User:Jammitch/Items (Sorted by Color)

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Items[edit | edit source]

White[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
Anarchist Cookbook 65
Anarchist Cookbook
3 rooms
Summon bombs Spawns six troll bombs around the room.
Blank Card 286
Blank Card
4 rooms
Card Mimic Has the same effect as the card or rune currently held by Isaac.
Book of Secrets 287
Book of Secrets
6 rooms
?????? Upon use, gives the effect of Treasure Map, The Compass, or Blue Map for the duration of the current floor.
Box of Spiders 288
Box of Spiders
2 rooms
It's a box of spiders Summons 2-4 blue spiders.
Breath of Life 326
Breath of Life
6 seconds
Invincibility at a cost Grants a brief moment of invincibility when the charge bar hits zero. If spacebar is held for an additional second after hitting zero, Isaac will take damage.
Butter Bean 294
Butter Bean
3 seconds
Reusable knock-back Isaac farts and pushes back nearby enemies.
Crack the Sky 160
Crack the Sky
4 rooms
Holy white death Summons multiple beams of light in random locations around the room, dealing a large amount of damage to any enemy that touches them.
Crystal Ball 158
Crystal Ball
6 rooms
I see my future Reveals the map (except the Super Secret Room) and drops a random Tarot Card or soul heart.
D100 283
D100
6 rooms
REEROLLLLL! 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.
Mom's Pad 41
Mom's Pad
3 rooms
Gross... Upon use, inflicts fear to all enemies in the room for 5 seconds.
Monstro's Tooth 86
Monstro's Tooth
3 rooms
Summon Monstro Monstro jumps onto a random enemy, doing area damage. Can damage/kill the player if summoned in an room without enemies.
My Little Unicorn 77
My Little Unicorn
6 rooms
Temporary badass Upon use, grants invulnerability and increased speed for five seconds, removing the ability to shoot tears and replacing it with the ability to deal contact damage to enemies.
Unicorn Stump 298
Unicorn Stump
1 rooms
You feel stumped Upon use, grants invulnerability and increased speed for five seconds, but removes the ability to shoot tears.
White Pony 181
White Pony
6 rooms
Flight + holy death Passively grants flight and increased speed. Upon use, Isaac charges in the direction the pony is facing, becoming invulnerable during the charge and damaging enemies while also casting the effect of Crack the Sky.

Passive[edit | edit source]

Name ID Icon Quote Description
Best Bud 274 Best Bud Sworn protector When hit, summons a white attack fly similar to Distant Admiration for the current room.
Breakfast 25 Breakfast HP up Grants Isaac one full red heart container.
Bucket of Lard 129 Bucket of Lard HP up Grants two empty heart containers and heals Isaac by half a heart, but decreases speed by 0.2.
Caffeine Pill 340 Caffeine Pill Speed up + size down Increases speed and reduces character size. Also gives a random pill.
Cain's Other Eye 319 Cain's Other Eye Near sighted friend Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeper and shoots normal tears in the same direction as Isaac.
Cursed Eye 316 Cursed Eye Cursed charge shot Grants charged tears that can be fired in a tight burst of four. Getting hit while charging will teleport Isaac into another room.
Daddy Longlegs 170 Daddy Longlegs Daddy's love Daddy Long Legs' shadow follows Isaac and stomps on enemies.
Dead Dove 185 Dead Dove Flight + spectral tears Grants spectral tears and flight.
Distant Admiration 57 Distant Admiration Attack fly A red attack fly circles further out than the Halo of Flies / Pretty Flies, but closer than Forever Alone. Deals more damage than Forever Alone.
Epic Fetus 168 Epic Fetus On-demand air strike Isaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.
Ghost Baby 163 Ghost Baby Spectral buddy Spawns a familiar that follows Isaac around and fires spectral tears.
Guillotine 206 Guillotine An out-of-body experience Isaac's head is removed from his body and floats around him. Increases Damage by 1 and grants -1 Tear Delay.
Headless Baby 269 Headless Baby Bloody Friend Familiar that follows Isaac, leaving blood creep on the ground.
The Inner Eye 2 The Inner Eye Triple shot Grants triple shot but decreases tears.
Juicy Sack 266 Juicy Sack Sticky babies A familiar that follows behind Isaac. It drips a trail of creep, which slows enemies, and spawns 1-2 blue spiders after each room.
Lazarus' Rags 332 Lazarus' Rags Eternal Life? Upon dying, resurrect as Revived Lazarus with one heart container and Anemic item.
Lil Haunt 277 Lil Haunt Fear him A familiar that damages enemies by chasing them as well as inducing the fear effect.
Lost Contact 213 Lost Contact Shielded tears Every tear has a small shield which will allow it to block one enemy projectile.
The Ludovico Technique 329 The Ludovico Technique Controlled Tears Instead of firing tears, Isaac controls one floating tear that hover over obstacles. This tear deals constant damage when held in place over an enemy.
Mom's Eye 55 Mom's Eye Eye in the back of your head Allows Isaac to fire tears from the back of his head.
My Reflection 5 My Reflection Boomerang tears Gives Isaac's tears a boomerang effect, and increases range and shot speed.
The Pact 80 The Pact DMG + Tears UP Increases damage by 0.5, tears by 0.7 and grants two soul hearts upon pickup.
The Peeper 155 The Peeper Plop! Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to Boom Flies damaging enemies it passes through.
PHD 75 PHD Better pills Converts all bad pills into good pills, spawns one pill pickup and restores health. Identifies all pills upon pickup.
Polyphemus 169 Polyphemus Mega Tears Makes Isaac shoot one huge tear. Also reduces Tears to minimum. Damage increased . If tear does more damage than an enemy's life, the tear continues to travel with the extra remaining damage.
Robo-Baby 95 Robo-Baby Friends 'till the bbbbzzzt Follows Isaac around, shooting enemies with an eye laser similar to Technology.
Speed Ball 143 Speed Ball Speed + shot speed up Increases speed by 0.3 and shot speed by 20%.
The Polaroid 327 The Polaroid Fate Chosen If the character has half a red heart or no red hearts after taking damage, it triggers the Book of Shadows effect, creating a shield that nullifies all types of damage for 5 seconds. Also allows entrance into The Chest.
There's Options 249 There's Options More options There will be 2 items available to choose from after defeating a boss. Choosing 1 item causes the other to disappear.

Gray[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
Book of Shadows 58
Book of Shadows
3 rooms
Temporary Invincibility Upon use, creates a protective shield nullifying all types of damage for 10 seconds.
Doctor's Remote 47
Doctor's Remote
2 rooms
Reusable Air Strike Sets a big red target on the ground (similar to the Epic Fetus item) which can be controlled with tear controls. After 6 seconds or by pressing space again, a huge explosive missile hits it, which damages all enemies caught in its blast radius.
Flush! 291
Flush!
6 rooms
... 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.
Forget Me Now 127
Forget Me Now
One time use
I don't remember When activated, the level ends and is freshly regenerated with new rooms, monsters, and items. Disappears after use.
The Gamekid 93
The Gamekid
6 rooms
Temporary Man-Pac Upon use, turns the character into a into a Pac-Man-like creature for 5 seconds, granting invulnerability, inflicting fear on all enemies, and replenishing half a red heart container for every two enemies killed.
Head of Krampus 293
Head of Krampus
6 rooms
Krampus Rage Fires a cross-patterned brimstone shot, just like The Fallen and Krampus shoot.
How to Jump 282
How to Jump
Unlimited
It's about time you learned how Gives Isaac the ability to jump (over gaps, spikes, etc.).
Mr. Boom 37
Mr. Boom
2 rooms
Reusable bomb buddy Drops a large bomb.
Notched Axe 147
Notched Axe
3 rooms
Rocks don't stand a chance Isaac holds the axe above his head for as long as the spacebar button is held (or until he leaves the room). While holding the axe, Isaac can break any rock he touches, but cannot attack or pick up other items.
The Nail 83
The Nail
6 rooms
Temporary demon form 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.
The Pinking Shears 107
The Pinking Shears
6 rooms
Cut and Run Separates Isaac's head and body for the current room. Isaac's head, which now has flight, will be under the player's control, while his body will seek out enemies to attack by contact damage.
Razor Blade 126
Razor Blade
Unlimited
Feel my pain Upon use, deals one heart of damage to Isaac and grants +1.2 damage for the current room.
Scissors 325
Scissors
6 rooms
Lose your head Upon use, turns Isaac's head into a stationary familiar for the current room which fires normal tears that deal 3.5 damage.
Spider Butt 171
Spider Butt
2 rooms
Mass enemy slowdown + damage Damages all enemies in the room and slows them and their projectiles down.

Passive[edit | edit source]

Name ID Icon Quote Description
Ankh 161 Ankh Eternal life? Upon death, the player will respawn as ??? with 3 soul hearts.
The Battery 63 The Battery Stores energy Activated Items can be "overcharged" to allow for an additional use.
Bogo Bombs 250 Bogo Bombs 1+1 boom! All standard bomb pickups become 1+1 bomb pickups.
Bomb Bag 131 Bomb Bag Gives bombs Isaac is followed by a small bag that drops a Bomb, 1+1 Free, or a Troll Bomb every 3 rooms.
Boom! 19 Boom! 10 bombs Grants 10 bombs.
Cupid's Arrow 48 Cupid's Arrow Piercing shots Grants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them.
Death's Touch 237 Death's Touch Penetrative shot + damage up Increases Damage by 1.5, reduces Tears by 0.3 and increases tear size. Grants piercing tears. Tears are replaced by Death's scythes, which is a cosmetic effect only.
Hot Bombs 256 Hot Bombs Burning blast +5 bombs Grants 5 bombs. Isaac's bombs leave behind fire that damages enemies upon contact.
Iron Bar 201 Iron Bar Concussive tears Increases damage by 0.3 and adds a chance to shoot concussive tears, causing enemies to walk around randomly.
Dry Baby 265 Dry Baby Immortal Friend Spawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot, it has a chance of triggering The Necronomicon effect.
Match Book 344 Match Book Evil up Grants Isaac 1 Black Heart and 3 bombs. Can also give troll bombs.
Mom's Knife 114 Mom's Knife Stab stab stab 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.
Mr. Mega 106 Mr. Mega Blast damage Gives Isaac 5 bombs, and makes all dropped bombs larger, which have an increased blast radius and increased damage.
Pyro 190 Pyro 99 bombs Adds 99 bombs.
A Quarter 74 A Quarter +25 coins Adds 25 to Isaac's coin count, capping at 99.
Old Bandage 219 Old Bandage HP up Adds one empty heart container. Whenever Isaac takes damage there's a chance that a Red Heart may drop.
Robo-Baby 2.0 267 Robo-Baby 2.0 We worked out all the kinks Fires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears.
Sacrificial Dagger 172 Sacrificial Dagger My fate protects me Dagger orbits Isaac, dealing very high damage.
Sad Bombs 220 Sad Bombs Tear blast +5 bombs +5 Bombs. Upon exploding, bombs shoot 8 tears off in every direction, similar to Tammy's Head. The tears are affected by any tear modifiers Isaac has on his own tears.
Safety Pin 339 Safety Pin Evil + range + shot speed up Increases range and shot speed, while adding 1 Black Heart.
Screw 255 Screw Tears and shot speed up. +0.5 tears up, +0.2 shot speed up.
Sharp Plug 205 Sharp Plug Charge with blood Using an activated item while it's not charged will charge it and Sharp Plug does 2 full heart damage to Isaac.
Skeleton Key 17 Skeleton Key 99 keys Sets your key count to the maximum of 99.
The Small Rock 90 The Small Rock DMG up Increases damage by 1, increases tears by 0.2, and decreases speed by 0.1.
Spelunker Hat 91 Spelunker Hat See-through doors Reveals type of adjacent rooms, including location for secret rooms and super secret rooms.
Spoon Bender 3 Spoon Bender Homing shots Grants Isaac homing tears.
Synthoil 345 Synthoil DMG up + range Increases damage by 1, range by 5.25, and tear height by 0.5.
Tech.5 244 Tech.5 It's still being tested... Grants a unlimited range piercing laser with random rate of fire that does not replace tears. The laser might occasionally fire with the effect of a random item or trinket, such as Hook Worm, Spoon Bender or Tiny Planet.
Technology 68 Technology Laser tears Replaces tears with a piercing laser with unlimited range.
Technology 2 152 Technology 2 Laser Decreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
Tiny Planet 233 Tiny Planet Orbiting tears + range up Range up and makes shot tears revolve around Isaac until they drop.
Torn Photo 341 Torn Photo Tears + shot speed up Tears + Shot speed up.
Tough Love 150 Tough Love Tooth shot Adds a chance to shoot a tooth instead of a tear, which deals greater damage than regular tears.

Black[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
The Book of Belial 34
The Book of Belial
3 rooms
Temporary DMG up 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.
Removed in Afterbirth Guarantees a Devil Room or Angel Room will be open after beating a boss while holding it, or Added in Afterbirth increases the chance by 12.5%.
The Book of Sin 97
The Book of Sin
4 rooms
Reusable Item Generator Spawns a random pickup, pill, card, or trinket.
Guppy's Head 145
Guppy's Head
1 rooms
Reusable fly hive Spawns 2-4 blue flies to damage enemies.
Guppy's Paw 133
Guppy's Paw
Unlimited
Soul converter Removes one red heart container in exchange for gaining 3 Soul Hearts.
The Jar 290
The Jar
Unlimited
Save your life When at full health, up to 4 extra hearts can be stored in the jar.
Kamikaze! 40
Kamikaze!
Unlimited
Become the bomb! Creates an explosion in the same area as Isaac, dealing half a heart of damage to him and also damaging all enemies caught in the blast radius.
Satanic Bible 292
Satanic Bible
6 rooms
Reusable Evil Upon activation, Isaac gains a black heart.

Passive[edit | edit source]

Name ID Icon Quote Description
20/20 245 20/20 Double shot Grants double shot.
9 Volt 116 9 Volt Quicker charge Reduces the charge of any Activated Items by 1. Any 1 charge items instead have timed recharges.
Ball of Tar 231 Ball of Tar Sticky feet... Adds a chance to shoot slowing tears and the character leaves a trail of slowing creep behind as he moves, impeding enemies' speed.
BBF 272 BBF Big Beautiful Fly Spawns a familiar that flies around the room in a manner similar to the Boom Fly and explodes on contact with an enemy. Respawns after ten seconds.
The Black Bean 180 The Black Bean Toot on touch When taking damage, Isaac farts, causing poison damage to all enemies in range.
Black Candle 260 Black Candle Curse immunity + evil up Prevents curses. Grants one black heart. Increases the chance for a Devil or angel room to appear.
Black Lotus 226 Black Lotus HP up x3! Grants the player one red heart container, one soul heart, and one black heart.
Bobby-Bomb 125 Bobby-Bomb Homing bombs! Gives Isaac 5 Bombs, and causes all dropped bombs to home towards the closest enemy.
Cat-O-Nine-Tails 165 Cat-O-Nine-Tails Shot speed + damage up Increases Shot Speed and damage.
Celtic Cross 162 Celtic Cross You feel blessed Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 7 seconds.
Ceremonial Robes 216 Ceremonial Robes Sin up Adds 3 black hearts and increases Damage by 1.
Charm of the Vampire 62 Charm of the Vampire Kills heal Heals the character for half of a red heart for every 13 monsters killed.
Dark Bum 278 Dark Bum He wants to take your life 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.
Dark Matter 259 Dark Matter Fear shot Increases Damage by 1 and adds a chance to shoot fear tears.
Dead Bird 117 Dead Bird Protective buddy Spawns a flying familiar for the current room that chases enemies whenever Isaac takes damage.
Dead Cat 81 Dead Cat 9 lives Sets the amount of red heart containers to 1, but gives Isaac 9 extra lives. After dying, Isaac is teleported to the last safe room. New heart containers can be obtained after picking up this item, but after each death, the number of heart containers is set to 1 again.
Demon Baby 113 Demon Baby Auto-turret friend Follows Isaac and automatically fires at enemies in its reach.
Eve's Mascara 310 Eve's Mascara Shot speed down + DMG up Doubles damage, halves tears stat, and greatly reduces shot speed.
Gimpy 225 Gimpy Sweet Suffering Has a chance of spawning a soul heart or black heart when taking damage. Enemies have a chance to drop a Half Red Heart after being killed.
Guppy's Tail 134 Guppy's Tail Cursed? Increases chance of finding gold chests and normal chests, but reduces chance of finding pickups.
Habit 156 Habit Item Martyr When Isaac is hit, 1 point of an item's charge is filled.
Halo of Flies 10 Halo of Flies Projectile protection Spawns two pretty fly familiars that block enemy shots and deal contact damage to enemies.
Judas' Shadow 311 Judas' Shadow Sweet revenge Adds an extra life; upon death, it respawns Isaac as Black Judas with only two black hearts.
Leech 270 Leech Blood sucker Spawns a friendly familiar leech on the ground that hunts down enemies and heals you for half a heart each time it eats one.
Lil' Brimstone 275 Lil' Brimstone Evil Friend A Familiar that shoots a thin Brimstone beam. Must charge like Brimstone before shooting.
Little Gish 99 Little Gish Sticky friend Spawns a familiar that follows Isaac around and fires slowing tears, impeding enemies' speed.
Little Steven 100 Little Steven Psychic friend Spawns a familiar that follows Isaac around and fires homing tears.
Loki's Horns 87 Loki's Horns Cross Tears Gives a random chance for projectiles to fire in all 4 cardinal directions.
A Lump of Coal 132 A Lump of Coal My Xmas Present The more distance tears travel, the more damage they will do.
Magic 8 Ball 194 Magic 8 Ball Shot speed up Increases Shot Speed, and drops a tarot card when picked up.
Mom's Eyeshadow 200 Mom's Eyeshadow Charm tears Tears have a chance to charm enemies.
Samson's Chains 321 Samson's Chains The ol' ball and chain Pull a chain and ball behind you that will damage enemies on contact and is able to break stones.
Skatole 9 Skatole Fly love All types of fly except Boom Fly and Red Boom Fly become passive and slowly move towards Isaac. Does not prevent contact damage.
Spider Bite 89 Spider Bite Slow effect Adds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them.
Spirit of the Night 159 Spirit of the Night Scary Grants spectral tears and flight.
Steven 50 Steven DMG up Increases Damage by 1.
Strange Attractor 315 Strange Attractor Magnetic tears Pickups, trinkets, and monsters are magnetically attracted to Isaac's tears.
The Negative 328 The Negative Fate Chosen If the character has half a red heart or no red hearts after taking damage, it triggers The Necronomicon effect, damaging all enemies in the room. Also allows entrance into the Dark Room.
Whore of Babylon 122 Whore of Babylon Curse up Increases damage and speed whenever Isaac has half a red heart or less (one red heart for Eve), ignoring any soul or black hearts.
Wire Coat Hanger 32 Wire Coat Hanger Tears up Increases Tears by 0.7.
X-Ray Vision 76 X-Ray Vision I've seen everything Reveals and opens all Secret Room and Super Secret Room entrances.

Red[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
The D6 105
The D6
6 rooms
Reroll Your Destiny Allows Isaac to re-roll collectible items in the current room into other items, depending on the current room's Item Pool.
D20 166
D20
6 rooms
Reroll the basics Rerolls all pickups in the current room.
IV Bag 135
IV Bag
Unlimited
Portable blood bank Upon 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.
Portable Slot 177
Portable Slot
Unlimited
Gamble 24/7 Upon activation, 1 coin will be consumed, and a random pickup may drop, similar to the slot machine.
Red Candle 289
Red Candle
4 seconds
Flame on Throws a persistent flame that deals high damage and diminishes as it damages enemies or blocks shots.
Remote Detonator 137
Remote Detonator
Unlimited
Remote bomb detonation Bombs you place explode only when you use this item. Gives 5 bombs.
Shoop Da Whoop! 49
Shoop Da Whoop!
2 rooms
BLLLARRRRGGG! Fires a laser from Isaac's mouth.
Undefined 324
Undefined
6 rooms
Undefined Teleports Isaac to either the Secret Room, Super Secret Room, Treasure Room, or I AM ERROR.
Yum Heart 45
Yum Heart
4 rooms
Reusable Regeneration Restores 1 whole red heart.
<3 15 <3 HP up Grants Isaac one red heart container and fully restores Isaac's health.

Passive[edit | edit source]

Name ID Icon Quote Description
Abaddon 230 Abaddon Evil + DMG up + fear shot Increases damage and speed, removes all red heart containers, grants six black hearts, and adds a chance to shoot fear tears.
Anemic 214 Anemic Toxic blood +5 range. After Isaac is damaged, a trail of red creep will be left behind Isaac until he leaves the current room.
BFFS! 247 BFFS! Your Friends Rule! Increases the size and damage of familiars.
Blood Bag 119 Blood Bag HP up Grants one red heart container, restores 5 red hearts, and increases speed by 0.3.
Blood Clot 254 Blood Clot DMG + range up Increases damage by 1 and range by 5 for tears fired from the left eye.
Bloody Lust 157 Bloody Lust RAGE! Increases damage as Isaac receives damage. Damage increase stays for the whole floor.
The Body 334 The Body I feel all Adds 3 heart containers.
Brimstone 118 Brimstone Blood laser barrage 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.
Champion Belt 208 Champion Belt DMG + Challenge Up Increases damage, but also increases the chance of champion enemies appearing.
The Compass 21 The Compass The end is near Reveals all special rooms (except secret rooms of any kind).
Contract From Below 241 Contract From Below Wealth... but at what cost? Doubles the number of pickups and chests spawned after clearing a room or performing some other triggering action (such as using a blood donation machine), but reduces the chance for any pickups to spawn at all.
Cube of Meat 73 Cube of Meat Gotta meat 'em all! Orbiting familiar that blocks enemy shots and deals damage to enemies. If collected while already having one, makes the familiar evolve. Only drops from Horsemen. Similar to Ball of Bandages.
E Coli 236 E Coli Turdy touch Gives "Turdy Touch" Effect. Enemies that touch Isaac are changed into poop.
Harlequin Baby 167 Harlequin Baby Double shot buddy Spawns a familiar that follows Isaac around and fires two tears at once in a V-pattern.
Isaac's Heart 276 Isaac's Heart Protect It Isaac himself is now immune to all damage, and a heart familiar appears and follows Isaac. If the heart is hurt, Isaac is hurt.
Little C.H.A.D. 96 Little C.H.A.D. Gives kisses A familiar who will drop a half red heart every 2 rooms.
Lord of the Pit 82 Lord of the Pit Demon wings Grants flight and increases speed.
Magic Mushroom 12 Magic Mushroom All Stats Up! Increases most stats, enlarges Isaac, grants a heart container and restores all health.
Magic Scab 253 Magic Scab HP + Luck up Increases luck and HP by 1.
Magneto 53 Magneto Item snatcher Pulls pickups towards Isaac.
The Mark 79 The Mark DMG up Increases Damage and Speed, plus adds one Soul Heart.
MEAT! 193 MEAT! DMG + HP up Adds a heart container and increases damage.
Missing Page 2 262 Missing Page 2 Evil up. Your enemies will pay! Gives 1 black heart. Upon taking damage that reduces Isaac's health to one heart or less, activates The Necronomicon effect, dealing 40 damage to all enemies in the room.
Mom's Contacts 110 Mom's Contacts Freeze effect Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up.
Mom's Heels 30 Mom's Heels Range up Increases range.
Mom's Lipstick 31 Mom's Lipstick Range up Increases range and shot height.
Pentagram 51 Pentagram DMG up Increases damage and increases the chance for a Devil or Angel Room to appear.
Proptosis 261 Proptosis Short range mega tears Tears start out massive with high damage, and then shrink down and become weaker over a short range.
Sister Maggy 67 Sister Maggy Friends 'till the end A familiar that follows Isaac around shooting blood tears.
Steam Sale 64 Steam Sale 50% off Reduces all Shop prices by 50%, rounded down to 7 coins for an item, rounded up to 2-3 coins for a pickup.
Stem Cells 176 Stem Cells HP up Adds one filled heart container and increases Shot Speed.
The Virus 13 The Virus Poison touch Inflicts poison to enemies who make contact with Isaac. Speed down.

Pink[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
Best Friend 136
Best Friend
3 rooms
Friends 'till the end Deploys a decoy Isaac that eventually explodes with an increased blast radius.

Passive[edit | edit source]

Name ID Icon Quote Description
3 Dollar Bill 191 3 Dollar Bill Rainbow tears Gives Isaac a random tear effect every room.
Removed in Afterbirth The effect given changes upon entering a room.
Added in Afterbirth The effect changes every 3 seconds.
Ball of Bandages 207 Ball of Bandages Gotta lick 'em all! Orbiting familiar that deals damage to enemies. If collected while already having one, makes the familiar evolve. Only drops from Horsemen. Similar to Cube of Meat.
Bum Friend 144 Bum Friend He's greedy A portable beggar who follows Isaac, picks up coins for himself, and occasionally drops a pickup after collecting a coin. Does not spawn collectibles.
Dr. Fetus 52 Dr. Fetus ??? Tears are replaced by bombs that benefit from bomb-enhancing effects and slide for a fixed time after being fired.
Guardian Angel 112 Guardian Angel Extra protection Spawns an orbital familiar that blocks enemy projectiles, deals contact damage to enemies, and increases the speed of all orbital familiars.
Guppy's Collar 212 Guppy's Collar Eternal Life? Grants Isaac a permanent 50% chance to respawn with 1/2 of a red heart after death.
Lucky Foot 46 Lucky Foot Luck up +1 Luck. Increases chance of winning Shell Game Beggar. (Independent of luck stat)
Maggy's Bow 312 Maggy's Bow HP up + you feel healthy Gives one heart container and doubles the healing provided by red hearts.
Mom's Underwear 29 Mom's Underwear Range up Increases range.
Monstro's Lung 229 Monstro's Lung Charged attack Increases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.
Pageant Boy 141 Pageant Boy Ultimate grand supreme Spawns several coins around Isaac.
The Parasite 104 The Parasite Split Shot Isaac's tears split in two when they hit something.
Piggy Bank 227 Piggy Bank My life savings Gives 3 pennies on pick-up. Every time Isaac is damaged, he will drop one additional penny.
Punching Bag 281 Punching Bag Scape Goat Spawns a Mulligan Familiar that will wander the room randomly. Enemies will attack the Mulligan if it's closer.
Rosary 72 Rosary Faith up Adds 3 Soul Hearts and increases the chance for The Bible to appear in any item pool.
Sacred Heart 182 Sacred Heart Homing shots + DMG up Increases damage and range while reducing shot speed and grants homing tears. Grants a Heart Container and replenishes all Red Hearts.
Super Bandage 92 Super Bandage +2 hearts Grants one Heart Container and gives 2 Soul Hearts.

Orange[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
D10 285
D10
1 rooms
Rerolls enemies Rerolls the enemies in a room. Only rerolls enemies that are still alive (does not spawn new enemies).
Mom's Bottle of Pills 102
Mom's Bottle of Pills
6 rooms
Reusable pill generator 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.

Passive[edit | edit source]

Name ID Icon Quote Description
Fire Mind 257 Fire Mind Flaming tears Grants flaming tears that deal burning damage over time. Tears have a chance to explode on impact with an enemy, which creates a fire at the location of the explosion.
Infestation 2 234 Infestation 2 Infestation shot Spawns allied blue spiders from killed enemies.
Mom's Wig 217 Mom's Wig You feel itchy... Adds a chance to spawn blue spiders when firing tears. Restores 1 red heart.
Pyromaniac 223 Pyromaniac It hurts so good +5 Bombs Isaac heals 1 heart instead of taking damage from an explosive source. Adds 5 bombs.
Rubber Cement 221 Rubber Cement Bouncing tears Tears bounce off walls, enemies, and environmental objects.

Yellow[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
Lemon Mishap 56
Lemon Mishap
2 rooms
Oops... Creates a small yellow pool of creep, which damages enemies that cross it.
Magic Fingers 295
Magic Fingers
Unlimited
Pay to play For 1 coin, damages all enemies in the room.
Prayer Card 146
Prayer Card
6 rooms
Reusable eternity Grants an eternal heart per use.
Telepathy for Dummies 192
Telepathy for Dummies
2 rooms
Temporary psychic shot Upon activation, grants homing tears for the current room.

Passive[edit | edit source]

Name ID Icon Quote Description
Experimental Treatment 240 Experimental Treatment All stats up, then shuffled Randomly increases and decreases some of the character's stats.
The Halo 101 The Halo All stats up Grants one Heart Container, +0.3 Damage, +0.2 Tears, +0.25 Range, +0.3 Speed, and +0.5 Tear Height.
Infestation 148 Infestation They grow inside 1-3 blue flies randomly spawn every time Isaac gets hit.
Key Piece 1 238 Key Piece 1 ??? Combined with Key Piece 2, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan.
Key Piece 2 239 Key Piece 2 ??? Combined with Key Piece 1, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan.
Little Chubby 88 Little Chubby Attack Buddy A familiar that charges forward and deals touch damage to any enemies in its path.
Midas' Touch 202 Midas' Touch Golden touch Enemies that touch you are stunned and turn gold. Any enemy killed while in this state will drop a coin.
The Mind 333 The Mind I know all Grants the combined effects of the Blue Map, Treasure Map, and The Compass, revealing the floor layout and all special rooms, including Secret Rooms and Super Secret Rooms.
Mitre 173 Mitre You Feel Blessed Grants a chance of converting any red hearts pickups into soul hearts instead.
Mom's Key 199 Mom's Key Less is now more +2 keys Spawns 2 keys. Generates additional pickups from chests.
Mom's Perfume 228 Mom's Perfume Fear shot Adds a chance to shoot fear tears and decreases tear delay by 1.
Added in Afterbirth More Options 414 More Options There are even more options! Two items spawn in every Treasure Room. Only one can be taken; the other will disappear.
Number One 6 Number One Tears up +1.5 tears, -17.62 range
Smart Fly 264 Smart Fly Revenge fly After Isaac takes damage, this fly will deal continuous touch damage to whatever enemy caused the damage until it is dead. The fly will then systematically attack 1 enemy at a time until the room is cleared.
Soy Milk 330 Soy Milk DMG Down + Tears Way Up Tears shrink and do much less damage, but fire in very rapid succession.
Thunder Thighs 314 Thunder Thighs HP up + speed down + you feel stompy Destroys rocks upon contact with Isaac. Adds one heart container and lowers Speed.
Toothpicks 183 Toothpicks Tears + shot speed up +0.7 tears, +16% shot speed.
The Wafer 108 The Wafer Damage resistance All sources of damage that would cause more than one half heart of damage are reduced to one half heart instead.

Brown[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
The Bean 111
The Bean
1 rooms
Toot on command Isaac releases bad gas, poisoning any enemy in close vicinity.
The Bible 33
The Bible
6 rooms
Temporary Flight 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.
Blood Rights 186
Blood Rights
Unlimited
Mass enemy damage at a cost Damages all enemies in the room, but deals a heart of damage to Isaac with each use.
Dad's Key 175
Dad's Key
2 rooms
Opens all doors... Opens all doors in the current room when activated, including doors which require a key to open and entrances to secret rooms. Opens the big doors in the first room of both The Chest and the Dark Room.
Dead Sea Scrolls 124
Dead Sea Scrolls
2 rooms
It's a mystery Triggers the effect of a random activated item from a list of possible options (not every activated item is included).
Deck of Cards 85
Deck of Cards
6 rooms
Reusable Card Generator Gives Isaac a random tarot card.
Tammy's Head 38
Tammy's Head
1 rooms
Reusable tear burst Shoots 10 tears in a circle around Isaac, which retain the damage, shot speed, and special effects (such as poison) of Isaac's tears.
The Hourglass 66
The Hourglass
2 rooms
Temporary enemy slowdown Upon activation, enemies and their projectiles are slowed down for a short duration.
The Necronomicon 35
The Necronomicon
6 rooms
Mass room damage Damages all enemies in the room significantly.
The Poop 36
The Poop
1 rooms
Plop! Spawns a pile of poop where the character is standing and knocks nearby monsters back. May yield pickups like regular poop.

Passive[edit | edit source]

Name ID Icon Quote Description
The Belt 28 The Belt Speed up Increases speed by 0.3.
Big Fan 279 Big Fan Fat protector Spawns a large orbital familiar that blocks enemy projectiles and deals slight contact damage to enemies.
Blood of the Martyr 7 Blood of the Martyr DMG up Increases Damage by 1, and turns Isaac's tears into blood tears.
Box 198 Box Stuff Spawns 1 of each (non-collectible) item: 1 coin, 1 key, 1 bomb, 1 heart, 1 card, 1 pill, 1 trinket.
Butt Bombs 209 Butt Bombs Toxic blast +5 bombs Gives +5 bombs and makes all bombs Butt Bombs that fill the room with gas, damaging and confusing all enemies.
Chocolate Milk 69 Chocolate Milk Charge shots Grants charged tears that deal greater damage when fully charged.
Cricket's Body 224 Cricket's Body Tears up + splash damage Grants -1 Tear Delay and reduces Range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose Range and Damage scale with Isaac's.
Cricket's Head 4 Cricket's Head DMG up Increases damage by 0.5, and multiplies it by 1.5x.
Dead Onion 336 Dead Onion Toxic aura tears Grants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed.
Dessert 24 Dessert HP Up Grants Isaac one full red heart container.
Dinner 23 Dinner HP Up Adds 1 heart container.
Fanny Pack 204 Fanny Pack It's filled with goodies! Has a chance to drop a random pickup when Isaac takes damage.
Goat Head 215 Goat Head He accepts your offering A Devil Room / Angel Room Door will always spawn after every boss fight, excluding the first floor and floors after Utero II/Womb II.
Guppy's Hair Ball 187 Guppy's Hair Ball Swing it Loosely follows behind Isaac. Can be swung like a flail by rapidly spinning Isaac in a circle. Grows bigger by killing enemies.
Holy Grail 184 Holy Grail Flight + HP up Grants flight and one heart container.
Humbling Bundle 203 Humbling Bundle 1+1 free 4evar! Gives one extra pickup (1+1 Free version) of Red Hearts, pennies, bombs, and keys. Does not work with blue, black, and half red hearts, nickels, and dimes.
The Ladder 60 The Ladder Building bridges Allows Isaac to walk across gaps one square across by automatically placing a ladder between the two walkable sections.
Latch Key 343 Latch Key Luck up Increases Luck by 1, grants 1 Soul Heart and spawns 2 Keys.
Lunch 22 Lunch HP Up Adds 1 heart container.
Mom's Coin Purse 195 Mom's Coin Purse What's all this...? Spawns 4 random pills around Isaac.
Odd Mushroom 121 Odd Mushroom DMG up Grants an empty heart container. Increases damage, range and shot height while reducing speed.
Odd Mushroom 120 Odd Mushroom Fire rate up +1.7 tears, +0.3 speed, reduces damage.
Ouija Board 115 Ouija Board Spectral tears Grants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.
Raw Liver 16 Raw Liver HP up Grants 2 Heart Containers and completely restores health.
Rotten Meat 26 Rotten Meat HP up Adds one heart container.
Scapular 142 Scapular You have been blessed Once per room, when Isaac is reduced to his last half red Heart, the aura around his head temporarily vanishes and he is granted one Soul Heart.
A Snack 346 A Snack HP up Grants one full red heart container.
Squeezy 196 Squeezy Tears up Increases tears by 0.4, and spawns 2 Soul Hearts pickups.
Starter Deck 251 Starter Deck Extra card room Isaac can hold 2 cards at once and all pills are replaced by cards.
Stigmata 138 Stigmata DMG + HP up Increases damage, and adds 1 heart container.
Transcendence 20 Transcendence We all float down here... Grants flight.
Treasure Map 54 Treasure Map Full visible map Reveals all rooms for every floor. However, it does not reveal icons or secret rooms.
Wooden Spoon 27 Wooden Spoon Speed up Increases speed by 0.3.

Green[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
Bob's Rotten Head 42
Bob's Rotten Head
3 rooms
Reusable ranged bomb Upon use, Isaac holds a poison bomb which can be thrown towards any of the four cardinal points and explodes on impact.
D4 284
D4
6 rooms
Reroll into something else Rerolls all of Isaac's items.

Passive[edit | edit source]

Name ID Icon Quote Description
1up! 11 1up! Extra life Gives an extra life. Upon death, you will respawn in the previous room with full health and lose the 1up!.
Abel 188 Abel Mirrored buddy A familiar that mirrors the player's movements and shoots in the opposite direction.
Bob's Brain 273 Bob's Brain Explosive thoughts 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 140 Bob's Curse +5 poison bombs Gives 5 bombs and grants all bombs poison effect.
Chemical Peel 154 Chemical Peel DMG up Tears fired from left eye do increased damage.
The Common Cold 103 The Common Cold Poison Damage Adds a chance to shoot poison tears, dealing damage over time when inflicted.
A Dollar 18 A Dollar $$$ Gives Isaac 99 coins. Can be found multiple times in a single playthrough.
Gnawed Leaf 210 Gnawed Leaf Unbreakable After standing still and not shooting for a short time, Isaac turns invincible until he moves or shoots.
Mutant Spider 153 Mutant Spider Quad shot Grants quadruple shot but decreases tears.
Mysterious Liquid 317 Mysterious Liquid Toxic Splash Damage Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Roid Rage 14 Roid Rage Speed and range up Increases speed by 0.6, range by 5.25, and tear height by 0.5.
Rotten Baby 268 Rotten Baby Infested friend A familiar that spawns blue flies.
The Sad Onion 1 The Sad Onion Tears up Increases Tears by 0.7.

Blue[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
The Boomerang 338
The Boomerang
4 seconds
It will never leave you Throws a short-range boomerang which does a bit of damage and has a high chance to stun the enemy for 2 seconds. Can also be used to grab pickups.
The Candle 164
The Candle
4 seconds
Reusable flame Throws out a blue flame that can pass over gaps (but not through rocks). The flame damages anything in its path.
Converter 296
Converter
Unlimited
Convert your soul When used, converts two soul hearts into a heart container.
Isaac's Tears 323
Isaac's Tears
6 rooms
Collected tears Shoots 8 tears around Isaac, which retain the damage, shot speed, and special effects of his tears. Each tear shot by Isaac increases item charge by one.
Monster Manual 123
Monster Manual
3 rooms
Temporary buddy generator Summons a random familiar for the current room. Can summon familiars not yet unlocked.
Pandora's Box 297
Pandora's Box
One time use
?? Upon use, spawns certain pickups or items depending on the floor it is used on. Single-use.
Teleport 44
Teleport
2 rooms
Teleport! Teleports you to a random room on the level.

Passive[edit | edit source]

Name ID Icon Quote Description
???'s Only Friend 320 ???'s Only Friend Controlled friend Summons a big attack fly that can be controlled with the shooting direction-keys.
Anti-Gravity 222 Anti-Gravity Antigravity tears + tears up -2 Tear Delay. Tears float in position until firing ceases, after which they will fly off in the direction they were shot in.
Aquarius 308 Aquarius Trail of tears A trail of blue creep is left behind Isaac, which damages enemies.
Aries 300 Aries Ramming speed +0.25 Speed. Running into enemies while at a high speed will deal 18 points of damage. Does not prevent contact damage.
Blue Cap 342 Blue Cap HP + tears up + shot speed down Grants 1 heart container and increases tears, but decreases shot speed.
Blue Map 246 Blue Map Secrets Shows secret and super secret room locations on the map.
Broken Watch 337 Broken Watch I think it's broken Chance upon entering a room to slow down or speed up every enemy and their attacks. The chance to slow enemies is quite higher than the chance to speed them up.
Brother Bobby 8 Brother Bobby Friends 'till the end Follows Isaac around shooting normal tears.
Cancer 301 Cancer HP up + you feel protected Adds 3 soul hearts. Grants The Wafer effect for the current room upon taking damage.
Capricorn 307 Capricorn All stats up All stats up.
Fate 179 Fate Flight eternal Grants flight and one eternal heart.
Forever Alone 128 Forever Alone Attack fly Spawns a blue attack fly that orbits a long distance from Isaac.
Gemini 318 Gemini Conjoined friend Suture becomes attached to Isaac, and does touch damage to enemies within its attacking range.
Hive Mind 248 Hive Mind Giant spiders and flies Increases the size of blue spiders and blue flies and doubles the amount of damage they deal.
Holy Mantle 313 Holy Mantle Holy shield Automatically negates first taken damage in every room.
Holy Water 178 Holy Water Splash! When Isaac receives damage, the bottle breaks and a puddle of blue creep forms, which damages non-flying enemies, similar to Lemon Mishap. The bottle is reformed upon entering a different room.
Leo 302 Leo Stompy Allows you to crush rocks when you walk over them.
Libra 304 Libra You Feel Balanced Gives 6 coins, 6 bombs, and 6 keys and balances out all attributes.
Mini Mush 71 Mini Mush Speed + range up Increases Speed and Shot Height and decreases Isaac's size, but lowers Range.
The Mulligan 151 The Mulligan They grow inside Tears have a 1/6 chance of spawning allied blue flies when they hit an enemy.
Pisces 309 Pisces Tears up + knock-back shots -1 Tear Delay, adds knock-back shots and increases tear size.
The Relic 98 The Relic Soul generator Isaac is followed by a small blue cross that will drop a Soul Heart every 4 rooms.
Sagittarius 306 Sagittarius Penetrative shot + speed up Increases speed by +0.2 and grants piercing tears.
Scorpio 305 Scorpio Poison tears Grants poison tears, which deal damage over time when inflicted.
Sissy Longlegs 280 Sissy Longlegs She loves you Wanders about the room, occasionally spawning blue spiders.
The Soul 335 The Soul I am all Grants two soul hearts. Isaac now repels enemy projectiles.
Spider Baby 211 Spider Baby Spider revenge When hit, spawns up to 2 blue spiders.
Stop Watch 232 Stop Watch Let's slow this down a bit Removed in Afterbirth Automatically inflicts slow to all enemies in every room.
Added in Afterbirth Upon taking damage, inflicts slow to all enemies for the current room.
Taurus 299 Taurus Speed down + rage is building Speed down; gains speed while in a room with enemies until gaining My Little Unicorn effect for a few seconds.
Trinity Shield 243 Trinity Shield "You feel guarded" Isaac gains a shield that protects him from enemy shots.
Virgo 303 Virgo You feel refreshed and protected Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".

Purple[edit | edit source]

Active[edit | edit source]

Name ID Icon Quote Description
Book of Revelations 78
Book of Revelations
6 rooms
Reusable soul protection 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).

Passive[edit | edit source]

Name ID Icon Quote Description
Growth Hormones 70 Growth Hormones Speed + DMG up Increases damage by 1 and speed by 0.4.
Infamy 242 Infamy Damage Reduction Chance to block projectiles coming from any direction.
Ipecac 149 Ipecac Explosive shots Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth.
Jesus Juice 197 Jesus Juice Damage + range up Increases Damage and Range.
Mom's Purse 139 Mom's Purse More trinket room Allows Isaac to hold 1 additional trinket.
Mystery Sack 271 Mystery Sack ? Spawns a familiar that follows Isaac around and has a chance to drop a heart, coin, bomb, or key after clearing a room.
Placenta 218 Placenta HP up + regen Grants a full heart container, and a chance to regenerate a half-heart of health every minute of gameplay.
Sack of Pennies 94 Sack of Pennies Gives money Isaac is followed by a small bag that drops a coin every 2 rooms.

Rainbow[edit | edit source]

Passive[edit | edit source]

Name ID Icon Quote Description
Godhead 331 Godhead God tears Increases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo.
Little Baggy 252 Little Baggy Extra pill room Isaac can hold 2 pills at once and all cards are replaced by pills.
Missing No. 258 Missing No. Syntax error Randomizes all passive items upon pickup and at the start of each succeeding floor.
Mongo Baby 322 Mongo Baby Mongo Friend Summons a familiar that copies the tears of Isaac's other familiars.
Rainbow Baby 174 Rainbow Baby Random buddy Spawns a familiar that follows Isaac around and fires tears with random effects.