Binding of Isaac Wiki
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Afterbirth Items

Welcome to The Binding of Isaac item guide. Click on an item to learn more.
Item ID
Circle of Protection 423 Circle of Protection Surrounds Isaac with a large white halo around him that pulsates. With each pulse, the halo deals contact damage to enemies equal to Isaac's damage. Each pulse also converts any enemy shots touching the ring into friendly purple homing tears.
Continuum 369 Continuum +2.25 Range Up. +1.5 Tear Height. Isaac's tears travel through walls and appear out of the opposite wall. Isaac's tears also travel over rocks and objects.
Crack Jacks 354 Crack Jacks Adds one heart container and drops a random trinket.
Crown of Light 415 Crown of Light Gives Isaac a crown that glows blue when active, and turns gray when inactive. While Isaac has no empty red heart containers, Isaac's tears are replaced with blue diamond tears that deal double damage. Regardless of health, the crown will deactivate for the current room when Isaac takes damage.
Curse of the Tower 371 Curse of the Tower Causes Isaac to spawn 6 troll bombs on the floor every time he gets hit, similar to the Anarchist Cookbook mechanic.
Dead Eye 373 Dead Eye Isaac's damage increases each time an enemy is hit. Damage is reset upon missing a shot.
Deep Pockets 416 Deep Pockets Allows Isaac to carry two cards or pills (or a combination of both) at the same time.
Eden's Blessing 381 Eden's Blessing +0.7 tears up. Grants a random item at the start of the next run.
Empty Vessel 409 Empty Vessel While Isaac has no red hearts, this item grants flight and a random chance to activate an invincibility shield for a few seconds. If Isaac gains any red hearts, these benefits will disappear.
Epiphora 368 Epiphora Shooting in one direction increases Isaac's rate of fire until the cap is reached. As soon as Isaac changes direction or stops shooting, rate of fire is reset to its normal amount.
Evil Eye 410 Evil Eye While firing tears, Isaac has a chance to fire an eye across the screen with a very slow shot speed, which will fire tears of its own in the same direction as Isaac. The eye will be destroyed if it comes into contact with an enemy or obstacle.
Explosivo 401 Explosivo Isaac's tears have a chance to stick to enemies and explode.
Farting Baby 404 Farting Baby A familiar that follows Isaac and blocks tears. If a tear hits Farting Baby, there is a high chance for it to fart, which will either knock back, poison, or charm all nearby enemies.
Fate's Reward 361 Fate's Reward A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.
Friend Zone 364 Friend Zone A white orbiting fly which deals 3 contact damage per tick to enemies. This familiar orbits Isaac at a middle length distance somewhere between Distant Admiration and Forever Alone.
Fruit Cake 418 Fruit Cake Isaac's tears gain a random effect that changes every shot.
GB Bug 405 GB Bug A glitch familiar that bounces around the room and applies a random status effect to any enemies it comes into contact with and has a chance to re-roll pickups that it passes over.
Glitter Bombs 432 Glitter Bombs Gives Isaac 5 bombs, and makes Isaac's bombs have a chance to drop random pickups or charm enemies when they explode.
God's Flesh 398 God's Flesh Tears now have a random chance to apply a shrinking effect, causing enemies to shrink in size and also run away from Isaac. Shrunk enemies can be crushed and killed by walking over them.
Head of the Keeper 429 Head of the Keeper Isaac's tears become coins and now have a chance to drop pennies on the floor upon successfully hitting an enemy.
Holy Light 374 Holy Light Isaac has a random chance to fire a Holy tear, which, when it hits an enemy, will spawn a Crack the Sky-style light beam on the same enemy, dealing damage.
Host Hat 375 Host Hat A host familiar that sits on Isaac's head and has a random chance to block enemy shots and retaliate with 3 tears. Grants immunity to explosions.
Immaculate Conception 413 Immaculate Conception Upon picking up a certain amount of health, spawn a permanent angelic familiar.
Incubus 360 Incubus A demonic familiar that follows Isaac and shoots tears identical to Isaac's in terms of damage, range, fire rate, and effects.
Key Bum 388 Key Bum Spawns a portable key master that follows Isaac and collects keys, giving random chests in return.
Kidney Stone 440 Kidney Stone Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. In the burst of tears is a kidney stone which deals a lot of damage.
Lil Chest 362 Lil Chest Spawns a chest familiar that follows Isaac and drops a random pickup every few rooms.
Lil Gurdy 384 Lil Gurdy Gives Isaac a Gurdy familiar that will charge around the room dealing contact damage to enemies. Lil Gurdy is charged by holding down a fire button and letting go. The longer the button is held, the faster Lil Gurdy will fling itself across the screen. Lil Gurdy can pass over objects and obstacles in the room.
Lil' Loki 435 Lil' Loki A Loki familiar that follows Isaac and shoots 4 tears in a cross pattern.
Lost Fly 365 Lost Fly A familiar fly that moves in a straight line and attaches itself to the first obstacle or wall it comes into contact with in each room. If any enemies walk into its path, it will deal 7 contact damage per tick. If the obstacle it is attached to is destroyed then it will continue rolling in the direction it was previously travelling until it meets another wall or obstacle.
Lusty Blood 411 Lusty Blood Each time Isaac kills an enemy, Isaac's damage increases for the current room.
Marked 394 Marked Isaac will now fire tears automatically directed at a red target on the ground which is controlled by the player. This allows for a full 360 degree tear firing radius. Can be overridden by other tear modifiers such as Mom's Knife or Brimstone.
Maw of the Void 399 Maw of the Void +1.0 Damage Up. After continuously firing tears for 2.5 seconds, a red cross appears on Isaac's head that, upon releasing the fire button, creates a black ring that rapidly deals damage equal to Isaac's tear damage to any enemies in contact with it.
Milk! 436 Milk! A glass of milk follows Isaac and spills on the floor upon taking damage. After the milk spills, Isaac's tear delay is decreased by 2 for the rest of the room.
Mom's Pearls 355 Mom's Pearls +1.25 Range Up. +0.5 Tear Height. +1 Luck Up.
Mr. Dolly 370 Mr. Dolly Tears and Range up. Spawns 3 random types of hearts on the floor when picked up.
My Shadow 433 My Shadow Each time Isaac takes damage, inflicts fear on all enemies in the room and spawns a black Charger familiar that will attack enemies. The Charger will be killed if it is damaged too much.
Papa Fly 430 Papa Fly A blue fly familiar follows Isaac's movements on a 3 second delay. Papa Fly will fire tears at nearby enemies.
Purity 407 Purity This item will boost one of Isaac's stats depending on the color of the aura around him. The aura will disappear upon taking damage and will reappear with a random color upon entering a new room. A red aura boosts damage, a blue aura boosts rate of fire, a yellow aura boosts speed, and an orange aura boosts range.
Scatter Bombs 366 Scatter Bombs Adds 5 bombs. Isaac's bombs explode into 2-4 tiny bombs.
Spear of Destiny 400 Spear of Destiny In addition to tears, Isaac now holds a spear in front of him which deals damage equal to 2 times his tear damage, and occasionally inflicts fear. The spear cannot be thrown, but deals damage while it is in contact with an enemy.
Spider Mod 403 Spider Mod Displays Isaac's tear damage and enemy health bars. Spawns a gray spider familiar that wanders around and inflicts a random status effect on any enemies it comes into contact with. Occasionally spawns a blue spider upon clearing a room.
Sworn Protector 363 Sworn Protector An orbital angel which does 7 contact damage per tick and blocks enemy shots. Upon blocking 10 shots in a room it drops an eternal heart.
Tech X 395 Tech X Tears are replaced with laser rings that pierce through enemies and deal damage to enemies within them. Can be charged to increase the size of the ring.
The Wiz 358 The Wiz Tears simultaneously fire out of both eyes diagonally, similar to the effect of the R U A Wizard?pill. Isaac's tears also travel above all obstacles.
Toxic Shock 350 Toxic Shock Upon entering a room, poisons all enemies, dealing double Isaac's tear damage. Killing enemies leaves a small, short lasting pool of green creep on the ground.
Tractor Beam 397 Tractor Beam Isaac emits a beam from his face. Isaac's tears travel in the path of the beam.
Zodiac 392 Zodiac Zodiac will give Isaac a random zodiac item effect that changes after every floor.
Multidimensional Baby 431 Multidimensional Baby Spawns a familiar that will follow Isaac's movements on a 2.5 second delay. Tears that pass through the baby will be doubled and increase in speed.
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