Ultra Secret Room (Item Pool)

Item Pools
Normal / Hard	Treasure Room	Boss	Shop	Curse Room	Secret Room	Devil Room	Angel Room
	Library	Golden Chest	Beggar	Devil Beggar	Key Master	Bomb Bum	Ultra Secret Room
	Crane Game	Rotten Beggar	Battery Bum	Old Chest	Baby Shop
Greed / Greedier	Treasure Room	Boss	Shop	Curse Room	Secret Room	Devil Room	Angel Room

The Ultra Secret Room item pool contains red items. Items from this item pool are only awarded by the Ultra Secret Room, which can be found disconnected from the main level via Red Rooms.

To see the Ultra Secret Room pool of items in the original game, see its page on The Binding of Isaac: Rebirth wiki.

Active Items

Name	Icon	Weight	Description
The Apple		1	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
Snake Eyes		1	Rerolls all pedestal items in the room into Devil Deals
Occam's Razor		1	On use gain +1 Broken Heart, +0.09 Speed, x1.09 Damage multiplier, +0.05 Shotspeed, +0.91 Luck, x0.94 Fire delay multiplier
Tulip		1	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
The Book of Love		1	Spawns 5-6 Minisaacs

Passive Items

Name	Icon	Weight	Description
Gummy Bear		1	+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
Heartache		1	On room clear, if any of Isaac's current Soul or Black Health is half, gives 1 half Soul Heart
Misericorde		1	Instantly kills any enemies when damaged to 1/2 of their HP 1/4 of their HP for bosses
The Mark of Cain		1	x1.5 Damage multiplier x0.77 Fire delay multiplier Abel is added to all item pools
Sinner's Scars		1	Curse rooms contain a pentagram that grants for the floor: +1 Black Heart x1.33 Damage multiplier
The Beast of Prophecy		1	When on half a Red Heart or less: Flight +0.32 Speed x1.5 Damage multiplier x1.5 Fire delay multiplier Triple shot
Mystery Meat		1	+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
Adam's Rib		1	Spawns File:Eve.png Eve as a second character