Items

Items are an integral part of the gameplay of The Binding of Isaac: Rebirth. They modify Isaac's attributes, grant or modify tear effects, and much more.

Lost and Forgotten for Repentance adds 109 items

Active Items

Name	Icon	Flavor Text	Description	Quality
Glass Heart	‎‎	Don't Break it	Grants a Soul Hearts After taking damage turns into a Broken Glass Heart Broken Glass Heart can be repaired after clearing ‎ 2 rooms‎	3
Moon Rock	‎‎	Sweet Dreams	Activates the dream state and turns all of the enemies that have more than 70 % health into dream champions Dream champions move and attack two times faster Killing them provides a small stat up based on their max health Granted stat ups are only active during the dream state	4

Passive Items

Name	Icon	Flavor Text	Description	Quality
Conscience		You regret everything	-0.5 Damage Isaac's damage is increasing over time and goes up to 2x damage After killing an enemy or taking damage damage bonus is reset	2
Math Problem		I don't know	Randomly changes Isaac's Damage Damage modifier ranges anywhere from 0.5x to 1.7x	1
Broken Hourglass		Time Control	-0.3 Shot Speed Enemies are slowed when Isaac isn't moving or shooting	3
Syrup		Medicine!	Drops a Pill on pickup Causes an additional random pill effect after using a pill	1
Shampoo		My Eyes!	+0.15 Tears Tears turn into bubbles that burst into smaller tears after a short amount of time Chance for additional bubbles to appear alongside regular tears Tears that burst from bubbles will fly in Isaac's firing direction	3
Small Knives		Sharp Shot	+0.7 Damage +0.1 Shot Speed Tears are turned into penetrative knives Killed enemies leave a blood projectile that flies with the knife	3
Parasite Eggs		Invading Shot	Chance to fire a parasite egg that scales with Luck Parasite eggs create maggots upon impact that will jump from enemy to enemy damaging them Chance starts at 10% and is capped at 40% with 12 luck	1
Ancient Technology		Relict of Time	Two lasers are fired alongside normal Isaac shots Lasers are angled towards the initial shooting direction and move away from Isaac they deal 20 % of Isaac's damage	3
Hydrosis		Rise!	Missed tears are converted into water familiars Water Familiars chase enemies and disappear after a short amount of time They deal 25% of the original tear's damage	2
Megaphone		Cry Louder	Creates a soundwave around Isaac that pushes away nearby projectiles and enemies. Activates when a projectile is close to Isaac	0
Wellingtons		Splash	Causes water drops that create puddles upon impact to fall When Isaac steps into the puddles it turns into a volley of tears that splash around	1
Mutation		Demon Tears	Isaac now shoots Brimstone Balls instead of regular tears They slide along the floor and damage enemies Dealing damage makes them smaller until they disappear	2
Wedding Ring		You feel It's Aura	+0.3 Tears Tears orbit on a ring around Isaac Releasing the fire button makes all tears fly in the firing direction Pressing the drop button will prevent tears from latching onto the orbit	2
Monocle		Magnify Your Tears	Hovers in front of Isaac and magnifies his tears and lasers Magnified tears deal 1.5x of original damage and move faster	2
Enlightenment		Unlimited Knowledge	Every enemy has a chance to be turned into a Sephiroth familiar Sephiroth Familiars orbit Isaac, dealing damage and stopping bullets They die after taking damage or blocking projectiles 3 times	1
Demon's Eye		Gaze into the darkness	Transparent tears come from off-screen and follow Isaac Tears disappear after touching Isaac	0
Calotte		Have faith my child	x2 Shot Speed Tears leave a damaging trail of light behind them	2
Carrion		Years of Decay	Isaac's tears now have an aura of smaller, wiggling tears	3
Plastic Knife		DMG up	Choses overall higher damage between 0.9x Damage + 0.5 Damage 1x Damage + 0.25 Damage	2
Testament		Lass Will	After getting hit lost hearts will be dropped and have special effects depending on their type	1
Champion Mush		Harder to kill	Isaac gains random effects that change periodically The effects are based on champion enemies	1
Old Clock		Time is passing...	Each time Isaac fires a tear additional tear is also fired in a clock-like style	2
Purple Skull		Cursed ones will obey you	Grants cursed wisps that orbit Isaac Wisps try to follow Isaac's attacks	3
Can of Tar		Gooey Tears	Chance to fire a tar tear that scales with Luck Tar tears create tar bubbles that burst into tears after enemies or Isaac steps on them. They will also burst after a certain amount of time	1
Card Game		If Only I Had Friends...	Spawns a treasure card, a monster card and a loot card Increases chance of finding four souls cards	1
Schizophrenia		I can see my demons	Stationary Delusion familiars that shoot homing tears will begin to spawn randomly around the room The closer Isaac is to them the weaker their tears are If Isaac is close enough they disappear	2
Inner Demon		Darkness Inside	After taking damage enemies are pushed back and briefly scared Isaac will start to shoot a huge barrage of demon tears around.	0
Followers		They're growing in number	Grants a Follower that follows us and shoots tears Grants an extra follower for every other familiar Isaac can have up to 6 followers	2
Dead Womb		Stillborn shoot	10% chance to fire fetus tear that will spawn a dying baby upon contact. Dying baby will orbit enemies and will block all projectiles. Baby will explode after a while	1
Keeper's Noose		The only exit	Entering a room spawns as many blue flies as there are enemies.	1
God's Wrath		Thunder, lightning, cloud and smoke	While firing, Isaac will occasionally summon a controllable marker. After 3 seconds, lightning will strike the marker, causing an explosion and dealing damage to all enemies in a large radius.	1
Soaked Sponge		Fire rate up + You feel alive	+0.5 Fire Rate Isaac can no longer take damage from enemies or hazards in cleared rooms.	2
Lamb Skull		Sacrifice for god	Gives Isaac a dark aura Enemies killed within the dark aura are turned into dark spirits. Dark spirits chase down enemies and deal contact damage.	3