Monkey Paw
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This article is about Monkey Paw, not to be confused with The Left Hand.
Monkey Paw is a trinket.
Effects
- If Isaac has half a heart or less after taking damage, this trinket drops a
Black Heart. - The effect can trigger up to three times, after which the trinket will disappear.
- The fingers stuck out by the paw will change to display the number of triggers left.
Notes
- The effect can trigger more than once in the same room.
- The effect does not trigger when picked up at half a heart or less.
If Gulped or smelted, its effect still only triggers 3 times, then disappears.
Interactions

Golden Trinket /
Mom's Box: Each copy allows Monkey Paw to drop an extra black heart.- Scapular: If Scapular's effect is triggered, the
Soul Heart awarded will not cancel the effect of Monkey Paw.
In-game Footage
Gallery
Trivia
- This item is a reference to the supernatural short story The Monkey's Paw by W.W Jacobs. The title artifact could grant three wishes, but they frequently carried a most unpleasant price.






