booster Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by ~33%.
Added in Afterbirth † Crow Heart 107 Crow Heart Drain me Red Heart damage will be taken before Soul and Black Heart damage.
Added in Afterbirth † Dim Bulb 101 Dim Bulb I think it's broken Provides a boost to all stats when Isaac's active item is completely uncharged.
Added in Afterbirth † Door Stop 124 Door Stop Hold the door! The last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
Added in Afterbirth † Duct Tape 109 Duct Tape Stuck! Stops Isaac's familiars from moving.
Added in Afterbirth † Equality! 103 Equality! = Turns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal.
Added in Afterbirth † Extension Cord 125 Extension Cord Charged friends Beams of yellow electricity flow between Isaac and his familiars, damaging any enemies between them.
Added in Afterbirth † Filigree Feather 123 Filigree Feather Angelic Spoils! Angels drop Angel Room items instead of key pieces when defeated.
Added in Afterbirth † Finger Bone 128 Finger Bone It looks brittle Grants a chance to gain a bone heart upon taking damage.
Added in Afterbirth † Fish Tail 94 Fish Tail It also stinks! Items and trinkets that generate Blue Flies or Blue Spiders will generate twice as many.
Added in Afterbirth † Fragmented Card 102 Fragmented Card Double moon Makes two Secret Rooms spawn on each floor.
Added in Afterbirth † Hairpin 120 Hairpin Danger charge Fully recharges Isaac's active item upon entering a boss fight.
Added in Afterbirth † Locust of Conquest 117 Locust of Conquest I bring Conquest Upon entering a room with enemies, spawns 2-5 White Locusts which damage enemies.
Added in Afterbirth † Locust of Death 116 Locust of Death I bring Death Upon entering a room with enemies, spawns a Black Locust that does a very high amount of damage.
Added in Afterbirth † Locust of Famine 115 Locust of Famine I bring Famine Upon entering a room with enemies, spawns a Yellow Locust that damages and slows enemies.
Added in Afterbirth † Locust of Pestilence 114 Locust of Pestilence I bring Pestilence Upon entering a room with enemies, spawns a Green Locust which damages and poisons enemies.
Added in Afterbirth † Locust of War 113 Locust of War I bring War Upon entering a room with enemies, spawns a Red Locust which detonates upon impact with enemies.
Added in Afterbirth † Lost Cork 106 Lost Cork Uncorked Increases the radius of any creep produced by Isaac.
Added in Afterbirth † Meconium 91 Meconium Eww Black poop can drop black hearts when destroyed. Poop has a chance to turn into black poop.
Added in Afterbirth † Nose Goblin 98 Nose Goblin Seems magic... Chance to fire a homing booger that sticks to enemies and deals damage over time.
Added in Afterbirth † Ouroboros Worm 96 Ouroboros Worm Foop foop! Tears travel in a large spiral pattern and become spectral, with a small chance to home.
Added in Afterbirth † Pay to Win 112 Pay to Win ... Restock boxes always spawn in Item Rooms.
Added in Afterbirth † Rotten Penny 126 Rotten Penny Wealth of flies Spawns a blue fly every time a coin is picked up.
Added in Afterbirth † Silver Dollar 110 Silver Dollar Feels lucky... Shops appear in Chapter 4.
Added in Afterbirth † Stem Cell 119 Stem Cell Regen! Heals Isaac for half a heart upon traveling to the next floor.
Added in Afterbirth † Super Ball 99 Super Ball Boing! Makes tears have a chance to bounce off enemies and obstacles.
Added in Afterbirth † Tonsil 97 Tonsil Sick... When hit, there is a small chance a removed tonsil familiar starts following Isaac, blocking enemy shots.
Added in Afterbirth † Used Diaper 93 Used Diaper You stink Grants the Skatole effect in some rooms.
Added in Afterbirth † Vibrant Bulb 100 Vibrant Bulb It needs power Provides a boost to all stats when Isaac's active item is fully charged.
Added in Afterbirth † Walnut 108 Walnut That's a hard nut to crack! Being hit by explosions will eventually destroy the trinket and spawn various pickups.
Added in Afterbirth † Wish Bone 104 Wish Bone Make a wish Taking damage has a small chance to destroy the trinket and spawn a random item.
Added in Afterbirth † Wooden Cross 121 Wooden Cross My faith protects me Grants a shield that negates the first damage taken once per floor.


  • The Polaroid The Polaroid was originally a trinket in the original Binding of Isaac, but it was changed into an item.
    • Wiggle Worm 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.
  • Added in Afterbirth † 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 The Binding of Isaac: Rebirth The Binding of Isaac: Rebirth
Achievements Achievements Attributes Attributes Bosses Bosses TarotCard.png Cards and Runes Challenges Challenges Chapters Chapters
Characters Characters MainPageBabies.png Co-op Items Items Item pools Item pools Monsters Monsters Objects Objects
Pickups Pickups Pills Pills Rooms Rooms Seeds Seeds Transformations Transformations Trinkets Trinkets