Every Quality 1 Item in The Binding of Isaac

Do you know every single item that is marked as Quality 1 in the The Binding of Isaac?

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Last updated: February 28, 2026

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First submitted	February 27, 2026
Times taken	1
Average score	35.8%
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Description	Type	Item
4me	Passive	2Spooky
Controlled friend	Passive	???'s Only Friend
HP up	Passive	A Snack
Panic = power	Passive	Adrenaline
Spill your guts	Passive	Akeldama
A sacred offering	Active	Alabaster Box
DMG down + tears up + you feel nutty	Passive	Almond Milk
Toxic blood	Passive	Anemic
He's violent	Passive	Angry Fly
Anti-gravity tears + tears up	Passive	Anti-Gravity
The true out-of-body experience!	Passive	Astral Projection
Gotta lick 'em all!	Passive	Ball of Bandages
Rip and tear	Active	Berserk!
Turn your enemy	Passive	Betrayal
Chub chub	Passive	Big Chubby
Fat protector	Passive	Big Fan
Nothing can escape	Active	Black Hole
Bleed me dry	Passive	Blood Oath
What a cute little thing!	Passive	Blood Puppy
Bloody friend	Passive	Bloodshot Eye
Secrets	Passive	Blue Map
+5 poison bombs	Passive	Bob's Curse
Reusable ranged bomb	Active	Bob's Rotten Head
Homing bombs!	Passive	Bobby-Bomb
1+1 BOOM!	Passive	BOGO Bombs
Messy friend	Passive	Boiled Baby
Gives bombs	Passive	Bomb Bag
Collect them all!	Passive	Booster Pack
Double your friends	Active	Box of Friends
It's a box of spiders	Active	Box of Spiders
HP up	Passive	Breakfast
Invincibility at a cost	Active	Breath of Life
I think it's broken	Passive	Broken Watch
Friends 'till the end	Passive	Brother Bobby
HP up	Passive	Bucket of Lard
He's greedy	Passive	Bum Friend
Bumbo want coin!	Passive	Bumbo
Spider love	Passive	Bursting Sack
Toxic blast +5 bombs	Passive	Butt Bombs
Speed up + size down	Passive	Caffeine Pill
Feed them hate	Passive	Cambion Conception
Power of love	Passive	Candy Heart
Blessing of protection	Passive	Celtic Cross
+1 to lowest stat	Passive	Consolation Prize
Convert your soul	Active	Converter
Holy white death	Active	Crack the Sky
Shards of knowledge	Passive	Cracked Orb
Kick it!	Passive	Cube Baby
Gotta meat 'em all!	Passive	Cube of Meat
Reroll enemies	Active	D10
REEROLLLLL!	Active	D100
Rerolls rocks	Active	D12
Reroll into something else	Active	D4
Roll again	Active	D7
Reroll stats	Active	D8
I remember this...	Passive	Dad's Lost Coin
One with the shadows	Active	Dark Arts
Loss is power	Passive	Dark Prince's Crown
It's a mystery	Active	Dead Sea Scrolls
Toxic breath	Passive	Dead Tooth
Just hope you're not next...	Passive	Death's List
Chuck away!	Active	Decap Attack
Unleash the power!	Active	Delirious
Auto-turret friend	Passive	Demon Baby
:(	Passive	Depression
HP up	Passive	Dessert
HP up	Passive	Dinner
Filthy friends	Passive	Dirty Mind
Double tap shield	Passive	Divine Intervention
Reusable air strike	Active	Doctor's Remote
You feel very balanced	Passive	Duality
It multiplies	Passive	Empty Heart
Intensifying tears	Passive	Epiphora
Erase thy enemy	Active	Eraser
Lost brother	Active	Esau Jr.
Luck up + you feel protected	Passive	Evil Charm
Some stats up, some stats down	Passive	Experimental Treatment
More eyes	Passive	Eye Sore
Filled with goodies	Passive	Fanny Pack
He farts!	Passive	Farting Baby
Rapid bomb drops	Passive	Fast Bombs
Watch where you point that!	Passive	Finger!
...	Active	Flush!
Attack fly	Passive	Forever Alone
Friendly fly	Passive	Friend Zone
Gotta fetch 'em all!	Active	Friendly Ball
Bouncy friend	Passive	Fruity Plum
Double tap glitch	Passive	GB Bug
Conjoined friend	Passive	Gemini
Spectral buddy	Passive	Ghost Baby
Spooky blast +5 bombs	Passive	Ghost Bombs
Micro friends	Passive	Giant Cell
Be gentle...	Active	Glass Cannon
Blind tears!	Passive	Glaucoma
Unbreakable	Passive	Gnawed Leaf
Shrink shot!	Passive	God's Flesh
Money = health!	Passive	Greed's Gullet
Extra protection	Passive	Guardian Angel
Eternal life?	Passive	Guppy's Collar
Swing it	Passive	Guppy's Hairball
Portable sanctuary	Passive	Hallowed Ground
Double shot buddy	Passive	Harlequin Baby
Krampus rage	Active	Head of Krampus
Bloody friend	Passive	Headless Baby
Double tap sneeze	Passive	Hemoptysis
Burning blast +5 bombs	Passive	Hot Bombs
It's time you learned how	Active	How to Jump
Feed them love	Passive	Immaculate Conception
Collected tears	Active	Isaac's Tears
No it doesn't...	Passive	It Hurts
Your faith grows	Active	Jar of Wisps
Fetch!	Passive	Jaw Bone
Portable shop	Active	Keeper's Box

Description	Type	Item
Hail to the king baby	Passive	King Baby
Creep shots	Passive	Large Zit
Luck up	Passive	Latch Key
Eternal life?	Passive	Lazarus' Rags
Stompy	Passive	Leo
You feel balanced	Passive	Libra
Delirious friend	Passive	Lil Delirium
A gurd of your own!	Passive	Lil Gurdy
Fear him	Passive	Lil Haunt
4-way buddy!	Passive	Lil Loki
Puking buddy	Passive	Lil Spewer
Attack buddy	Passive	Little Chubby
Sticky friend	Passive	Little Gish
Cross tears	Passive	Loki's Horns
Protect him	Passive	Lost Soul
HP up	Passive	Lunch
Shot speed up	Passive	Magic 8 Ball
Item snatcher	Passive	Magneto
HP up?	Passive	Marrow
Evil up	Passive	Match Book
Giga fart!	Active	Mega Bean
It itches...	Passive	Metal Plate
Waggles a finger	Active	Metronome
Golden touch	Passive	Midas' Touch
HP up	Passive	Midnight Snack
Don't cry over it...	Passive	Milk!
Booom!	Active	Mine Crafter
Reusable pill generator	Active	Mom's Bottle of Pills
Mother's strength	Active	Mom's Bracelet
Eye in the back of your head	Passive	Mom's Eye
Charm tears	Passive	Mom's Eyeshadow
Range up	Passive	Mom's Heels
Range up	Passive	Mom's Lipstick
It's sharp!	Passive	Mom's Razor
Range up	Passive	Mom's Underwear
Temporary buddy generator	Active	Monster Manual
Purifying light	Passive	Monstrance
Pack and unpack	Active	Moving Box
Reusable bomb buddy	Active	Mr. Boom
Temporary badass	Active	My Little Unicorn
Me! And my shaaaadow!	Passive	My Shadow
Random blast +5 bombs	Passive	Nancy Bombs
Scared of the dark?	Passive	Night Light
Rocks don't stand a chance	Active	Notched Axe
Turret follower	Passive	Papa Fly
My life savings	Passive	Piggy Bank
Pill mimic	Active	Placebo
Play time!	Active	Plum Flute
Stabbing time	Passive	Pointy Rib
Eyeball tears!	Passive	Pop!
Scape goat	Passive	Punching Bag
Help from beyond	Passive	Purgatory
Random buddy	Passive	Rainbow Buddy
Flame on	Active	Red Candle
Friends 'till the bbbbzzzt	Passive	Robo-Baby
We worked out all the kinks	Passive	Robo-Baby 2.0
Rocket propulsion +5 bombs	Passive	Rocket in a Jar
HP up	Passive	Rotten Meat
Gives money	Passive	Sack of Pennies
He demands a sacrifice	Active	Sacrificial Altar
Evil + range + shot speed up	Passive	Safety Pin
The ol' ball and chain	Passive	Samson's Chains
He awaits your offering	Passive	Sanguine Bond
We put bombs in your bombs!	Passive	Scatter Bombs
Blood and guts!	Passive	Shard of Glass
Open your enemies	Active	Sharp Key
She loves you	Passive	Sissy Longlegs
Friends 'till the end	Passive	Sister Maggy
Projectile shield	Passive	Slipped Rib
Revenge fly	Passive	Smart Fly
Power of faith	Passive	Soul Locket
Your destiny	Passive	Spear of Destiny
Mass enemy slowdown + damage	Active	Spider Butt
Mod buddy!	Passive	Spider Mod
Unfinished business	Passive	Spirit Shackles
Sprinkles.	Active	Sprinkler
HP + shot speed up	Passive	Stem Cells
Egg sack bombs!	Passive	Sticky Bombs
Bait and switch	Active	Stitches
A helping hand	Passive	Strawman
Angel breaker	Active	Suplex!
HP up	Passive	Supper
Reusable tear burst	Active	Tammy's Head
Speed down + rage is building	Passive	Taurus
Remote tear detonation!	Active	Tear Detonator
Power of the mind	Active	Telekinesis
Temporary psychic shot	Active	Telepathy For Dummies
Speed up	Passive	The Belt
Temporary Flight	Active	The Bible
Reusable item generator	Active	The Book of Sin
It will never leave you	Active	The Boomerang
Poison damage	Passive	The Common Cold
The end is near	Passive	The Compass
Temporary Man-Pac	Active	The Gamekid
Building bridges	Passive	The Ladder
Controlled tears	Passive	The Ludovico Technique
HP up + speed down + you feel stompy	Passive	Thunder Thighs
Itching for revenge	Passive	Tinytoma
Full visible map	Passive	Treasure Map
Tear size + range up	Passive	Tropicamide
Undefined	Active	Undefined
You feel stumped	Active	Unicorn Stump
Begone!	Active	Vade Retro
He wants revenge	Passive	Vanishing Twin
Clogged enemies	Passive	Vasculitis
Hot blooded	Passive	Vengeful Spirit
Short cutter	Active	Ventricle Razor
I can't believe it's not butter bean!	Active	Wait What?
Flip a coin	Active	Wooden Nickel
Speed up	Passive	Wooden Spoon
Gross!	Active	Yuck Heart
Reusable regeneration	Active	Yum Heart
The heavens will change you	Passive	Zodiac

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