Item: Sacrificial Altar

Item

Description Upon use, sacrifices up to 2 familiars and spawns an item from the Devil Room Pool for each familiar sacrificed.
Quote He demands a sacrifice
Item ID536
Icon Sacrificial Altar
Use One time use
Category Activated Collectible
DLC Required Afterbirth+
Item ID
Icon
Description

Anarchist Cookbook

65
Anarchist Cookbook
Spawns six troll bombs around the room.
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Blood Rights

186
Blood Rights
Damages all enemies in the room, but deals a heart of damage to Isaac with each use.
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Guppy's Paw

133
Guppy's Paw
Removes one red heart container in exchange for gaining 3 Soul Hearts.
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Mega Bean

351
Mega Bean
When used, the Mega Bean will freeze all enemies in the current room for a couple of seconds, deal 5 damage and poison any enemies near Isaac, and send a wave of spikes that deals 10 damage across the room in the direction Isaac is facing.
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The Bible

33
The Bible
Upon activation, Isaac gains flight, allowing him to pass over all obstacles in the current room. Instantly kills Mom, Mom's Heart, and It Lives when activated, but will kill Isaac when activated while fighting Satan.
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Coupon

521
Coupon
Upon use, makes a random item from a shop, devil deal, or black market free.
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Flush!

291
Flush!
Changes all enemies in the room into poop. Does not work on all enemies (Knights and bosses are immune). Instantly kills Dingle, Dangle, and Brownie.
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The Nail

83
The Nail
Adds one soul heart and allows the breaking of rocksand damaging enemies by simply walking over them. Increases damage and decreases speed. All effects except for the Soul Heart wear off upon leaving the room.
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D20

166
D20
Rerolls all pickups in the current room.
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The Book of Belial

34
The Book of Belial
Upon use increases damage by 2 for the current room and by a further +50% if the character also has the Blood of the Martyr.
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Prayer Card

146
Prayer Card
Grants an eternal heart per use.
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Yum Heart

45
Yum Heart
Restores 1 whole red heart.
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Crooked Penny

485
Crooked Penny
Spawns a penny and has a 50% chance to double all items and pickups in the room. If the effect fails, the items and pickups disappear.
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Isaac's Tears

323
Isaac's Tears
Shoots 8 tears around Isaac, which retain the damage, shot speed, and special effects of his tears. Each tear shot by Isaac increases item charge by one.
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Void

477
Void
Consumes all pedestal items in the room. Active items will have their effects added to Void, and passive items will grant stat upgrades.
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Mom's Bottle of Pills

102
Mom's Bottle of Pills
Gives Isaac a random pill, and will cause him to drop any held Q-slot item (If any). The player will only receive six different pill types in one playthrough.
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Notched Axe

147
Notched Axe
Isaac holds the axe above his head for as long as the spacebar button is held (or until he leaves the room). While holding the axe, Isaac can break any rock he touches, but cannot attack or pick up other items.
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Dad's Key

175
Dad's Key
Opens all doors in the current room when activated, including doors which require a key to open and entrances to secret rooms. Opens the big doors in the first room of both The Chest and the Dark Room.
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Box of Spiders

288
Box of Spiders
Summons 2-4 blue spiders.
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Tammy's Head

38
Tammy's Head
Shoots 10 tears in a circle around Isaac, which retain the damage, shot speed, and special effects (such as poison) of Isaac's tears.
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