Items

Active Items

Name	Flavor Text	Description	Quality
The Apple	The ultimate sacrifice	On use, switches between White mode and Red mode, giving different stats while held. White Mode: x0.75, Fire delay multiplier, x0.75 Damage multiplier, +5 Luck, +0.2 Speed, -0.2 Shot speed, +0.8 Range Red Mode: x1.75 Damage multiplier, x1.4 Fire delay multiplier, -0.3 Speed, +0.2 Shot speed, -0.8 Range	3
The Book of Sorrow	Read it and weep	For rest of the room receive:+0.7 Tears and +0.16 Shot speed	3
Chilly Bean	Frozen farts	Freezes and deals 14 damage to all enemies in close range	1
Snake Eyes	Reroll your destiny...?	Rerolls all pedestal items in the room into Devil Deals	3
Bowl o' Beans	Magical fruit	Activates the effect of a random bean active item	2
Occam's Razor	Whittle it down	On use gain +1 Broken Heart, +0.09 Speed, x1.09 Damage multiplier, +0.05 Shotspeed, +0.91 Luck, x0.94 Fire delay multiplier	2
Spice	All stats up...?	75% chance to get a buff for the room. 25% chance to get a permanent stacking debuff. Debuff goes away for the room when using the item.	2
Potty	Its a bucket of shit	Spawns 3-5 friendly Dips	1
Molotov Cocktail	Fire in a bottle	Throws a molotov cocktail projectile, which spreads a damaging flame and slowing creep	2
Mom's Cellphone	Phone a friend	Spawns a Dople as a second character Doples have random stats and random items	3
Geode	Reusable rune generator	Spawns 1 rune or soul stone	3
The Pebble	(no flavor text)	Throws a pebble projectile which deals 1 damage 0.5% chance the projectile instantly kills an enemy it hits	0
Max's Paw	DMG converter	Converts 1 heart container into a x1.25 Damage multiplier	4
Tammy's Paw	Junk conveter	Converts 1 heart container into 4-6 random pickups	2
D3	Reroll trinkets	Rerolls trinkets in the room	1
Clay Dreidel	Winner takes all	25% chance to quadruple all items, consumables and chests in room 75% chance to remove items / pickups in room	2
Communion Wine	Drink of my blood	A one-use Holy Mantle shield (prevents damage once) Receive for the room: Reduces all damage taken to half a heart	3
The Book of Love	Reusable friendship	Spawns 5-6 Minisaacs	2
How To Jump 2.0	Now with modern technology	Allows Isaac to hop on enemies and over obstacles Hopping onto enemies deals damage and bounces Isaac off Using the item in the middle of a hop slams Isaac down to the ground Chaining hops one after another lets Isaac exponentially build speed	2
Tulip	Temporary flower power	Recieve for the room: x1.5 Damage multiplier for the room Recieve for the room: Isaac's tears light enemies on fire Recieve for the room: 10% chance for tears to explode on enemy impact	2
Twin Candles	Castor and Pollux	Throws 16 red and blue fires around Isaac in a circle pattern	3

Passive Items

Name	Flavor Text	Description	Quality
Cryobombs	Flash frozen +5 bombs	+5 Bombs Isaac's bombs freeze enemies caught in the blast.	2
Counterfeit Dollar	$$$	+100 Coins Taking damage causes Isaac to lose 0-2 coins.	3
Max's Head	DMG + Speed up	+1 Damage x1.25 Damage multiplier +0.16 Speed	3
The Mark of Cain	Brotherly love	x1.5 Damage multiplier x0.77 Fire delay multiplier Abel is added to all item pools	2
The Box of Wires	Electric tears	10% chance to shoot conduit tears Conduit tears fire lasers at nearby enemies 100% chance at 10 luck	2
Mortal Coil	Living on the edge	+1 Black Heart When on half a heart or less: 10% chance to spawn a Soul Heart or Black Heart on room clear 100% chance at 10 luck	2
Taco	All statz up XD	+1 Health Heals 1 heart +0.16 Speed +1.5 Range x1.25 Damage multiplier 0.16 Shot speed +1 Luck x0.8 Fire delay multiplier	4
The Ruler	Range + tears up	x0.77 Fire delay multipier +1.5 Range	3
Voodoo Pin	Phantom pains	25% chance to take fake damage instead of getting hit	3
Musty Mush	Evil up + all stats down	+3 Black Hearts -0.16 Speed x1.125 Fire delay multiplier x0.875 Damage multiplier -0.28 Range -0.16 Shot speed -1 Luck	0
Patient Zero	Love touch	Touching an enemy charms it Charmed enemies can spread the charm by touching other enemies	3
The Hive	Diptera sonata	Blue flies can be controlled with the shooting buttons IF Isaac has less than 8 blue flies, entering or clearing a new room with give him up to 8 blue flies	2
Fish Hook	Tears + shot speed up	x0.77 Fire delay multiplier +0.16 Shot speed	3
Gummy Bear	All stats up!	+1 Health Heals 1 heart +0.16 Speed +1.5 Range x1.25 Damage multiplier +0.16 Shot speed +1 Luck x0.8 Fire rate multiplier Size down	4
Heartache	Heart regenerator	On room clear, if any of Isaac's current Soul or Black Health is half, gives 1 half Soul Heart	3
PB&J	HP up	+1 Health +1 Soul Heart Heals 1 heart	1
Adam's Rib	Imaginary girlfriend	Spawns File:Eve.png Eve as a second character	3
Benadryl	I'm drowsy...	Causes the I'm Drowsy effect when taking a Pill	1
Blood Money	Wanted dead	Spawns 3-4 random coins upon defeating a boss	2
Mystery Meat	HP + ??? up	+1 Health Heals 1 heart Randomly gives 2 stat ups from the folowing: +0.16 Speed x0.77 Fire delay multiplier x1.25 Damage multiplier +0.6 Shot speed +1 Luck +1.5 Range	3
Pumpkin Mask	Evil up + fear itself	+1 Black Heart +0.5 Damage 25% to fear all other enemies in the room upon killing an enemy All feared enemies take 2x damage	2
Ophiuchus	Pins and needles	+1 Black Heart Spawns a friendly Needle 50% chance to spawn a friendly Needle on room clear	3
Forbidden Seed	Attractive bombs +5 bombs	+5 Bombs Enemies now target dropped bombs	2
Blue Waffle	Tears up + accuracy down	x0.5 Fire delay multiplier Tear accuracy down	2
The Beast of Prophecy	Curse up	When on half a Red Heart or less: Flight +0.32 Speed x1.5 Damage multiplier x1.5 Fire delay multiplier Triple shot	3
Max's Tail	Speed = DMG	Up to a x2 Damage multiplier depending on the Speed stat Isaac has	3
Tammy's Tail	Cry for them	Killing an enemy provides a diminishing x0.98 tear delay multiplier	3
Sinner's Scars	Penance paid in blood	Curse rooms contain a pentagram that grants for the floor: +1 Black Heart x1.33 Damage multiplier	2
Akedah	The Binding of Isaac	+3 Health Heals 1 heart +0.32 Speed x1.75 Damage multiplier x0.8 Fire delay multiplier Flight Mom's Foot constantly tries to stomp Isaac	3
Misericorde	Sweet release	Instantly kills any enemies when damaged to 1/2 of their HP 1/4 of their HP for bosses	4
Oven Mitt	Hot potato	+5 bombs Allows Isaac to hold their bombs and throw them by holding down the Drop Bomb button	2
Mom's Eyelashes	Penta shot	-3.5 Range x0.5 Damage multiplier Isaac shoots 5 tears at once	4
Coconut Milk	Eternal tears	x1.5 Damage multiplier -0.16 Shot speed Isaac's tears will never fall, instead relying on the range stat to determine how long they live for	2
Menorah	Shot multiplier	Spawns a menorah familiar that causes Isaac's tears to be multiplied by the number of lit candles Halves tear delay and the multiplies it by the sum of lit candle plus 1	3
Toothpaste	Icy touch	Touching an enemy instantly freezes it	2