Immaculate Heart
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For the other Angel item with a similar name, see Sacred Heart.
For the other Angel item with a similar name, see Sacred Heart.Immaculate Heart is a passive item added in The Binding of Isaac: Repentance.
Effects
- Isaac will frequently fire extra spectral tears that orbit around him until they hit the ground, similar to
Tiny Planet. These tears mimic Isaac's in most cases. - x1.2 damage multiplier. This multiplier does not stack with multiple Immaculate Hearts.
- Adds one Red Heart Container and fully replenishes Isaac's health.
- This item belongs to the
Seraphim set. Collecting three items from this set will transform Isaac into an angel.
Notes
- The tears cannot push active
Bombs and 
Troll Bombs. - The tears can extinguish
Fire Places and set off 
TNT.
Synergies
Angelic Prism: The extra tears share the same orbit as Angelic Prism, making them very easy to split.
Chemical Peel: Some of the orbiting tears will gain Chemical Peel's 2 flat damage bonus.
Chocolate Milk: Orbiting tears' damage does not depend on the charge of Chocolate Milk, so Isaac can shoot low damage tears rapidly to produce a large number of orbiting tears which do full damage.
Death's Touch: Death's Touch tear modification will also affect the orbiting tears.
Eye of Belial: Orbiting tears get piercing and homing on nearby enemies on contact, and return orbiting after no targets left.
Haemolacria: The orbiting tears will be affected by Haemolacria but the tears created upon hit will not orbit.
Lachryphagy: Lachryphagy will affect the orbiting tears and become bigger when in contact with other tears. The Lachryphagy tears will split upon hit and the split shots will orbit around the point where the original tear had split.
The Ludovico Technique: Isaac will frequently shoot tears that orbit around him, even without pressing any fire buttons.
Monstro's Lung: Fires a large number of extra tears alongside the burst that begin orbiting Isaac once they reach the orbit range.
Urn of Souls: Each individual flame shot from the Urn has a chance to spawn an orbiting tear.
Interactions
Anti-Gravity: Tears will orbit very close and fast around Isaac's body, and return to normal orbit once he stops firing.
Brimstone / 
C Section / 
Dr. Fetus / 
Epic Fetus / 
Mom's Knife / 
Technology / 
Tech X: No unique interactions; regular tears are generated which orbit Isaac normally.
Explosivo/
Nose Goblin/
Sinus Infection: Orbiting tears that stick to an enemy will return to the ring if the enemy cannot be stuck to anymore before the tear's duration ends.
Eye of the Occult: Orbiting tears cannot be controlled.
Hallowed Ground: The damage multiplier does not stack with that from a white poop.
Incubus: The orbiting tears will orbit whoever fired it, whether it be Isaac or the Incubus.
Ipecac: Orbiting tears explode.-
Tainted Bethany: On pickup, grants 12 blood charges. 
Technology 2: The laser does not contribute in generating orbiting tears.
Trivia
- Immaculate Heart is from the Antibirth mod.
 The Binding of Isaac: Rebirth
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