Definition of Item ID

Item ID
Item ID
Icon
Description

Broken Shovel

550
Broken Shovel
While held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel.
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Black Hole

512
Black Hole
Throws a black hole on the ground which sucks in and damages enemies.
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Book of the Dead

545
Book of the Dead
Upon use, spawns a charmed Bony or an orbital bone for each enemy killed in the current room.
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Stop Watch

232
Stop Watch
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.
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The Negative

328
The Negative
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.
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Dry Baby

265
Dry Baby
Spawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot, it has a chance of triggering The Necronomicon effect.
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PHD

75
PHD
Converts all bad pills into good pills, spawns one pill pickup and restores health. Identifies all pills upon pickup.
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Buddy in a Box

518
Buddy in a Box
Grants a familiar with a random tear effect. The familiar is randomized at the start of each floor.
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Little Baggy

252
Little Baggy
Isaac can hold 2 pills at once and all cards are replaced by pills.
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Thunder Thighs

314
Thunder Thighs
Destroys rocks upon contact with Isaac. Adds one heart container and lowers Speed.
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D20

166
D20
Rerolls all pickups in the current room.
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D7

437
D7
Restarts the current room and brings back all enemies, allowing more rewards to be acquired by completing the room.
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Chemical Peel

154
Chemical Peel
Tears fired from left eye do increased damage.
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Large Zit

502
Large Zit
Adds a chance to fire a creep shot that deals double damage and leaves a trail of slowing white creep.
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Odd Mushroom

121
Odd Mushroom
Grants an empty heart container. Increases damage, range and shot height while reducing speed.
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Screw

255
Screw
+0.5 tears up, +0.2 shot speed up.
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Fire Mind

257
Fire Mind
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.
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Teleport 2.0

419
Teleport 2.0
When used, teleports Isaac to a random room that has not been explored yet. If all rooms are explored, including secret rooms, it will teleport Isaac to the Devil or Angel room. If all rooms are explored, including the Devil or Angel room, it will teleport Isaac to the I AM ERROR room. If used in a room with enemies, it will teleport Isaac out and back into the exact same room.
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Betrayal

391
Betrayal
Every time Isaac takes damage, a charm effect is applied to every enemy in the room, causing them to attack each other rather than Isaac.
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Sack of Pennies

94
Sack of Pennies
Isaac is followed by a small bag that drops a coin every 2 rooms.
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