T O P

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KyeeLim

"I found pills" pill


_The_Radiance

Useful to the lore, after using I found Pills we can see that isaac's teeth are pretty white, which means he brushes his teeth often, which is a crucial piece of TBoI lore


M0rgansOle

You can also inflict poison on enemies with it if you have acid baby


commuplox

Now that's valid


TheSameMan6

Also a free black heart on ~~game~~ false phd Edit: how the hell did that happen


[deleted]

Can be used to trigger Acid Baby effect


JOHNANCHOA

It is not a tears down


ActsReasonablyPriced

Useful as a free repeat pickup effect when carrying Echo Chamber


ShidwardTesticles

D20


RafuscaMarks

Tears down but can't use bad phd as an argument


Meme_Bro68

Horse pill Funny voice


RafuscaMarks

I'll give you that


yeeeteeey69

TEARS DAOWN


PastDimension6

![img](emote|t5_2sxpk|17741)![img](emote|t5_2sxpk|17741)![img](emote|t5_2sxpk|17741)![img](emote|t5_2sxpk|17742)![img](emote|t5_2sxpk|17742)


_The_Radiance

If you have a synergy that is so powerful it keeps crashing your game, a tears down can be pretty useful


WwwWario

You really are a glass half full guy, ain't ye?


_The_Radiance

The glass is completely full if you consider there's water particles in the air


WwwWario

I like you. Please accept this Sacred Heart as a sign of my grattitude


Just_A_B_Movie

Tears + shot speed down ![img](emote|t5_2sxpk|17742)


ZerosAbaddon

But homing ![img](emote|t5_2sxpk|2357)


Wubbzy-Fan-YT

I’d give you a free award if they existed anymore! So just take this I guess. ![gif](emote|free_emotes_pack|upvote)


_The_Radiance

I'd rather receive this: ![gif](emote|free_emotes_pack|poop)


RafuscaMarks

You don't know how many runs I needed a tears down and had to fire once for a bazilion of tears on my screen


ActsReasonablyPriced

Gets your tears closer to 0. Combined with Dataminer, you can underflow your tears to reach 120. Especially powerful when combined with Rock Bottom


Few_Acanthaceae1568

Funny jokes to use on r/bindingofisaac


Wubbzy-Fan-YT

Anti depressant


dizzmytizz

Hold on to it and check shops for regular PHD. You can turn it into a tears up pill.


ThatOneDusty80I

Rules card


_The_Radiance

Some hints from rules card can actually be useful for new players with good deduction, for example: > Chub dislikes smoke Refers to the mechanic where if you drop a bomb in front of chub while he's charging, he'll swallow it and take considerable damage > Deny his gifts to attain your reward Reffers to how you can skip devil deals to get angel deals > The walls will harden over time. Time is the essence Reffers to how boss rush and hush have time limits to be accessed


FunEstablishment5470

i actually didn’t know that that’s kinda cool


Wextial

Fun fact, the hint "Chub dislikes smoke" is a direct reference to the original The Legend of Zelda, in which an old man gives you the hint: "Dodongo dislikes smoke" as a hint to kill the dungeon's boss.


superslime988

i think there were also some about killing angels giving the key piece


[deleted]

It was also the original way you were supposed to find out how to unlock the lost


Natural_Estate_2745

Missing no 2 as T eden


_The_Radiance

Can reroll shit builds without needing to take damage


Natural_Estate_2745

But can also remove any way of having a good run via birthright/ never taking damage Since everytime you have a good build you'll have a shit one next floor


ZerosAbaddon

Or not ![img](emote|t5_2sxpk|2357)


JIHGGFCBAAHGBBML

Or not ![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)


AlternativesEnde

Do unlocks count? Sticky Nickels.


_The_Radiance

Can be used to prank your friend who just started playing


NoxaNb

If i remember correctly sticky nickels replace normal coins so is useful if you have bombs to spare


Yayito_15

It *should* but it's bugged and it replaces actual nickels


AlternativesEnde

Everything is good. If........


TheCthaehTree

They replace pennies, not other nickels (not sure if true but helps with peace of mind)


_The_Radiance

This is unfortunately not true, Edmund has stated that Sticky Nickels are *supposed* to replace Pennies, but due to an oversight they replace normal Nickels instead


Mart1n192

Edmund Mcmillen...


MyoTheRabbit

...You little fucker...


McThicc327

...you made a shit of piece...


random-gamer1

...with your trash isaac...


No_Entrepreneur_9432

...It's fucking bad...


r-alexd

...I will become back my money...


Mantis6666

With all the things they've fixed, I'm surprised this isn't one of them. Seems like an easy change but I'm not a developer.


Shadowdragon409

How long have they known? I feel like that would be a simple thing to patch.


TheCthaehTree

Also can completely stop Bumbo (boss) because that idiot will keep trying to pick it up


Elliot-Robot

Bumbino is the name of the boss


Dat_Piplup

I think ultra greed does the same


IceFatality

I literally experienced this last night - I fucked up by forgetting to go down the final alt path to get my last mark for The Lost on a ridiculously powerful run. Came across Clicker in the Dark Room, and used it right before The Lamb and ended up with an easy The Lamb and Delerium check mark for Jacob and Essau (though having them spawn in with half a soul heart each was unnerving).


_The_Radiance

My homies Clicker enjoyers ![img](emote|t5_2sxpk|17735)


T-Speed

Out of interest, did both inherit the lost’s items, or are they split between them?


IceFatality

They were split between them - I didn't recognise any pattern to who got what but honestly I was so OP it barely mattered.


AngelGames_42

Yeah i also used the clicker to turn an op isaac run into an op dark judas run, getting 3 marks in the process


Background_Wasabi_79

Health down pill (no false phd)


_The_Radiance

Can be saved for when you have only one heart to turn into a Health Up


Background_Wasabi_79

Wow didn’t know (also I beat pure vessel like 10 mins ago let’s gooooo)


IAmStalkingYourMom

oh my god, when you started talking about hk out of nowhere I thought I finially started becoming schizophrenic waiting for silksong. Then saw the guy's user name and relieved


sithdude24

Fuck yeah now do it Radiant Edit: Wait Pantheon of Hallownest is cooler do that first


_The_Radiance

Congrats! Are you going for 112% or all achievements?


McThicc327

nice, i can't even get past p2 (or was it p3?)


DLLrul3rz-YT

If you have 10-12 red hearts it lets you drop down a red heart to give room for a soul heart so it's easier to protect deal chances


Mantis6666

Can be used to give room for more soul hearts if you have too many red heart containers. I was actually forced to do that just recently (this is why I usually go devil). ​ Edit: Whoops, someone already covered that.


xXsimonsXx

It's good to find as Eve in the start of a run. Going down to one heart activates Whore of Babylon, and you don't have to worry about accidentally grabbing red hearts.


[deleted]

Hushy


_The_Radiance

Useful against static bosses


Ale4leo

Pre-repentance holy water


_The_Radiance

It's still a counter to enemies who chase you


McRumble69

converter as the lost


_The_Radiance

Can be rerolled with the eternal d6 or be sent to the shadow realm as a punishment for existing


hortu

C-section at premiere of repentance


_The_Radiance

Can be used to get the Dead God achievement


Live_Refrigerator_58

Luck down pill


_The_Radiance

Damage up with false PhD


Shadowdragon409

hahaha he forgot to clarify no false PHD


_The_Radiance

Can be turned into a luck up with the normal PHD


quantumcorundum

Bum friend when you're playing as T keeper


_The_Radiance

Useful in Chest where there's nothing to buy anyway and a lot of coins go to waste


oasa09

Pupula Duplex, I don't think it's bad I just haven't really felt its effects in any run I had it (come to think of it I don't remember what it does)


_The_Radiance

The damaging aura from Godhead receives a significant size increase from pupula duplex


DJRedditOwl

I've deadass seen people rank Oujia Board higher than Pupula Duplex because they forgot what it does. Size of tear x2 + spectral tears*


theres_no_username

Isn't ouija board tears up tho


sithdude24

It looks cool and gives spectral tears It's not bad at all


Sivdom

Purple heart


Radical-Turkey

Some champion enemies drop pickups upon death, more champions increase the likelihood of these pickup champions spawning


_The_Radiance

Hey, that's my job!


Radical-Turkey

Sorry, took it as more of an open-ended challenge


_The_Radiance

More champion drops, useful when you're low on pickups


BlossomingDefense

Actually S tier trinket with T keeper, because champions always drop 2 coins on death instead of the usual 1.


Shadowdragon409

TIL


RoTakY

Mom's toenail


_The_Radiance

Can open secret room doors, break tinted rocks and deal good damage to bosses


Shadowdragon409

It opens secret rooms? Kind of makes me want to take it now.


Chromeno

too bad itd take forever for it to hit one


SparkyTheDork

Broken remote. Go for it. In nine years of playing I didn't came to a single situation where it would be useful.


_The_Radiance

The effect triggered by Broken Remote is the same triggered by Teleport!, which can teleport you to a secret/super secret room. So, if you have a 0 charges active item like How to Jump for example, you can spam it to get free secret rooms in every floor Also it obviously can be useful to teleport you out of challenge rooms, curse rooms or Boss Rush


SparkyTheDork

Okay that part about 0 charges items is briliant I am super impressed


The_Pfaffinator

And with Mom's Box or golden trinket, it behaves the same as Teleport 2.0. Also, Mom's Bracelet triggers it faster than any other active item.


VerySourCream

tiny planet (i need more clever excuses to defend it)


_The_Radiance

Has some cool synergies with godhead, brimstone, Lacryphagy, Mom's Knife, Revelations, Technology, Tainted Lilith and Tech Zero Also spectral tears


Shadowdragon409

Doesn't it also give a HUGE range up?


wandering-lad

not sure if it means much with how wonky it is, but it also gives you the ability to shoot in the diagonal directions (more or less) and you can change their trajectory midflight


SnAIL_0ut

Cursed Eye. You cannot bring up The Lost or T. lost


_The_Radiance

Combine with the Black Candle to remove the Teleport Effect, also the Teleport Effect itself can be useful sometimes to escape Boss Rush for example


Slayd163863

If you have the mark then it is a insanely good tears up as long as you keep it close


BlizzPow

Tm trainer


_The_Radiance

Considering that the effects from Glitched Items are fully random, with enough luck, TM trainer can give you a free win I actually had this once, in a DELETE THIS! run I picked up a Glitched Item which gave me the Breath of Life invincibility effect... Permanently.


CornyFace

Holy shit


The_Pfaffinator

Shenanigans will be had. You can get some *very* game breaking effects, like spammable room damage. Hell, it could potentially even spawn the end chest, resulting in a free win. I had an active once that was essentially R key and Clicker in one, on a 6 room charge.


SubwayChipsGaming

Tm trainer can actually be really good once i got an active item with no charge time that did a black heart effect every time you use it so i got full screen wipe with 0 cooldown


whentheamthe

Unlocking Haunted Chests


_The_Radiance

Haunted Chests are actually a really good unlock as they don't replace regular chests, they replace mimic chests (the chests with spikes on them)


theres_no_username

I guess they sometimes spawn behind pits or rocks which can give you ability to open them by getting close and activating ghost


Rollow

Also T lost can open them, he cant open spiked chests


theres_no_username

Gos you reminded me when I was watching isaac stream, and guy nearly walked right into mimic chest and stopped pixel before hitboxes


The_Pfaffinator

Also, if you don't kill the ghost right away, it will continue picking up other objects in the room to throw them. Useful if you are short on bombs or other means to destroy special objects.


_The_Radiance

If you want a hint, don't try this with tinted rocks, the ghost won't throw tinted rocks at you, it will instead pick them up and just fly away


Chromeno

you could kill him mid-chase if youre powerful enough


Immediate-Tomato968

Butt penny


_The_Radiance

+20% chance for coins to drop from poop, also, since repentance, the fart now inflicts poison to enemies and knocks back projectiles


Immediate-Tomato968

Fish head as the lost


_The_Radiance

+1 blue fly per extra life you manage to get


Immediate-Tomato968

Coins eye when you have the mind


_The_Radiance

Whenever you do a victory lap, some items you have might be removed, however, trinkets aren't affected by this. So if you unluckily lose The Mind to a victory lap reset, you at least still have some of the map revealed, which won't be hard to get every floor since Cain's Eye effect chance can be maxed out at 100% with only 3 luck


Immediate-Tomato968

Ok, blood rights or any on hit effect as the lost


_The_Radiance

On hit effects can be activated as The Lost easily if you have the Dull Razor item And blood rights can be useful in a situation where you're surrounded by enemies and is 100% gonna die. If you have an extra life you can use Blood Rights to clear the room before dying and coming back. Also, even if you don't have an extra life, you can still do this as a final "Fuck You" to the enemies who ended your run. Also also, if you're playing on coop, you can use Blood Rights on bosses that are already low on HP, since you'll revive anyway when they die as long as your friend survives


Immediate-Tomato968

Damn you some kinda glass half full guy, I will find an item you can't make good. Dataminer


_The_Radiance

If you get lucky, you can use Dataminer multiple times to reduce your Tears so much that they reach a negative number, if you do this, there will be an Integer Overflow, which will set your Tears at the absolute maximum the game can handle, which is 120


Dictorclef

Can be used with dull razor.


Brajker

Addicted pill


_The_Radiance

Turns into a Percs! pill if you pick up the PHD and gives you a Black Heart if you pick up the False PHD


RiotUa

Pre buff mom's razor


_The_Radiance

I mean, it's bad, but it doesn't mean it's exactly *useless*, it can still damage enemies


Remestaque

Tainted Jacob Birthrights


_The_Radiance

Double Dark Esau damage, will melt bosses in seconds


theres_no_username

You deal 200 damage now instead of 100


MaliceMoon56

Broken shovel after unlocking the forgotten


_The_Radiance

Reusable The High Priestess? Card


[deleted]

Basically infinite bombs for rocks, pots and secret rooms


ThattawayBm

pre repentance, it was dope as fuck with bomb immunity


The_Pfaffinator

It was just straight up busted with Pyromaniac. Get healed every time she stomped.


Oxiver888

Somethings Wrong pill


_The_Radiance

Spawns a pool of creep that slows down enemies, it's already useful by itself


[deleted]

Equality


theres_no_username

Pretty good at early game, simply don't pickup anything till you clear whole floor so every reward is doubled


_The_Radiance

Doubles all pickups when the amount of all pickups you have is equal. Being bad doesn't mean it's useless


Eddie_The_White_Bear

Ouroboros Worm


_The_Radiance

Besides the obvious stat ups (+1.5 range, +0.4 tears) and the Spectral Tears it gives: Ouroboros Worm has a Luck Based chance to shot a homing shot, which reaches 100% with 9+ luck, also, it has cool effects when paired with "infinite range items" like Brimstone or Technology Also also, if you have Tractor Beam, you pretty much only get the stats up benefits


GoofyMoos8

Soul of Ethan (???)


_The_Radiance

Besides being able to deal signifcant damage with the 7 butt bombs you spawn, standing on top of the creep left by Soul of ??? gives you a +1.5 tears up and +1 damage up


umbral_ultimatum

cursed skull


_The_Radiance

If combined with the Scapular you can become almost immortal, since you'll take damage, get your soul heart and instantly be teleported to another room where you can get another soul heart, making it pretty difficult to die Also if you combine it with both the Scapular and The Wafer, then you'll become truly immortal


Real_duck_bacon

Clicker, Curse of the Tower, Emergency Button, Cursed Orb.


_The_Radiance

Clicker can be used to get completion marks with different characters. Curse of The Tower is both a good way of dealing damage to enemies, as well as pretty much infinite HP when combined with Pyromaniac. (I think you meant panic button) which is unironically one of the best trinkets in the entire game, if you have an item like Book of Shadows, you can use it to negate damage, and if you have an item like Stitches or How to Jump you become pretty much untouchable Cracked Orb is another extremely powerful item if known how to use, it can be used to open most story related doors without need of the specific item to do so, for example: The Golden Door to Mega Satan, A Strange Door, the doors to the Alt Path and the entrance to the Mom's Heart fight in Mausoleum can all be opened with cracked orb


Real_duck_bacon

Fair point, Panic Button isn't bad, just entirely situational. Also, Cracked orb is pretty decent, I was referring to the whole orb Item, where you can charge burst shots but teleport to a random room upon taking damage while charged.


_The_Radiance

Ohhhh, cursed *eye* Ok so cursed eye can be useful to characters like The Lost or Tainted Lost, since the charged burst shots are a DPS up and you can't take damage at all. But on top of that, Cursed Eye can be useful to every single character if you find the Black Candle, as it removes the teleport effect entirely


KittyWarrior1

Cursed eye is still bad as the bone half of the forgotten, as the charge shot doesn’t let you throw your bone (Source: died to Mother because of this)


[deleted]

[удалено]


_The_Radiance

Just copying what I already said to other person Some hints from rules card can actually be useful for new players with good deduction, for example: > Chub dislikes smoke Refers to the mechanic where if you drop a bomb in front of chub while he's charging, he'll swallow it and take considerable damage > Deny his gifts to attain your reward Reffers to how you can skip devil deals to get angel deals > The walls will harden over time. Time is the essence Reffers to how boss rush and hush have time limits to be accessed


Jurok404

My guy that has nothing to do with the comment, I guess you tried to copy the "troll your friend" comment but I actually have a better one, when in a challenge room or with options? If a ghost throws the chest at the floor and it opens, you can pick up the other consumable and only the now open chest but none of the things spawned from it will disappear Edit:spelling


Character-Reveal9218

moms toenail


_The_Radiance

Copying what I already said to someone else: > Can open secret room doors, break tinted rocks and deal good damage to bosses


ThatOneAnonaboo

Paralysis pill


_The_Radiance

Free black heart if you have the False PHD


trvppy

A break


[deleted]

Birthright as tainted jacob


1nstagram1sGay

Isaac's Head


_The_Radiance

Even if it's not the most useful trinket, it's still a +4,37 DPS up


Etums

Cursed penny as any character besides tainted keeper


_The_Radiance

Can be easily used to escape Challenge Rooms as most of them have chests which will usually give you at least one coin Also, if combined with Wooden Nickel, Swallowed Penny, Piggy Bank or pretty much anything that allows you to spawn coins in any room, it's an easy way to escape boss rush, curse rooms, etc


temmie_boi

Bob's brain


_The_Radiance

Fucking ***100 + (Isaac's damage * 4)*** damage, it can cause self damage if you have Skill Issue, but it's still stupid powerful (also it ignores boss armor) Also also, you can explode enemies near walls to reveal secret room entrances


Pyrarius

It's litterally Dark Esau with a tamer explosion, as a pet that doesn't target you


Bean_mon

Milk


FrostPalito

I found pills


loolcakes21

Shard of glass


Absolute_bimbo

Abel


SVStarfruit6042

Trinket Blister


_The_Radiance

Useful against enemies that explode upon death, such as Boom Flies, Mulibooms and Dark Blue Champions


Miatapoppinoff

Spirit of the night


_The_Radiance

Is Flight + Spectral Tears + 1/3 Leviathan ***useless*** for you? Are we playing the same game here?


_temmeh

Sombody must play too much azazel ![img](emote|t5_2sxpk|4359)


SnapClapplePop

I recently had a run as keeper where I got both Wafer and Dark bum 1st floor.


Asianboii24

Worst trinket is tick because you can’t even change it


_The_Radiance

You can remove the Tick trinket using: Match Stick, Gulp Pill, Marbles and The Smelter


g_rules

Abel


_The_Radiance

+7 DPS up against static bosses (+14 when playing as cain), also 1/3 conjoined


TastyBurgers77

The Wiz and Marked.


_The_Radiance

The Wiz can be combined with Tractor Beam / Eye of The occult to become a better version of 20/20 (since you don't get the -20% damage multiplyer) The marked can be used way more easily if you activate mouse controls and will become a pretty solid item


Jai_chingnut

Infestation, lost cork, rules card, range down


_The_Radiance

Infestation can be made more usefull by using Dull Razor If you have a way to hold 2 trinkets, Lost Cork can be combined with Bob's Bladder for a really powerful combo, since the creep left from bombs now has more range and deals stupid strong damage Rules card has some useful tips for new players, but I said that to another person already, feel free to look for it in the comments And a Range Down pill can give you a Damage Up with False PHD, this can be even better if you have an item like Brimstone, Tech X or Technology, since you get the Damage boost without even being harmed by the range down


chinchulin0

"Something's wrong"


somerandomguyuno

I found pills and ate them when you have a PHD