ryman says

go for it lad

The Ladder
"Building bridges"


• Allows Isaac to walk over gaps with a width of one tile.

TYPE: PASSIVE
ITEM POOL: SHOP

isnt an afterbirth a placenta

do one on behalf of jamal

okay

>no Keeper

Bebop confirmed pleb.

go for it lad

u rite

sweetnkind says

take poop away from him and give it to me

Whóre of Babylon
"Curse up"


• When you only have half a heart remaining or less, you enter a curse state which adds +1.5 damage and +0.3 speed.

• When playing as Eve, this item activates with one FULL heart remaining or less AND also removes her 0.75 damage multiplier, raising it up to 1.0.

• The effect is permanently active for characters with no red hearts (e.g. Blue Baby, The Lost).

• One of Eve's starting items.

TYPE: PASSIVE
ITEM POOL: DEVIL ROOM

take poop away from him and give it to me

ill fking kill you

Becameclear says

Hit me sandbox god

The Poop
"Plop!"


• Drops a poop on the floor.

• Blue Baby starts with this item.

• Can be placed next to a pit and exploded to make a bridge.

• Can be placed over a broken red poop to overwrite it, causing it to no longer regenerate.

TYPE: ACTIVE
RECHARGE TIME: 1 ROOM
ITEM POOL: ITEM ROOM

Jona says

Hmu beboob

The Mind
"I know all"


• Gives Isaac a full mapping effect, revealing the entire floor and locations of all secret rooms.

UNLOCK: Unlock this item by beating Satan with The Lost.

TYPE: PASSIVE
ITEM POOL: ITEM ROOM, ANGEL ROOM

Hit me sandbox god

Hmu beboob

Ashe says

Give me a crusty one

Tammy's Head
"Reusable tear burst"


• Fires 10 tears in a circle around Isaac.

• Each tear is equal to your damage stat + 25 flat damage.

• The tears spawned from Tammy's Head retain tear effects of Isaac's tears, such as poison or homing.

• Synergizes extremely well with Brimstone due to how the damage from both items is calculated when combined.

TYPE: ACTIVE
RECHARGE TIME: 1 ROOM
ITEM POOL: GOLD CHEST

Ben says

I hope I get sad onion

Rainbow Baby
"Random buddy"


• A familiar the follows Isaac and fires random tears.

• Rainbow Baby's tears can choose from any of the other familiars, such as homing, spectral, tar shots etc.

TYPE: PASSIVE, FAMILIAR
ITEM POOL: ITEM ROOM

Spoiler

bc ur a twink lol

Give me a crusty one

ThoughtfulOlive says

Heyyyyyyy

Sacred Heart
"Homing shots + DMG up"


• Tears are now white, do a lot more damage and move slower across the screen with a homing effect.

• Health Up.

• Damage Up (damage * 2.3 + 1).

• -0.4 Tears Down.

• -0.25 Shot Speed Down.

• +0.375 Range Up.

• +0.75 Tear Height.

• Full red heart heal.

TYPE: PASSIVE, TEAR MODIFIER
ITEM POOL: ANGEL ROOM

I hope I get sad onion

edit: too late

Warlock1268 says

meme me

Dark Bum
"He wants to take your life"


• A familiar beggar similar to Bum Friend that follows Isaac and collects red hearts, giving Isaac soul hearts or spiders in return.

• Soul hearts are the most common payout with only a small chance to spawn friendly or hostile spiders.

• Dark Bum has a small chance to give a black heart instead of a soul heart.

• For every 1.5 red hearts he takes, he will give 1 heart/spider in return.

In Afterbirth this is one of the 3 items required to create the Super Bum familiar transformation.

TYPE: PASSIVE, FAMILIAR
ITEM POOL: ITEM ROOM, DEVIL ROOM

Heyyyyyyy

mist says

ok

Immaculate Conception
"Feed them love"


• After picking up enough hearts, Isaac gains a permanent angelic familiar.

• Possible familiars include: Holy Water, Guardian Angel, Sworn Protector, The Relic and Seraphim

• It is possible to get multiple followers by continuing to pick up hearts.

• This item is the angelic counterpart to Cambion Conception.

UNLOCK: Unlock this item by beating Boss Rush with Lilith.

TYPE: PASSIVE
ITEM POOL: ANGEL ROOM, GREED MODE ANGEL ROOM

fakechest says

ello

The Left Hand
"The left hand path reaps dark rewards"


• Replaces chest spawns with red chests.

UNLOCK: Unlock this item by beating Ultra Pride.

izzy says

okay sure why not

The Sad Onion
"Tears up"


• +0.7 Tears Up

TYPE: PASSIVE
ITEM POOL: ITEM ROOM

meme me