Items
Welcome to The Binding of Isaac item guide. Click on an item to learn more.
Item ID
Icon
Description
76
X-Ray Vision
Reveals and opens all Secret Room and Super Secret Room entrances.
303
Virgo
Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".
150
Tough Love
Adds a chance to shoot a tooth instead of a tear, which deals greater damage than regular tears.
314
Thunder Thighs
Destroys rocks upon contact with Isaac. Adds one heart container and lowers Speed.
249
There's Options
There will be 2 items available to choose from after defeating a boss. Choosing 1 item causes the other to disappear.
108
The Wafer
All sources of damage that would cause more than one half heart of damage are reduced to one half heart instead.
13
The Virus
Inflicts poison to enemies who make contact with Isaac. Speed down.
335
The Soul
Grants two soul hearts. Isaac now repels enemy projectiles.
90
The Small Rock
Increases damage by 1, increases tears by 0.2, and decreases speed by 0.1.
98
The Relic
Isaac is followed by a small blue cross that will drop a Soul Heart every 4 rooms.
327
The Polaroid
If the character has half a red heart or no red hearts after taking damage, it triggers the Book Of Shadows effect, creating a shield that nullifies all types of damage for 5 seconds. Also allows entrance into The Chest.
155
The Peeper
Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to Boom Fliesdamaging enemies it passes through.
104
The Parasite
Isaac's tears split in two when they hit something.
80
The Pact
Increases damage by 0.5, tears by 0.7 and grants two soul hearts upon pickup.
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.
151
The Mulligan
Tears have a 1/6 chance of spawning allied blue flies when they hit an enemy.
333
The Mind
Grants the combined effects of the Blue Map, Treasure Map, and The Compass, revealing the floor layout and all special rooms, including Secret Rooms and Super Secret Rooms.
79
The Mark
Increases Damage and Speed, plus adds one Soul Heart.
329
The Ludovico Technique
Instead of firing tears, Isaac controls one floating tear that hover over obstacles. This tear deals constant damage when held in place over an enemy.
60
The Ladder
Allows Isaac to walk across gaps one square across by automatically placing a ladder between the two walkable sections.
2
The Inner Eye
Grants triple shot but decreases tears.
101
The Halo
Grants one Heart Container, +0.3 Damage, +0.2 Tears, +0.25 Range, +0.3 Speed, and +0.5 Tear Height.
21
The Compass
Reveals all special rooms (except secret rooms of any kind).
103
The Common Cold
Adds a chance to shoot poison tears, dealing damage over time when inflicted.
315
Strange Attractor
Pickups, trinkets, and monsters are magnetically attracted to Isaac's tears.
138
Stigmata
Increases damage, and adds 1 heart container.
176
Stem Cells
Adds one filled heart container and increases Shot Speed.
64
Steam Sale
Reduces all Shop prices by 50%, rounded down to 7 coins for an item, rounded up to 2-3 coins for a pickup.
251
Starter Deck
Isaac can hold 2 cards at once and all pills are replaced by cards.
196
Squeezy
Increases tears by 0.4, and spawns 2 Soul Hearts pickups.
159
Spirit of the Night
Grants spectral tears and flight.
89
Spider Bite
Adds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them.
211
Spider Baby
When hit, spawns up to 2 blue spiders.
91
Spelunker Hat
Reveals type of adjacent rooms, including location for secret rooms and super secret rooms.
143
Speed Ball
Increases speed by 0.3 and shot speed by 20%.
330
Soy Milk
Tears shrink and do much less damage, but fire in very rapid succession.
264
Smart Fly
After Isaac takes damage, this fly will deal continuous touch damage to whatever enemy caused the damage until it is dead. The fly will then systematically attack 1 enemy at a time until the room is cleared.
17
Skeleton Key
Sets your key count to the maximum of 99.
9
Skatole
All types of fly except Boom Fly and Red Boom Fly become passive and slowly move towards Isaac. Does not prevent contact damage.
67
Sister Maggy
A familiar that follows Isaac around shooting blood tears.
280
Sissy Longlegs
Wanders about the room, occasionally spawning blue spiders.
205
Sharp Plug
Using an activated item while it's not charged will charge it and Sharp Plug does 2 full heart damage to Isaac.
221
Rubber Cement
Tears bounce off walls, enemies, and environmental objects.
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