Secret Room (Item Pool)

Item Pools
Normal / Hard	Treasure Room	Boss	Shop	Curse Room	Secret Room	Devil Room	Angel Room
	Library	Golden Chest	Red Chest	Beggar	Devil Beggar	Key Master	Bomb Bum
	Planetarium	Ultra Secret Room	Crane Game	Rotten Beggar	Battery Bum	Old Chest	Wooden Chest
	Baby Shop	Swine Beggar	Demon Swine	Angel Swine	Gashapon	Bone Saw	Bougie Pedestal
Greed / Greedier	Treasure Room	Boss	Shop	Curse Room	Secret Room	Devil Room	Angel Room

The Secret Room item pool contains items awarded by the Secret Room. Items from the secret room pool are usually quite powerful, however the pool also includes nearly every mushroom-themed item in the game.

Active Items

Name	Icon	Weight	Description
Death Cap		1	When using for the first 5 times, Isaac takes damage and permanently gains the following modifiers: -0.35 damage. -0.06 speed. -0.06 shot speed. +5% chance to fire a poison tear. When using for the 6th time, Death Cap is destroyed, fully heals all of Isaac's Red Heart containers and File:UI Bone Heart.png Bone Hearts, and grants the following modifiers: +2.75 damage. 1.5× damage multiplier. +0.5 speed. +0.5 shot speed.
False Idol		1	On use, grants a familiar that passively grants +10.9 luck. The familiar is removed after leaving the room.
Lily		1	On use, explodes any enemies with less than 1/3 of their maximum health remaining. Does not work on bosses. Valid enemies will faintly glow red.
Moonlit Mirror		1	On use, transforms all pickups in the room into either 3 Pennies or a Nickel, based on luck. This can not be used on items, coins, opened chests, or pickups that are for sale (such as in Shops).
Coinflip		1	+3 coins. On use, consumes a coin, 1 charge notch and spawns a spinning coin. The spinning coin ricochets Isaac's tears into enemies, multiplying their damage by 1.5. Picking up the coin before it disappears grants 1 charge notch back.
Lifeblood Syringe		1	Starts with 4 charges out of 8. Can be recharged only by killing Lifeseed Spirits that sometimes spawn when killing enemies. On use, grants 2 Soul Hearts.
The Pig Bang		1	On use, spawns a small pig with explosives attached to it. The pig will slowly chase the closest enemy and after 5 explodes like a Giga Bomb.
Puffstool		1	On use, throws a special projectile, in a similar fashion to Bob's Rotten Head. Upon impact, the projectile creates a large, long-lasting cloud of smoke that confuses any enemy that enters it.

Passive Items

Name	Icon	Weight	Description
Empiric		1	Transforms all pills into Horse Pills. Naturally spawned horse pills are converted into Whale Pills instead. Causes all pills to become permanently unidentified. Spawns a random horse pill after being picked up.
F.O.P.		1	Spawns a Bone Heart on pickup. If Isaac would take fatal damage, it is prevented and all of his Heart Containers are replaced with empty Bone Hearts. This can be repeated infinitely so long as Isaac has Heart Containers to convert.
Tool		1	When damaging enemies, grants a chance to deal that damage to all other enemies of the same Type and Variant in the room. The chance scales with Luck.
Carapace		1	Upon entering an uncleared room, Isaac gains a shell that gives the following: +1 flat damage. 0.75× speed multiplier. Negates the first instance of damage, destroying the shell and removing the stat modifiers.
Spoils Pouch		1	Enemies may drop a Spoils Coins upon death. The chance scales with luck, an enemy's maximum health, and the current stage. Spoils Coins disappear if not picked up within 2 seconds, or if the room is left and then re-entered. Spoils Coins can be a File:Penny.png Penny, a File:Nickel.png Nickel or a File:Dime.png Dime, using the default coin spawn rules.
Milk of Baphomet		1	+1 Heart Container. Taking damage triggers a random on-damage effect.
Devil's Tooth		1	Grants a chance to fire a tear that upgrades the hit enemy into a stronger version of itself. If the enemy is successfully transformed, its current health is halved. Chance scales with Luck.
Sculpted Soapstone		1	+1 Soul Heart. Grants a filled Heart Container at the start of every floor.
Red Chain		1	+3 Keys. Roughly 33% chance to spawn a Red Pillar when entering a new room. Red Pillars can be unlocked with a key to spawn a portal to a random new Red Key room.
Baby's Breath		1	On death, enemies Baptismally downgrade other nearby enemies. Downgrading radius scales with the enemy's maximum health.
Corpse Flower		1	Spawns a Rotten Heart on pickup. Chance to fire a green tear that inflicts a long-lasting but weak Poison. Chance scales with Luck. Poisoned enemies now periodically spawn a Blue Fly. These Blue Flies will not target the enemy that spawned them.