Placebo

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(except in Rebirth)

Placebo is an activated item added in The Binding of Isaac: Afterbirth.

Effects

  • Upon use, copies the effect of the pill currently held by Isaac. (in Repentance and Repentance+) Placebo's recharge time changes upon use, depending on the pill Isaac was holding when he used it.

Notes

  • (in Repentance and Repentance+) The item only costs 10 coins when found in a ShopShop.
  • Unknown pills are identified when copied.

Recharge time (in Repentance and Repentance+)

This is a list of the following recharge times the item can have, depending on the consumable it mimicked last:

1 room:
  • Bad Gas
  • Bombs are Key
  • Feels like I'm walking on sunshine!
  • Friends Till The End!
  • Horf!
  • I Found Pills
  • Puberty
  • Something's Wrong...
  • Telepills
  • X-Lax
2 rooms:
  • Bad Trip
  • Infested?
  • Infested!
  • Percs!
  • Pheromones
  • Re-Lax
3 rooms:
  • Experimental Pill
  • Explosive Diarrhea
  • I'm Drowsy...
  • Lemon Party
  • Power Pill!
4 rooms:
  • Gulp!
  • I can see forever!
  • Stat-downs (health, range, speed, tears, luck, shot speed)
  • (in Repentance+) Hematemesis
6 rooms:
  • ???
  • Addicted!
  • Amnesia
  • (except in Repentance+) Hematemesis
  • I'm Excited!!!
  • One makes you larger
  • One makes you small
  • Paralysis
  • Pretty Fly
  • R U A Wizard?
  • Retro Vision
  • Vurp!
  • Stat-ups (health, range, speed, tears, luck, shot speed)
12 rooms:
  • 48 Hour Energy
  • Balls of Steel
  • Full Health

Golden Pills use the recharge time of the pill they mimicked. Recharge time is unaffected by whether or not it was a normal pill or Horse Pill.

Note that because the recharge time is determined after using the pill, Placebo cannot be used as a way to narrow down what type of pill Isaac is holding before he uses it.

Synergies

  • 48 Hour Energy:
  • (except in Repentance and Repentance+) Balls of Steel + Sharp PlugSharp Plug: Allows functional invincibility.
    • (except in Repentance and Repentance+) The WaferThe Wafer: Allows for Virtually infinite health.
  • (in Repentance and Repentance+)Book of VirtuesBook of Virtues: Spawns white wisps on the middle ring. The wisps spawn pills when destroyed. The effects of the wisps and types of pills they spawn is independent from Placebo's charge time and the most recently used pill. Unlike Blank CardBlank Card and Clear RuneClear Rune, enemies killed by these wisps' tears do not have a chance to drop pills.
  • (in Repentance and Repentance+) Vurp: Allows pills that normally take 12 rooms for Placebo to charge to be used twice as frequently.

Interactions

  • Starter DeckStarter Deck: All pills are replaced by cards, rendering Placebo useless.
    • (in Repentance and Repentance+) Starter Deck+Little BaggyLittle Baggy: Both cards and pills can be encountered again.

In-game Footage

Trivia

  • Placebo is a medicine or procedure prescribed for the psychological benefit to the patient rather than for any physiological effect.
  • This item is a pill counterpart to Blank CardBlank Card and (in Repentance and Repentance+)Clear RuneClear Rune.

Bugs

Bug Bug! If used with Character Bethany icon.pngBethany or Character Tainted Bethany icon.pngTainted Bethany, using a pill that has a larger charge requirement than Placebo's current will still consume soul or blood charges equal to the difference.