Template:ItemList/Passive

Name	Icon	Flavor Text	Effect	Quality
Arrow of Light		Ascend to boyhood	+0.5 Shotspeed. +0.25 Tears. Increases knockback. Grants piercing in darkness.	3
Axolotl		I amn just a litle creacher	Grants a shooting familiar that can block enemy projectiles. After blocking 3 projectiles, it spawns 3 Blue Flies and dies. While dead, it can no longer attack or block projectiles, but will periodically spawn more Blue Flies. Regenerates when changing room.	2
Azazel's Horn		Zealous black hearts	+1 Black Heart. Black Hearts will now trigger their mass room damage effect whenever any amount of them is lost, instead of only when whole hearts are lost.	3
Bad Apple		It only takes one	+0.6 Tears. Chance to fire a tear that converts all other tears in the room into bad applies which deal half damage.	2
Baptismal Shell		Born of water and spirit	Chance for tears to transform enemies into a weaker variant of themselves based on a pre-defined evolution tree. Scales with Luck.	2
Bar of Soap		Wash away your impurities	+1 Heart Container. Grants a Soul Heart at the start of each floor.	2
Baron Fly		Can't swallow its pride	Orbital familiar that fires a barrage of tears at the closest enemy after blocking 5 projectiles.	2
Bedbug		Sleep tight	Orbital familiar that remains stationary relative to Isaac. Briefly orbits around Isaac after blocking a projectile.	1
Blood of Satan		The soul atones for blood	+0.66 Damage. Fully heals all Heart Containers. Will always cost 1 Soul Heart if found as a Devil Deal item.	1
Bob's Heart		Volatile friend	Grants two trailing familiars. Bob's Intestine: Trails closer to Isaac and inflicts poison to enemies it comes into contact with. Bob's Heart: Trails further from Isaac and explodes on contact with enemies.	0
Bucket of Blood		Health up, mixed blood	+3 Heart Containers. Rerolls all of Isaac's health into a random assortment of filled Heart Containers, Soul Hearts, and Black Hearts.	2
Cactus		Peashy keen	Spawns a stationary familiar in a random position each room that deals contact damage to enemies. Blocks Isaac's tears and enemy projectiles; after blocking 5 shots in total it bursts into a small shower of tears and a ring of tacs. After bursting, regenerates after a few seconds.	1
Caduceus		Equalized healing	Transforms all full Red Heart and full Soul Heart pickups into Blended Hearts.	4
Cataract		Cloudy vision	Increases tear size. Tears decelerate until they stop moving entirely. Tears remain in the air for a longer time.	2
Chastity Belt		Your body is a temple	+2 Damage. The given damage up will be decreased depending on how many keys you have. Key pickups disappear after leaving and re-entering the room they are located in.	2
Celestial Berry		Feather away	When entering an uncleared room for the first time, a winged berry will appear in a random position. Picking up the berry grants: +1 Damage, +0.5 Tears, and flight for the room. +0.05 Luck permanently. The berry will fly away if not picked up within 3 seconds.	3
Chimerism		I art I	+2 Heart Containers. +2 Damage. 2 bombs are placed at once for no extra cost.	3
Cholera		Crappy aim	+1 Luck. Chance to fire a brown tear that transforms enemies into Poop. Chance scales with Luck. Brown tears are fired at slightly wonky angles.	3
Chunk of Tofu		Packed with phytoestrogens	Cube of Meat-style progressive familiar. Replaces all items in Boss Rooms with more Chunks of Tofu.	2
Coil		Coiling orbital	Orbital familiar that briefly moves further away from Isaac after blocking a projectile. After blocking a shot, it slowly difts back towards Isaac.	2
Cootie		Ew, gross!	Familiar that charms the non-boss enemy in the room with the highest health.	3
Cracked Infamy		Damage reduction... ?	2.5% chance to trigger the Glowing Hourglass effect when taking damage. Each time Isaac takes damage and the effect does not trigger, the chance increases by an additional 2.5% up to a maximum of 20%. The effect cannot trigger when fighting a boss that grants a completion mark.	1
Cyst		First strike!	10x Damage Multiplier until after the first time Isaac fires in each room. If 5 seconds pass Isaac will lose the damage boost automatically.	3
Dead Lung		Coughing up blood	+1 Black Heart. Isaac creates a pool of red creep when taking damage.	1
Defibrillator		Starting to see black	1.5x Damage Multiplier in alternating rooms.	2
Effigy		See them burn	When entering an uncleared room, grants a 15% chance to replace all enemies with Burning Effigies. Effigies are completely harmless and have no hitbox, but can be bombed for a chance to spawn a random wooden pickup.	3
Empiric		Quack medicine	Causes all Pills to be permanently unidentified. Converts all Pills into Horse Pills. Naturally spawned Horse Pills are converted into Whale Pills instead.	3
Eternal Bombs		Cast the beast into a lake of fire	+5 Bombs. Bombs deal double damage to bosses.	3
Eve's Nail Polish		Every shot counts	Landing a tear on an enemy reduces the time until Isaac can fire his next shot.	2
Forbidden Fruit		Damage up?	0.65x Damage Multiplier, then grants +5 flat Damage.	2
F.O.P.		Unbreakable	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.	3
Frail Fly		He's weak	Orbital familiar that deals heavy contact damage and blocks enemy projectiles, but dies after blocking 3 shots. Respawns when entering another room.	1
Friendly Monster		Lost in orbit	Orbital famliar that orbits a random enemy in the room, while shooting spectral tears in the same direction as Isaac.	2
Guppy's Pride		What's up with that?	Grants a shooting familiar on pickup and at the start of every new floor. The familiars' tear damage scales with Isaac's Damage.	2
Heart Shaped Balloon		Pretty balloon	Grants a trailing balloon familiar. For every cleared room, the familiar will change colors to resemble a specific heart pickup. Taking damage pops the balloon and spawns the respective heart on the ground. The balloon will regenerate back to its first form upon entering the next room. If the balloon resembles an Eternal Heart, it will pop automatically after clearing another room.	4
Hundred Dollar Steak		Don't swallow in one bite	Grants a Heart Container every 30 minutes.	1
Hyperopia		Hyper tears	+0.3 Tears. Tears accelerate as they travel, gaining piercing once they reach high enough speed.	2
Joyful		You feel nothing	Grants a chance to gain a 2x Damage Multiplier for the room when taking damage. In the following room, grants a 0.85x Damage Multiplier. 35% chance for a Joy Pill to drop on room clear, alongside normal rewards.	2
Kapala		Shared blood	1.5x Damage Multiplier. Damage dealt to enemies is split evenly amongst all other enemies of the same Type and Variant.	4
Laughing Gas		Winners don't use drugs	+0.3 Shot Speed. -1 Fire Delay.	2
Lemon Head		Tears up, pucker up	+0.8 Tears. +2.5 Range. Reduces tear size.	2
Lent		Abstainence...	Not picking up hearts for a floor will grant full health and +0.5 Damage at the start of the next floor.	1
Mad Onion		So pungent, so divine	Grants a chance to fire a tear that deals 3.2x damage but possesses no tear effects.	2
Mark of Cain		Wear it with shame	After 10 seconds of being in a non-special room, all doors will open. Taking damage from an enemy deals 7x your Damage to them.	2
Milk Teeth		Delayed splinter shot	0.5x Tears Multiplier Tears split into a spread of 5 blood shots after travelling far enough from Isaac.	3
Moxie's Head		Damage multiplier	1.2x Damage Multiplier	3
Mustard Seed		Plant your faith	+1 Heart Container. +1 Luck. Grants a chance to fire a seed tear that inflicts enemies with Germinated.	3
Old Bell		Damage up, its ring dulls	+3 Damage. The given Damage is reduced by 0.6 at the start of every floor until it reaches 0.	3
Peashy		Are you Cereus?	+1 Heart Container. +0.5 Damage.	2
Philosopher's Stone		Health of wealth	+1 Heart Container. +3 Gold Hearts.	1
Photon		Shotspeed way up	+1 Damage. +0.35 Tears. Tears hit enemies immediately after being fired. Tears no longer have knocback.	3
Rapture		Twisted tale, thousand eyes, trapped forever	Decreases the size of enemy projectiles. Any projectiles fired by an enemy are destroyed upon that enemy's death.	2
Reflux		Can't hold it in...	0.5x Tears Multiplier. While holding the fire buttons, tears will start to boil shortly after being fired. Releasing the fire buttons causes all boiling tears to explode. The explosions cannot hurt Isaac.	3
Rewards Card		Repeat customer discount	+1 Gold Heart. Each time you collect a purchasable item or pickup, all purchasables on the floor have their price reduced by 1. Price reductions are reset at the start of a new floor.	3
Rickets		Brittle bones	+1 Damage. Greatly increases knockback from Isaac's tears but firing tears knocks Isaac back as well.	1
Roll Film		Choose your fate	Drops the Faded Polaroid trinket. When at three hearts or below, all damage is reduced to half of a heart. The on-damage effects of The Polaroid and The Negative now trigger at three hearts or below.	2
Salesman's Eye		What an anomaly	Grants a random discount to items in the shop Discounts range from 0-4 coins.	1
Silver Charm		Blue blood	+2 Soul Hearts. On pickup, converts all Heart Containers into Soul Hearts at a 1:3 ratio. Will not convert more Heart Containers if Isaac's health bar has been completely filled.	2
Silver Flesh		What a peculiar object...	Grants a chance to fire a ring tear that deals 1.5x damage. If the ring kills an enemy, it has a high chance to drop a Half Soul Heart.	3
Slick Spade		Concupiscent hatred	Grants a 10% chance to fire a random Playing Card themed tear. The suit type determines its effect: Hearts - Charming. Diamonds - Midas' Touch freeze. Spades - Fear. Clubs - Bleeding. Using a Playing Card will apply the effect of its suit's tear to every enemy in the room.	2
Sloth's Toe		Merit of idleness	-0.1 Speed. Standing still for a second and a half grants +2 Damage and +0.8 Tears until Isaac moves again.	1
Smooth Stone		Strike down those who tower above	+0.5 Damage. Bosses and enemies with 150 or more maximum health take 1.5x damage from all sources.	3
Snake Oil		Damage up!	Significantly increases tear size.	1
Soap Box		A reliable platform	+2 Range. Heals for 2 hearts at the start of each floor.	1
Some Options		Decisions, decisions	20% of pickups spawn alongside a random wooden pickup. Taking the original pickup will cause the wooden one to disappear and vice versa.	3
Soy Bean		Gaseous shot	Grants a chance to fire a tear that activates a Butter Bean fart on hit. Monsters directly hit by these tears leave a Linger Bean cloud on death. Chance to fire the special tears scales with Luck.	2
Sucker Sac		Blood-borne disease	Blue Flies create poisonous farts when damaging enemies. Spawns 1-3 Blue Flies for every red heart regained.	3
Sunken Fly		Prone to bloating	Orbital familiar that inflates when touching an enemy or Troll Bomb and attempts to push them away.	2
Mom's Suppository		Damage up?	-2 Damage, then applies a 1.5x Damage Multiplier. Spawns 1-3 Pills on pickup.	3
The Sign		DMG up?	Sets Isaac's Damage to 7, ignoring any damage up effects granted before picking up the item. The damage is set before being affected by Damage Multipliers. Damage up effects granted after picking up the item are not affected.	2
Tithe		Your heart is with your treasure	+1 Eternal Heart. When entering a new floor: removes Isaac's coins, bombs, and keys randomly until they have 10 coins, 1 bomb and 1 key or less. For each pickup lost in this way, there's a 3% chance of teleporting to the Angel Room and halting the process of removing the pickups.	2
Tool		Remember being born?	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.	3
Toy Drum		Your heart beats hard	Every two seconds, Isaac's damage is doubled for half a second.	3
Vanilla Wafer		Damage compensation	For every full Red Heart lost in an uncleared room, half a heart is refunded upon room clear.	2
Wax Wing		Don't fly too high	+0.6 Tears. +0.3 Speed. +2 Luck. 1.35x Damage Multiplier. Grants flight. All of the above bonuses are removed upon taking damage and Isaac is teleported to the starting room of the floor. The bonuses are regained upon entering the a new floor. While in a boss room, Isaac is instead teleported to the entry door and the fight is not interrupted	3
Weltling Sac		Blood explosions	+5 Bombs. Bombs summon a ring of blood explosions around themselves when exploding. The blood explosions deal damage to enemies and destroy their projectiles.	2
Booster Shot		Compounding tears	-0.5 Damage. Grants piercing. The damage of Isaac's tears is increased by 1.5x for every enemy they pierce.	3
Carapace		Exoskeleton	+1 Damage. 0.75x Speed Multiplier. The first instance of damage Isaac takes each is negated and the above changes are removed until Isaac enters another room.	4
Eye of Balor		Dominate and destroy	The enemy with the lowest percentage health, that is not at full health, will take 1.5x damage from all sources.	3
Glioma		Say that again	+0.3 Tears. Grants a 15% chance to fire a concussive tear. Upon defeating the floor's boss, all regular cleared rooms become uncompleted and can be re-beaten for additional rewards.	3
Ham		Long pork	+1 Heart Container. +2 Black Hearts. +0.75 Damage. +3.5 Range.	3
Spoils Pouch		Blood money	Enemies have a chance to drop a spinning coin upon death. The chance scales with Luck, the enemy's maximum health and the current stage. The coin can be a Penny, a Nickel or a Dim, using the default coin spawn rules. If the coin spins for 2 seconds or if the room is left and then re-entered, the coin disappears.	3
Technology Omicron		Laser aura tears	0.8x Tears Multiplier. Tears gain a small Tech X laser ring around them.	3
Friend Folio		Rival chapter	Grants a random Retribution familiar that changes every room. May grant a Friend familiar unique to this item. Friend walks around the room targeting enemies like a level 4 Cube of Meat. Friend periodically fires fire tears at her target.	2
Beeconomy		Economic colony collapse	+30 coins. Will always cost 15 coins. Spawns 3 Melitodes Bees upon pickup and when entering a new room. This effect stops working after another item is purchased.	2
Bell Clapper		Damage up, it's a dull ringer	+0.3 Tears. +1.5 Damage. The damage bonus given by this item is multiplied by 0.9 for every tear fired in the same room. Damage bonus reductions are negated when entering a new room.	3
Brownie		Damage up, your bowels rumble	+1.5 Damage. While in uncleared rooms, Isaac will occasionally summon a friendly Corn Mine and leave a trail of brown, slippery creep for a few seconds.	2
Brunch		HP up	+1 Heart Container.	1
Conjunctivitis		Eye sack	-1 Fire Delay. Isaac's tears now leave puddles of slowing creep.	2
Milk of Baphomet		HP up, random on-hit effects	+1 Heart Container. Taking damage triggers a random on-damage effect.	2
Devil's Tooth		Exsanguinating tears	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.	2
Impact Wax		Did you say something?	+0.5 Damage. While shooting, short-ranged tears that leave puddles of slowing creep and deal 0.75x of Isaac's damage are fired from the sides.	3
Bootlicker		It hurts so good	+1 empty Heart Container. +0.25 Damage permanently for each time Isaac takes damage between gaining the item and killing a floor boss. Prevents Isaac from picking up hearts of any type until a floor's boss is killed.	2
Melitodes		Honeyed one	Grants a chance to fire a tear that creates a Melitodes Bee when hitting an enemy. The chance scales with Luck.	2
Myopia		Phasing tears	+0.2 Shot Speed. +0.3 Tears. Tears turn transparent as they travel, eventually gaining spectral and homing.	3
Sculpted Soapstone		Health up... and up...	+1 Soul Heart. Grants a filled Heart Container at the start of every floor.	3
Sour Patch		Bitter damage	+1.2 Damage. +0.15 Shot Speed. Tear size down.	3
Swindler		He's a keeper	Familiar that attempts to pick up pickups around the room. Will always collect coins, and will only collect keys and bombs outside of Isaac's reach. Uses his pickups to open any chests in the room. When completing a room, may spawn a shop item, granting a discount based on the number of coins he has collected.	2
Multi-Capsule		Three pulls in one!	Spawns 3 random Capsules.	2
Kompu Gacha		Capitalism at its swinest	Spawns a random Capsule, then, for every 5 coins Isaac currently holds: Spawns another random Capsule. Removes 5 coins. Capped at spawning 10 Capules.	2
Heel Spur		Speed = DMG	+1 Bone Heart. Applies a Damage Multiplier that scales with how fast Isaac is moving.	3
Bandage Binder		Please bind responsibly	+2 Range. +0.4 Damage. Spawns 1-3 bone orbitals when taking damage.	2
Sinner's Prayer		You died for my sins	+1.4 Damage. Chance to summon a pillar of Holy Light onto enemies that hurt Isaac. 25% to survive any fatal damage. Surviving fatal damage will also summon a pillar of Holy Light onto what hurt Isaac.	3
Heartbroker		Blood money	+1 Gold Heart. +2 Broken Hearts. Broken Hearts can now be used to purchase Devil Deals.	2
Jet Feather		Fall	Angel Deals no longer vanish when another item is taken, but will cost health to purchase. Devil Deals no longer cost health to purchase, but will vanish if another item is taken.	2
Derelict Anchor		Shipwrecked	Enemies are bound to an anchor that restricts their movement speed. The anchor can break rocks it's dragged through. The anchor will be destroyed if its host becomes intangible or it is dragged over a pit.	3
Red Chain		Shackled without restraint	+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.	3
Dominicus		Long-lost natal sun	Grants 3 orbital familiars that cycle through 9 variants in a set order. The familiars are launched in the direction Isaac is firing when they align with his line-of-sight, each with a unique effect. Dominicus familiars break after hitting a wall and will be replaced with the next variant after a couple of seconds.	3
Heart Rupture		Bursting hearts!	Enemies have a chance to launch a heart pickup into the air upon dying. The chance scales with Luck, the enemy's maximum health and the current stage. Catching the heart will heal Isaac. Missing the heart will cause it to splatter on the ground and spawn playe-controlled creep.	2
Pride Pin		Kinsey tears	Tears cycle through a set of Retribution tear effets. A new effect is chosen every 5 seconds.	4
Hemorrhoid		Charged blood blast	Charges up a Monstro's Lung style tear volley while firing. Releasing the firing buttons fires the tear volley opposite to the direction Isaac is moving. Taking damage spawns a Red Poop.	2
Polaris		Mark of the nothern star	Killing enemies without taking damage upgrades Isaac's attacks: Level 1: 20/20. Level 2: 1.75x Damage Multiplier. Level 3: Brimstone. Levels are mutually exclusive and are reset when taking damage.	3
Bag of Seeds		Bountiful harvest	Periodically spawns Pullroot saplings around the room.	3
Baby's Breath		Belittling death rattle	On death, enemies Baptismally downgrade other nearby enemies. Downgrading radius scales with the enemy's maximum health.	2
Bleeding Heart		Charming exsanguination	+1 Heart Container. Chance to fire a pink tear that inflicts Charm. Chance scales with Luck. Charmed enemies now fire Isaac's tears in random directions. Charmed enemies now charm other nearby enemies on death. Charming radius scales with the enemy's maximum health.	3
Gloriosa		Blazing tears	0.75x Tears Multiplier. Tears travel in an arc and leave behind a fire jet when colliding. Tears inflict Burn to enemies on direct hits.	3
Corpse Flower		Gangrenous tears	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.	3