The Binding of Isaac / Items guide
The Binding of Isaac original items: active items, hearts and risky pickups
A selective original-edition reference for recognizable early items.
Edition covered
The 2011 Flash game and its free base-game updates. Wrath of the Lamb and its Eternal Edition changes are excluded unless named for comparison. Rebirth, Afterbirth and Repentance have different unlocks. Pictures are from the original Steam app, including one between-floor dream scene.
4 items · one picture per entry · open a picture for full size.
Useful recognizable items
Raises damage for the current room
Book of Belial
Practical use: Use it on a threatening boss room.
Health and damage tradeoffs
More items
- Yum Heart — Restores one red heart when charged · Save its healing until a container is missing health
- Lucky Foot — Improves luck-related outcomes · Cain begins with it
- The Compass — Shows special-room locations · Plan a floor before spending every key
- Breakfast — Adds a red heart container · Useful for survival and Magdalene progress
Quick notes
- Useful recognizable items. Read the pickup name and consider the current build.
- Health and damage tradeoffs. A stronger attack is useful only if the remaining health can survive the route.
- Charge active items through combat. Most active items recharge by clearing rooms.
- Bomb a promising rock with space to escape. Tinted rocks can contain useful rewards, including Soul Hearts.
References
| Reference | Website |
|---|---|
| The Binding of Isaac publisher listing | store.steampowered.com |
| Original Isaac: Magdalene | bindingofisaac.fandom.com |
| Original Isaac: Cain | bindingofisaac.fandom.com |
| Original Isaac: Judas | bindingofisaac.fandom.com |
| Original Isaac: Rooms | bindingofisaac.fandom.com |
| Original Isaac: Items | bindingofisaac.fandom.com |