Cards and Runes

**Cards** and **runes** are usable items with a wide variety of effects. They take up the same slot as pills.

Runes and special cards are unlocked by completing challenges.

## Cards

### Major Arcana Cards

When on the ground, these cards look like this:

### Playing Cards

When on the ground, these cards look like this:

### Special Cards

When on the ground, these cards look like this:

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## Runes

### Left Pointing Runes

When on the ground, these runes look like:

### Right Pointing Runes

When on the ground, these runes look like:

## Other

These are items other than cards and runes (and pills) that take up the consumable slot. When on the ground, each of these items are uniquely identifiable by their respective icon.

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## Notes

* The game counts runes as cards for the purposes of Starter Deck, Blank Card and File:Afterbirth† Indicator.png Tarot Cloth.
* File:DLC Indicator.png Using the Blank Card with the ? Card teleports the player to the I AM ERROR room of the current floor. This consumes both the Blank Card and the ? Card.
* Using the Joker card in The Womb II or Utero II will instantly teleport the player to the Devil Room or Angel Room with a trapdoor leading to Sheol or to the Cathedral. This can be used to skip Mom's Heart or It Lives and will not count as a kill.
	+ File:DLC Indicator.png After unlocking It Lives, Devil or Angel Rooms in The Womb II, Utero II, and Scarred Womb II no longer contain trapdoors and instead have their normal contents.
* Using The Joker card can allow Isaac to encounter Devil Rooms or Angel Rooms on floors they otherwise cannot appear on.
* If you use the Strength card with only one spirit heart left, and lose the spirit heart while in the same room, you retain the full heart container that Strength grants after you leave.

## Unlockable Achievements

* The Necronomicon The Necronomicon - Use XIII - Death 4 times.

* Blinding Baby File:DLC Indicator.png Blinding Baby - Use Blank Card while holding XIX - The Sun.

## Trivia

* In the expansion of the original game, *Wrath of the Lamb*, there was a positive pill effect called "Friends Till The End", which summoned 3 blue attack flies. This effect was improved, given to the rune Berkano in Rebirth, and added again in Afterbirth with the original effects.
* The Suicide King card is a reference to the King of Hearts card, which is usually called that way because it depicts a king in a way that he appears to be sticking his sword into his head.
* The Chaos Card is a reference to the Magic: The Gathering card "Chaos Orb", which also instantly destroys enemies that it touches.
* The Get out of Jail Free card is a reference to a card with the same name that appears in the table game *Monopoly*.
* The "A Card Against Humanity" card is a reference to the card game "Cards Against Humanity".

## Bugs

 ****Bug!**** File:DLC Indicator.png Using the Joker card to enter a Devil Room / Angel Room in the Blue Womb will cause the music of the floor to continue playing instead of the normal Devil Room / Angel Room music.

fr:Cartes et Runes