Ultra Secret Room (Item Pool)

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

The Ultra Secret Pool Icon.png Ultra Secret Room item pool contains red items. Items from this item pool are only awarded by the Ultra Secret Room, which can be found disconnected from the main level via Red Rooms.

Active Items

Name Icon Weight Description
Stained Shard
Stained Shard1 rooms
1
  • On use, summons 12 shards of red glass in a ring around Isaac.
  • Each glass shard deals 3 damage per second on contact with enemies and breaks when blocking a projectile.
    • If a glass shard breaks while in contact with an enemy, the enemy will start bleeding.
The Pig Bang
The Pig Bang3 rooms
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.

Passive Items

Name Icon Weight Description
Bucket of Blood
Bucket of Blood
1
  • +3 UI Heart Red.png Red Heart containers.
  • Rerolls all of Isaac's health into a random assortment of Heart Containers, Soul Hearts and Black Hearts.
Celestial Berry
Celestial Berry
1
  • 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.
F.O.P.
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.
Heart Shaped Balloon
Heart Shaped Balloon
1
  • 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.
Hundred Dollar Steak
Hundred Dollar Steak
1
Kapala
Kapala
1
  • 1.5x Damage Multiplier.
  • Damage dealt to enemies is split evenly amongst all other enemies of the same Type and Variant.
Mad Onion
Mad Onion
1
  • Grants a chance to fire a tear that deals 3.2x damage but possesses no tear effects.
Milk Teeth
Milk Teeth
1
  • 0.5x tear rate multiplier.
  • Tears split into a spread of 5 blood shots after traveling far enough from Isaac.
Philosopher's Stone
Philosopher's Stone
1
Sucker Sac
Sucker Sac
1
  • Blue Flies create poisonous farts when damaging enemies.
  • Spawns 1-3 Blue Flies for every red heart regained.
Tool
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.
Booster Shot
Booster Shot
1
  • -0.5 Damage.
  • Grants piercing.
  • The damage of Isaac's tears is increased by 1.5x for every enemy they pierce.
Red Chain
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.png Red Key room.
Heart Rupture
Heart Rupture
1
  • 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.
Bleeding Heart
Bleeding Heart
1
  • +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.
Corpse Flower
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.