For example, an item which usually gives +1 Damage would instead give a small 'all stats up', Stats effected by this item are: Damage, Tears, Range, Speed, When taken with another item which gives an extreme value in a certain stat (e.g. This gives Isaac a bone sword and he goes on a killing rampage, gaining +0.4 Speed, +3 Flat Damage Up, UNLOCK: Unlock this item by defeating Hush and Boss Rush as Tainted Samson, Activates the Mega Blast item effect, which gives you a giant laser that deals x5 your tear damage per tick to anything in its path and pushing Isaac back by the force, The effect lasts for 8 seconds but does persist between rooms, UNLOCK: Unlock this item by defeating Hush and Boss Rush as Tainted Azazel, When used this kills Isaac and revives him with 1/2 a red heart. Each poop has random effects like Butt Bombs, Fire Poops etc, Tainted Blue Baby starts with this item, and is the only one who can use it, Spawns 3 random coins and a key when picked up, Buying items from the shop gives you random stat upgrades. achievement (complete a victory lap, defeating the lamb boss), Horf! Isaac takes a full heart if hurt by Blood Puppy and it drops a full red heart for every 10 enemies it kills. yellow, white, triangle, The three heart containers are pre-filled with red hearts, UNLOCK: Unlock this item by beating the Chest with The Lost, * angel room pool, god room pool, angel room item, item room, treasure room, item room pool, real platinum god, the lost item pool, Enemy projectiles will now slowly curve away from Isaac and avoid hitting him, UNLOCK: Unlock this item by beating Dark Room with The Lost, * angel room pool, god room pool, angel room item, item room, treasure room, item room pool, Stat options are: +1.0 Damage, +0.6 Tears, +0.2 Speed, +5.25 Range, Also drops either a bomb, a key or 3 coins on the ground. They do not block enemy shots, UNLOCK: Unlock this item by defeating The Beast as Tainted Lilith, Isaac builds rage each time you clear a new room. Instead of slogging through the main game and hoping the RNG rewards. Deals 45 damage to enemies it lands on. As such, knowing the details of what an item, a dice room, or a consumable does is essential to success. He can pick up coins to restore health, Similar to other familiars of this kind, you can hold the drop key to cause him to stand still, If he dies, his corpse turns into a few blue spiders. debug 2 - Displays the number of each cell. For Items it increases by 2 coins * the number of purchases. I've redone some of the TBOI's items, here's a showcase of just 4 of ones I've changed (right now I've modified a total of 19 items), which I personally think needed a change. Even though they look like reskins of Cain, Isaac, Lilith, and the rest, most of them start with new items and abilities, effectively doubling the way you can begin a new run once they're unlocked. Placing a bomb while pressing a fire button will fire an explosive rocket in that direction, Placing a bomb while standing still will place a regular bomb, Upon use, spawns a flame familiar that fires spectral tears and deals contact damage to enemies. Chests now have a 50/50 chance to either pay out with extra consumables or nothing/an enemy, UNLOCK: Unlock this trinket by beating Challenge #26 (I Rule), Tears have a stronger knockback effect while this trinket is held. For the current room, tears now have the Spoon Bender effect, which allows them to curve towards enemies and gives them a purle appearance. Items are an integral part of gameplay in The Binding of Isaac. . ?, as they cannot gain red heart containers (except for counting towards the Spun transformation), REPENTANCE - Adrenaline now grants an increasingly higher damage bonus the more empty heart containers Isaac has, * Adderline, pink, syringe, needle, injection, Isaac gains electric tears, which fire 1-2 sparks of electricty in random directions upon hitting any object or enemy, The electricity will chain between nearby enemies, The electricty deals half of your normal tear damage, Tear effects will still apply to your electricty sparks in a lot of cases. If there are no enemies this pill spawns 1-3 blue spiders instead, One makes you smaller - Reduces Isaac's size and hitbox size, One makes you larger - Increases Isaac's size, but does not affect the size of his hitbox, Percs - Causes Isaac to only take half a heart of damage from all sources for the current room (The Wafer effect). White poop Dips have a small Hallowed Ground aura effect, increasing your damage and fire rate while standing in it. One exception to this is if you are playing as Lazarus or have Lazarus' Rags - you will respawn in the same room and get the kill, Plan C is 5 times rarer than other items in the same item pool, making it less likely to appear, UNLOCK: Unlock this item by defeating Greedier Mode with Lazarus, Item Pool: Shop, Devil Room, Curse Room, Red Chest, Demon Beggar, When used, the D1 duplicates 1 random pickup in the current room. UNLOCK: Unlock this card by opening Mom's Box on the Home floor. shop item pool, x, paper, Makes all of Isaac's familiars stronger and bigger, Causes most familiars to deal double damage, Has no effect on most familiars that scale with Isaac's tear damage, * key master pool, key beggar pool, key judgement pool, shop room pool, shop item pool, red, heart, At the full 12 charges Isaac does a massive shout, dealing 356 damage to all enemies on the screen, Larynx gains 1 charge every time you take damage (also charges as normal), UNLOCK: Unlock this item by defeating The Beast as Tainted Samson, Recharge time: 12 rooms (Can be used with partial charges), This item gives you a familiar version of The Lost character which dies instantly upon hit, If the familiar survives an entire floor you get one of: 3 soul hearts, 2 eternal hearts or a random item/angel room item, Regenerates at the start of each floor if dead, UNLOCK: Unlock this item by defeating Mother in the Corpse II as The Lost, Bombs now spawn a puddle of red creep upon explosion, dealing 2 damage per tick to enemies touching it, While at 0 bombs, you can also place further bombs now at the cost of 1/2 of a heart (kills The Lost if used like this). - When used, shoots an Ipecac explosive shot. Larry Jr.) it will split them into 2 smaller enemies with half the number of sections they used to have, If the enemy normally has a mechanic that splits it (e.g. UNLOCK: Unlock this card by beating Challenge #12 (When Life Gives You Lemons), When used, will open all doors in the current room, similar to a one-time use of Dad's Key, UNLOCK: Unlock this card by beating Challenge #22 (Speed), When used this card will activate a use of your spacebar item for free, When used, this rune will destroy all breakable objects in the current room, such as poop, rocks, secret room entrances, UNLOCK: Unlock this card by beating Challenge #1 (Pitch Black), When used this rune will double all pickups on the floor in the room, Creates copies of pickups in the Shop which can be taken for free, even if you haven't purchased them yet, Can be used to double the number of item chests in the first room of the final Chest / Dark Room floors, Cloned chests have the same types of items as the first one, Cannot be used to clone trinkets or other Jera runes, UNLOCK: Unlock this card by beating Challenge #2 (High Brow), UNLOCK: Unlock this card by beating Challenge #3 (Head Trauma), Removes the curse which is in effect on the current floor (except Curse of the Labyrinth), Can also cure the effect of the Amnesia pill, UNLOCK: Unlock this card by beating Challenge #4 (Darkness Falls), When used, reveals the entire map including all the secret room locations and other icon rooms, UNLOCK: Unlock this card by beating Challenge #5 (The Tank), Rerolls all pedestal items in the current room (One time use of the D6), UNLOCK: Unlock this card by beating Challenge #6 (Solar System), Summons 3 blue friendly spiders and 3 blue flies, UNLOCK: Unlock this card by beating Challenge #20 (Purist), When used, gives you an invincibility effect which lasts for 20 seconds, UNLOCK: Unlock this card by beating Challenge #8 (Cat Got Your Tongue), When used, gives a random Mystic rune effect, Possible effects include: Algiz, Ansuz, Berkano, Dagaz, Ehwaz, Hagalaz, Jera, Perthro, Also has a 25% chance to spawn another Blank Rune upon use, UNLOCK: Unlock this card by beating Challenge #30 (Guardian), When used, this rune deals 40 damage to all enemies in the room and consumes all pedestal items in the room, giving you a random stat increase for each item consumed, Also consumes all pickups in the room and turns them into blue flies and spiders, UNLOCK: Unlock this item by beating Greedier mode as Apollyon. Certain items consider Quality for picking what item to spawn, allowing better items to spawn under certain conditions, UNLOCK: Unlock this item by defeating The Beast as Tainted Lost, Spawns a special set of spikes in the Devil Room, Taking damage from the spikes has a chance to spawn a reward, UNLOCK: Unlock this item by defeating The Beast as Tainted Judas, When picked up, this gives you 9 orbital flies, Each time a fly blocks an enemy shot, it will turn into a blue fly and attack nearby enemies, leaving you with one less orbital, Every room clear gives you +1 orbital fly, up to a maximum of 9, UNLOCK: Unlock this item by defeating The Beast as Tainted Blue Baby, Gives you +0.25 Damage Up for every broken heart you have, Every hit of damage that would kill you, instead adds 2 more broken hearts and deal 40 damage to all enemies in the room, UNLOCK: Unlock this item by defeating The Beast as Tainted Eve, Every time you take damage, you gain a Speed Up and a Tears Up, The stat increases start small, and scale up each time you take damage (+0.25 Tears Up for the first hit, +0.75 Tears Up for the 6th hit), The effect maxes out at +3 Tears Up and +1 Speed Up after taking damage 6 times. After taking two hits, the fire will be extinguished, The Book can be held at the same time as another active item. Spawns coins as The Keeper, I can see forever - Opens secret room and super secret room entrances on the current floor, I found pills - Changes the appearance of Isaac's face for the current room (Cosmetic change only), Lemon Party - Spawns a large yellow pool on the floor around you, damaging enemies which walk in it, Paralysis - Prevents you from moving for a short while, Pheromones - Applies the charm effect to all enemies in the room for a short while, Puberty - Causes Isaac to grow hair for the rest of the run. The effect triggers again 30 seconds after use and again 60 seconds after use, Something's wrong - Spawns a pool of black creep beneath Isaac, Vurp! Based on the Steam Workshop mod created by Amethyst, UNLOCK: Unlock this item by using 5 Gulp! Controller: By default you can open the menu by pressing down the right control stick. Also summons a blue crosshair which can be moved around freely. The special shop contains various consumables and items at a higher price from the Devil/Angel room, Boss room and Secret room pools. If it does, it will drop a random trinket, coin, heart and key, The Walnut trinket is destroyed once the effect activates, Causes any orbitals you have to stop moving while held, Stops shooting familiars from moving (including Lilith's Incubus), Some familiars with irregular movement are not affected by Duct Tape, such as Abel, BBF, Bumbo, Guppy's Hair Ball, Lil Gurdy, Punching Bag, Robo-Baby 2.0, Succubus, *, grey, gray, tp, toilet, paper, roll, silver, While held, shops will now appear on the womb floors (The Womb, Utero and Scarred Womb), UNLOCK: Unlock this item by defeating Delirium in The Void floor with Cain, While held, item rooms now appear on the womb floors (The Womb, Utero and Scarred Womb), REPENTANCE - Causes item rooms to appear on Corpse floors, UNLOCK: Unlock this item by defeating Delirium in The Void floor with Samson, While held, restock boxes will always spawn in item rooms, *, cent, money, cash, coin, pixel, blue, green, p2w, Upon entering a room with enemies, spawns a Red Locust which detonates upon impact with enemies, dealing double tear damage for the impact of the Locust and 60 damage for the explosion, Can be dangerous as the fly will target the nearest enemy, which can be close enough to catch Isaac in its blast radius, UNLOCK: Unlock this trinket by defeating Isaac in the Cathedral as Apollyon, At the start of each new hostile room you spawn a green attack fly, which will target a nearby enemy, deal double your tear damage and then poison them, UNLOCK: Unlock this item by beating Satan with Apollyon, At the start of each new hostile room you spawn a yellow attack fly, which will target a nearby enemy, deal double your tear damage and apply a slowing effect to it, UNLOCK: Unlock this trinket by defeating ???