recursal/Fanatic-Fandom huggingface dataset:
Bob's Rotten Head

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**Bob's Rotten Head** is an activated item.

## Effects

* Upon use, Isaac holds a poison bomb which can be thrown in the cardinal directions and explodes on impact.
	+ The head deals 50 damage on hit and deals either 6 or 8 poison damage over time.
* Template:Bob

## Notes

* Bob's Rotten Head benefits from all bomb modifiers and many tear modifiers.
* Bob's Rotten Head cannot directly impact Beggars, Slot Machines or Blood Donation Machines, just passing through, but can destroy them with the blast damage if it impacts anything nearby and open Secret Rooms, Super Secret Rooms or destroy rocks like any other bomb.

## Interactions

* The Parasite - Two further explosions appear perpendicular to the head's direction of travel when it blows up.
* Tiny Planet - When used, Bob's Rotten Head will orbit the player similar to a tear.
* Rubber Cement - Causes the head to bounce off of rocks and walls.
* Cricket's Body - Causes the head to split into four additional heads upon exploding.
* Anti-Gravity - Causes the head to stay for few seconds, after which it will fly normally.
* Worm Trinkets - Bob's Rotten Head is affected by trinkets like Hook Worm and Wiggle Worm the same way tears are.
* File:Afterbirth† Indicator.png Void - If Bob's Rotten Head is absorbed, it can be thrown after using Void, but will be invisible.

## Synergies

* File:DLC Indicator.png Continuum - Bob's Rotten Head can now travel through walls and appear out of the opposite wall, similar to a portal-type mechanic.
* Cricket's Body - 4 smaller versions of the bomb appear after detonation.
* Pyromaniac - Bob's Rotten Head heals Isaac for a full red heart instead of causing damage. Allows Bob's Rotten Head to function as a Yum Heart with a faster charge time.
* Sad Bombs
* Hot Bombs

## Unlockable Achievements

* The Parasite The Parasite - Pick up any 2 of the following items in a single run: **Bob's Rotten Head**, Dead Cat, Cricket's Head, Tammy's Head.

## Trivia

* The item's appearance is similar to Pestilence's head.

## Gallery

* Template:Plat3DS The icon of Bob's Rotten Head as seen on the lower 3DS screen.

## Seeds

Template:PlatPC 6DKD WJZG (Treasure room adjacent to spawn) (Normal mode only)
Template:PlatPC A7ZJ BFRD (Treasure room adjacent to spawn) (Normal mode only)
Template:PlatVita Y8JW A17S

fr:Bob's Rotten Head
Epiphora

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**Epiphora** is a passive item added in Afterbirth.

## Effects

* Tear delay gradually decreases as the player shoots in one direction. Accuracy also decreases as the fire rate increases.
	+ At max "charge", it will reduce tear delay by half, rounding down.
* Rate of fire returns to its original value if Isaac stops firing, changes firing directions, uses an active item, or is hit.
	+ File:Afterbirth† Indicator.png Being hit, changing rooms, and using items no longer reset the Epiphora bonus.
		- During the delay when transitioning between rooms, picking up an item, or using an active item, it's possible to change firing direction without resetting the bonus.

## Notes

* Epiphora does not work with Lilith and/or Incubus.
* Epiphora technically works with items that require a charge (such as Monstro's Lung) but requires releasing the key or button, causing players to lose the effect.

## Synergies

* Continuum: Reduces the need to change firing direction allowing Isaac to maintain the increased rate of fire.
* Rubber Cement: Reduces the need to change firing direction allowing Isaac to maintain the increased rate of fire.
* The Ludovico Technique: Fire rate increases while moving the tear in one direction; has a negligible effect during normal gameplay.
* Tractor Beam: Fire rate still increases when shooting in one direction, but will stay on the line (i.e. no loss in accuracy).
* How To Jump: Changing firing direction while jumping does not reset the bonus, similar to when changing rooms.

## Trivia

* Epiphora is an overflow of tears onto the face.

## Seeds

Template:PlatPC File:DLC Indicator.png 0RK6 FCRZ (Treasure room adjacent to spawn) (Both modes)
Dark Bum

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**Dark Bum** is a passive item.

## Effects

* Spawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one of the following:
	+ A single soul heart. This is the most common effect.
	+ A hostile Spider.
	+ A friendly Blue Spider.
	+ A single black heart. This is the least common effect.
* Template:Super Bum

## Notes

* If Dark Bum enters a Super Secret Room that mimics The Womb, The Cathedral, or The Dark Room, he will drop red hearts, eternal hearts, or black hearts respectively instead of soul hearts.
	+ If the Super Secret Room mimics The Womb, he will drop red hearts instead of soul hearts, then gobble them back up. This can be avoided by allowing Dark Bum to pick up all of the red hearts and then quickly exiting the super secret room before he starts dropping hearts. This way, he will drop a considerable amount of Soul Hearts.

## Synergies

* Little C.H.A.D. - Convert hearts dropped by Little C.H.A.D. into Soul Hearts.
* Gimpy - When enemies die and drop red hearts, they get converted into Soul Hearts.
* Humbling Bundle - All red hearts dropped are double hearts, so the conversion ratio is greatly improved.
* ??? - Greatly improves chances of survival, due to Dark Bum converting useless Red Hearts into useful Soul Hearts.

## Patch Notes

* Prior to **Version 1.02** Dark Bum's red to soul heart conversion rate was 1:1, but it was set to 1.5:1 with Version 1.02.
* Prior to **Version 1.031**, Dark Bum did not have a chance to spawn spiders of either kind. This was likely done to nerf its use with characters that start with no or few heart containers.

## Seeds

Template:PlatPC WBEG Q22R (treasure room adjacent to spawn)
Template:PlatPC CS9M XL2P (treasure room adjacent to spawn)
Template:PlatPC AL07 13JY (treasure room adjacent to spawn)
Template:PlatPS4 7276 4P61 (treasure room adjacent to spawn)
Template:PlatVita EVQ8 P80Q (treasure room adjacent to spawn)
Dead Cat

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**Dead Cat** is a passive item.

## Effects

* Sets Isaac's health to 1.
	+ Does not remove Soul Hearts or Black Hearts unless playing as ???.
* Grants 9 extra lives.
	+ Upon death, Isaac respawns with 1 heart container.
* The head of Guppy begins following Isaac like a familiar upon pickup, but doesn't actually do anything.
	+ When Isaac has lost all of the lives provided by this item, the dead cat familiar will disappear.
* Template:Guppy

## Notes

* This item comes after Guppy's Collar, Lazarus' Rags, and 1up! in priority.
* This item comes before Judas' Shadow in priority.
* Picking this up as ??? will set his health to 1 Soul Heart.
* Picking this up as The Lost will not show a number of remaining lives, but will still function.
* Picking this up as Keeper will reduce his total number of health coins down to one, meaning he will die upon taking any damage. A Health Up Item will restore the lost health coin.
* Taking Dead Cat through a deal with the Devil while at one heart will still leave Isaac with one heart.
* The lives are added after the "picking up an item" animation has ended, so characters that die while the animation is playing will not be revived by this item.
* The effects of the D4, D100, Missing No., or 1- or 6-Pip Dice Room will not remove the lives granted by this item.
* Deaths do not count towards the statistics if Isaac still has extra lives.
* Additional dead cats can be picked up during a run, increasing lives well past 9. Only the first dead cat counts toward becoming Guppy.
* Picking up Dead Cat when the player has 0 heart containers and greater than 11 soul hearts can cause the player to go over the normal 12 cap by up to 1 heart temporarily.
* File:Afterbirth† Indicator.png This item counts as 9 items, so if the player is game on trying for an early portal to The Void after beating Mom, this will significantly boost the progress closer to 20 items.

## Synergies

* Diplopia - Isaac gains 18 extra lives in total.
* Guppy's Paw - Isaac can use Guppy's Paw to turn his Red Heart Container into 3 Soul Hearts after a revival.
* Gold Hearts - Gives Isaac many coins when picked up, due to the amount of hearts lost.
* Suicide King - Allows Isaac to safely use the Suicide King to generate pickups and items.
	+ Suicide King + Blank Card - Allows Isaac to repeatedly use the Suicide King.

## Unlockable Achievements

* The Parasite The Parasite - Pick up any 2 of the following items in a single run: Bob's Rotten Head, **Dead Cat**, Cricket's Head, Tammy's Head.

## Gallery

* Isaac and Dead Cat familiar.
* Double Dead Cat.png

2 Dead Cat heads around Magdalene.

## Seeds

Template:PlatPC File:NoDLC Indicator.png R96W PFVJ (Dead Cat, Guppy's Head, and Guppy's Collar all on the first floor in the curse room)
Template:PlatPC File:NoDLC Indicator.png G6GE 0GFV (curse room adjacent to spawn, found in red chest along with Guppy's Paw)
Template:PlatPS4 Template:PlatVita G6GE 0GFV (curse room adjacent to spawn, found in red chest along with Guppy's Paw)

fr:Dead Cat
Tape Worm

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**Tape Worm** is a trinket added in *The Binding of Isaac: Afterbirth* expansion.

## Effects

* x2 Range up.
* x0.5 Tear height.

## Notes

* Increases Azazel's brimstone range as well, although less than twice.
* Causes Dr. Fetus to shoot bombs *very* fast and far.
* Does not affect Lilith's familiars' tears.
* Affects normal Incubus.
* Reduces the range of Ipecac shots.

## Trivia

* The Tapeworm is a well-known species of Cestoda, a class of parasitic flatworms of the phylum Platyhelminthes.
Curved Horn

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**Curved Horn** is a trinket.

## Effects

* Increases Damage by 2, after normal calculations but before damage multipliers.

## Notes

* Normally, extra damage is reduced the more damage Isaac gets. Since Curved Horn is applied after every calculation, it will **always** be +2 damage unless Isaac has damage multipliers, which are applied after Curved Horn.
* Curved Horn's damage does not ignore damage reduction multipliers, such as Odd Mushroom (Thin) (Damage \* 0.9 - 0.4 damage down), Technology 2 (-35% damage down), and Soy Milk (-80% damage down).

## Trivia

* This trinket is a curved ram horn, similar to those granted by Aries or shown on The Lamb.

## In-game Footage

fr:Curved Horn
Abel

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**Abel** is an unlockable passive item.

## Effects

* Spawns a familiar that mirrors the player's movements and shoots in the opposite direction.
	+ File:DLC Indicator.png Abel shoots tears towards Isaac regardless of which direction Isaac is shooting.

## Notes

* Although it is difficult to hit enemies with Abel, he can be useful in certain situations. Doples can be easily taken care of without risk of damage using Abel. Abel can also assist in killing slow or stationary monsters that happen to be around the center of the room.
* In symmetrical room layouts Abel can be used to clear away destructible obstacles such as fire and poop.

## Gallery

* Abel.png

File:NoDLC Indicator.png Abel shoots contrary to Isaac.

## Trivia

* According to the Bible, Abel was one of Adam and Eve's children and was the first human to ever be murdered. He was an opposite to his murderous brother Cain, which may explain the mirrored nature of this item. Also, this item was unlocked by defeating  The Lamb with Cain, which makes the connection with the Bible more obvious.

## Seeds

Template:PlatPCTemplate:PlatVita Template:BothModes S94P SNN9 (treasure room adjacent to spawn)
Template:PlatVita 2AYT 3SBY (treasure room adjacent to spawn)

fr:Abel
Head Of The Keeper

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**Head of the Keeper** is a passive item added in Afterbirth.

## Effects

* Enemies have a chance to drop coins when hit with Isaac's tears.
* Turns Isaac's tears into coins (cosmetic effect).

## Notes

* Hitting the front side of enemies such as the Knight will still produce coins, even though the enemy does not sustain any damage. This can be exploited to produce an infinite amount of coins from a single enemy.

## Interactions

* Brimstone: Overrides Head of the Keeper.
* Dr. Fetus: Overrides Head of the Keeper.
* Epic Fetus: Overrides Head of the Keeper.
* Ipecac: Because Ipecac's high damage will quickly kill enemies, and because enemies will often be hit with explosions rather than tears themselves, coins will not drop as frequently.
* Mom's Knife: Overrides Head of the Keeper.
* Tech X: Overrides Head of the Keeper.

## Synergies

* Bum Friend: Generated coins may be traded for other pickups via bum friend.
* Bumbo: Coin drops will quickly raise Bumbo to useful level.
* Burnt/Bloody/Flat Penny: Penny trinkets allows Isaac to harvest a lot of bombs/health/keys from dropped coins.
* D20: Easy way to create a lot of pickups to reroll.
* Money = Power: Dropped coins can boost damage.
* Portable Slot: Extra money allows you to gamble more.
* Sack Head: When hit, enemies will occasionally drop sacks instead of coins.
* Soy Milk: Due to the Soy Milk's high fire rate and low damage, enemies can be hit many more times than usual, resulting in a larger amount of coins dropping.

## Trivia

* The item visually resembles Ultra Greed's head.

## Seeds

Template:PlatPC 3C4D F1LV (In the room just south of spawn in the Gold chest.)
Template:PlatPC NNNQ 0CJT (Challenge room south west - Necropolis 1)
Dice Shard

Template:SpecialCardsHeader
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**Dice Shard** is a consumable item added in *The Binding of Isaac: Afterbirth* expansion.

## Effects

Upon use, it:

* rerolls all pedestal items in the room (like the D6)
* rerolls all pickups in the room (like the D20)

## Notes

* Like runes, and despite having a different appearance, this item is counted as a card. Therefore, it will work with Blank Card as an effective combo.
* In Afterbirth+, Dice Shard's ID was changed to 49.
Dead Tooth

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**Dead Tooth** is a passive item added in Afterbirth †.

## Effects

* While firing, creates an aura around Isaac that poisons any nearby enemies.

## Interactions

* Marked - The green aura only activates when pressing the buttons to fire Isaac's tears.
* The Ludovico Technique - The green aura only activates when pressing the buttons to move Isaac's tear.
God's Flesh

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**God's Flesh** is a passive item added in Afterbirth.

## Effects

* 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.
* Template:Fun Guy

## Notes

* The shrinking effect has no effect on bosses or mini-bosses.
* Any enemies that are spawned from the death of a shrunken enemy do not carry over the shrunken effect.
* Champions and enemies that explode upon death will damage Isaac if crushed.
* The chance to fire a shrinking tear does not scale with Luck.

## Trivia

* The term *God's flesh* is a nickname for psychedelic mushrooms.
* In Aztec culture, hallucinogenic mushrooms were eaten during religious ceremonies. The Aztec name for these mushrooms translates to "god's flesh".
* Using God's Flesh on a Rag Man head will shrink it and reveal that there is actually a very small invisible body underneath.
MEAT!

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**MEAT!** is a passive item.

## Effect

* Grants Isaac one full heart container.
* +0.3 Damage up.

## Trivia

* This item is a reference to Bonk's Adventure.
* The throbbing vein on Isaac's head is commonly used in comics to display the emotion of anger on a characters face.

## Seeds

Template:PlatPC01V8 L2A4 (First floor boss)
Holy Grail

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**Holy Grail** is a passive item.

## Effects

* Grants flight and one full heart container.
* Template:Seraphim

## Trivia

* This is based on the grail Jesus drank out of in the Last Supper, and the myth that says whoever drinks from it will be blessed.
* File:DLC Indicator.png This item is used in Challenge #30 (The Guardian).
King Baby

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**King Baby** is a passive item added in Afterbirth †.

## Effects

* Grants a familiar that follows Isaac and always appears first in the familiar chain.
	+ While firing tears, King Baby stops moving and glows white.
	+ While King Baby is stationary, other familiars remain stationary as well. Shooting familiars will fire tears in the direction the player is firing.
	+ When Isaac stops firing tears, King Baby moves rapidly back towards Isaac.

## Synergies

* Isaac's Heart: Isaac can fire tears and leave King Baby and the heart behind, and run into a group of enemies without being damaged.

## In-game Footage

fr:King Baby
Little Baggy

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**Little Baggy** is a passive item.

## Effect

* Allows Isaac to carry two pills. Tap the Drop button to cycle through the two pills.
* Spawns a random pill.
* Changes all card and rune drops into pills.
	+ Any Tarot card or rune held when picking this item up will change into a pill.
	+ Dice Shard counts as a card and will be converted.

## Synergies

* Crystal Ball - Generates pills instead of cards upon use.
* Deck of Cards - Generates pills instead of cards upon use, similar to Mom's Bottle of Pills.
* Mom's Bottle of Pills - Allows Isaac to store excess pills produced for later use.
* PHD/Virgo - Most negative pills will be converted to their positive counterparts.
Lil Monstro

{{:{{{1}}} | {{{1}}} | {{{2}}} }} Template:LookFor

**Lil Monstro** is a passive item added in Afterbirth †.

## Effect

* Spawns a small Monstro familiar that charges up and fires a large cluster of tears, similar to Monstro's main attack.
	+ It needs to be charged up; it will not fire if Isaac is shooting a steady stream of tears

## Seeds

Template:PlatPC DEA6 CEP1 (First floor treasure room)
Celtic Cross

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**Celtic Cross** is an unlockable passive item.

## Effects

* Grants a chance to trigger the Book Of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 7 seconds.

## Notes

* The base chance of creating the protective shield is 20%
* The activation chance of this item depends on the Luck stat, and goes up to 100% at 27 Luck.
* The shield negates health loss from Blood Donation Machines and Devil Beggars.
* Does not prevent heart container loss from Health Down Pill or Devil Room deals.

## Seeds

Template:PlatPC 864T K7DP (Treasure room adjacent to spawn) (normal mode only)
Template:PlatPC ZDS6 BYQN (First floor treasure room)
Template:PlatPC QDYL E0W7 (First floor treasure room)
Template:PlatPS4 6FF0 ENV9 (First floor treasure room)
X74D 3K1Q (First floor treasure room)
Template:PlatPCTemplate:PlatVita DL4N WV3P (First floor treasure room)

## Trivia

* In Galicia, Celtic crosses are usually found on top of granaries as a protective measure against any kind of evil.

fr:Celtic Cross
Bob's Curse

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**Bob's Curse** is a passive item.

## Effects

* Grants 5 bombs.
* Grants all of Isaac's bombs a poison effect.
* Template:Bob

## Seeds

Template:PlatPC 0FQM QC6L (Treasure room adjacent)
Template:PlatPC FCFZ Q92G (Treasure room adjacent to room down from spawn)

## Gallery

* A bomb under the effects of Bob's Curse.

fr:Bob's Curse
Little C.H.A.D.

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**Little C.H.A.D.** is an unlockable passive item.

## Effect

* Drops half a red heart every two rooms.

## Notes

* File:DLC Indicator.pngThere is a very small chance of it spawning from a shopkeeper.

## Synergies

* Dark Bum - Dark Bum will convert Little C.H.A.D's hearts into soul hearts.

## Interactions

* Keeper - Will give flies instead of hearts.
* ??? - Useless, unless you have also collected Dark Bum, because ??? can't pick up red hearts.

## Trivia

* Little C.H.A.D. will give you a kiss every time you clear a room, even if no half red heart is created.
	+ A reference to the C.H.A.D. boss from Super Meat Boy, where after defeating C.H.A.D. he becomes very small and in the following cutscene will keep trying to get kisses from Meat Boy.

## Seeds

Template:PlatPC L3GH AZDJ (Treasure room adjacent to spawn)
Template:PlatPC RHHB HH4V (Treasure room adjacent to spawn)
Template:PlatPS4 V9HN YR1C (Treasure room adjacent to spawn)
Template:PlatVita AAJT QBWM (Treasure room adjacent to spawn)
Template:Plat3DS 8TS7 3BVE (First floor treasure room; *Curse of the Unknown*)
Linger Bean

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**Linger Bean** is a passive item added in Afterbirth †.

## Effects

* Firing without a pause for 7.5 seconds creates a small brown cloud which damages enemies who walk through it.
	+ The damage is equal to Isaac's base tear damage, dealt roughly 5 times per second.
	+ The clouds can be moved by shooting them.
	+ The clouds only last for 15 seconds, meaning a maximum of two can be active at any given time.
	+ Changing firing direction is allowed, but any pause in holding a fire button or taking damage resets the timer.
Dry Baby

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**Dry Baby** is a passive item.

## Effects

* Spawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot it has a chance of triggering The Necronomicon effect, dealing 40 damage to all enemies in the room.

## Notes

* The Necronomicon effect can occur multiple times in the same room.
* It can be used to block multiple shots if positioned correctly.
* It sometimes layers itself above Isaac's Heart, protecting it from nearly all projectile damage.

## Trivia

* Dry Baby is a reference to the Super Mario Brothers enemy Dry Bones, who cannot be killed unless thrown off stage or into lava.

## Seeds

Template:PlatPS4 BBSS DL0W (First Treasure Room).
Template:Plat3DS DGJ0 EGXN (First Teasure Room)
Template:PlatVita 903R NZTW (First Treasure Room).
Template:PlatPC RRFR A1B4 (First Treasure Room).
Template:PlatPC JRA8 MBZF (Treasure Room adjacent to spawn).
Template:PlatPC S2YS H68P (First Treasure Room).
Template:PlatPC File:DLC Indicator.png RL4R YNYS (treasure room adjacent to spawn) (both modes)
GB Bug

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**GB Bug** is an unlockable passive item added in Afterbirth.

## Effect

* Spawns a familiar that bounces around the room and applies a random status effect to enemies it comes in contact with.
* The familiar also has a chance to re-roll pickups that it passes over into other pickups, chests, or items.

## Trivia

* This item's in-game appearance may be a reference to "Missingno.", a famous bug occurring in the first Pokemon games.
* As Edmund confirmed on twitter the pickup quote "Game breaking bug, right away!" is a reference to a quote by Phil Fish in Indie Game: The Movie, where he says the exact same words when a bug is discovered in FEZ on the first day it is being shown at PAX.

## Seeds

Template:PlatPC File:DLC Indicator.png 9B7E 3G67 (Treasure room adjacent to spawn, curse of the labyrinth) (hard mode only)
Template:PlatPC File:DLC Indicator.png GZWT H4LE (First floor treasure room) (Normal mode only)
Jar of Flies

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Jar of Flies** is an activated item added in Afterbirth.

## Effects

* Killing an enemy adds a fly to the jar, up to a maximum of 20.
* Upon use, releases Blue Flies equal to the number of flies in the jar.
* Template:Lord of the Flies

## Notes

* Kills by familiars (including flies from the jar) do not add flies to the jar.
* Enemies must be actually *killed* to add a fly; transformations (such as Gapers turning into Pacers) or knockouts (such as incapacitating a Globin) do not count as kills.
* Destroying a Shopkeeper will count a kill.

## Seeds

Template:PlatPC KTHW HTAY (First floor, in the shop)

## Trivia

* The item's pickup quote references the tagline of the Pokemon games.
D1

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**D1** is an activated item added in Afterbirth †.

## Effects

* Duplicates 1 random pickup in the current room, including Cards and Runes, Chests, and Trinkets.

## Notes

* By dropping a card, rune, or pill in a room with no other pickups, then using D1, this item can function similarly to Blank Card and Placebo.
* A duplicated brown chest may become red instead.
* A duplicated trinket is mostly useless, as you cannot pick up two of the same trinket even with Mom's Purse/Belly Button or Smelter.
	+ However, with "consumable" trinkets such as Store Credit or Bag Lunch, it can be extremely powerful.
* It is possible to duplicate shop pickups that have not been purchased yet.

## In-game Footage

Template:DiceNav

fr:D1
Curse Of The Tower

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**Curse of the Tower** is a passive item added in Afterbirth.

## Effects

* Upon taking damage, spawns six troll bombs around the room similar to the XVI - The Tower card.

## Notes

* These bombs hurt the player as well as enemies.
* Taking damage from the troll bombs spawned by Curse of the Tower will not re-activate the effect.
* Picking up this item will make all health transactions more difficult. Devil Beggars and Blood Donation Machines will be almost impossible to use because they will very likely be destroyed by bombs.
* The 6 troll bombs are difficult to dodge in small rooms (unless you have Host Hat or Pyromaniac).

## Synergies

* Bob's Bladder: Each troll bomb will leave damaging green creep.
	+ Bob's Bladder + Scatter Bombs: The troll bombs as well as the smaller bombs will leave green creep.
* Bobby-Bomb: Each troll bomb will home in on enemies.
* Butt Bombs: Each troll bomb will Stun enemies and deal 10 damage.
* Glitter Bombs: Each troll bomb has a chance to drop one random pickup and charm an enemy. Does not affect enemy troll bombs.
* Host Hat: The troll bombs will only harm monsters, since Host Hat makes the player immune to all explosions.
* Pyromaniac: Explosions will heal player for 1 heart.
* Remote Detonator: The troll bombs spawned will not explode until Remote Detonator is used, giving the player an indefinite amount of time to re-position themselves and/or the bombs.
* Sad Bombs: The troll bombs spawned will explode into tears, dealing substantial damage to enemies in the room.
	+ Sad Bombs + Brimstone: Causes each troll bomb to emit brimstone beams in all directions, causing massive damage to anything in the room.
* Safety Scissors: Upon taking damage, the troll bombs spawned will be defused, effectively yielding six bomb pickups.

## Interactions

* Bomber Boy: The troll bombs spawned will explode in a large cross pattern, making them more likely to damage both enemies and Isaac.
* Scatter Bombs: Each bomb explodes into 2 to 4 smaller bombs making the explosions hard to dodge.

## Trivia

* The item image appears to be an XVI - The Tower card that has been burnt.

## Seeds

Template:PlatPC SKVA J1L4 (Curse room below spawn in normal mode, and left to spawn in hard mode) Template:BothModes

fr:Curse Of The Tower
Skatole

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Skatole** is a passive item.

## Effect

* All types of flies except Boom Fly, Red Boom Fly, Sucker, and Spit become passive and slowly move towards Isaac. They will not fire at Isaac but will still cause contact damage. Isaac is also still vulnerable to the blast shots from Sucker and Spit flies.
	+ Boom Flies and Red Boom Flies can still harm Isaac, but move much slower.
* Template:Lord of the Flies

## Notes

* This item can only be obtained from the Shell Game Beggar in the arcade.
* Flies spawned by The Husk will not become passive.

## Trivia

* Skatole is a mildly toxic white crystalline organic compound that occurs naturally in feces.
* Skatole was considered as a cosmetic hat for *Team Fortress 2*, alongside tears, Brimstone, and Tiny Planet. It was dropped as Valve "... didn't want players running around with a wet piece of poop on their head."

## Gallery

* Other Rebirth Promos.jpg

Skatole, tears, Brimstone and Tiny Planet being tested as cosmetic items in *Team Fortress 2*.
Lord of the Pit

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Lord of the Pit** is a passive item.

## Effect

* Grants Flight.
* +0.3 Speed Up (File:NoDLC Indicator.png not applied until the next time Isaac's speed stat is updated).

## Trivia

* Lord of the Pit's icon resembles the Cross of St. Peter.
* The wings granted by Lord of the Pit are identical to Azazel's wings.
* The item is a reference to a 'Magic: The Gathering' card of the same name featuring a black-winged demonic creature on it, which is the appearance Isaac assumes upon picking up the item.
* "The Lord of the Gap" is a name commonly given to Belphegor, the demon of sloth and invention.
Karma

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Karma** is a trinket.

## Effect

* Donating to a Donation Machine has a chance to heal Isaac for a full red heart or spawn a Beggar.
* Increases the chance that donating to a Donation Machine will increase Isaac's luck.

## Notes

* There is a bug where this trinket can be obtained through a Fortune Teller machine even if it is not unlocked yet.

## Trivia

* The Symbol is a Triskelion, also known as a Triskele, which is often used to represent karma.
Farting Baby

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Fart Baby** is an unlockable passive item added in Afterbirth.

## Effects

* Spawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot it has a chance of farting. There are three possible fart effects:
	+ Poison all nearby enemies
	+ Knock back nearby enemies
	+ Charm all nearby enemies

## Seeds

Template:PlatPC DH43 2GY4 (Treasure room adjacent to spawn) (Hard mode only)
Cat-O-Nine-Tails

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Cat-O-Nine-Tails** is a passive item.

## Effects

* +1 Damage.
* +23% Shot Speed.

## Trivia

* A Cat o' Nine Tails is a multi-tailed whip commonly used in physical punishment and torture.
* Unlike in Rebirth, in the original game Cat-O-Nine-Tails was merely a shot speed up and was widely considered by the community to be one of the worst items in the game.

fr:Cat-O-Nine-Tails
Bob's Bladder

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Bob's Bladder** is a trinket.

## Effect

* Bombs leave green creep underneath themselves.

## Notes

* Bombs will leave a trail of creep when moved or pushed around.

## Synergies

* Dr. Fetus: Bombs from Dr. Fetus leave creep.
* Remote Detonator: Bombs will continue to leave creep until they are manually detonated, allowing lots of creep to be made by pushing bombs around.
* No. 2: Bombs from No. 2 leave creep.

## Ingame Footage

fr:Bob's Bladder
A Quarter

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**A Quarter** is an unlockable passive item.

## Notes

* It has a chance to spawn when an urn is destroyed.

## Trivia

* When the shop item pool is depleted, it is possible to find The Quarter for sale in the store for 15 cents. This can also occur in the I AM ERROR room.

## Seeds

Template:PlatPC 1TNY 7MJ0 (First floor treasure room)
Template:PlatPC GFYH 3JPE (First floor treasure room)

fr:A Quarter
Bomb Bag

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Bomb Bag** is an unlockable passive item.

## Effects

* Isaac is followed by a small bag that drops a bomb every 3 rooms.
	+ The bomb dropped can be a normal bomb, 1+1 Free, a Troll Bomb, or a File:DLC Indicator.png Gold Bomb.

## Seeds

Template:PlatPC GM2C JGVE
Template:PlatVita 34CX QDKR - 1st treasure room
Template:PlatVita MWY3 3QCB (treasure room adjacent to spawn)
Template:PlatVita MDD9 DESJ (treasure room adjacent to spawn)

fr:Bomb Bag
Cambion Conception

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Cambion Conception** is a passive item added in Afterbirth.

## Effects

* Upon taking damage a certain number of times, Isaac gains a permanent demonic Familiar. Possible familiars include:
	+ Dark Bum
	+ Demon Baby
	+ Incubus
	+ Leech
	+ Lil' Brimstone
	+ Succubus
* The first and second familiars will each spawn after taking damage 15 times. The third and fourth familiars will each spawn after taking damage 30 more times. No further familiars will spawn. As a result, after taking damage 90 times, four out of six possible familiars will have spawned.
* Isaac will look progressively more pregnant as he takes damage.

## Notes

* Lilith starts with this item once unlocked.
	+ When playing as Lilith, if the next familiar to be spawned is an Incubus, the item will do nothing instead.
* Only one of each type of familiar can be spawned.
* File:Afterbirth† Indicator.png The effect of Dull Razor counts towards the Cambion Conception payout allowing familiars to be spawned without taking real damage.
* Familiars spawned this way do not count towards transformations nor the Collection Page.
* Familiars spawned by the item do not affect item pools, so multiple copies of one familiar can be obtained. For example, a second Incubus can be purchased after Cambion Conception spawns one.
* The Succubus spawned by this item will not increase damage by 50%.
* This item is the demonic counterpart to Immaculate Conception.

## Gallery

* Cambion St1.png

First stage (Initial)
* Cambion St2.png

Second stage
* Cambion St3.png

Third stage

## Trivia

* In mythology, a cambion is the offspring of a human and an incubus or succubus.
* During the development of Afterbirth, Edmund McMillen asked on Twitter what the opposite of Immaculate Conception would be called. 27 people replied with suggestions, but none of them were used.

fr:Cambion Conception
Little Horn (Item)

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**Little Horn (Item)** is a passive item added in Afterbirth †.

## Effects

* Running into enemies damages them.
* Adds a chance to fire piercing tears which instantly kill any non-boss enemy.
	+ This chance scales with luck.

## Notes

* The special tears will kill some normally invulnerable monsters, such as Death's Heads, Stoneys, and Peep's floating eyeballs.
* The special tears can also destroy Blue Fireplaces and Purple Fireplaces.
* The special tears can destroy the various spiked blocks (Wall Hugger, Slide, and Poky) as well as the variants of Stone Grimace. All of these will respawn if Isaac leaves and re-enters the room.
* The special tears can destroy the golden Greed Statue after defeating Ultra Greed before it transforms in Ultra Greediest, skipping the Ultra Greediest fight.

## Synergies

* Ipecac: Projectiles gain the effect, piercing through and instantly killing most enemies, and then exploding upon landing.
* Soy Milk: Due to the higher tear rate, the special tears will be fired much more frequently.
Butt Penny

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Butt Penny** is a trinket.

## Effects

* Upon picking up a coin, Isaac farts, knocking back nearby enemies.
	+ The fart does not deal any damage or inflict poison.
	+ increases the chances of coins dropping from poop. [*>citation needed*][[[Category:Citation needed]]

## Trivia

* Butt Penny is part of the group of penny-themed trinkets, including the Bloody Penny, Burnt Penny, Counterfeit Penny, Flat Penny, and Swallowed Penny.

## Seeds

Template:PlatPS4 Template:PlatPC TSSE PWQW (two rooms down from spawn, first floor)

fr:Butt Penny
Bucket of Lard

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Bucket of Lard** is a passive item.

## Effects

* Adds 2 empty heart containers.
* -0.2 speed.
* Heals half a red heart.

## Trivia

* This item is used in Challenge #5 (The Tank).

## Seeds

Template:PlatPC 94AV CY1T (Treasure room adjacent to spawn)
Template:PlatPC 4BRE JNGK (Treasure room adjacent to spawn)
Template:Plat3DS 901P AHTN (Treasure room adjacent to spawn)

fr:Bucket of Lard
Safety Scissors

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Safety Scissors** is a trinket added in *The Binding of Isaac: Afterbirth* expansion.

## Effects

* Troll Bombs turn into Bomb pickups before they explode.
* Mega Troll Bombs turn into 1+1 Free Bombs before they explode.

## Synergies

* Anarchist Cookbook/XVI-The Tower - Spawns 6 bomb pickups.
* Curse Of The Tower - Spawns 6 bomb pickups upon taking a hit.
* Sack Head - Troll Bombs have a chance to turn into sack pickups instead of Bomb Pickups.

## Notes

* Players can farm large amounts of bomb pickups if used against Little Horn, War, Pride, or other Troll Bomb spawning enemies.
* Does not affect Wrath's bombs.
	+ File:Afterbirth† Indicator.png Wrath and Super Wrath's bombs turn into their respective pickups.

## Ingame Footage

* Safety Scissors turning a Mega Troll Bomb into a double bomb pickup.
Lil' Chest

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**Lil' Chest** is an unlockable passive item added in Afterbirth.

## Effect

* Spawns a familiar that drops things found in Brown Chests at random intervals. Specifically, this includes the following:
	+ Hearts
	+ Coins
	+ Bombs
	+ Keys
	+ Cards
	+ Pills
	+ Little Batteries (these are not actually found in Brown Chests)
	+ Trinkets
Little Steven

Template:LookFor
{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Little Steven** is an unlockable passive item.

## Effect

* Spawns a familiar that follows Isaac around and fires homing tears.
* Template:Conjoined

## Trivia

* Little Steven originated from the 2009 flash game *Time Fcuk*, which was created by Edmund McMillen.
* In the original *Binding of Isaac*, Little Steven could only be dropped by Steven, and only 80% of the time.

## Seeds

Template:PlatPC 2R8L LRTW (Treasure room adjacent to spawn)
Template:PlatVita OKMP CCDP (Treasure room adjacent to spawn)
Template:Plat3DS A4FZ CA89 (Treasure room adjacent to spawn)
Isaac's Tears

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**Isaac's Tears** is an unlockable activated item.

## Effect

* Each tear shot by the player increases item charge by one.
* Upon use, fires 8 tears around the player, which retain the damage, shot speed, and most special effects of the player's tears.

## Notes

* Tammy's Head has an effect similar to Isaac's Tears, but Isaac's Tears will not benefit from tear-replacing items like Brimstone.

## Interactions

* Brimstone, Charged Tears, or Mom's Knife: The item fires normal tears, although it will charge nearly instantly while the attack charges.
* Chocolate Milk: The size and damage of tears fired depend on how far Isaac has charged his shot. For example, if Isaac has completely charged his shot, the tears fired by the item will be fully charged.
* Dr. Fetus: Fires normal tears.
* Epic Fetus: The item fires normal tears, but charges very quickly as the crosshairs are moved.
* Ipecac: Fires 8 explosive shots.
* Soy Milk: Charges very quickly, but shoots low damage soy tears.
* The Ludovico Technique: The item charges very quickly as the tear is moved.
* Technology: Fires normal tears.
* Technology 2: Fires normal tears.

## Gallery

* Template:Plat3DS The icon of Isaac's Tears as seen on the lower 3DS screen

## Bugs

 ****Bug!**** If the player has Brimstone and Chocolate Milk, the player can charge past the fully charged point, allowing the player to gain giant tears and will one-shot each boss depending on how long the player has charged.
## Seeds

Template:PlatPC ZGDT MHSD (treasure room adjacent to spawn)
Template:PlatPC File:DLC Indicator.png 6D1S 92YW
Template:PlatVita KFZ0 7KL3 (treasure room adjacent to spawn)
D12

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**D12** is an unlockable activated item added in Afterbirth.

## Effect

* Re-rolls all obstacles (including Marked Rocks) in the current room into others.

## Notes

* Urns, mushrooms, skulls, and polyps can be re-rolled. Depending on the current chapter, rocks can also be re-rolled into them.
* The D12 is the only way in the game to remove metal blocks.
* The D12 can re-roll obstacles into rainbow poop, golden poop and tinted rocks, although the chance is low.
* The D12 will not re-roll key blocks.
* The D12 will not re-roll Fireplaces, Stone Grimaces, or other obstacles that the game classifies as enemies.
* The Satan and angel statues found in Devil Rooms/Angel Rooms are unaffected by the D12.

## Strategies

* The D12 can be used in big rooms with lots of obstacles to maximize the chance of obtaining helpful obstacles such as rainbow poop, golden poop, and tinted rocks.
* Combining D12 with A Card Against Humanity in big rooms will maximize the number of re-rolled obstacles.
* The D12 can be used to access otherwise unreachable spots or items (for instance, when they are surrounded by metal blocks).
* The D12 helps in rooms where red poop is a major hazard.

## Seeds

Template:PlatPC YL6N 8KK4 (Treasure room above spawn) Template:NormalMode

Template:DiceNav

fr:D12
Halo of Flies

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**Halo of Flies** is a passive item.

## Effects

* Spawns two pretty fly familiars that block enemy shots.
* Template:Lord of the Flies

## Notes

* Orbital flies can also be obtained by other means, such as Slot Machines and Pretty Fly pills.

## Trivia

* This item is used in Challenge #6 (Solar System).
* This item might be a reference to Halo of Flies, a song by Alice Cooper.

## Seeds

Template:PlatPC 3NAZ FBXB (Treasure Room adjacent to spawn)
Template:PlatPS4 H3HS N1D8 (Treasure Room adjacent to spawn) (hard mode only)
Template:PlatVita YW1Z FNRE (Treasure Room adjacent to spawn) (normal mode only)
Template:Plat3DS AG90 88G2 (Treasure Room adjacent to spawn)
Template:PlatPC File:DLC Indicator.png BM3J 23NS (treasure room adjacent to spawn) (hard mode only)
Eucharist

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**Eucharist** is a passive item added in Afterbirth †.

## Effect

* An Angel Room Door will always spawn after every boss fight, excluding the first floor and floors after Chapter 4.
	+ Devil Rooms will no longer appear.

## Notes

* After acquiring Eucharist, the only way to encounter Devil Deals is to re-roll the item away or find Duality.

## Trivia

* A eucharist is a Christian rite in which bread and wine are consumed as a metaphor for taking in Jesus' body and blood.
Crystal Ball

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The **Crystal Ball** is an activated item.

## Effect

Upon use, it:

* reveals the floor layout and all special rooms except the Super Secret Room
* drops either a Soul Heart or a random Tarot Card / Rune (50% chance of either)

## Notes

* The map revealing effect will not work if the Curse of the Lost is active.
* If the player has the Daemon's Tail trinket, the chance to drop cards will change to 90%/10% in favor of cards.
* It's possible to get more than one Crystal Ball on a single run.

## Gallery

* Template:Plat3DS The icon of Crystal Ball as seen on the lower 3DS screen

## Seeds

Template:PlatPC QDEJ YC0G (Treasure Room adjacent to spawn).
Template:PlatPS4 S9JE DPPD (treasure room adjacent to start).

fr:Crystal Ball
Explosivo

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Explosivo** is a passive item added in Afterbirth.

## Effects

* Isaac's tears have a chance to stick to enemies and explode a few seconds afterwards, dealing 60 damage plus Isaac's tear damage.

## Notes

* Tears that stick to enemies do not deal any damage until they explode.
* If an enemy dies or teleports with an Explosivo tear attached, the tear detaches and drops to the ground. If the detached tears touch an enemy, they will stick to that enemy and explode.
	+ However, when an Explosivo tear is attached to Loki or Lokii, the tear teleports with the respective boss when the boss teleports.
* The explosions can damage Isaac.
* Be careful with large-sized tears: as Explosivo causes them to grow even larger, they can completely obscure enemies and their surroundings.

## Interactions

* Mom's Knife: Overrides Explosivo.
* Dr. Fetus: Overrides Explosivo.
* Brimstone: Overrides Explosivo.
* Sad Bombs: Does not affect Explosivo tears.
* The Ludovico Technique: Not recommended. While the tear is stuck to an enemy, it stops doing damage and cannot be controlled, leaving the player helpless.
* Technology, Tech X: Overrides Explosivo.

## Synergies

* Cricket's Body: The explosion results in four Explosivo shots being fired outward, almost always resulting in another landing on the original target if it survives.
* Godhead: The tear keeps its damaging aura while attached to the enemy, the aura growing as the tear does until it explodes.
* Host Hat, Pyromaniac: The explosion will no longer damage Isaac. The latter item will *heal* Isaac.
* Ipecac: Sticking shots explode with a huge explosion.
* Lost Contact: Enemies that have an Explosivo tear stuck to them won't be able to shoot any tears.
* Mr. Mega: Greatly increases the damage of Explosivo's explosions.
* Mysterious Liquid: Leaves a pool of green creep on the floor, similar to Bob's Bladder bombs (but slightly larger).
* Soy Milk: Extreme rate of fire and flat damage from the explosions provide more than make up for the dismal tear damage.
* Strange Attractor: When a tear sticks to an enemy, the enemy is quickly pulled in the direction of the tear.

## Trivia

* Possible reference to a scene from "The Incredibles" where the black tar balls grew and grew when they hit Mr. Incredible.
* Possible reference to the Tenacious D song of the same name.
* The icon may be a reference to the NES game Top Gun as it looks incredibly similar to the missiles that shoot at you in the game.
* Explosivo means *Explosive* in Portuguese and Spanish.

## Bugs

 ****Bug!**** If an explosive tear sticks to a Null or a Begotten, when they become invisible, the tear will fall to the ground.
Dark Matter

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Dark Matter** is a passive item.

## Effects

* +1 Damage.
* Adds a chance to shoot fear tears, causing enemies to run away from Isaac.

## Notes

* Fear tear effect depends on the Luck stat, and goes up to 100% at 20 Luck. (This makes dark matter significantly better at inflicting fear than Abaddon or Mom's Perfume)

## Trivia

* This item is used in Challenge #4 (Darkness Falls).

## Seeds

Template:PlatPC J0EH 8ZKW (first Devil Room spawn)
Template:PlatPC ZX0S SJV7 (second Devil Room spawn)
???'s Soul

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**???'s Soul** is a trinket.

## Effect

* Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeper and fires spectral and homing tears.

## Notes

* Unlike The Peeper, ???'s Soul does no contact damage.
* ???'s Soul is unable to shoot while flying over obstacles (which is the same behavior that Ghost Baby has).
* ???'s Soul behaves similarly to the passive item Cain's Other Eye, which fire normal tears instead.

## Gallery

* Isaac and the **???'s Soul** familiar

fr:???'s Soul
Capricorn

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Capricorn** is a passive Zodiac item.

## Effects

* +1 heart container
* +0.5 damage
* +0.1 speed
* +1.5 range
* +1 coin
* +1 bomb
* +1 key

Template:TearDelayDown

## Trivia

* This item, like the other Zodiac items, is based on the Zodiac signs.

## Seeds

Template:PlatPC T36E VGEB (Treasure room adjacent to spawn)
Template:PlatPS4 T473 SG1C (First floor treasure room)
Template:PlatVita BQ21 JVY1
Template:PlatPC File:DLC Indicator.png GCA0 FRXM (treasure room adjacent to spawn) (both modes)

Template:ZodiacNav

fr:Capricorn
Spelunker Hat

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Spelunker Hat** is a passive item.

## Effect

* Reveals on map what type of room all rooms adjacent to your current room are (shop, sacrifice room, etc.)
	+ This also works for secret rooms and super secret rooms.

## Trivia

* The item is a reference to the game Spelunky.

## Seeds

Template:PlatPC YVZB 9TCC (Treasure Room adjacent to spawn)
Template:PlatPC HL3B 7JDT (Treasure Room adjacent to spawn)
Template:PlatPC K7PH HEP2 (Treasure Room adjacent to spawn)
Template:PlatVita 8JMQ JSMJ (Treasure Room Adjacent to spawn)
Apple!

{{:{{{1}}} | {{{1}}} | {{{2}}} }}

**Apple!** is a passive item added in Afterbirth †.

## Effects

* Adds a chance to fire razor blades that deal quadruple Isaac's tear damage.
	+ The chance to fire a razor blade depends on the luck stat, and goes up to 100% at 14 luck.
* +0.4 tears.

## Interactions

* Sinus Infection - Tears can gain the effects of razors, boogers, or both, though the chance for both to occur on the same tear is low. Razor blades visually override boogers in these cases.
* Tough Love - Tooth shots are overridden by the razor blades, though at under 14 luck it's possible to get both.
* The Ludovico Technique - The tear will get bigger in some rooms, but the damage doesn't appear to be applied.

## Trivia

* Both the item itself and the description is possibly a reference to one of Isaac's nightmares between floors that involves him finding a razor blade inside a piece of candy.
* The item and pickup quote are a reference to the urban legend of giving away candies with razor blades as a way of committing murder.

fr:Apple!