Binding of Isaac: Rebirth Wiki
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(in Afterbirth † and Repentance)
This article is about the item. For the boss, see Little Horn.

Little Horn is a passive item added in The Binding of Isaac: Afterbirth †.

Effects[ | ]

  • (except in Repentance) Adds a chance to fire piercing tears which will instantly kill any non-boss enemy.
  • (in Repentance) Adds a chance to fire a tear that summons Boss Big Horn ingameBig Horn's hand. It will grab and crush any non-boss enemy, killing them instantly, and attacks bosses 3 times for 12 damage each hit (even Boss Big Horn ingameBig Horn himself).
    • Boss Big Horn ingameBig Horn's hand is able to push projectiles of enemies away from the source of contact. These tears gain additional speed. This makes it especially difficult for the player to dodge while fighting Boss Hush ingameHush, as it fires a lot of tears and many are propelled by a turning force.
  • Running into enemies deals 3.5 damage to them.
    • Damage is dealt up to twice per second per enemy.

Notes[ | ]

  • The chance to fire special tears depends on the luck stat, and the formula used to determine the chance is:
    • At base luck (0), the chance is 5%, maxing out at 20% at 15 luck.
  • The special tears will kill some normally invulnerable monsters, such as Death's HeadDeath's Heads, StoneyStoney, and Boss Peep ingamePeep's floating eyeballs.
  • (except in Repentance)The special tears can also destroy Blue Fire PlaceBlue Fire Places and Purple Fire PlacePurple Fire Places.
  • The special tears can destroy the various spiked blocks ( Wall HuggerWall Hugger, SlideSlide, and PokyPoky) as well as the variants of Stone GrimaceStone Grimace. All of these won't respawn if Isaac leaves and re-enters the room.
  • (except in Repentance)The contact damage effect overrides the superior contact damage from Collectible Aries iconAries, Collectible The Gamekid iconThe Gamekid, Collectible My Little Unicorn iconMy Little Unicorn / VII - The ChariotVII - The Chariot, and Collectible The Nail iconThe Nail. Only Collectible Midas' Touch iconMidas' Touch still works and deals an additional 3.5 damage.
    • (in Repentance) The contact damage adds to other contact damage sources.

Synergies[ | ]

  • Collectible Angelic Prism iconAngelic Prism: Little Horn tears can be split by the prism and will be quadrupled when they pass through it.
  • (in Repentance) Collectible Brimstone iconBrimstone/Collectible Mom's Knife iconMom's Knife: Each damage tick may trigger Little Horn's effect.
  • Collectible Evil Eye iconEvil Eye: Eyes can fire Little Horn tears. Little Horn tears won't destroy other eyes.
  • (in Repentance)Collectible Jacob's Ladder iconJacob's Ladder: Enemies hit by Jacob's Ladder's arcs produced by a Little Horn tear will be hit by Big Horn's hand.
  • Collectible Kidney Stone iconKidney Stone: The stone can have the Little Horn effect.
  • Collectible Soy Milk iconSoy Milk: Due to its high tear rate, the effect will trigger very often, even with average luck stats.
  • (in Repentance)Collectible Saturnus iconSaturnus: Little Horn tears can orbit around Isaac upon entering a room.
  • (in Repentance)Collectible Tech.5 iconTech.5/Collectible Technology iconTechnology/Collectible Tech X iconTech X: Occasionally fires a Little Horn laser beam.
  • (in Repentance)Collectible Technology 2 iconTechnology 2: The laser can also trigger Little Horn’s effect with the laser’s chance to apply the effect being determined rapidly every tick.

Interactions[ | ]

  • (except in Repentance)Collectible Brimstone iconBrimstone/Collectible Mom's Knife iconMom's Knife/Collectible Technology iconTechnology/Collectible Tech X iconTech X: Overrides Little Horn’s tear effects.
  • (except in Repentance)Collectible Dr. Fetus iconDr. Fetus / Collectible Epic Fetus iconEpic Fetus: Overrides Little Horn’s tear effects.
    • (in Repentance) Black-tinted bombs can summon Big Horn's hand to instantly kill non-boss enemies or to deal damage against bosses.
  • Collectible Lachryphagy iconLachryphagy: If Little Horn tears are fed, they will burst into split tears with the same effect. If Little Horn tears feed normal tears, however, the effect is lost.
  • (except in Repentance)Collectible Tech.5 iconTech.5/Collectible Technology 2 iconTechnology 2: The laser is unaffected by Little Horn.
  • Collectible Technology Zero iconTechnology Zero: Electricity connected to Little Horn tears will not instantly kill enemies.

In-game Footage[ | ]

Trivia[ | ]

  • This item might be a reference to Cutaneous horns, unusual keratinous skin tumors with the appearance of horns.
  • Little Horn was originally an unofficial item which was supposed to showcase the modding capabilities of Afterbirth+ in the PAX 2016 livestream. However, all items included in the demo were later added to the final game.
  • (except in Repentance) Prior to Repentance, this item's description was "Science!"
  • (in Repentance) Little Horn's description is a reference to George Orwell's novel Nineteen Eighty-Four.

Bugs[ | ]

Bug Bug! (in Repentance) The item's effect cannot be triggered on Mobile Hosts while they walk.


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