Items

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Items are an integral part of The Binding of Isaac. These collectibles are used to modify Isaac's attributes, grant or modify tear effects, and much more.

The Fiend Folio MOD presents a wide range of items to collect and help Isaac battle against the onslaught of new foes! There's delicious corn, supportive friends, and even some cool sunglasses!

Fiend Folio: Reheated adds 159+ items overall, separated into 113 passive items and 46 active items.

Disambig.png This page is about Items added in Fiend Folio. More information about Items in general can be found in the vanilla page.

Active Items

Name Icon Flavor Text Description Quality
The Fiend Folio
The Fiend Folio4 rooms
Summon fiendish friends
  • Summons one of Fiend Folio's bosses or enemies to assist Isaac in the room.
2 
D2
D22 rooms
Throwable reroll
  • Can be thrown and will spin on the floor temporarily.
  • Any pickups, enemies, and tears that pass through the D2 will be rerolled.
1 
Store Whistle
Store Whistle6 rooms
Portable shop 4 
Risk's Reward
Risk's RewardIt's complicated
Psionic reroll. Quality up
  • Can be used to reroll an item in the Treasure Pool Icon.png Treasure Room to one of a higher quality.
  • This is achieved by traversing a unique Psionic Cluster and fighting the HermitIcon.png Hermit.
3 
Alpha Coin
Alpha Coin4 rooms
Learn to use it!
  • Does a variety of effects based on the current room and exploration.
1 
IPad
IPad2 rooms
please...
  • Upon use, teleports every entity downwards towards the bottom of the room.
  • This item does not appear in any item pools.
4 
Golem's Rock
Golem's Rock4 rooms
Trinket grinder
  • Spawns a random rock trinket the first time it's picked up.
  • On use, grinds Isaac's current held trinket into a random rock trinket.
3 
Grappling Hook
Grappling HookUnlimited
Get away from danger
  • Throwable hook that can be used to quickly travel.
  • Can be used to climb onto Rock.png Rocks.
  • Isaac can take damage by falling into pits.
1 
Golden Frog Head
Golden Frog HeadUnlimited
Gas Is Good
  • Forces Isaac to stand still while used.
  • Letting go makes Isaac fart, the fart getting more powerful the longer it is held down.
1 
Sanguine Hook
Sanguine HookUnlimited
This doesn’t belong to you
  • Throwable hook that latches onto and pulls in enemies and pickups.
  • Enemies become bruised while hooked.
  • Releasing enemies makes them hemorrhage and launch bloody tears towards Isaac that hurt other enemies.
3 
Fiddle Cube
Fiddle CubeUnlimited
The Devil finds work for idle hands
  • Grants an increasing boost to damage and tears when used rhythmically.
  • Damage and tears boost gradually dissipate while the item is not being used.
3 
A.V.G.M.
A.V.G.M.Unlimited
Get Hooked
  • Pays out with Penny.png Pennies and other potential prizes after using an increasing amount of times.
2 
Malice
Malice5 seconds
Concentrated hatred
  • Upon use, turns Isaac into a black fireball which charges across the room. This gives invulnerability, deals damage to enemies hit, and leaves a trail of black creep during the charge.
3 
Contraband
ContrabandOne time use
Payment rendered on delivery
  • Acquired from FakeBeggar.png Fake Beggars that look like ordinary Beggars, but drop this item and disappear when interacted with.
  • On use, becomes consumed and applies several stacks of the Wavy Cap.png Wavy Cap effect, heavily distorting the screen.
  • If carried to the next floor, a ShadyBeggar.png Dealer will appear in the starting room and exchange it for 2-3 items from the Drug Dealer Pool Icon.png Drug Dealer item pool.
0 
Bedtime Story
Bedtime Story2 rooms
Ready for bed
  • Makes all enemies in the room drowsy.
  • Drowsy enemies will slow down and eventually fall asleep.
  • Damaging a sleeping enemy deals double damage, but wakes them up.
2 
Eternal D12
Eternal D12Variable
???
  • Switches into one of two modes when used.
  • With a charge capacity of 2, has a high chance to reroll obstacles and a low chance to delete them.
  • With a charge capacity of 1, has a low chance to reroll obstacles and a high chance to delete them.
2 
Purple Putty
Purple Putty5 rooms
Reusable genetic modification 4 
Fiend Mix
Fiend Mix1 seconds
Making friends
  • On use, transforms half of Isaac's health into FiendishFriends.png Minions.
  • Upon clearing a room, Minions transform back into their respective Hearts as pickups.
2 
White Pepper
White Pepper2 rooms
Radial ghost fire
  • On use, shoots 5 flames in a ring around Isaac.
1 
Perfectly Generic Object
Perfectly Generic ObjectVariable
Object Mimic
  • Copies the effects of Isaac's held pocket object (excluding cards, pills and runes).
  • Drops one random object the first time it's picked up.
  • Variable recharge time based on which object is used.
2 
Wrong Warp
Wrong WarpOne time use
Sequence break
  • On use, teleports Isaac to a random floor.
  • Chosen floor can be anywhere in the game, with no regard to current run progression.
3 
Golden Plum Flute
Golden Plum Flute4 rooms
Play time!
  • Summons GoldenPlumIcon.png Golden Plum to fight for Isaac in the current room.
2 
Dogboard
Dogboard4 rooms
Walk the dog!
  • While held, causes the player to continuously slide forward on the Dogboard.
  • Activating Dogboard makes Isaac jump.
  • This item is not in any item pool and is set to be hidden from appearing anywhere in a run.
0 
Eternal D10
Eternal D102 rooms
???
  • Rerolls enemies in the current room.
  • Enemies rerolled have a 1/3 chance to disappear.
2 
Toy Camera
Toy Camera4 seconds
Photographic genius!
  • Create a camera flash that destroys projectiles and confuses enemies.
  • Grants a tears up if Isaac is caught in the flash.
  • If enough enemies are caught in the flash, spawns a Cool Photo.png Cool Photo.
2 
The Brown Horn
The Brown Horn3 rooms
Unload their bowels
  • On use, causes all enemies to defecate violently, pushing them away from Isaac and spawning Dirty Mind.png Dirty Mind Dips.
2 
Eternal Clicker
Eternal Clicker1 rooms
???
  • Has a 50/50 chance to transform Isaac into a random character while removing the last item collected, or delete the player's character and all their held items from the run.
  • This item does not appear in any item pools.
0 
Snow Globe
Snow Globe2.66 seconds
Shakes Rocks 2 
Cherry Bomb
Cherry Bomb2.5 seconds
Baby boom
  • On use, Isaac picks up a small red bomb that can be thrown.
  • The bomb's explosion deals no damage to Isaac and can't break Rock.png Rocks.
2 
Astropulvis
Astropulvis2.8 seconds
Supernova
  • On use, destroys the closest Rock.png Rock and turns it into a large ghost.
  • Using the item again will detonate all large ghosts in the room.
3 
Azurite Spindown
Azurite Spindown3 rooms
-1
  • On use, rerolls all trinkets in the room by subtracting their internal ID number by 1.
3 
King Worm
King Worm5 seconds
Temporary worm powers
  • On use, grants the effects of a random worm trinket for the current room.
  • These effects can stack with multiple uses, including the effects of the same worm.
1 
Dazzling Slot
Dazzling SlotUnlimited
Bring out inner greed 3 
Kalu's Severed Head
Kalu's Severed Head10 seconds
Horrifying visage
  • Is held above Isaac's head, and controls a cone of vision.
  • Enemies in the cone are petrified and take a minor amount of damage.
  • Enemies killed while petrified burst into a ring of 8 tears.
2 
Rat Poison
Rat PoisonOne time use
Skip all their rooms
  • When used in a room with a visible creator, skips it, and removes all future rooms by that person in the current run.
  • The name of the creator is shown at the bottom of the screen if the "Room Names" option is enabled.
4 
Angelic Lyre
Angelic LyreUnlimited
Play a different tune
  • Rotates between 3 different "tunes" that passively change Isaac's tears into three different attack modes with their own stats and modifiers.
2 
Horse Paste
Horse Paste12 rooms
Keep it together 2 
Lemon Mishuh???
Lemon Mishuh???2 rooms
Ranged mishap
  • Can be thrown in a given direction, creating a puddle of yellow creep on impact.
1 
Nil Pasta
Nil Pasta2 rooms
Spaghetti code
  • Captures up to 5 enemies with spaghetti ropes and holds them in place.
  • Pulling out the spaghetti also removes parts of the enemies' code, causing them to become glitched and constantly take damage over time.
  • Glitched enemies will occasionally lose their AI, sometimes replacing their behavior with that of Poople.png Poople.
1 
Empty Book
Empty BookOne time use
Write your own story!
  • Customizable active item.
  • Does a variety of effects depending on what the player chooses.
1 
Yick Heart
Yick Heart8 rooms
Reusable Malignancy 4 
Gamma Gloves
Gamma GlovesUnlimited
Hulk out!
  • Creates a small shockwave around Isaac, pushing nearby enemies away.
1 
Shredder
Shredder4 rooms
Item recycler
  • Converts all non-purchasable items in the room into an assortment of random pickups.
2 
Loaded D6
Loaded D68 rooms
Repeat your destiny
  • Rerolls all items in the room into items that Isaac already has.
  • Cannot reroll items into those that would be useless when duplicated, unless Isaac has no other valid item.
4 
Torture Cookie
Torture Cookie2 rooms
Reusable torture 1 
Dusty D10
Dusty D101 rooms
Ol' unreliable
  • Rerolls all enemies in the room into random enemies from anywhere in the game.
  • Enemies are attempted to be rerolled into ones with similar maximum HP.
0 
Hedonist's Cookbook
Hedonist's Cookbook2 rooms
Natural harvest
  • Causes all enemies with the lowest maximum HP in the room to explode in a shower of tears.
2 
Error's Crazy Slots
Error's Crazy SlotsOne time use
Roll for your destiny
  • On use, a three-number slot appears above Isaac's head; using the item again locks in a number, and the slots will spin faster each time.
  • Once all three numbers are locked in, the player is granted the item of the ID shown by the three numbers.
  • If the item ID is invalid, Isaac will be teleported to the Icon IAmError.png I AM ERROR Room.
4 
Sculpted Pepper
Sculpted Pepper8.33 seconds
Strength in arrogance
  • Spawns a stone block on use.
  • Attacking the stone block chisels it.
  • Fully chiseled stone blocks produce an aura that gives status effects to enemies and buffs to Isaac, with the types of effects differing with the appearance of the statue.
3 

Passive Items

Name Icon Flavor Text Description Quality
Pyromancy
Pyromancy
Double Tap Fireballs
  • Isaac periodically creates orbital fireballs, up to three.
  • Double-tapping the shoot button launches a fireball, leaving a trail of flames and exploding on contact.
3 
Dice Bag
Dice Bag
Gives dice
  • Spawns a sack familiar that follows Isaac and drops a random Glass Dice after every 8 rooms cleared.
  • Glass Dice mimic their respective Dice collectible and break after use.
3 
Lil Fiend
Lil Fiend
Your own little bastard
  • Spawns a familiar that flies diagonally across the room and has a chance to spawn an HollowFriends.png Evil Hollow Minion when colliding with an enemy or enemy projectile.
  • Evil Hollow Minions disappear on room clear and will not drop a Black Heart.png Black Heart.
0 
Baby Crater
Baby Crater
Spiral shot buddy
  • Whilst Isaac is firing tears, Baby Crater creates a ring of tears around itself, similar to the enemy Craterface.png Craterface.
  • Tears are released outwards when Isaac stops firing.
2 
Mrs. Spooter
Mrs. Spooter
Turret pursuer
  • Spawns a blue Spooter.png Spooter familiar that pursues enemies and periodically fires tears.
1 
Randy The Snail
Randy The Snail
Ricochet buddy
  • Snail familiar that retracts into its shell when hit by a projectile or walked into by Isaac, and will bounce around the room.
  • Deals damage to enemies when bouncing into them.
1 
Corn Kernel
Corn Kernel
Gotta mern 'em all!
  • Spawns a familiar that levels up when gaining multiple copies of this item:
    • Level 1: Wavy Orbital.
    • Level 2: Orbital that shoots weak explosions.
    • Level 3: Familiar that teleports and chases enemies.
    • Level 4: Familiar that teleports and lobs explosive corn.
2 
GMO Corn
GMO Corn
The devil's harvest 2 
Cool Sunglasses
Cool Sunglasses
Gold rush
  • +6 coins.
  • Upon entering an uncleared room, 3 Penny.png Pennies are taken from Isaac and strewn across the room.
  • Walking near coins on the ground grants a speed up based on the distance to the coin.
  • Collecting coins damages all enemies in the room.
2 
Fiend's Horn
Fiend's Horn
There's a bit of him in all of us
  • Enemies have a chance to spawn a HollowFriends.png Evil Hollow Minion on death.
  • Evil Hollow Minions disappear on room clear and will not drop a Black Heart.png Black Heart.
  • Chance starts at 20% and scales to 35% at 14 luck.
  • A bonus +2.5% chance is applied for every ImmoralUI.png Immoral Heart Isaac has in his Health bar.
2 
Spare Ribs
Spare Ribs
Return to sender
  • +1 Bone Heart.png Bone Heart.
  • Taking damage fires out rib projectiles that circle around Isaac.
  • Rib projectiles return to sender and are destroyed only on contact with what fired them.
  • Rib projectiles can destroy enemy projectiles.
2 
Bacon Grease
Bacon Grease
Empty calories 0 
Devil's Umbrella
Devil's Umbrella
Hard to clean
  • +1 Half Soul Heart.png Half Soul Heart.
  • Shooting tears has a chance to create a flurry of weak tears that leave yellow creep.
3 
Nugget Bombs
Nugget Bombs
Friends inside +5 bombs
  • +5 Bomb.png Bombs.
  • Bombs spawn a Brown Nugget.png Brown Nugget turret fly familiar when they explode.
  • Turret flies gain unique effects when combined with other bomb upgrade Items.
1 
Bee Skin
Bee Skin
Buzz buzz
  • Every tear fired triggers 3 weaker tears spread around Isaac at equal angles.
  • Each time this effect triggers, the angle of all tears is incremented clockwise.
3 
Planet Badge
Planet Badge
Welcome to Space camp! 4 
Haunted Badge
Haunted Badge
You got the power pellet! 4 
Baby Badge
Baby Badge
Take care of it! 4 
Commissioned Badge
Commissioned Badge
This thing cost 50 dollars
  • +0.1 damage.
  • Can only be obtained by using Defuse.png Defuse on BusterIcon.png Buster when he's about to blow up after dying.
4 
Dripping Badge
Dripping Badge
Ahaha, sure is sweaty in here 4 
Mystery Badge
Mystery Badge
What's inside...? 4 
Spatula Badge
Spatula Badge
Throw 'em on the griddle! 4 
Your Eternal Reward
Your Eternal Reward
You got all the badges!
  • +0.1 damage.
  • Can only be obtained by getting all other Badges.
4 
Pinhead
Pinhead
Sewing Shot
  • Luck-based chance to shoot sewing needles that pierce and inflict enemies with sewn.
  • Sewn enemies link damage taken onto all other enemies with sewn.
3 
Lil Lamb
Lil Lamb
Pretends to like you
  • Spawns a familiar that charges to shoot an Ipecac.png Ipecac projectile.
  • When Isaac takes damage, has a chance to drop to the floor and target enemies automatically.
3 
Grabber
Grabber
Throws Hands
  • Spawns a familiar based on Grabber from hit video game Grabber.
  • Mirrors Isaac's movements and grabs things in front of them.
1 
Imp Soda
Imp Soda
Critical spit
  • Grants a chance that scales with luck to shoot critical tears that deal quintuple Isaac's damage.
3 
Dad's Wallet
Dad's Wallet
Damage debt
  • Shop Pool Icon.png Shop items can be purchased when they are not affordable, with the amount owed accumulating as debt.
  • Debt gives a multiplicative damage down.
  • Debt can be reduced by picking up coins.
  • Drops a Credit Card.png Credit Card upon being picked up.
2 
Beginner's Luck
Beginner's Luck
Dwindles with time
  • +5 luck.
  • −0.5 luck per how many floors down Isaac is.
  • At minimum will grant +1 luck.
3 
Dichromatic Butterfly
Dichromatic Butterfly
Hitbox down, Graze and Homing Amulet
  • Isaac's hitbox size is reduced and indicated by a red marker over top of him.
  • +0.2 damage for the current room when narrowly avoiding a projectile. Caps at +3 damage.
  • Luck-affected chance to fire a tear with 1.25× damage and aggressive homing.
3 
Slippy's Guts
Slippy's Guts
Distance
  • Enemies have a chance to spawn a lingering poison fart cloud on death. The chance scales with Isaac's luck, and is proportional to the enemy's maximum health.
  • Isaac's Bomb.png Bombs spawn a lingering poison fart cloud after exploding.
1 
Slippy's Heart
Slippy's Heart
Intimacy
  • Chance to fart while near enemies. Farts vary in type and strength.
  • Fart chance scales with luck.
1 
Community Achievement
Community Achievement
Proficiency in counting
  • +2.71 flat damage.
  • Damage boost is based on the current records in the Fiend Folio Cornmunity Discord server's counting channels.
3 
Chirumiru
Chirumiru
HP + DMG Up, Perfect Freeze 4 
Golem's Orb
Golem's Orb
Lost and Found... 3 
Leftover Takeout
Leftover Takeout
All stats up, fortune up
  • +0.3 speed.
  • 1.1× fire rate.
  • 1.5× damage.
  • +1.5 range.
  • +1 luck.
  • Luck-affected chance to fire a fortune cookie tear that deals 5% more damage and display a fortune upon hitting an enemy.
4 
Modern Ouroboros
Modern Ouroboros
Voice like the devil
  • Tears leave oil creep upon impact.
  • Walking over oil creep will ignite it.
3 
Peach Creep
Peach Creep
Creepy friend
  • Spawns a friendly Wall Creep.png Wall Creep familiar that tries to line up with enemies and shoots barrages of tears.
1 
Gorgoneion
Gorgoneion
They're shy
  • Spawns a stationary familiar that gazes at enemies in the room, petrifying them as long as they are in its sight.
3 
Ophiuchus
Ophiuchus
Serpent Bearer
  • Wiggly snake familiar that chases after enemies, poisoning them and dealing damage on contact.
  • Prioritizes chasing after enemies that are not currently afflicted with Poison.
3 
Cetus
Cetus
Blowhole retaliation
  • Taking damage causes Isaac to spew out a large amount of tears that leave creep.
1 
Deimos
Deimos
Lifelong partner
  • Spawns a familiar that fires hooks that latch onto and pull enemies/pickups.
  • Remains stationary while pulling in enemies/pickups.
  • Inflicts enemies with bruising while hooked.
  • On releasing enemies, inflicts them with hemorrhaging and fires blood tears in the direction they were released.
3 
Pet Rock
Pet Rock
Movable cover
  • Spawns a pet rock familiar that can be pushed around and block shots.
  • Fills pits when pushed into them.
0 
Birthday Gift
Birthday Gift
Careful what you wish for
  • Replaces all newly encountered collectibles with Mystery Gift.png Mystery Gift.
  • Rerolls and special/fixed drops are not affected.
4 
Black Lantern
Black Lantern
Silver-Lined Curses
  • +1 Black Heart.png Black Heart.
  • Guarantees a curse on every floor.
  • Replaces curses with special new types of potentially beneficial curses.
2 
Clear Case
Clear Case
Pocket active room
  • The next active item that is picked up will be assigned to the player's pocket slot.
2 
Crucifix
Crucifix
For your sins, they die
  • Enemies killed by tears will leave behind a short-lived ghost with an aura.
  • Standing in the aura grants a boost to tear rate and damage, and makes Isaac's tears homing.
3 
Prank Cookie
Prank Cookie
Tastes like corn
  • Grants multi-colored tears with different status effects added in Fiend Folio.
3 
The Devil's Harvest
The Devil's Harvest
Genetically modified revive
  • Upon death, respawn as FiendCoopIcon.png Fiend.
2 
Rubber Bullets
Rubber Bullets
Bruising Tears
  • Luck-based chance to fire bullet tears that bruise enemies.
  • Bruised enemies take bonus damage from all sources of damage based on the number of stacks applied.
3 
The Deluxe
The Deluxe
Every condiment 2 
Lil Minx
Lil Minx
Double-tap possesser
  • Spawns a pink Menace.png Menace familiar that charges at enemies.
  • Double-tapping the shoot button will have Lil Minx possess the nearest enemy and inflict them with berserk.
  • Double-tapping the shoot button again will have Lil Minx exit the enemy and launch a spectral tear barrage.
  • Berserked enemies periodically switch targets between Isaac and other enemies, deal and take bonus damage, move faster, and cannot die during the duration.
3 
Fetal Fiend
Fetal Fiend
Bountiful 3 
Secret Stash
Secret Stash
...That’s right, they’re not gone!
  • On pickup, spawns a coin, a bomb, a key, and a random card/pill/rune/object.
  • At the start of the next run, spawn 10% of the coins, keys, and bombs Isaac held at the end of the run (rounded down, max of 5) and any pocket consumables they held.
2 
Glizzy
Glizzy
Hunger down 2 
>3
>3
HP up? 2 
Devilled Egg
Devilled Egg
Tears up + immorality 2 
Tea
Tea
HP up 1 
Fraudulent Fungus
Fraudulent Fungus
Some stats up 2 
The Small Pipe
The Small Pipe
Congratulations on the pipe! 2 
The Small Wood
The Small Wood
Tears up 3 
Peppermint
Peppermint
It burns! Wait, no it doesn't...
  • Chance to fire a flame that damages and slows enemies, and freezes them into ice statues on death.
2 
Black Moon
Black Moon
It all returns to nothing
  • Isaac's tears gain a dark red glow. Killing an enemy with these tears creates a glowing red cross that damages enemies in an area of effect.
  • Enemies killed by the cross don't spawn another cross.
2 
Page of Virtues
Page of Virtues
Your faith holds true
  • On pickup, spawns a random wisp.
  • Whenever this wisp is destroyed, spawns a new random wisp.
2 
Bridge Bombs
Bridge Bombs
Pit-filling blast +5 bombs
  • +5 Bomb.png Bombs.
  • Bombs fill pits when they explode.
1 
Lawn Darts
Lawn Darts
Hemorrhaging tears
  • Luck-affected chance to fire tears that inflict enemies with hemorrhaging.
  • Hemorrhaging enemies periodically take damage, spew blood tears randomly around themselves and leave blood creep on the ground that damages other enemies.
2 
Toy Piano
Toy Piano
Diabolus in musica
  • 22% chance, scaling with luck, to fire tears that doom enemies.
  • Doomed enemies gain a counter that goes down every time they take damage. Upon reaching zero the enemy takes 5× Isaac's damage and the effect is removed.
3 
Hypno Ring
Hypno Ring
Drowsing tears
  • Luck-affected chance to fire tears that makes enemies drowsy.
  • Drowsy enemies slowly fall asleep, moving and attacking increasingly slower over time.
  • Sleeping enemies remain still until they awake. They take double damage while asleep, but will instantly wake up upon taking any damage.
2 
Musca
Musca
Locust Bombs + Bug chaser
  • +3 Bomb.png Bombs.
  • Bombs spawn Locusts when they explode.
  • Enemies have a luck-based chance to spawn a random Harbinger Locust on death.
3 
Model Rocket
Model Rocket
Accelerating tears
  • +1.5 range.
  • shot speed multiplier.
  • Tears accelerate from zero shot speed to normal shot speed on firing.
  • Tears deal bonus damage based on their speed upon impact.
2 
Sibling Syl
Sibling Syl
Friends 'till the end
  • Familiar that follows Isaac around, shooting tears that deal 4.75 Damage.
1 
Greg The Egg
Greg The Egg
Full of surprises
  • Spawns an egg familiar that has a chance to drop a random pickup after clearing a room.
  • After being shot at by projectiles, has a chance to crack open and spawn another familiar from the Baby Shop Pool Icon.png Baby Shop Item Pool.
2 
Familiar Fly
Familiar Fly
Loved by many
  • Orbiting familiar that deals contact damage and blocks projectiles.
  • Swells up when close to enemies, until exploding into a ring of 10 tears that can charm enemies. Respawns some time afterwards.
  • Can charm Fly.png Fly-related enemies in close proximity.
1 
Monas Hieroglyphica
Monas Hieroglyphica
Unite the cosmos 3 
Deadly Dose
Deadly Dose
Powerful pills, fatal addiction
  • On pickup, spawns a PillCyanide.png Cyanide Pill.
  • Cyanide Pills provide an all stats up, but will start a death timer that will kill Isaac after 60 seconds. Taking a pill that isn't a Cyanide Pill will cure it, removing the stats and stopping the timer.
  • Increases the chance for Pills to drop on room clear.
  • Pills that drop while Isaac is not under the effect of a Cyanide Pill can be replaced with Cyanide Pills.
1 
Dad's Postiche
Dad's Postiche
It feels yicky 3 
Excelsior
Excelsior
Explosive actives
  • Using active items will release fireworks, based on the item's amount of charge.
  • Fireworks will home in towards enemies and explode.
3 
Griddle Corns
Griddle Corns
DMG Up + it's all burnt 2 
Chaldean Axe
Chaldean Axe
Cut them down!
  • Periodically fire a piercing axe towards the closest enemy.
  • The axe boomerangs back shortly after launch.
3 
Penny Roll
Penny Roll
Monthly allowance 2 
Evil Sticker
Evil Sticker
Riskier pickups 0 
Wimpy Bro
Wimpy Bro
Haha whee!
  • Slammer.png Slammer familiar that jumps on enemies, dealing 5 damage.
2 
Robo-Baby 3.0
Robo-Baby 3.0
It is now state-of-the-art
  • Familiar that moves diagonally towards the direction Isaac moves.
  • On contact with enemies or enemy projectiles, will fire 8 Technology.png Technology lasers around it.
0 
Nyx
Nyx
Cast
  • Grants 3 gems that can be cast while attacking, homing onto enemies to inflict damage and bruise them.
  • Bruised enemies take bonus damage from all sources based on the number of stacks applied.
3 
Telebombs
Telebombs
Swap the bomb! +5 bombs
  • +5 Bomb.png Bombs.
  • A target follows behind Isaac with a delay.
  • When placing a bomb, the player teleports back to the marker, and the bomb instantly explodes.
1 
Dice Goblin
Dice Goblin
Object hoarder
  • Spawns 3 random objects on pickup.
  • Spawns 1 random object at the start of each floor.
1 
Spindle
Spindle
More discs! 1 
Devil's Dagger
Devil's Dagger
With haste comes power
  • Isaac throws daggers alongside his tears.
  • Enemies when killed drop gems that can power up the daggers.
3 
Strange Red Object
Strange Red Object
It emanates naivety 3 
D3
D3
Reroll tears
  • Orbital dice familiar that rerolls Isaac's tears.
  • Wacky.
1 
Emoji Glasses
Emoji Glasses
It's lit
  • Isaac Fires emoji tears that each have a unique effect.
  • Cycles through 3 different emojis at a time.
1 
Sack of Keys?
Sack of Keys?
The sack feels hot...
  • Spawns a sack familiar that follows Isaac and drops a Spicy Key.png Spicy Key after every 7 rooms cleared.
1 
Heart of China
Heart of China
It's fragile 3 
Devil's Abacus
Devil's Abacus
Learn to count!
  • Counting with Isaac's tears grants an increasing damage and tears up.
  • To count, Isaac must fire X amount of tears and stop, with X increasing by 1 each time.
1 
Ka Ching!
Ka Ching!
10 coins 0 
Chomp Chomp!
Chomp Chomp!
10 glizzies 4 
Batoomkling!
Batoomkling!
10 keys 1 
Badump!
Badump!
10 hearts 0 
Bzzt!
Bzzt!
10 charges 0 
Infinity Volt
Infinity Volt
Double tap cord
  • Double tap to link to an enemy with an extension cord.
  • Linked enemies are charmed and continually generate arcs of electricity.
  • After being linked for long enough, the enemy will explode.
2 
Horncob
Horncob
Reap what you sow
  • Isaac shoots pill tears that, upon killing an enemy, has a 25% chance for Isaac to take a random pill.
1 
Mime Degree
Mime Degree
...
  • Summons 3-5 translucent mime blocks in the room that blocks enemies and their projectiles.
  • When Isaac touches a mime block, it will relocate to another place in the room.
1 
Crazy Jackpot
Crazy Jackpot
Retributive gambling
  • On taking damage, Isaac rolls for a random positive effect.
  • Effects can spawn coins or hearts, damage enemies, grant a random stat up, create a yellow creep puddle, or cause all effects at once.
1 
Clutch's Curse
Clutch's Curse
What if it was purple?
  • Familiar that possesses Isaac occasionally.
  • When possessed, the next tear Isaac shoots will be a homing Ipecac.png Ipecac tear.
  • Rocks occasionally glow purple and create fire waves upon destruction.
2 
Pet Peeve
Pet Peeve
Double-tap antipathy
  • Grudge.png Grudge familiar that moves around randomly and deals contact damage.
  • Double-tapping a shoot button will have the familiar charge in that direction.
3 
Mom's Stockings
Mom's Stockings
Range up 1 
Golden Popsicle
Golden Popsicle
Luck up 2 
Time Itself
Time Itself
Multi-euclidean tears
  • Has a chance to fire tears that cause enemies to become multi-euclidean.
  • Multi-euclidean enemies can be shot through, doubling the tears.
3 
Host on Toast
Host on Toast
Damage + Range up 1 
Bag of Bobbies
Bag of Bobbies
Gives bobby
  • Has a chance to spawn a Fragile Bobby familiar on room clear.
  • Fragile Bobbies act similarly to Brother Bobby.png Brother Bobby, but can die from taking enough damage from enemies.
3 
Box Top
Box Top
Luck up + redeemable prize 1 
Kinda Egg
Kinda Egg
HP up, don't swallow the prize! 1 
Dad's Dip
Dad's Dip
HP up... 1 
Maria's Smash Trophy
Maria's Smash Trophy
It's the winner!
  • +1 damage.
  • Enemies receive more knockback the less health they have.
2 
Bottle of Water
Bottle of Water
Gulp it down! 1 
Fist Full of Ash
Fist Full of Ash
They hide poorly
  • +3 Bomb.png Bombs.
  • More Tinted Rock.png Tinted Rocks spawn on floors, and have odd, more obvious visuals.
  • Breaking Tinted Rocks spawns a Half Red Heart.png Half Red Heart, grants a fading Damage up, and a 50% chance of removing a BrokenUI.png Broken Heart.
  • Isaac gains a Broken Heart upon entering a new floor.
3 
Fiend's Third Leg
Fiend's Third Leg
So full of leg
  • +3.33 damage.
  • +1.5 tears.
  • Tears become homing, leave a trail of damaging creep and create a FiendishFriends.png Immoral Minion on impact.
  • This item is not in any item pool and is set to be hidden from appearing anywhere in a run.
4 
Isaac.chr
Isaac.chr
Backup character file
  • Upon death, Isaac respawns in the current room with randomized stats and health.
  • Replaces some of Isaac's held items with TMTRAINER.png TMTRAINER glitched items upon reviving.
0 
Worm Insignia
Worm Insignia
The early worm catches the... wait...
  • +0.02 speed.
  • Can only be obtained by using Eraser.png Eraser on LuncheonIcon.png Luncheon's Tapeworms to instantly end Luncheon's fight.
4 
Dad's Battery
Dad's Battery
Energy debt
  • Allows Isaac to use their active item without having enough charge, resulting in gaining negative amount of charges.
  • Having negative charge reduces Isaac's speed and shot speed.
  • Negative charge persists after switching active items.
3 
Isaac'D's Eulogy
Isaac'D's Eulogy
Dicing with death
  • Killing an enemy has a luck-based chance to activate a random dice effect (D6.png The D6, D20.png D20, etc.).
4 
Brick Figure
Brick Figure
Pick a brick 2 
Goldshi Lunch
Goldshi Lunch
HP up, fast like a horse! 2 
Twinkle of Contagion
Twinkle of Contagion
Take the Shot
  • Enemies have a chance to glow upon entering a room.
  • Looking at a glowing enemy passes the effect onto Isaac, giving him a stat boost while under the effect.
  • After a period of time, the glowing effect will jump from Isaac to a random enemy.
2 
Token Bag
Token Bag
Gives tokens
  • Sack Familiar that drops a Token Coin.png Token every 10 rooms.
  • Tokens mimic the most recent pickup Isaac has collected.
4 
Green Orange
Green Orange
May you attain enlightenment 4 
Reheated Pizza
Reheated Pizza
Daily meal 2 
Spelling Bee
Spelling Bee
Proficiency in spelling
  • Grants buffs to all applicable stats depending on the characters of the current seed.
  • Tainted version of Community Achievement Community Achievement.
2 
Too Many Options
Too Many Options
There's just too many!
  • Special Room doors quickly cycle between 3 random types of Special Rooms until unlocked or entered.
3 

Tainted Items

If the Tainted Treasure Rooms mod is installed, new items can appear in Tainted Treasure Rooms.

Name Icon Flavor Text Description Quality
Spelling Bee
Spelling Bee
Proficiency in spelling
  • Grants buffs to all applicable stats depending on the characters of the current seed.
  • Tainted version of Community Achievement Community Achievement.
2 

Trivia

Lil Fiend.png Items Randy the Snail.png
Active Items
Passive Items
Joke/Hidden Items
Tainted Items