Active Item Buffs

Buffs 86 active items with new bonus effects.

Enemy spawns are friendly and temporary.

The Bible
Spawns a small angelic baby.

Satanic Bible
Spawns a blood cultist.

The Book of Sin
Spawns a Sin mini-boss.

The Book of Belial
Spawns an imp.

The Necronomicon
Spawns a black bony.

Book of the Dead
Spawns a big bony.

Monstro’s Tooth
Spawns a ministro.

The Gamekid
Spawns a lil’ haunt.

Razor Blade/The Pinking Shears/Blood Rights/The Scooper
Anemic effect for the room.

Prayer Card
Spawns an angelic baby.

Crack the Sky
Spawns a holy eye.

Spider Butt/Box of Spiders
Spawns a big spider.

Book of Shadows
Spawns a bishop.

Book of Revelations
Spawns 2 chargers.

Head of Krampus
Spawns a black goat.

Brown Nugget/The Poop
Spawns a pooter.

Flush!
Spawns a splurt.

Mr. ME!
Spawns a polty.

Sulfur
Spawns a baby begotten.

Wavy Cap
Spawns a mushroom.

Yuck Heart
Spawns a rotten gaper.

Yum Heart
Spawns a frowning gaper.

Plum Flute
Summons Fruity Plum for the room.

The Hourglass
Spawns a dank charger.

Telepathy for Dummies
Spawns a psychic horf.

Magic Fingers
Spawns a greed gaper.

Wooden Nickel
Spawns a spinner.

Portable Slot
Spawns a random Ultra Greed Coin.

Golden Razor
Spawns 2 keepers.

Crooked Penny
Spawns a hanger.

Keeper’s Box
Spawns a keeper.

Coupon
Spawns Greed.

Anarchist Cookbook/Kamikaze!
Spawns a mulliboom.

Mr. Boom/Best Friend/Remote Detonator
Hold and throw.

Eraser
Charges in 12 rooms.

Undefined
Error rooms contain a portal back to the floor.

A Pony
Spawns a kamikaze leech.

White Pony
Spawns a holy leech.

Berserk!
Spawns a whipper.

Gello
Spawns a snapper.

Compost
Spawns 3 ring flies.

Lemegeton
Spawns a revenant.

We Need To Go Deeper!
Spawns a mole.

Converter
Heals half a heart.

Bob’s Rotten Head
Spawns a small maggot.

Book of Secrets
Spawns 2 maggot.

Sharp Key
Applies permanent bleeding.

Meat Cleaver
Shrinks enemies for 5 seconds.

Sharp Straw
Spawns a puddle of blood beneath enemies.

The Nail
Spawns a null.

Isaac’s Tears
Spawns a puddle of tears.

Doctor’s Remote
Spawns an embryo.

IV Bag
Spawns a sucker.

Dark Arts
Spawns a My Shadow charger.

The Bean/Butter Bean/Kidney Bean/Wait What?
Spawns a dip.

Mega Bean
Spawns a squirt.

Lemon Mishap/Free Lemonade
Number One effect for the room.

Mom’s Bra
Charms enemies for 6 seconds.

Jar of Flies
Spawns an army fly per 4 flies in the jar.

My Little Unicorn
Spawns a goat.

Stitches
Confuses enemies it touches.

Moving Box
Charges in 3 rooms.

Abyss
Spawns one of each horseman locust.

Sprinkler
Spawns a tainted sub horf.

D20
Charges in 5 rooms.

Tear Detonator/Tammy’s Head
Charges in 10 seconds.

Anima Sola
Charges in 13 seconds.

Notched Axe
Increased charges to 132.

Scissors
Charges in 2 rooms and applies Anemic effect for the room.

Breath of Life
Charges in 2 seconds.

Mom’s Bracelet
Charges in half a second.

Esau Jr.
Spawns a dople.