Trinkets
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Trinkets are a type of collectible with their designated slot that can provide passive bonuses. Only one trinket can be carried at a time and must be dropped if you wish to carry another. Some of these limitations can be bypassed with certain items; 
Mom's Purse and 
Belly Button allow two trinkets to be held at once, and trinkets can be absorbed by 
Smelter, 
Marbles, or Gulp!. Absorbed trinkets do not take up a trinket slot and act as permanent passive effects.
Compared to items with a similar effect, trinket effects are typically more subtle, less powerful, or less reliable. For example, the 
Callus only prevents damage from spikes and creep, while many items that do the same also grant Isaac flight.
The original Binding of Isaac DLC 'The Wrath of the Lamb' introduced Trinkets as a mechanic and had 33 trinkets. Rebirth has a total of 60 trinkets. Afterbirth added 29 new trinkets, for a total of 89 trinkets. Afterbirth † added 38 new trinkets, for a total of 127 trinkets. Repentance added 61 new trinkets, for a total of 188 trinkets.
All trinkets have a very rare 2% chance to spawn as Golden Trinkets.
- Unlocked by:
Defeat 
Mega Satan as 
Tainted Jacob
Notes
- It is possible to drop a trinket by holding down the key or button bound to the "Drop" function for three seconds. (Doing this is not possible with the
Tick.) - While held,
Mom's Box doubles the effect of most trinkets.
- A Golden Trinket with Mom's Box will have a tripled effect.
- Trinkets appear in a set order based on the run's seed, and each trinket can usually only be encountered once.
- Trinkets which are set drops, such as
Mysterious Paper from 
Divorce Papers and 
The Left Hand from 
Ultra Pride, can appear even if encountered previously. - Other set drops, such as
Swallowed Penny from a urn or 
Umbilical Cord from a polyp, will not appear if already seen. - If enough trinkets are spawned, e.g. through Mom's Box, the cycle loops and begins spawning trinkets that were already encountered.
- Trinkets which are set drops, such as
If two of the same trinkets are gathered, Isaac can have both by using Gulp! on one and then picking up the other. This rarely has any useful purpose.- Multiples of the same trinkets sometimes stack as expected, and two copies of the same trinket can be held simultaneously with Belly Button or Mom's Purse. However, a large number of trinkets don't stack, especially the ones that are more complicated than a simple stat up.
- Trinkets cannot be duplicated with items such as
Diplopia or 
Jera. 
Activating the 
D1 on a trinket will duplicate the trinket.- Activating the
D1 on a trinket will spawn a new, different trinket.
All Trinkets
| Name | ID | Icon | Quote | Description |
|---|---|---|---|---|
| ???'s Soul | 5.350.57 | 
|
Imaginary Friend | Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to  The Peeper and fires spectral and homing tears.
|
| A Missing Page | 5.350.48 | 
|
It glows with power | 5% chance to induce  The Necronomicon's effect upon taking damage. Adds +40 damage to  Black Hearts and The Necromonicon-like effects.
|
| AAA Battery | 5.350.3 | 
|
Trickle charge | Automatically recharges the last energy slot of an activated item, effectively reducing recharge rates by one. |
| Ace of Spades | 5.350.45 | 
|
Luck of the draw | Increases the chance of tarot cards or playing cards dropping after clearing a room, and the chance of finding cards when opening a  Chest.
|
| Bible Tract | 5.350.18 | 
|
Faith up | Increases the chance of  Eternal Hearts appearing.
|
| Black Lipstick | 5.350.17 | 
|
Evil Up | Increases the chance of Black Hearts appearing.
|
| Bloody Penny | 5.350.49 | 
|
Wealth of health | Gives a chance to drop a  Half Red Heart when a coin is collected.
|
| Broken Ankh | 5.350.28 | 
|
Eternal life? | When held, Isaac has a 22.22% chance to be revived as  ??? in the most recent non-hostile room. Can occur multiple times in the same run.
|
| Broken Magnet | 5.350.6 | 
|
It kinda works! | Pulls coins towards Isaac, but ignores other pickups. |
| Broken Remote | 5.350.4 | 
|
It's broken | Triggers the  Teleport! effect whenever an activated item is used.
|
| Burnt Penny | 5.350.50 | 
|
Wealth of chaos | Gives a chance to drop a  Bomb when a coin is collected.
|
| Butt Penny | 5.350.24 | 
|
Wealth of gas | Isaac will fart when he picks up a coin. Coins have a higher chance to drop from  Poops.
|
| Cain's Eye | 5.350.59 | 
|
May you see your destination | When starting a floor, 25% chance to gain the effect of  The Compass for the duration of the floor.
|
| Callus | 5.350.14 | 
|
Your feet feel stronger | Prevents damage from creep and spikes. |
| Cancer | 5.350.39 | 
|
Yay, cancer! | -2 tear delay (effectively increases fire rate of tears). +1.0 fire rate.
|
| Cartridge | 5.350.8 | 
|
I remember these | Chance to trigger  The Gamekid effect upon taking damage.
|
| Child's Heart | 5.350.34 | 
|
It calls out to its brothers | Increases the chance of a  Heart dropping after clearing a room, and the chance of finding a heart when opening a Chest.
|
| Counterfeit Penny | 5.350.52 | 
|
Wealth of wealth | Gives a 50% chance of increasing the value of every coin pickup by one. |
| Cursed Skull | 5.350.43 | 
|
Cursed? | If Isaac has less than one full Red Heart after taking damage, he will be immediately teleported to a random room.
|
| Curved Horn | 5.350.35 | 
|
DMG up | +2 flat damage. |
| Daemon's Tail | 5.350.22 | 
|
Evil up | Most non-specific Heart drops become Black Hearts, but heart drops are significantly less common.
|
| Eve's Bird Foot | 5.350.60 | 
|
Revenge from beyond | 5% chance to spawn a  Dead Bird familiar for the current room each time an enemy dies.
|
| Fish Head | 5.350.29 | 
|
It stinks | Spawns a Blue Fly every time Isaac takes damage. |
| Flat Penny | 5.350.51 | 
|
Wealth of answers | Gives a chance to drop a  Key when a coin is collected.
|
| Flat Worm | 5.350.12 | 
|
Blub blub! | Isaac's tears take on an oblong appearance. They also push enemies back. |
| Goat Hoof | 5.350.37 | 
|
Speed up | +0.15 speed. |
| Hook Worm | 5.350.26 | 
|
Zip zoop! | Tears move shifting left to right on a square-wave-like path. +10 Range (effective Range remains about the same). Tears move shifting left to right on a square-wave-like path. +0.4 Tears, +1.5 Range (effective Range is slightly lower).
|
| Isaac's Fork | 5.350.46 | 
|
Consume thy enemy | Isaac has a chance to heal for a Half Red Heart upon clearing a room.
|
| Isaac's Head | 5.350.54 | 
|
Dead friend | Spawns Isaac's severed head as a tear-firing familiar. Fires piercing tears. |
| Judas' Tongue | 5.350.56 | 
|
Payment Received | Items in the  Devil Room only cost 1 heart.  Soul Heart trades still cost 3 soul hearts.
|
| Liberty Cap | 5.350.32 | 
|
Touch Fuzzy, Get Dizzy | Adds a chance when entering a room to gain  Mini Mush,  Odd Mushroom,  Odd Mushroom, or The Compass for one room. Adds a chance when entering a room to gain a random passive mushroom item for one room.
|
| Lucky Rock | 5.350.15 | 
|
There's something inside it | Rocks and their variants drop 1  Penny when destroyed. Rocks and their variants have a 33% chance to drop 1 Penny when destroyed.
|
| Lucky Toe | 5.350.42 | 
|
Luck up! | +1 Luck. Adds a chance to drop an extra pickup when opening a Chest, destroying a machine, or blowing up a tinted rock.
|
| Maggy's Faith | 5.350.55 | 
|
Faith's reward | Gives an Eternal Heart at the start of every floor.
|
| Match Stick | 5.350.41 | 
|
Tastes like burning | Increases the chance of Bombs dropping after clearing a room, and the chance of finding Bombs when opening a Chest.
|
| Missing Poster | 5.350.23 | 
|
??? |  If Isaac dies to a  Sacrifice Room's spikes, a puzzle piece will appear on his last will. Dying in a Sacrifice Room while holding it unlocks  The Lost. If The Lost is already unlocked, revives Isaac as The Lost if he dies anywhere, then disappears.
|
| Mom's Pearl | 5.350.38 | 
|
It emanates purity | Grants a secondary 10% chance of any non-specific heart drop turning into a Soul Heart.
|
| Mom's Toenail | 5.350.16 | 
|
??? | Once a minute, Mom's foot randomly stomps down somewhere in the room. |
| Monkey Paw | 5.350.20 | 
|
Wish granted | If Isaac has half a heart after taking damage, drops a Black Heart. The effect can trigger up to three times, after which the trinket will disappear.
|
| Mysterious Candy | 5.350.25 | 
|
Uh-oh! | Isaac farts or poops at random intervals. Getting hit can also trigger the effect. |
| Mysterious Paper | 5.350.21 | 
|
??? | Has a chance to replicate the effects of  A Missing Page,  The Polaroid,  The Negative, or  Missing Poster.
|
| Paper Clip | 5.350.19 | 
|
Master of lockpicking |  Locked Chests can be opened without using a Key.
|
| Petrified Poop | 5.350.2 | 
|
It feels lucky? | Greatly increases the chances of a pickup dropping when destroying Poop.
|
| Pinky Eye | 5.350.30 | 
|
Poison shots | Adds a 10% chance to shoot a poison tear, dealing damage over time when inflicted. |
| Pulse Worm | 5.350.9 | 
|
Wub wub! | Tears pulsate in size as they travel. |
| Purple Heart | 5.350.5 | 
|
Challenge up | Increases the chance of encountering champion enemies and bosses. |
| Push Pin | 5.350.31 | 
|
Piercing shots | Adds a 10% chance to shoot a piercing and spectral tear. |
| Red Patch | 5.350.40 | 
|
Your rage grows | Grants a chance to gain +1.8 damage for the current room upon taking damage. |
| Ring Worm | 5.350.11 | 
|
Woop woop! | Isaac fires in a fast spiraling pattern. Also grants +0.4 Tears and spectral tears.
|
| Rosary Bead | 5.350.7 | 
|
Faith up | Increases the chance of  Angel Rooms appearing, as well as the chance to find  The Bible in the  Library and  Shop.
|
| Rusted Key | 5.350.36 | 
|
It feels lucky? | Increases the chance of Keys dropping after clearing a room, and the chance of finding keys when opening a Chest.
|
| Safety Cap | 5.350.44 | 
|
Don't swallow it | Increases the chance of pills dropping after clearing a room, and the chance of finding a pill when opening a Chest.
|
| Samson's Lock | 5.350.58 | 
|
Your rage grows | 1/15 chance to gain +0.5 damage for the current room each time an enemy dies. |
| Store Credit | 5.350.13 | 
|
YES! | The next Shop purchase is free. The trinket disappears after purchasing anything there.
|
| Swallowed Penny | 5.350.1 | 
|
Gulp! | Upon taking damage, Isaac drops a coin. |
| The Left Hand | 5.350.61 | 
|
The left-hand path reaps dark rewards | Replaces all types of Chests with  Red Chests.
|
| Tick | 5.350.53 | 
|
Well, that's not coming off | Drains 15% health from enemies with more than 60 HP. Restores one Red Heart when entering an uncleared  Boss Room. The Tick cannot be dropped or swapped for another trinket.
|
| Umbilical Cord | 5.350.33 | 
|
Fetal Protection | When brought down to only a Half Red Heart, spawns a  Little Steven familiar for the current room. Adds a high chance to spawn a  Gemini familiar for the current room after taking damage.
|
| Whip Worm | 5.350.27 | 
|
Wooosh! | Increases shot speed by 0.5. |
| Wiggle Worm | 5.350.10 | 
|
Wiggle waggle! | Isaac's tears travel in a wave-like pattern. +0.4 Tears up. Also grants spectral tears.
|
| Black Feather
|
5.350.80 | 
|
With darkness comes power | Increases Isaac's Damage for each 'evil' item or trinket he possesses. |
| Blasting Cap
|
5.350.73 | 
|
Pop! Pop! | Exploding Bombs have a chance to drop another Bomb pickup.
|
| Blind Rage
|
5.350.81 | 
|
Blind to damage | Increases invincibility time after getting hit. |
| Blister
|
5.350.77 | 
|
Bounce back! | Increases knockback of tears. |
| Bob's Bladder
|
5.350.71 | 
|
Creepy bombs | Leaves a pool of green creep under all Bombs Isaac places, which damages enemies that walk over it.
|
| Brown Cap
|
5.350.90 | 
|
Fartoom! | Poops explode upon being destroyed.
|
| Child Leash
|
5.350.89 | 
|
Keep your friends close... | Causes familiars to stay closer to each other. |
| Cracked Dice
|
5.350.67 | 
|
You feel cursed... kinda. | Activates Has a chance to activate the effect of  The D6,  D8,  D10,  D12, or  D20 (chosen randomly) whenever Isaac takes damage.
|
| Endless Nameless
|
5.350.79 | 
|
I'm stuck in a loop... | Has a 25% chance of creating a duplicate of any pill, card, or rune Isaac uses. |
| Error
|
5.350.75 | 
|
Effect not found? | Gives a random trinket effect each room. |
| Faded Polaroid
|
5.350.69 | 
|
You feel faded | Occasionally causes Isaac to blend into the ground, which briefly confuses all enemies in the room. Can be used to open the Strange Door in The Depths.
|
| Golden Horse Shoe
|
5.350.82 | 
|
Feel lucky? | +15% chance for  Treasure Rooms to have two items. Only one item can be taken.
|
| Karma
|
5.350.85 | 
|
Karma up | Donating to a  Donation Machine has a chance to heal Isaac for a full Red Heart or spawn a  Beggar. Increases the chance that donating to a Donation Machine will increase Isaac's luck.
|
| Lazy Worm
|
5.350.66 | 
|
Pft | Decreases shot speed by 0.5. Increases range by 4.
|
| Lil Larva
|
5.350.86 | 
|
The poop is moving... | Spawns a Blue Fly from every pile of Poop that Isaac destroys.
|
| Louse
|
5.350.70 | 
|
Itchy, tasty... | Occasionally spawns a Blue Spider. |
| Mom's Locket
|
5.350.87 | 
|
You feel her love | Grants a Half Red Heart each time a Key is used. Converts Half Red Heart pickups into Red Hearts.
|
| NO!
|
5.350.88 | 
|
Never again! | Prevents active items from being generated, if possible. |
| Poker Chip
|
5.350.76 | 
|
It's double down time! | Chests have a 50% chance of paying out with extra pickups and a 50% chance of replacing all of its contents with an  Attack Fly.
|
| Rainbow Worm
|
5.350.64 | 
|
Bleep Bloop Blop | Isaac's tears gain a worm effect that changes every 3 seconds. |
| Rib of Greed
|
5.350.84 | 
|
Feels greedy | Prevents  Greed and  Super Greed from appearing in Shops and  Secret Rooms, and makes coin drops after clearing rooms more likely.
|
| Safety Scissors
|
5.350.63 | 
|
Fuse Cutter |  Troll Bombs turn into Bomb pickups before they explode.  Mega Troll Bombs turn into  Double Bombs before they explode.
|
| Second Hand
|
5.350.78 | 
|
Extended stat effect time! | Increases the time that status effects stay on enemies. |
| Shiny Rock
|
5.350.62 | 
|
It shines for its brothers | Tinted rocks and rocks with  Crawl Spaces underneath flash white upon entering the room and every 10 seconds afterward.
|
| Store Key
|
5.350.83 | 
|
Stores are open | Shops can be opened without using Keys.
|
| Stud Finder
|
5.350.74 | 
|
The ground below feels hollow... | Increases the chance to spawn a Crawl Space when a rock is destroyed.
|
| Super Magnet
|
5.350.68 | 
|
It Pulls | Pulls enemies and pickups towards Isaac. |
| Tape Worm
|
5.350.65 | 
|
Floooooooooop! | Doubles Isaac's range and halves his tear falling speed. +3 range.
|
| Watch Battery
|
5.350.72 | 
|
Lil charge | Increased chance of  Lil' Batteries spawning. Has a chance to add an extra charge to Isaac's activated item upon completing a room.
|
| Baby-Bender
|
5.350.127 | 
|
Feed them magic! | Grants Isaac's familiars homing shots. |
| Bag Lunch
|
5.350.105 | 
|
I wonder what it is | Taking damage has a small chance to destroy the trinket and spawn  Lunch.
|
| Bat Wing
|
5.350.118 | 
|
They are growing... | Upon killing an enemy, has a 5% chance to grant flight for the rest of the room. |
| Black Tooth
|
5.350.95 | 
|
It looks dead | Adds a chance to fire a black tooth that deals double damage and poisons enemies. |
| Bloody Crown
|
5.350.111 | 
|
Drips with blood... | Treasure Rooms appear in Chapter 4.
|
| Butter!
|
5.350.122 | 
|
Can't hold it! | Using an active item will drop it onto a pedestal on the ground. Taking damage may result in dropping an owned passive item. |
| Cracked Crown
|
5.350.92 | 
|
Stat booster | Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by 33%. Improves the effectiveness of stat upgrades by 20%.
|
| Crow Heart
|
5.350.107 | 
|
Drain me | Red Heart damage will be taken before Soul Heart, Black Heart, and  Rotten Heart damage.
|
| Dim Bulb
|
5.350.101 | 
|
I think it's broken | Provides a boost to all stats when Isaac's active item is completely uncharged. |
| Door Stop
|
5.350.124 | 
|
Hold the door! | The last door Isaac went through stays open, allowing him to leave the room even if enemies are in it. |
| Duct Tape
|
5.350.109 | 
|
Stuck! | Holds Isaac's familiars in place relative to his position. |
| Equality!
|
5.350.103 | 
|
= | Turns pickups into their doubled versions while Isaac's numbers of coins, bombs, and keys are equal. |
| Extension Cord
|
5.350.125 | 
|
Charged friends | Bolts of electricity arc between Isaac and his familiars, damaging any enemies between them. |
| Filigree Feather
|
5.350.123 | 
|
Angelic spoils | Angels drop Angel Room items instead of key pieces when defeated. |
| Finger Bone
|
5.350.128 | 
|
It looks brittle | Grants a chance to gain a  Bone Heart upon taking damage.
|
| Fish Tail
|
5.350.94 | 
|
It also stinks! | Items and trinkets that generate Blue Flies or Locusts will generate twice as many. |
| Fragmented Card
|
5.350.102 | 
|
Double moon | Makes two Secret Rooms spawn on each floor.
|
| Hairpin
|
5.350.120 | 
|
Danger charge | Fully recharges Isaac's active item upon entering a boss fight. |
| Locust of Conquest
|
5.350.117 | 
|
I bring Conquest | Upon entering a room with enemies, spawns 1-4 White Locusts which damage enemies. |
| Locust of Death
|
5.350.116 | 
|
I bring Death | Upon entering a room with enemies, spawns a Black Locust that does a very high amount of damage. |
| Locust of Famine
|
5.350.115 | 
|
I bring Famine | Upon entering a room with enemies, spawns a Yellow Locust that damages and slows enemies. |
| Locust of Pestilence
|
5.350.114 | 
|
I bring Pestilence | Upon entering a room with enemies, spawns a Green Locust which damages and poisons enemies. |
| Locust of War
|
5.350.113 | 
|
I bring War | Upon entering a room with enemies for the first time, spawns a Red Locust which detonates upon impact with enemies. |
| Lost Cork
|
5.350.106 | 
|
Uncorked | Increases the radius of any creep produced by Isaac. |
| Meconium
|
5.350.91 | 
|
Eww |  Black Poops can drop Black Hearts when destroyed. Poop has a chance to turn into Black Poop.
|
| Nose Goblin
|
5.350.98 | 
|
Seems magic... | Chance to fire a homing booger that sticks to enemies and deals damage over time. |
| Ouroboros Worm
|
5.350.96 | 
|
Foop foop! | Tears travel in a large spiral pattern and gain spectral, with a small chance to gain homing. Also adds +0.4 Tears.
|
| Pay to Win
|
5.350.112 | 
|
... |  Shop Restock Machines always spawn in Treasure Rooms.
|
| Rotten Penny
|
5.350.126 | 
|
Wealth of flies | Spawns a Blue Fly every time a coin is picked up. |
| Silver Dollar
|
5.350.110 | 
|
Feels lucky... | Shops appear in Chapter 4.
|
| Stem Cell
|
5.350.119 | 
|
Regen! | Heals Isaac for a Half Red Heart upon traveling to the next floor. Heals 50% of Isaac's empty Red Heart containers upon traveling to the next floor.
|
| Super Ball
|
5.350.99 | 
|
Boing! | Makes tears have a chance to bounce off enemies and obstacles. |
| Tonsil
|
5.350.97 | 
|
Sick... | When hit, there is a small chance to spawn a permanent tonsil familiar that blocks enemy shots. This can happen twice, after which the trinket is destroyed. |
| Used Diaper
|
5.350.93 | 
|
You stink | Grants the  Skatole effect in some rooms.
|
| Vibrant Bulb
|
5.350.100 | 
|
It needs power | Provides a boost to all stats when Isaac's active item is fully charged. |
| Walnut
|
5.350.108 | 
|
That's a hard nut to crack! | Being hit by explosions will eventually destroy the trinket and spawn various pickups. |
| Wish Bone
|
5.350.104 | 
|
Make a wish | Taking damage has a small chance to destroy the trinket and spawn a random item. |
| Wooden Cross
|
5.350.121 | 
|
My faith protects me | Grants a shield that negates the first damage taken once per floor. |
| 'M
|
5.350.138 | 
|
t's broken9Reroll your dest | Using an activated item rerolls it. |
| A Lighter
|
5.350.135 | 
|
Watch the world burn | Adds a chance for enemies to burn upon entering a room. |
| Adoption Papers
|
5.350.184 | 
|
Give them a home | Shops can sell familiars, which will always be at a discounted price.
|
| Apollyon's Best Friend
|
5.350.186 | 
|
Attack buddy | Spawns an  Abyss locust familiar which will fly forward while Isaac shoots.
|
| Apple of Sodom
|
5.350.140 | 
|
It feels empty | Picking up Red Hearts, even while at full health, can convert them into blue spiders. The effect may consume hearts needed for healing.
|
| Azazel's Stump
|
5.350.162 | 
|
Unleash your inner demon | When clearing a room, adds a 33% chance to turn into  Azazel until clearing another.
|
| Beth's Essence
|
5.350.182 | 
|
Virtue's reward | Upon entering an Angel Room, spawns 5 wisp orbitals. Giving money to Beggars can spawn wisps.
|
| Beth's Faith
|
5.350.142 | 
|
My faith protects me | At the beginning of each floor, spawn 4-8 wisps that orbit Isaac and fires tears alongside him. |
| Blessed Penny
|
5.350.131 | 
|
Wealth of purity | Gives a chance to drop a  Half Soul Heart when a coin is collected.
|
| Blue Key
|
5.350.150 | 
|
Look between the rooms | Doors can be unlocked without using Keys. Opening a door this way brings Isaac to an in-between room that resembles  ???, with a few monsters.
|
| Brain Worm
|
5.350.144 | 
|
Ding! | Tears snap 90 degrees to target enemies that they may have missed. |
| Broken Glasses
|
5.350.187 | 
|
Double vision? | Gives a 50% chance to add a '?' item to Treasure Rooms. Only one item can be taken. The extra items on the alt path are revealed instead.
|
| Broken Padlock
|
5.350.136 | 
|
Bombs are key | Locks can be opened with explosions. |
| Broken Syringe
|
5.350.132 | 
|
Mystery medicine | Grants a chance to gain a random syringe effect for the current room. |
| Charged Penny
|
5.350.147 | 
|
Wealth of power | Picking up coins has a chance to give an Active Item charge. |
| Chewed Pen
|
5.350.130 | 
|
It's leaking | Adds a chance to fire tears that slow enemies. |
| Cricket Leg
|
5.350.185 | 
|
Infested | Adds a 1/6 chance to spawn a random locust when killing an enemy. |
| Crystal Key
|
5.350.170 | 
|
Call to the other side | Whenever Isaac clears a room, has a chance to open a neighboring  Red Room.
|
| Cursed Penny
|
5.350.172 | 
|
Wealth of misery | Picking up coins teleports Isaac to a random room. |
| Devil's Crown
|
5.350.146 | 
|
His special customer | Treasure Rooms are replaced with unique Red Treasure Rooms, offering a Deal with the Devil in place of an item.
|
| Dice Bag
|
5.350.154 | 
|
Bonus roll | When Isaac enters a new room, has a chance to give him a Dice item as a consumable for the current room. |
| Dingle Berry
|
5.350.163 | 
|
Oops! | Spawns a Dip Familiar upon clearing a room. |
| Expansion Pack
|
5.350.181 | 
|
Fun extras | Once per room, using an active item triggers another random active item effect. |
| Flat File
|
5.350.151 | 
|
No more spikes | Causes most spikes to retract, making them harmless. This includes the door to  Curse Rooms,  Spiked Chests,  Pokies and their variants.
|
| Forgotten Lullaby
|
5.350.141 | 
|
Sing for your friends | Improves the fire rate of Isaac's familiars. |
| Found Soul
|
5.350.180 | 
|
Finally! | Spawns a familiar that copies Isaac's movements and scales with damage and tears. If it takes damage, it will die and respawn on the next floor. |
| Friendship Necklace
|
5.350.148 | 
|
Gather round | Causes familiars to orbit Isaac. |
| Gigante Bean
|
5.350.134 | 
|
Mega farts | Increases the size of Isaac's farts. |
| Gilded Key
|
5.350.159 | 
|
Less is more | Replaces all new chests, except  Mega Chests and  Old Chests, with Locked Chests. Grants one Key on pickup.
|
| Hollow Heart
|
5.350.168 | 
|
A brittle blessing | Grants an empty Bone Heart upon entering a new floor.
|
| Holy Crown
|
5.350.155 | 
|
Walk the path of the saint | A Treasure Room and Shop appear in the  Cathedral.
|
| Ice Cube
|
5.350.188 | 
|
Stay frosty | Adds a chance to petrify enemies when entering the room. Killing the petrified enemy freezes it. |
| Jawbreaker
|
5.350.129 | 
|
Don't chew on it | Adds the chance to fire teeth that deal 3.2× damage; mechanically identical to the passive item  Tough Love.
|
| Keeper's Bargain
|
5.350.171 | 
|
Money talks | Adds a chance for Devil Deals to cost money instead of health. |
| Kid's Drawing
|
5.350.169 | 
|
Looks familiar... | While held, counts as one of three items needed to transform into  Guppy.
|
| Lil Clot
|
5.350.176 | 
|
Mini friend | Spawns a clot familiar that mimics Isaac's movements and tears. It dies for the current room after taking too much damage. |
| Lucky Sack
|
5.350.160 | 
|
Free goodies! | Spawns a  Grab Bag upon traveling to the next floor.
|
| Modeling Clay
|
5.350.166 | 
|
??? | Grants the effect of a random passive Item each room. |
| Mom's Lock
|
5.350.153 | 
|
A piece of her love | Grants the effects of a random Mom item each room. |
| Mother's Kiss
|
5.350.156 | 
|
HP up | Grants one heart container. |
| Myosotis
|
5.350.137 | 
|
Forget me not... | When entering a new floor, up to four uncollected pickups from the previous floor spawn in the starting room. |
| Nuh Uh!
|
5.350.165 | 
|
Don't want! | Replaces Keys and coins that spawn in Chapter 4 and beyond with more useful pickups.
|
| Number Magnet
|
5.350.174 | 
|
6 | Increases the chance of earning a Devil Room by 10%, prevents  Krampus from spawning, and generates special Devil Room layouts.
|
| Old Capacitor
|
5.350.143 | 
|
Voltage starving | Active items don't charge when clearing rooms. Adds a chance to spawn a Lil' Battery when clearing a room, independent of the room's original drop.
|
| Panic Button
|
5.350.149 | 
|
Push in case of emergency | Activates Isaac's active item just before he takes damage. |
| Perfection
|
5.350.145 | 
|
Luck way up. Don't lose it! | +10 Luck. If Isaac takes damage, the trinket is destroyed and its effect is removed. |
| Polished Bone
|
5.350.167 | 
|
Friends from beyond | After clearing a room, adds a 25% chance to spawn a friendly  Bony.
|
| RC Remote
|
5.350.179 | 
|
Controllable buddies! | Instead of trailing behind Isaac, familiars are directly controlled by the same inputs as Isaac's. |
| Ring Cap
|
5.350.164 | 
|
Twice the bang! | Placing a Bomb spawns an extra bomb for free.
|
| Short Fuse
|
5.350.133 | 
|
Faster explosions | Bombs placed by Isaac explode quicker.  Bombs also deal +15 more damage.
|
| Sigil of Baphomet
|
5.350.189 | 
|
Revel in death | Grants an invulnerability shield for 1 second after killing an enemy. |
| Strange Key
|
5.350.175 | 
|
What could it open? | Unlocks the passageway to ??? and the  Hush fight, regardless of the run duration. Using  Pandora's Box grants it a special effect, consuming the key.
|
| Swallowed M80
|
5.350.178 | 
|
Bang! | Isaac explodes upon taking damage. |
| Teardrop Charm
|
5.350.139 | 
|
It feels lucky | Luck-based tear effects have a higher chance of occurring. |
| Telescope Lens
|
5.350.152 | 
|
Seek the stars | Increases the chance for  Planetariums to spawn even if one has been visited and allows Planetariums to spawn in Chapter 4.
|
| Temporary Tattoo
|
5.350.177 | 
|
You feel braver | Drops a Chest after clearing a  Challenge Room, or an extra Boss item after clearing a  Boss Challenge Room.
|
| The Twins
|
5.350.183 | 
|
I'm seeing double... | Adds a chance to duplicate one of Isaac's familiars when entering a new room. |
| Torn Card
|
5.350.157 | 
|
Death awaits | Every 15 shots, Isaac shoots an  Ipecac +  My Reflection tear.
|
| Torn Pocket
|
5.350.158 | 
|
A hole in your pocket | Upon taking damage, Isaac drops 2 random Pickups from among those he's currently holding. |
| Wicked Crown
|
5.350.161 | 
|
Walk the path of the wicked | A Treasure Room and Shop appear in  Sheol.
|
| Your Soul
|
5.350.173 | 
|
Give it to me | Can be used to pay for a Devil deal without losing hearts, and is then consumed. |
Trinket ID Gaps
- Trinket with the ID 47 is missing, since was used for The Polaroid in the original Binding of Isaac: Wrath of the Lamb. As The Polaroid was made a collectible item, a gap was left behind.
Trivia
- The Polaroid was originally a trinket in the original Binding of Isaac, but it was changed into an item.
Wiggle Worm was an item in the original Binding of Isaac; however, in Rebirth, it was changed into a trinket. Interestingly, these changes keep the count of items and trinkets from the original game the same.
- Afterbirth+'s original trinket count was 29. The Booster Packs added 9 trinkets.
- Game Squid is the only trinket from the original Binding of Isaac that wasn't implemented into Rebirth or any of its DLCs. This is likely due to it having been added in the Eternal Edition update after Rebirth's release.
Chewed Pen, a trinket added in Repentance, has a nearly identical effect to Game Squid.
- The game has a set "order" of trinkets that will appear. So, for example, if a trinket is encountered as a room drop, then going back in time with the
Glowing Hourglass, the next trinket that drops from any source will always be that same trinket. This is also why 
Guppy's Eye can show the same trinket in two different chests; as the next drop is technically that trinket, no matter which chest is opened. Opening that chest and getting that trinket will cause the other chest to change its drop to a different trinket.
 The Binding of Isaac: Rebirth
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