recursal/Fanatic-Fandom huggingface dataset:
Scissors

*Not to be confused with The Pinking Shears.*
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**Scissors** is an unlockable activated item.

## Effect

* Upon use, turns Isaac's head into a stationary familiar which fires tears for the current room. These tears do not scale with your damage and will always do the same amount of damage per shot as Isaac's starting damage.

## Notes

* Can spawn multiple heads if used in the same room more than once.
* Brimstone and Technology are not fired from the stationary head.
* If Isaac has an invisible body due to the cosmetic effect of Transcendence, only a shadow will be seen after using the Scissors.
* If Isaac has a blindfold, the floating head can still fire tears.
* File:DLC Indicator.png Each wave of Boss Rush fully recharges the item, allowing many heads to be spawned.

## Interactions

* BFFS!: The loose head won't become larger, but will deal double damage.

## Gallery

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

## Seeds

Template:PlatPC &Template:PlatPS4 VNAB CWER (First floor treasure room)
Template:Plat3DS 0M6X BR8Y (First floor treasure room)
Wait What?

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

**Wait What?** is an activated item added in Afterbirth †.

## Effect

* Upon use, Isaac farts, knocking back enemies and their shots. It also sends out rock waves which deal 10 damage per tick to nearby enemies and break destructibles.

## Notes

* This item is identical to Butter Bean in appearance.
* Butter Bean has a small chance to turn into this item upon pickup.
* This item is useful for opening Secret Rooms, Super Secret Rooms, and Bedrooms. In Bedrooms, it can also open up the passage under the carpet.
* The earthquake can open Stone Chests.

## Synergies

* Blue Map: Reveals Secret Rooms and Super Secret Rooms, which Wait What? can be used to open.

## Trivia

* The item description is a reference to a brand of margarine named "I Can't Believe It's Not Butter!".

fr:Wait What?
Rainbow Baby

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

**Rainbow Baby** is a passive item.

## Effect

* Spawns a familiar that follows Isaac around and fires tears with random effects of other familiars.

## Notes

* The type of tear is randomized with each familiar shot.

## Trivia

* File:DLC Indicator.png This item is used in Challenge #28 (PRIDE DAY!).

## Seeds

Template:PlatPC 138Q QN30 (Treasure room adjacent to the starting room)
Template:PlatPC Q0AL BV91 (Treasure room adjacent to spawn)
Template:PlatPS4 JJA0 JQC0 (Treasure room adjacent to spawn)
Template:PlatVita WTFA VLCG
Number One

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

**Number One** is a passive item.

## Effect

* Range is heavily decreased, but the fire rate is majorly increased.
* Tears turn yellow and are fired from Isaac's lower body rather than his head.

## Interactions

* Azazel - Lowers range, reduces charge time.
* Mom's Knife - The knife turns yellow and the maximum range is significantly reduced.
* Toothpicks - Tears become orange.
* Marked - Tears become orange. Firing rate is increased, Marked's effect is unaffected but range is reduced.

## Synergies

* Brimstone - The laser turns yellow and charges at a much faster rate with no decrease to range.
* Technology - The laser turns yellow and Technology's firing rate is greatly increased with no decrease to range.
* File:DLC Indicator.png Incubus - The Incubus fires at a much faster rate with no decrease to range.

## Trivia

* "Number One" is a euphemism for urination.
* In the original *Binding of Isaac*, Number One had the effect of turning all future Range Down pills into Range Up pills. This was presumably designed to reduce the risk of players being stuck in situations where their range would become too low to clear certain rooms. However, in *Rebirth*, Number One no longer has this effect, and will not turn Range Down pills into Range Up pills.
* This item is used in Challenge #2 (High Brow).

## Seeds

Template:PlatPC J172 PRAK (Treasure room adjacent to spawn)
Template:PlatPC VMA3 SMZA (Treasure room adjacent to spawn)
Template:PlatPC File:DLC Indicator.png SRX8 FXHM (Treasure room adjacent to spawn) (XL floor) (Hard mode only)
Template:Plat3DS 0RJ7 VQYY (First floor treasure room)
Template:PlatPS4 WYH4 A4DX (First floor treasure room)
The Inner Eye

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

**The Inner Eye** is a passive item.

## Effects

* Isaac fires a spread of three tears at once.
* Tears down: (Delay \* 2.1) + 3

## Interactions

* 20/20: Overidden by The Inner Eye.
	+ File:DLC Indicator.png 20/20: Shoots 5 tears instead of 3.
* File:DLC Indicator.png Diplopia: Picking Inner Eye 2 times stacks the effects, resulting in 6 tears being shot, and no further decrease in fire rate.
* File:DLC Indicator.png Keeper: Causes Keeper's fire rate to drop considerably, but he shoots 6 tears in an arc
* Mutant Spider: Overrides The Inner Eye.
	+ File:DLC Indicator.png Mutant Spider: Shoots 7 tears instead of 3.

## Synergies

* Brimstone: Grants a triple laser at the cost of increased charge time.
* Doctor's Remote / Epic Fetus: Replaces the single missile strike with a barrage of three consecutive missiles.
* Dr. Fetus: Three bombs are thrown at once.
* Ipecac: Three projectiles are fired at once in rapid succession.
* Mom's Knife: Isaac holds a single knife, but charged shots throw three knives at once.
* Polyphemus: Tears Down of Polyphemus and Inner Eye do not stack, turning Polyphemus into a pure Damage Up.
* Soy Milk: Rapidly shoots three streams of tears.
* Technology: Grants a triple laser at the cost of a lower firing speed.
* The Ludovico Technique: The Ludovico tear gains two orbiting tears.
* File:DLC Indicator.png Tractor Beam: Condenses triple shots into a stack of three tears.

## Seeds

Template:PlatPC 8MAZ 897M (Treasure room adjacent to spawn)
Template:PlatPC EMHE HEZW (First floor treasure room)
Template:PlatPS4 WWDQ Q8LA (Treasure room adjacent to spawn)
Template:PlatVita 8VDY 8OCD (Treasure room adjacent to spawn)
Template:Plat3DS BRZY XG9Z (First floor treasure room)
Stud Finder

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**Stud Finder** is a Trinket.

## Effect

* Gives rocks an additional chance to reveal a Crawl Space when broken.

## Notes

* Stud Finder's effect is applied when a rock is destroyed and does not depend on the rock's location.
	+ Any of the rocks already seen before picking up Stud Finder can be affected by the trinket.
	+ Shiny Rock doesn't synergize with Stud Finder as there is no set location for the rocks that will reveal a Crawl Space when destroyed with Stud Finder.
	+ Unlike Tinted Rocks and normal Crawl Space rocks whose generation is dependent to the room they're in, Stud Finder's Crawl Space generation effect mainly depends on the number of rocks destroyed, which means that the more rocks destroyed, the higher the chance to find a Crawl Space.
* The chance increases with Mom's Box.
Ouija Board

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**Ouija Board** is a passive item.

## Effect

* Grants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.

## Synergies

* The Parasite: When tears pass through a solid objects, like rocks, they will split, resulting in many tears shooting out from every rock the original tear passed through.

## Interactions

* Brimstone/Azazel: No effect.
* Epic Fetus: No effect.
* The Lost: Useless, as The Lost starts with spectral tears by default.
* Mom's Knife: The knife becomes transparent, but since it already goes through rocks and other obstacles, Ouija Board has no effect.

## Trivia

* A Ouija Board is a flat board marked with the letters of the alphabet, the numbers 0–9, the words "yes", "no", "hello" (occasionally), and "goodbye", along with various symbols and graphics. It's believed to be a "spirit communicator" allowing you to talk with spirits.
* Isaac's expression seems to be from the film "The Ring", after a victim has been killed after 7 days.

## Seeds

Template:PlatPC : 0S1C SE4Z (First treasure room next to spawn)
Template:PlatPC : 61EV PBCH (First treasure room next to spawn)
Template:PlatVita : BHT0 KV4A (First treasure room next to spawn)
Shade

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

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

## Effects

* Grants a shadow familiar that follows Isaac's movements on a 3 second delay and deals 2 contact damage per tick to enemies.

## Notes

* If Isaac gains a method of flight, Shade will gain wings.
* Shade has a chance to permanently die and turn into friendly dark Chargers, similar to those spawned by My Shadow.Template:Cn

## Trivia

* Obsessed Fan behaves identically to Shade.

fr:Shade
Red Candle

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The **Red Candle** is an unlockable activated item.

## Effect

* Upon activation, Isaac will raise the candle above his head. On pressing a fire button, a red flame, similar to a fireplace, will fire in the chosen direction that deals a maximum of 125 damage per flame.
	+ The flame also destroys enemy shots it comes into contact with, which decreases its size each time being hit until the flame is entirely extinguished by this process.
* The flame projectile is persistent, and will remain active in the room until it deals a set amount of damage. It can pass over Pits, but can not travel through Rocks or Poop.

## Notes

* While Isaac holds the candle above his head, his movement Speed is reduced.
* Flames remain active until depleted by dealing damage to enemies or upon changing rooms.
* There is no limit to the number of fires that can be active. This is useful in situations where mob spawning can be controlled: for example, beating Boss Rush as The Lost. This is time-consuming, but can be viable if your other sources of damage are weak or unreliable.
	+ File:DLC Indicator.png Boss behaviour in Boss Rush is not as predictable as in the original game, so more fires must be placed around the room.
* It will block Isaac's tears but won't burn him.
* Flames do not drop any collectibles when doused.
* Flames will destroy shopkeepers.
* When using The Ludovico Technique, when the fire hits the tear, the tear resets and appears again on the player.
* The player's tears can also shrink the size of the flame.
* The 9 Volt decreases the recharge time of the item.

## Gallery

* Template:Plat3DS The icon of Red Candle as seen on the lower 3DS screen

## Trivia

* The Legend of Zelda, a major inspiration for *The Binding of Isaac*, also has a red candle item that can be activated to create flames for burning enemies and bushes, as well as lighting dark rooms. Unlike in Isaac however, where the red candle is unlocked first, the blue candle is the inferior version of the red one, which can be activated only once per room.
* The Candle is a variation of this item unlocked after donating 900 coins, diminishing over time as opposed to contact.
* The pickup quote of this item is a reference to the catchphrase of the Human Torch, a member of the Marvel Comics Fantastic Four

## Seeds

Template:PlatPC 1TNY 7MJ0 (1st floor Shop, Purchase after getting A Quarter in 1st floor Treasure Room) (normal mode only)

Note: Red Candle is inaccessible on the hard mode seed due to difficulty of getting a key to open the shop.
Mom's Toenail

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**Mom's Toenail** is a trinket.

## Effects

* Mom's foot comes down every minute.
	+ Still hurts Isaac for a Heart.
	+ Can blast open doors.

## Notes

* As the foot counts as an explosion, the damage can be avoided with Pyromaniac or File:DLC Indicator.png Host Hat.

## Seeds

Template:PlatPC 4SP9 AL1R (Dropped in room above starting room)
Plan C

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

**Plan C** is an activated item added in Afterbirth †.

## Effect

* Upon use, instantly kills every enemy in the room, then kills Isaac 3 seconds later.

## Notes

* Plan C does not kill both phases of bosses like Hush or Ultra Greed, and is most useful when used during the last phase of these multi-phase bosses. After killing bosses, however, you will not be able to reach the chest or next floor in time. The kill still counts as a victory for Completion Marks, but the run will still end without extra lives.
	+ While using this will technically kill Delirium, his death animation takes longer than 3 seconds, meaning you will die first and it will not count as a Delirium kill. Having extra lives that re-spawn your character outside the room will not help either; you must fight Delirium again.
		- However, if playing as Lazarus or if Lazarus' Rags is obtained, using Plan C against Delirium will net a very easy kill.
* Your will will show your last damage source as the cause of death, not Plan C. If you have never taken damage or lost health from any source, Isaac's face is shown.
* Even when using an item such as Ehwaz, your character will still die after arriving to the next floor.

## Synergies

* Extra life items (Dead Cat, 1up!, etc.): Allows Isaac to continue after using Plan C.
* Lazarus' Rags: Allows Isaac to continue after using Plan C. Unlike other extra life items, Isaac respawns in the same room (as Lazarus Risen).

## Trivia

* This is a reference to the "Morning After" pill that prevents a pregnancy, commonly referred to as "Plan B". It's also a reference to a "cyanide pill" that is fatally poisonous, and can be deliberately taken to commit suicide. It's likely that the item is called "Plan C" because it is too late for a "Plan B" to prevent Isaac from being born; so the "next best thing", Plan C, is for Isaac to kill himself.
* This item is found in more item pools than any other item in the game.

fr:Plan C
Mom's Perfume

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**Mom's Perfume** is a passive item.

## Effect

* Adds a chance to shoot fear tears, causing enemies to run away from the player.

Template:TearDelayDown

* Template:Yes Mother

## Notes

* The fear effect chance depends on the luck stat, reaching 100% with 85 luck.

## Seeds

Template:PlatPC 3XJM 4HLT (Treasure room adjacent to spawn)
Template:PlatPS4Template:PlatVita 8RTJ 1EJW (Treasure room adjacent to spawn)
Template:Plat3DS 1JP1 4ZM6 (First floor treasure room)
Achievements

*For tips and strategies on completing achievements, see Achievement Tips.*

**Achievements** are unlocked for players after completing challenges, reaching certain milestones, achieving hidden goals, or unlocking certain items. There are 178 unlockable achievements. Secrets are the PSN and Steam version of in-game achievements. In the PC version, every Steam achievement exactly corresponds to one secret in-game, whereas only a handful of secrets are represented by PSN trophies in the Playstation version of the game. Using a seed or a mod prevents the unlocking of achievements for that run. A small icon of a crossed-out trophy is displayed to help players determine when they are presently unable to unlock achievements.

# Afterbirth Achievements

## Afterbirth † Achievements

Note: Although not technically an achievement, getting 1000000% for all 3 save files will result in the special 3,000,000%!!! graphic showing on the save file selection screen. Simple file manipulation (copying save files and renaming them) in the Steam Remote folder (or Afterbirth+ folder if steamcloud is set to 0) will work.

## Trivia

* File:Afterbirth† Indicator.png The 5 Nights at Mom's achievement is a reference to the game's name of Five Nights at Freddy's.

fr:Succès
White Pony

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**White Pony** is an activated item.

## Effect

* Passively grants flight.
* If Isaac's speed is less than 1.5, the item passively increases his speed to 1.5.
* Upon use, Isaac charges in the direction the pony is facing, becoming invulnerable during the charge and damaging enemies while also casting the effect of Crack the Sky.

## Notes

* If White Pony is replaced by another activated item, Isaac will lose any passive benefits it granted.

## Gallery

* Template:Plat3DS The icon of White Pony as seen on the lower 3DS screen

## Trivia

* This item is a reference to the White Horse, one of the *Four Horsemen of the Apocalypse* described in the last book of the Bible. This is reinforced by the fact that the item is dropped by Conquest, which is a further reference to that passage of christian theology.
Sad Bombs

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**Sad Bombs** is a passive item.

## Effect

* Upon exploding, Bombs shoot 10 tears off in every direction, similar to Tammy's Head. The tears are affected by any tear modifiers Isaac has on his own tears.
* Grants five bombs.

## Notes

* The tears generated by the bombs can push other bombs. Dropping multiple Sad Bombs is not advised since they could be pushed near you.

## Synergies

* Anarchist Cookbook - All 6 troll bombs will have Sad Bombs effect.
* File:DLC Indicator.png Bomber Boy - Each of the nine explosions will have its own tear burst.
* File:DLC Indicator.png Brimstone - Bombs explode into Brimstone beams in all directions.
* File:DLC Indicator.png Dr. Fetus - The bombs fired by Dr. Fetus explode into tears.
* Explosive Diarrhea pill: All five bombs gain the item effect.
* Mr. Boom/Bob's Rotten Head/Bob's Brain/BBF - Gains the Sad Bombs effect.
* File:DLC Indicator.png Multidimensional Baby - Each tear from the bomb will be duplicated.
* Kamikaze! - Isaac gains the item effect on activation.
* File:DLC Indicator.png Scatter Bombs - All mini bombs gain the effect.

## Interactions

* Anti-Gravity - Tears will hover in place for a few seconds before dispersing.
* File:DLC Indicator.png Explosivo - Tear explosions are not affected by Sad Bombs.
* Ipecac - Normal Ipecac shots won't explode into tears, but placed bombs will shoot Ipecac shots in every direction.
* File:DLC Indicator.png Tech X - Fires regular Technology lasers in multiple directions.

## Seeds

Template:PlatPC 2FMF V4Z0 (Treasure room adjacent to spawn room)
Template:PlatPS4 FLXP FE7K (Treasure room adjacent to spawn)
The Pact

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

**The Pact** is a passive item.

## Effects

* +0.5 Damage.
* +0.7 Tears.
* Grants two Soul Hearts.
* Template:Leviathan

## Seeds

Template:PlatPC PQD9 AWKJ (Curse Room adjacent to spawn).
Template:PlatPS4 3X2F RYA3 (Curse Room adjacent to spawn)
Template:PlatVita 4L6E 69GC (Curse Room adjacent to spawn).
Template:PlatPC HMLE 0WAL (Curse Room adjacent to spawn).
Template:PlatPC DM2W XMQQ (Curse Room adjacent to spawn).
My Reflection

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

**My Reflection** is a passive item.

## Effects

* Isaac's tears travel a short distance, then reverse direction and return to Isaac.
	+ The tears are constantly pulled towards Isaac; if Isaac moves after shooting, the tears will always return to him.
* +1.5 range
* +60% shot speed
* +1 shot height

## Interactions

* A Lump of Coal: The tears increase in damage as they are pulled towards Isaac.
* Anti-Gravity: The tears will slowly move towards Isaac instead of remaining stationary. Releasing the fire button will launch the tears as usual.
* Brimstone: Overrides My Reflection.
	+ File:DLC Indicator.png Makes the beam curvy when moving. Has the same effect on Azazel's mini-brimstone and doubles the range.
* File:DLC Indicator.png Continuum: If tears cross the border of the room, they will move towards Isaac from their new position rather than crossing back across the border.
* Dr. Fetus: **Not recommended.** The bombs will slide back towards Isaac after having reached a certain distance.
* Ipecac: **Not recommended.** The explosive tears will begin flying back towards Isaac after having reached a certain distance.
* Mom's Knife: No effect, as the knife already has this effect.
* Piercing Tears: Despite the piercing effect, tears cannot damage the same enemy multiple times.
* Technology: Overrides My Reflection.
	+ File:DLC Indicator.png Makes the beam curvy when moving.
* Tiny Planet: The orbital tears will move faster to stay in orbit around Isaac, making aiming easier.
* Whip Worm: Further increases shot speed, making Isaac's tears travel much farther forward before returning to Isaac.

## Trivia

* Isaac's appearance may be a reference to the anime Sailor Moon. The main character (Sailor Moon) has a crescent on her forehead and a secondary character (Sailor Neptune) uses a mirror as a source for her powers.
* This item is used in Challenges #7 (Suicide King) and #15 (Slow Roll).

## Seeds

Template:PlatPC 92WX MC2Y (Treasure room adjacent to spawn)
Template:PlatPS4 MHSM 639B (Treasure room adjacent to spawn)
Template:PlatVita Y6WG 4J4Y (Treasure room adjacent to spawn)
Template:Plat3DS VDHH BLGY (Treasure room adjacent to spawn)
Poke Go

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

**Poke Go** is a passive item added in Afterbirth †.

## Effect

* Adds a chance to spawn a friendly charmed enemy upon entering a room with enemies in it.
	+ Charmed enemies persist between rooms and floors.

## Notes

* The effect is not activated upon entering the main room of Greed Mode.
* Multiple charmed enemies can spawn at the same time.

## Trivia

* The item's name is a reference to Pokémon Go.
	+ The item's description is also a reference to the Pokémon series. A common phrase in the series is "Gotta catch 'em all!"
	+ The message "A charmed (enemy) appears!" is a reference to the phrase "A wild pokémon appears!" from the series.
Skeleton Key

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**Skeleton Key** is a passive item.

## Notes

* Rerolling this item with the D4, D100, Missing No., or a 1 or 6 pip Dice Room will not remove the 99 keys.
* This item is very useful for donating to Key Masters.

## Trivia

* A skeleton key is a type of master key which can be used to open most types of locks, usually warded locks.

## Seeds

Template:PlatPC AK72 N3EN (Secret room right of spawn) (Normal mode only)
Template:PlatPS4 FTTQ E3RZ (Isaac only. Secret room to the right of spawn, reroll the item within 2 times with the help of 48 hour energy dropped by item room PhD)
Template:PlatXbox TE97 KYLE
Vibrant Bulb

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**Vibrant Bulb** is a trinket added in *The Binding of Isaac: Afterbirth †* expansion.

## Effects

* Increases all stats while Isaac's active item is fully charged:
	+ +0.25 speed
	+ +0.75 range
	+ +0.20 tears
	+ +0.10 shot speed
	+ +0.50 damage
	+ +1 luck

## Notes

* Vibrant Bulb is slightly less than half as powerful as Dim Bulb; however, its effects are active more often.
* Infinite use items like Potato Peeler count as charged and provide the bonus.
* One-time use items both with and without a charge bar also count as charged and provide the bonus.
* Having additional charge beyond full with The Battery does not provide additional bonus.
* Switching from a non-full chargeable item to a chargeless one may not refresh the stat bonus. This can be fixed by dropping and picking up the trinket again.
* Does not synergize with Mom's Box.
Odd Mushroom (Large)

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

**Odd Mushroom (Large)** is a passive item.

## Effects

* +1 Empty Heart Container
* +0.3 Damage
* +0.25 Range
* +0.5 Shot height
* -0.1 Speed
* Template:Fun Guy

## Seeds

Template:PlatPC CH0T JNLO (First secret room to the left of the treasure room)
Template:PlatPC J1S1 MKKL (First floor, Treasure room)
Template:PlatPC 1SJM PBG6 (Treasure Room adjacent to spawn)
Template:PlatPC File:DLC Indicator.png STDX QSC8 (Two items in treasure room adjacent to spawn - Mushroom is on the right)
Template:PlatPS4 BPR1 KMWS (Treasure Room adjacent to spawn)

Mac File:DLC Indicator.png TMK3 C3JN (Treasure Room two rooms up on normal, treasure room to the right on hard)
Teleport

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

**Teleport** is an activated item.

## Effect

* Upon activation, teleports Isaac to a random room on the current floor.

## Notes

* It is possible to teleport to the Secret Room or Super Secret Room.
* It is not possible to teleport to the the Crawl Space for the floor or the Black Market.
* In Greed Mode it is possible to teleport to a Super Secret Room with no doors, resulting in the player being stuck.

## Gallery

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

## Seeds

Template:PlatPS4 Y906 H4PB (Treasure Room adjacent to spawn)
Template:PlatVita 6YYB KCYV (Treasure room adjacent to spawn)
Template:PlatPC 0R4G XDV3 (Treasure Room 2 rooms below spawn)
Template:Plat3DS F7CN D7B4 (Treasure room adjacent to spawn)
Milk!

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

**Milk!** is a passive item added in the *Binding of Isaac: Afterbirth* expansion.

## Effects

* Gives the player a glass of milk familiar that follows them and spills on the floor when they take damage.
* When the milk spills, the player will receive -2 tear delay (increased rate of fire) until they leave the room.
* After breaking, the milk will reappear in the next room.

## Synergies

* Box Of Friends: The milk familiar is not duplicated; instead, tear delay decreases by 2 upon use even if the player has not taken damage in the current room.

## Trivia

* This is a reference to the phrase "Don't cry over spilled milk".

## Seeds

Template:PlatPC ACH9 L4X8 (First floor treasure room) Template:BothModes
Template:PlatPC P8LL 4RPL (First floor treasure room)
Pills

**Pills** are pickups that can provide useful or inhibiting effects. They take up the same slot as cards and runes.

At the start of each run, an effect is randomly assigned to each color of pill. The pill effect for that color will remain constant throughout the run. (However, it is possible for PHD or Virgo to reassign some of the effects, such that 2 different colored pills will have the same effect.) The set of pill effects for any given run is usually known as the *pill pool*.

Lunatic Mod's custom pills are currently unreleased, but are expected to be added in upcoming updates.

## Strategy

* Use of unidentified pills is recommended for outside of combat as Confusion!, Hematocheria, I'm Dizzy..., Macropsia, and Overdose! can be detrimental mid-fight. However, Asbestos, Nasty Gas, and Projectile Vomiting are nearly useless outside of combat.
Smart Fly

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

**Smart Fly** is a passive item.

## Effect

* Spawns an orbital fly whose behavior changes depending on whether or not Isaac has taken damage in the current room.
	+ Before Isaac takes damage, the fly serves as an orbital familiar, blocking enemy shots.
	+ After Isaac takes damage, this fly will seek out nearby enemies and attack them, dealing 1.5 damage per tick.
* Template:Lord of the Flies

## Notes

* Smart Fly does not take up one of the three orbital slots; it floats between two of the other orbitals.
* Very useful in Boss Rush as it will remain aggressive until it is completed. A strategy for Isaac would be to willingly damage himself right at the start to trigger the Smart Fly so it deals with all the bosses.

## Seeds

Template:PlatPC CAKK GWMX (First floor treasure room)
Template:PlatPC YYH2 YJ4B (Treasure room adjacent to spawn)
Template:PlatPS4 WV2E FB1R (First floor treasure room)
Template:PlatPS4 1ZTZ EC7A (First floor treasure room)
Mitre

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

**Mitre** is a passive item.

## Effects

* Grants a chance *(around 50%)* of converting any red hearts pickups into soul hearts instead.
* Template:Seraphim

## Trivia

* The mitre is a bishop's ceremonial headdress.

## Seeds

Template:PlatPC Y8Y1 1LJB (Treasure room adjacent to spawn) Template:NormalMode
Template:PlatPC XENJ CHTD (First floor treasure room) Template:BothModes
Template:PlatPC LYP3 PBWQ (Treasure room adjacent to spawn) Template:BothModes
Template:Plat3DS HW0F 7G1C (First floor treasure room)
Template:PlatPS4 K2FG 9JFH (Treasure Room adjacent to spawn)
Spider Butt

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

**Spider Butt** is an activated item.

## Effect

* Deals 10 damage to all enemies in the room and slows them for 4 seconds.

## Gallery

* Template:Plat3DS The icon of Spider Butt as seen on the lower 3DS screen

## Seeds

Template:PlatPC AXS3 MFXW (Treasure room adjacent to spawn)
Template:PlatPC SQ24 649V (Treasure room adjacent to spawn)
Template:PlatPC QQBA 0WRZ (Treasure room adjacent to spawn)
Template:PlatPS4 GZ4N DSHW (Treasure room adjacent to spawn)
Template:PlatVita MBRQ KTT3 (Treasure room adjacent to spawn)
Template:PlatPC 2VXS 0S4B (Treasure room adjacent to spawn) (normal mode only)
Speed Ball

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**Speed Ball** is a passive item.

## Effects

* +0.3 Speed up.
* +0.2 Shot speed up.
* Template:Spun

## Unlockable Achievements

* Little Baggy Little Baggy - Collect 2 of either Roid Rage, The Virus, Growth Hormones, Experimental Treatment or **Speed Ball**.

## Trivia

* A "speedball" is cocaine or an amphetamine mixed with heroin or morphine.

## Seeds

Template:PlatPC 2XEA BSP0 (Treasure room adjacent to spawn)
Template:PlatPC EDK9 8YGM (Treasure room adjacent to spawn)
Template:PlatPS4 RCMM D8GC (First floor treasure room)

fr:Speed Ball
Samson's Chains

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**Samson's Chains** is an unlockable passive item.

## Effects

* Attaches a ball and chain to Isaac's ankle that crushes rocks, blocks projectiles, and damages enemies.

## Notes

* The item doesn't change the Speed Attribute. Instead, whenever the chain is fully extended the ball will have to be dragged, which causes Isaac to slow down slightly.

## Trivia

* This item references the biblical story of Samson, who was chained upon losing his strength.
* This item is a reference to the *Spelunky* ball and chain, which also slows the user, destroys blocks, and can be used against enemies.

## Seeds

Template:PlatPS4 GRK0 B9NW (Treasure room adjacent to starting room)
Template:PlatPC 03BK NG0Q (First treasure room to the right)
Template:PlatPC ZFFX 69MQ (First treasure room to the right)
Notched Axe

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**Notched Axe** is an activated item.

## Effect

* Isaac holds the Notched Axe above his head as long as he is in that room, and can break any rock he touches, as well as break through walls that lead into secret rooms.
	+ If Isaac takes damage while using the Notched Axe, his current use of the Axe will end.
	+ Isaac cannot attack or pick up other items while using the Notched Axe.

## Synergies

* Lucky Rock: Each rock broken spawns a coin.

## Gallery

* Template:Plat3DS The icon of Notched Axe as seen on the lower 3DS screen

## Trivia

* This item is a reference to the creator of Minecraft, Notch.
* This item got significantly buffed from the original Binding of Isaac, where it could not open up secret rooms and could only break 1 rock per use, though it did only have a 1 room recharge time.

## Seed

Template:PlatPC TKNS HMGD (Treasure room adjacent to spawn)
Template:PlatPS4 4WHX (First floor treasure room)
Template:PlatVita HE2H MDS7
Template:Plat3DS 66LH Q1TM (First floor treasure room)
Multidimensional Baby

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**Multidimensional Baby** is a passive item added in the *Binding of Isaac: Afterbirth* expansion.

## Effects

* Spawns a familiar that follows the path that Isaac's path with a 2.5 second delay.
* When a friendly tear passes through Multidimensional Baby, the tear splits into two parallel tears, gains speed, becomes spectral, and also gains a visual black and white flashing effect.

## Notes

* It is possible to crash the game when combining this item with rapid-fire or multi-shot laser tears.

## Synergies

* 20/20: If the double tears from 20/20 are shot through the baby, they will each be duplicated for a total of four tears.
* Anti-Gravity: Stationary duplicated tears will not launch with the rest of the tears when you stop shooting, and will stay stationary. Moving tears will be duplicated normally.
* Brimstone: If a brimstone laser is shot through the baby, it will double the laser.
	+ Azazel's short-ranged brimstone attack will also be "fired again" from the baby, increasing the range.
* Mutant Spider: If the quadruple tears from Mutant Spider are shot through the baby, they will be multiplied for a total of 8 tears.
* Obsessed Fan: Follows Isaac at the same delayed rate, in a way giving Multidimensional Baby contact damage.
* Papa Fly: Papa Fly's path of movement is identical to Multidimensional Baby's, so the fly's tears will always be doubled.
* Rubber Cement: Rubber Cement will make tears pass through Multidimensional Baby more frequently, especially with a high rate of fire.
* Technology: When the laser passes through Multidimensional Baby, it doubles the laser.
* Tiny Planet: Tears stop revolving around the player after passing through Multidimensional Baby and shoot straight in the direction they were traveling.

## Interactions

* BFFS!: The baby is larger, but tears shot through it will not deal more damage.
* Dr. Fetus: No effect.
* Mom's Knife: No effect.
* Tech X: No effect.

## Trivia

* The way the tear splits resembles stimulated light emission.

## Seeds

Template:PlatPC File:DLC Indicator.png 3BGY TK8J (treasure room adjacent to spawn) (both modes)
The Book of Belial

*Not to be confused with Satanic Bible.*
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**The Book of Belial** is an activated item.

## Effect

* Increases damage by 2 upon use for the current room.
	+ Increases damage by a further +50% if the character is also holding the Blood of the Martyr.
* Guarantees the Devil Room or Angel Room to spawn after killing a boss while holding it.
	+ File:DLC Indicator.png Increases the chance to open the Devil Room or Angel Room by 12.5% after killing a boss while holding it instead.
* If used while fighting Satan, and not the Fallen that spawns before him, Satan will instantly advance to his final stage.

## Notes

* Judas starts with this item by default.
* Book Of Belial cannot open Devil Rooms in The Basement I / The Cellar I, nor in Chapter 5 and beyond, even though they can reached by other means (through the Joker tarot card, for example).
* Unlike Goat Head, picking up The Book of Belial after killing the boss won't open the Devil/Angel Room Door.
	+ The Book of Belial increases the chance of a Devil/Angel Room Door to spawn, while Goat Head forces open a door to said rooms permanently.
* The damage bonus does not stack with multiple uses in a room, or with the tarot card XV - The Devil, which has the same effect.

## Gallery

* Book of Belial when activated.
* Unused image for use animation.
* Template:Plat3DS The Icon of the Book of Belial as seen on the lower 3DS screen.

## Trivia

* Can still open Angel Rooms even though it is a satanic book.
* It is one of the four books in the *Satanic Bible*.
* Belial is a name used for Satan in some Jewish and Christian texts.

## Seeds

Template:PlatPC ZWQY MQ6C

fr:The Book of Belial
Lucky Rock

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The **Lucky Rock** is a trinket.

## Effects

* Each obstacle destroyed drops one coin.

## Synergies

* Thunder Thighs, Leo, or The Nail: Allows Isaac to destroy destructible obstacles by walking into them, granting Isaac large amounts of money.
* Portable Slot: The coins obtained can be used to gamble, sometimes netting bombs which can be used to get even more coins.
* Magic Fingers: The coins obtained can be used to deal damage to enemies.
* Ipecac/Epic Fetus/Dr. Fetus: Free explosions as tears allow for use of clearing entire rooms easily and quickly for great coin gains.
* Humbling Bundle: Guarantees two coins for every destroyed destructible object.
* Money = Power: The coins obtained increase your damage by 0.04 until they max out, effectively giving you 0.04 damage per obstacle destroyed.

## Notes

* Coins from obstacles are dropped from any source that destroys them, including enemies such as the Round Worm.
Sharp Plug

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**Sharp Plug** is a passive item.

## Effects

* If Isaac's current activated item has no charges, attempting to activate the item fully recharges it in exchange for two hearts of Isaac's health.
	+ If the item has any charges, the Sharp Plug will not work.

## Notes

* If Isaac has less than two black or soul hearts, it will remove them but will not remove any red hearts.
* Without extra lives, this item is useless when playing as The Lost as a successful use will kill The Lost.
* File:DLC Indicator.png When used by Keeper, it will only drain one coin heart.

## Synergies

* Blank Card: Grants infinite health when combined with XIX - The Sun. Other cards such as V - The Hierophant and VI - The Lovers result in no net loss of health and can be used to trigger items that activate upon taking damage.
* Cancer: Repeated uses within the same room cost only half a heart.
* The Gamekid: If Isaac has red heart containers, killing four enemies negates the health cost, and killing more results in a net gain of health.
* Pyromaniac: Isaac can regenerate the lost health with bombs, essentially allowing 2 bombs to be converted to a full item recharge.
	+ Pyromaniac + Ipecac/Dr. Fetus/Epic Fetus: If Isaac has enough heart containers, the explosions can be used to heal him, granting infinite item recharges.
* Scapular: At half a heart, Isaac will gain a soul heart. As long as Isaac has a red heart container, the soul heart will absorb Sharp Plug's damage, causing the Scapular to trigger again as long as it has not already triggered in the current room.
* The Wafer: Reduces the health cost to half a heart.
	+ The Wafer + Book of Revelations: Grants unlimited soul hearts.
	+ The Wafer + The Gamekid: If Isaac has red heart containers, only one enemy needs to be killed to negate the health cost.
	+ The Wafer + The Nail: Grants unlimited soul hearts.
	+ The Wafer + Prayer Card: Two uses produces a filled heart container, allowing a player to max out their heart containers at no net cost of hearts.
	+ The Wafer + Satanic Bible: Grants unlimited black hearts.
	+ The Wafer + Yum Heart: Allows for unlimited regeneration of red hearts.

## Interactions

* 9 Volt: Renders the Sharp Plug unusable. Sharp Plug can only be used if the item is at 0 charge, but 9 Volt instantly gives 1 charge to the item upon activation.
* Breath Of Life: When the charge for Breath Of Life reaches zero, the Sharp Plug will immediately take effect if the player continues to hold the Use Item button, dealing 2 hearts of damage.
* Holy Mantle: Holy Mantle blocks the damage from Sharp Plug if the shield is active, but also keeps Isaac's active item from charging. Using Sharp Plug again in the same room will cause it to function normally.
* Isaac's Heart: Renders the Sharp Plug unusable.

## Ingame Footage

### Seed

Template:PlatPC BKXE 1ZBZ (First floor shop, The Wafer and A Quarter in an urn in first floor treasure room)
Strange Attractor

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**Strange Attractor** is a passive item.

## Effect

* Monsters, pickups, and trinkets are magnetically attracted to the player character's tears.
	+ File:DLC Indicator.png This also applies to Isaac's bombs.

## Notes

* Extra caution must be taken when using this item, as the attraction effect will pull small, lightweight monsters like Boom Flies towards the character very fast and in an unpredictable manner, with the consequent risk of taking damage.

## Synergies

* Brimstone: Does not work with Brimstone alone, but works with Brimstone + Anti-Gravity.
* Technology 2: The beam will attract enemies, often sucking them into the beam and holding them there.
* The Ludovico Technique: Enemies, items and even most bosses will be sucked to the single floating tear, dealing constant damage while keeping Isaac well away from harm, making this combination extremely effective in almost all scenarios.

## Interactions

* Cricket's Body: Since a tear will split in 4 tears, all travelling different directions, enemies will be randomly moved around.
* Epic Fetus: Overridden by Epic Fetus.
	+ File:DLC Indicator.png Epic Fetus: Enemies get drawn towards the target mark on the ground, ensuring that the missle will hit.
* Monstro's Lung: Due to the high concentration of tears, enemies will be pulled into Isaac at great force; in certain cases, enough force will be generated to pull enemies through rocks.
* Rubber Cement: Due to tears being reflected back, enemies tend to be pulled towards you with much force. Additionally the random angle of tears being reflected results in erratic enemy movement. Not recommended.
* Soy Milk: The rapid tears will pull enemies quickly and erratically around the room. Not recommended.
* File:DLC Indicator.png Explosivo: Enemies will be pulled toward the stuck on tears, dragging them helplessly or grouping them for the explosion.
* File:DLC Indicator.png Yes Mother (Transformation): Enemies, consumables, and trinkets will be pulled towards the knife that trails behind the player.

## Trivia

* Most likely based on Crazy Aaron's Magnetic Thinking Putty, which has a color of the same name and the tears resemble it.
* Strange Attractor is also a mathematical concept found in dynamical linear systems.
* This item is used in Challenge #17 (Waka Waka).

## Seeds

Template:PlatPC LSWD Z9J8 (Treasure room adjacent to spawn)
Template:PlatPS4 P826 3Z71 (Treasure room adjacent to spawn)
Template:PlatVita NB4V 1CDX (Treasure room adjacent to spawn)

File:DLC Indicator.png Template:PlatPC DGLC R2Q9 (Treasure room adjacent to spawn)
The Mark

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**The Mark** is a passive item.

## Effects

* +1 Damage up.
* +0.2 Speed up.
* Grants one soul heart.
* Template:Leviathan

## Seeds

Template:PlatPC EF4D MQRV (curse room adjacent to spawn) (Hard mode only)
Template:PlatPC 6FF0 ENV9 (curse room adjacent to spawn)
Template:PlatPS4 6FF0 ENV9 (curse room adjacent to spawn)
Template:PlatPC VSKW 26YW (curse room adjacent to spawn)

## Trivia

* The Mark refers to the Mark of the Beast in the end of times prophecies (3 6's arranged in a triskelion). Without this mark, one would not be allowed to buy or sell.
* While The Mark's icon shows the 6's facing towards the center, on Isaac's forehead the symbol appears with the 6's facing outwards.
* Loki has the Mark of the Beast on his forehead.
Pay To Play

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**Pay To Play** is a passive item added in the *Binding of Isaac: Afterbirth* expansion.

## Effects

* +5 coins
* Locked doors now require a coin instead of a key to open.

## Interactions

* Store Key: Overridden by Pay To Play. Stores still require coins to unlock.

## Synergies

* Guppy's Tail: Spawns golden chests to open with conserved keys.
Book of Shadows

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**Book of Shadows** is an activated item.

## Effect

* Upon use creates a protective shield nullifying all types of damage for 10 seconds.

## Notes

* The Book of Shadows effect negates health loss from Blood Donation Machines and Devil Beggars.
* Does not prevent heart container loss from Health Down Pills or Devil Room deals.
* The Book of Shadows is highly effective with orbital familiars because the player can run into enemies and deal a massive amount of damage.
* Razor Blade can be used at no cost while the Book of Shadows shield is present, allowing damage to be significantly increased for the room.
* In Rebirth, The Book of Shadows and other invulnerability items will no longer grant drops from the Sacrifice Room.

## Gallery

* 3DS Detailed Book Of Shadows.png

Template:Plat3DS The icon of Book Of Shadows as seen on the lower 3DS screen

## Trivia

* The Book of Shadows is a reference to the infamous Book of Shadows, a book of religious texts and instructions for magical rituals found within the Neopagan religion of Wicca.

## Seeds

Template:PlatPC 4AP4 J07H (First floor treasure room, north of spawn; Curse of the Unknown)
Template:PlatPS4 VZFS Z60W (First floor treasure room)
Template:PlatVita CBWE 162X (Treasure room adjacent to spawn)
Template:Plat3DS TRKL JDCG (First floor treasure room)

fr:Book Of Shadows
We Need to Go Deeper!

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**We Need to Go Deeper!** is an activated item.

## Effect

* Spawns a trapdoor that leads to the next floor upon activation.
	+ There is a 10% chance the trapdoor will lead into a Crawl Space or a Black Market.
	+ If used in Womb/Utero II, the trapdoor will always lead to Sheol.

## Notes

* If more than one Crawl Space trapdoor exists, they will all lead to the same Crawl Space.
* Has no effect in Sheol, Cathedral, The Chest, and the Dark Room (no trapdoors of any type will be generated).
* A trapdoor cannot be placed in front of a secret room entrance position, making this item an indirect aid to locating secret rooms.
* This item can be used to destroy rocks if used while Isaac is flying over a rock.
* This item can be used to create a trapdoor on the Womb before defeating Mom's Heart, which means the player will be able to access Sheol before unlocking it, and, if the player manages to defeat Satan, also unlock rewards for beating Satan.

## Gallery

* Template:Plat3DS The icon of We Need to Go Deeper! as seen on the lower 3DS screen

## Trivia

* The name of this item is a reference to the movie *Inception*.

## Bugs

* If a trapdoor is spawned inside of a Black Market with this item and is entered, the player is trapped in the Crawl Space unless they go to the next floor.
Robo-Baby 2.0

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**Robo-Baby 2.0** is an unlockable passive item.

## Effect

* Spawns a familiar that automatically shoots Technology lasers towards enemies when aligned with them, dealing 3.5 damage per shot.
	+ The familiar will move in the direction Isaac is shooting.

## Notes

* Unlike The Ludovico Technique, you can't control it with your mouse if you enabled the mouse control in the config files.

## Bugs

 ****Bug!**** Robo-Baby 2.0 cannot target wall creepers unless he is on top of one.
## Seeds

Template:PlatPC Z0K8 ATM4 (Treasure room adjacent to spawn)
Template:PlatPC F479 6DQT (Treasure room adjacent to spawn)
Template:PlatPS4 7NXD J9Q6 (Treasure room adjacent to spawn)
Template:PlatVita LH98 JML6 (First floor treasure room)
Missing Page 2

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**Missing Page 2** is a passive item.

## Effects

* Grants 1 black heart.
* Activates The Necronomicon effect upon taking damage if Isaac's total health (red hearts, soul hearts, and black hearts) is under one and half hearts.

## Trivia

* The item is a reference to the Necronomicon, a fictional grimoire appearing in the works of horror writer H.P. Lovecraft.
	+ This is acknowledged in game by The Necronomicon, A Missing Page and **Missing Page 2** all having a similar effect.
Remote Detonator

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**Remote Detonator** is an activated item.

## Effect

* Activating the Remote Detonator will cause all bombs you've placed to explode.
* Bombs will no longer explode without usage of the detonator.
* Gives 5 bombs when picked up. If picked up a second time in the same run this effect will not be applied.

## Synergies

* Broken Remote - The player can teleport continuously with no cooldown.
* Dr. Fetus - Remote Detonator can be used to explode the fired bombs early, which can be useful against moving enemies.
* Scatter Bombs - Remote Detonator can be used on the original bomb but not on the small bombs that are spawned.
* Bobby-Bomb - Bombs placed will chase after the enemy, making it easier to deal massive amounts of damage to enemies.
* No. 2 - The bombs automatically dropped by No. 2 will not detonate on their own, greatly reducing the risk of accidental explosive self-damage.

## Notes

* Remote Detonator gives you five bombs for the price of three (using the bombs on the Donation Machine to trade for coins) when bought at a shop, making its purchase a good value if the player is low on bombs.

## Trivia

* This item is used in Challenge #9 (Demo Man).

## Gallery

* Template:Plat3DS The icon of Remote Detonator as seen on the lower 3DS screen

## Seeds

Template:PlatPC GR9N RF3S (first item room)
Night Light

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**Night Light** is a passive item added in the *Binding of Isaac: Afterbirth* expansion.

## Effects

* A cone of light shines from Isaac's chest that slows all enemies and enemy shots.
	+ The light will face the direction Isaac is moving.
	+ The light doesn't affect bosses, but it will slow their shots.
	+ The slow effect will disappear from enemies when the light stops shining on them, but shots will remain slowed.
* Removes Curse of Darkness for the current floor, but does not provide immunity.

## Notes

* This item is part of a set of bedtime-themed items, including Mr. Dolly, Binky, and PJs.
* The light only needs to touch a shot to slow it permanently.
	+ Doing a quick circular motion is effective to slow surrounding enemy shots, especially while fighting Hush.

## Gallery

* Night Light preview. Note that the light faces Isaac's firing direction instead.