<3
Heart +1, 100% heal
red heart
25% chance drop from Gluttony.
♥ +1, 100% heal
1UP
Life +1
green mushroom dots
Found in secret room.
Life +1
3 Dollar Bill
Random tear effect per room
pink purple money three
rdm tear effect per rm
9 Volt
Recharge current item. Charge +2
battery
Recharges spacebar item when picked up. Give +2 blocks of charge when using spacebar item. Found in the shop.
Recharge current item. Charge +2
Abel
Shooting mirror image familiar
dead head brown
Unlock: Play as Cain and complete Cathedral.
Shooting mirror image buddy
Ankh
Respawn as ???
gray grey cross
Resurect as ??? with 3 soul hearts. Found in secret room.
Respawn as ???
Battery
Charge +1 every ~2 secs. 3 max
battery
Recharge spacebar item while fighting. Max of 3 blocks.
Charge +1 every ~2 secs. 3 max
Belt
Speed +2
brown belt buckle
Run 30% faster.
spd +2
Black Bean
Fart on damage
Farts damage and poison enemies.
Fart on dmg
Blood Bag
HP +1. Speed +1. Heal +4
red
HP +1. spd +1. Heal +4
Blood of the Martyr
damage +1
thorn crown
Found in angel room.
dmg +1
Bloody Lust
damage+/kill
red tear
Can be found in devil room. Unlock: Kill Satan with Samson.
dmg+/kill
Bob's Curse
Drop 5 poison bombs
green bomb face
Drop 5 poison bombs
Bobby Bomb
Homing bombs +5
grey gray bomb smile
Homing bombs +5
Bomb Bag
Bomb +1, 1+1 Free or Troll Bomb/3 Rooms
gray grey
Unlock: Kill Satan with Cain.
Bomb +1, 1+1 Free or Troll Bomb/3 rms
Boom!
Bombs +10
Bombs +10
Box
Coin, key, bomb, heart, card, pill, trinket
Drops one of each kind of pickup (bomb, coin, heart, key, pill and trinket)
Coin, key, bomb, ♥, card, pill, trinket
Breakfast
HP +1
white milk carton
HP +1
Brimstone
Laser (hold to charge)
red black cross symbol
Doesn't need full charge with Chocolate Milk. Usually in Devil room.
Laser (hold to charge)
Brother Bobby
shot familiar
blue dead baby
Usually found in Devil Room.
shot buddy
Bucket of Lard
HP +2/0. Heal +1/2, speed -1
white tub
Can be dropped by Super Glutonny.
HP +2/0. Heal +1/2, spd -1
Bum Friend
Steals coins. Chance to drop pickup
smile pink baby
When stealing coins he may drop a pickup.
Steals coins. Chance to drop pickup
Cat-O-Nine Tails
Tear shot speed++
black whip
Unlock: Complete Cathedral with Maggie.
Tear shot spd++
Celtic Cross
Chance of shield on hit
gray grey
Chance of shield on hit
Charm of the Vampire
Heal +0.5/13 kills
bat eyes
Heal +0.5/13 kills
Chemical Peel
Left tear damage++
green bottle
You read that correctly. Shooting from your left eye does +2 damage.
Left tear dmg++
Chocolate Milk
Hold to charge big shots
brown glass
Hold to charge big shots
Common Cold
Chance of shooting poison
green snot ball
25% chance of poison.
Unlock: Get at least 2 of these items in one game: Roid Rage, Growth Hormone or The Virus
Chance of shooting poison
Compass
Shows special rooms
red white diamond round
Doesn't work when the automap is not working.
Shows special rms
Cube of Meat
4 levels of familiar. Repeats
red block
Appears after killing Death, Famine, Pestilence or War. Each time you pick it up it morphs.
1. Cube orbital,
2. Shooting Meatboy head,
3. Mini Meatboy that melee attacks,
4. Big Meatboy with more damage. Collecting more adds another meat cube/head/boy.
4 levels of buddy. Repeats
Cupid's Arrow
Piercing shots
Piercing shots go through enemies but not rocks.
Piercing shots
Daddy Longlegs
Stamps on mobs
white ball string yarn
A big spider foots stomps on enemies. Unlock: Complete The Purist challenge.
Stamps on mobs
Dead Bird
On hit, bird attack
black
The bird is dumb so you have to lead it to an enemy. Default item whem playing as Eve. Unlock: Take 2 items in the Devil room in one game.
On hit, bird attack
Dead Cat
HP=1. 9 Lives
black
Get 1 other Guppy item to play as Guppy. Can be found in red chests, killing Super Pride or the Devil room.
HP=1. 9 Lives
Dead Dove
Spectral and flight
white bird
Can appear in Angel rooms.
Spectral and fly
Demon Baby
Shot familiar
black smile horn
Unlock: Kill Satan with Eve.
Shot buddy
Dessert
HP +1
brown bag
HP +1
Dinner
HP +1
brown dog food
HP +1
Distant Admiration
Attack fly
fly bug
Attack fly
Dollar
99 coins
green bill
Can appear when slot machine explodes.
99 coins
Dr. Fetus
Shoot bombs
baby fetus glass jar
Unlock: Beat Mom's Heart 5 times.
Shoot bombs
Epic Fetus
Guided missles
baby fetus glass jar
Can be found in Secret room.
Unlock: Finish Doctor's Revenge challenge.
Guided missles
Fate
Flight and Eternal heart
blue head dead
May appear in Golden Chest.
fly and Eternal ♥
Forever Alone
Long range attack fly
fly bug
Can be dropped by Super Envy.
Long range attack fly
Ghost Baby
Spectral shot familiar
sad gray grey
Turns into Brother Bobby if you pick up Holy Water until it's used.
Spectral shot buddy
Growth Hormones
Speed +2, damage +2
needle syringe purple
spd +2, dmg +2
Guardian Angel
Attack familiar. Speed++ on orbitals
wings smile baby
Can appear in Angel room.
Unlock: Kill Satan with Maggy.
Attack buddy. spd++ on orbitals
Guppy's Hair Ball
familiar. Size/kill.
brown hairy
Can be swung into enemies for damage. Can grow with kills but smaller when floor ends.
Unlock: Get 3 of 4 Guppy items (which turns you into Guppy).
buddy. Size/kill.
Guppy's Tail
Chance++ gold & normal chests
black cat
Can be found in Devil room or red chest.
Unlock: Finish 9 Deaths challenge.
Chance++ gold & normal chests
Halo
All stats +1
yellow ring
Health, damage, fire rate, rang up, speed increased. Can appear in Angel room.
Unlock: Beat Mom's Heart with the Bible. (Still can appear in Angel room)
All stats +1
Halo of Flies
2 damaging flies
fly bug
2 damaging flies
Harlequin Baby
Dual shot familiar
toy baby eye
Dual shot buddy
Holy Grail
HP +1/0, flight
gold cup
Can appear in Angel room.
HP +1/0, fly
Holy Water
Lemon Mishap on hit
jar blue
Leaves a pool that causes damage like Lemon Mishap.
Lemon Mishap on hit
Infestation
Attack flies on hit
bug worm smile
Up to 3 flies attack.
Attack flies on hit
Inner Eye
Triple shot. Tear speed reset
eyeball
3 tears at a time but fire rate decreased.
Triple shot. Tear spd reset
Ipecac
Poison/explosive shots
brown purple jar
Bomb like shots but decreased fire rate.
Poison/explosive shots
Jesus Juice
Damage+, range+
purple straw
dmg+, range+
Ladder
Walk over gaps
Can be found in the Shop.
Walk over gaps
Little C.H.A.D.
Familiar drops ½ heart/3 rooms
red baby smile
Unlock: Kill Chad.
buddy drops ½ ♥/3 rms
Little Chubby
Damage familiar
yellow worm smile
Attacks in the same direction as your shots.
Unlock: Beat all bosses in The Caves.
dmg buddy
Little Gish
Shot familiar. Slows enemies
black round yellow eye teeth
Dropped by Gish.
Unlock: Kill Gish.
Shot buddy. Slows enemies
Little Steeve
Homing shot familiar
black white smile lip
Dropped by Steve.
Unlock: Kill Steve.
Homing shot buddy
Loki's Horns
Random chance of shooting all 4 directions
Unlock: Defeat all bosses in The Depths.
rdm chance of shooting all 4 directions
Lord of the Pit
Flight, speed+
red black upsidedown cross
fly, spd+
Lump of Coal
damage+ (Far = more damage)
black rock
dmg+ (Far = more dmg)
Lunch
HP +1 (empty)
brown dog food fly bug
HP +1 (empty)
Magic 8 Ball
Shot speed++, tarot
black pool
Shot spd++, tarot
Magic Mushroom
100% HP, Stats++, tear size++
red dot
100% HP, Stats++, tear size++
Magneto
Attracts pickups
red
Attracts pickups
Max's Head
damage x1.5, tear size+ (knockback)
dead puppy dog
dmg x1.5, tear size+ (knockback)
MEAT!
HP +1, damage +1
bone
HP +1, dmg +1
Mini Mushroom
speed +1, Range +1, body size--
blue dot
spd +1, Range +1, body size--
Mitre
Chance+++ heart to soul heart
pope hat
Chance+++ ♥ to ♥
Mom's Coin Purse
Drops pills
tan round string
Drops pills
Mom's Contacts
Range up
red eye lash eyeball
Range up
Mom's Eye
Shot+, backwards shots
white white eyeball
Shot+, backwards shots
Mom's Heels
Range +2
red shoe
Range +2
Mom's Knife
Knife shot, damage+ by dist
Knife shot, dmg+ by dist
Mom's Lipstick
Range +1
Range +1
Mom's Purse
Hold 2 trinkets
purple
Hold 2 trinkets
Mom's Underwear
Range +1
pink panty panties
Range +1
Money = Power
damage++ x coins
$ dollar red
dmg++ x coins
Mr. Mega
5 bombs w/ damage++
5 bombs w/ dmg++
Mulligan
Chance of attack flies/hit
blue fly flies
Chance of attack flies/hit
Mutant Spider
Quad tears/speed---
green
Quad tears/spd---
My Reflection
Boomerang shots
mirror
Boomerang shots
Number One
Max fire speed, range min
yellow tear drop
Max fire spd, range min
Nuns Habit
Refill item charge/kill
nun hood
Refill item charge/kill
Odd Mushroom, Large
Range up, speed--
brown
Range up, spd--
Odd Mushroom, Thin
speed +1, max tears, damage--
gray grey spoon
spd +1, max tears, dmg--
Ouija Board
Shoot thru blocks
brown paper
Shoot thru blocks
Pact
damage +1, rate +2, 2 soul heart
paper blood writing
dmg +1, rate +2, 2 ♥
Pageant Boy
Coins
pink crown
Coins
Parasite
Tears split in 2
slug worm red brown
Tears split in 2
Peeper
Floating eye familiar
eye eyeball
Floating eye buddy
Pentagram
damage +2, chance+ of Devil Rms
red star
dmg +2, chance+ of Devil Rms
PHD
Only good pills. Blood banks give more $
Only good pills. Blood banks give more $
Polyphemus
Tear size+++, slow
eye eyeball
Tear size+++, slow
Pyro
99 bombs
99 bombs
Quarter
25 coins
coin
25 coins
Rainbow Baby
random tear effects
pink
rdm tear effects
Raw Liver
HP +2, 100% HP, range -1
poop brown
HP +2, 100% HP, range -1
Relic
Drop soul heart/4 rms
blue cross
Drop ♥/4 rms
Robo-Baby
Lazer familiar
robot red eye
Lazer buddy
Roid Rage
speed++
green needle
spd++
Rosary
3 soul heart, chance++ for Bible
necklace red cross
3 ♥, chance++ for Bible
Rotten Meat
HP +1 (empty)
chicken bone fly flies
HP +1 (empty)
Sack of Pennies
Coins/2 rooms
bag money cent
Coins/2 rms
Sacred Heart
Shot size+, speed-, damage+, soul heart 100% HP, homing
fire flame cross
Shot size+, spd-, dmg+, ♥ 100% HP, homing
Sacrificial Dagger
Knife familiar w/ hi damage
knife
Knife buddy w/ hi dmg
Sad Onion
Tear rate x2
green
Tear rate x2
Scapular
On ½ heart Auro, soul heart
necklace
On ½ ♥ Auro, ♥
Sister Maggy
Shot familiar
red baby smile
Shot buddy
Skatole
Flies don't harm you
heart fly
Flies don't harm you
Skeleton Key
99 keys
skull
99 keys
Small Rock
damage +2, tears +1, speed -1
gray grey
dmg +2, tears +1, spd -1
SMB Super Fan!
Stats +1, speed -1
wheel blade saw
Stats +1, spd -1
Speed Ball
Speed+, tear speed+
white needle
spd+, tear spd+
Spelunker's Hat
Show secret rms/bosses
helmet
Show secret rms/bosses
Spider's Bite
Shot might slow badguys
red black moon blood symbol
Shot might slow badguys
Spirit of the Night
Flight, spectral
spoon bent
fly, spectral
Spoon Bender
Curve shots
toy
Curve shots
Squeezy
Tears +1, 2 soul heart
Tears +1, 2 ♥
Steam Sale
½ price shop items
½ price shop items
Stem Cells
Shot speed up
red ball
Shot spd up
Steven
Damage +2
black white head
dmg +2
Stigmata
Damage +1, HP +1
wood cross
dmg +1, HP +1
Super Bandage
HP +1, 2 soul heart
pink
HP +1, 2 ♥
Technology
Laser (hold to charge)
eye eyeball
Laser (hold to charge)
Technology 2
Laser
Laser
The Mark
damage +2, speed+, soul heart
red black symbol
dmg +2, spd+, ♥
Toothpicks
Shot speed+, red tears
french fries sticks
Shot spd+, red tears
Tough Love
Random tooth shot (damage 3x)
gray grey
rdm tooth shot (dmg 3x)
Trancendence
Flight
noose rope brown
fly
Treasure Map
Map
Map
Virus
Speed down
red needle
spd down
Wafer
Enemy damage ½
plus round white tan
Enemy dmg ½
Whore of Babylon
On ½ heart, damage +3, speed +2
red black star moon symbol
On ½ ♥, dmg +3, spd +2
Wiggle Worm
Wavy shot, tears up
blue snake
Wavy shot, tears up
Wire Coat Hanger
Tears +2
Tears +2
Wooden Spoon
Speed +2
brown
spd +2
X-ray Vision
Secret rooms
glasses
Secret rms
