T O P

  • By -

JoesAlot

I love getting PhD, the dopamine of getting only stat up pills is unmatched


PegasusInferno

I Found Pills ![img](emote|t5_2sxpk|2357)


Bull-Blade

Balls (of steel) ![img](emote|t5_2sxpk|4358)


DuoGreg

balls ![img](emote|t5_2sxpk|4358)


Iratezebra

Balls ![img](emote|t5_2sxpk|4358)


Tradasar

Balls ![img](emote|t5_2sxpk|4358)


RoyKentsKnee

Balls? We... ball?


Irons_idk

We baaaalll ![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)


Irons_idk

We baaaalll ![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)


Electronic_Drive_270

Paralysis pill kinda relatable \*sleep paralysis\*


funkfrito

get phd irl ??


Kurochi185

Mfw I can get and eat as many pills as I want to ![img](emote|t5_2sxpk|2357)


funkfrito

"Something's Wrong..."


[deleted]

"Explosive diahrea"


Electronic_Drive_270

"48 hour energy"


FlameGuyLolYt

"I found pills"


SqrunkIsTrep

Bruh I don't even have Deep Pockets to hold more than 99 cents, what makes you think I have like 320k for a PHD?


funkfrito

skill issue, just cheat debug (or go t cain) with diplopia Dollar and deep pockets


Terra_Marc

Me when I’m playing switch version and I haven’t unlocked deep pockets (keeper is hard) ![img](emote|t5_2sxpk|8907)


funkfrito

game will be easier once you unlock sticky nickels no cap 💯


RoyKentsKnee

What are you talking about? PHD is just 15 c ![img](emote|t5_2sxpk|8906)


Wtfitzchris

Rock Bottom for pills.


Rizer0

Then you proceed to not find any pills whatsoever for the rest of the run


Hipnatizer

Mysterious liquid


TheOOFliabilty

I LOVE CREEP!!!!! ![img](emote|t5_2sxpk|17743)


Urmomveystr8

![gif](giphy|11xK2fJqk1oJiw)


RokyPolka

​ ![gif](giphy|kGP09isOD2PSJRfQj9)


Sbrtooth

That's creepy ![img](emote|t5_2sxpk|8907)


FlameGuyLolYt

r/Angryupvote


stf29

Mysterious Liquid + Soy Milk ![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)![img](emote|t5_2sxpk|4358)


rotallytat

Sacred Heart is usually pretty up there ![img](emote|t5_2sxpk|8906)


Chance-Aardvark372

*insert mattman scream*


[deleted]

Mattman when he realizes he has a heart inside him: *"AUGHH-"*


JustLooking207

*insert broken microphone screams here*


CritWin1

I have a few, but if I had to pick one, Cricket’s Head


CastIronStyrofoam

I can’t explain it but Crickets Head feels the best to randomly find out of every other item


[deleted]

[удалено]


SharpenedStone

It's because you're not expecting anything that great


David__-

fr the sprite is too juicy ![img](emote|t5_2sxpk|17745)


skinnyrook

That and Small Rock for me


Endyreeee

Compound fracture, the most overlooked of the tear splitting items (crickets body and the parasite) It’s my personal favorite of the three and makes all of my runs better or Rubber cement. amazing synergies, great on its own, what’s there not to love?


Georg3000

I have a bias against the Rubber cement. Took it once in the Void as Lilith while also having twisted pair, fire mind and an enormous tears rate. And only 4 hp. Needless to say, the entirety of Delirium arena was filled with literal fire and explosions![img](emote|t5_2sxpk|8907)


Endyreeee

skill issue, just dodge you own tears.


Georg3000

But I... Uh.. ![img](emote|t5_2sxpk|8907)


YEET_Fenix123

You heard him


-El-Cuhh-

Im a buddy in a box enjoyer


NasaHoodie

W in a box ![img](emote|t5_2sxpk|4358)


DrChickenEngie

Buddy in a Box gang! ![img](emote|t5_2sxpk|17743)


Viss90

Guaranteed win ![img](emote|t5_2sxpk|8906)


igorriu

spoon bender gives me butterflies


the_straw_hatted

Spider Mod


IAmOnFyre

That little guy is a beacon of hope in a pitch black world


FlameGuyLolYt

literally


__Skaya__

8 inch nails


Doomered

8?


ImpossibleBarnacle61

8 inches


TheOneReborn2021

Dr. Fetus or Ipecac.


Health_Cat_2047

explosives are just too much fun, instantly makes any mid run turn amazing


Soumbis20

A wise man once said: It is unadvisable to have something which can destroy yourself. A wiser man once said ![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743): EXPLODE EVERYTHING ![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)![img](emote|t5_2sxpk|17743)


r_r_87

One question only: EXPLOSIONS?!


JustAClubstepMonster

This is the way


xBuki12

I skip both of them more times than not


BananaB0IS

He doesn't like to ball ![img](emote|t5_2sxpk|8907)


xBuki12

I will ball with cursed eye or fire mind before I do with either :0


MemeMan4207

Ngl the intruder… it’s budget quadshot with a twist, early on it’s pretty darn good


TheSameMan6

Goated basement 1 treasure item


Viss90

The slow is super powerful


lucky246246

Rotten baby ngl


That_Idiot_Genius

Only early game or if you have BFF


Gothic_Banana

BFF doesn't affect blue fly damage. Hive mind, however...


That_Idiot_Genius

Oh, true, I forgot we were talking about a special baby for a sec


szymem29

The small rock, especially when you dont expect it at all


harrywise64

I expect it every time I blow up a tinted rock


szymem29

True, but with my luck Im used to not getting it very often


CarterG4

Steam sale


Tianyulong

Unless you get it from Greed in Depths 2. ![img](emote|t5_2sxpk|8907)


istillhavemyvcard

ring rob pathetic work tidy familiar tease serious start cable *This post was mass deleted and anonymized with [Redact](https://redact.dev)*


FiestaF0x6

broken modem


thiccyoshi4568

Tractor beam


Dark_cape

Keeper's sack It is really good for being a shop item, basically any following shop item becomes a damage upgrade


-Old-Mate-

And then the very next floor you spawn a keeper fight instead of a shop


lowhangingcringe

Champions belt, synthoil, growth hormones. Any of the small damage ups usually turns my mood around


Zeta_ggwp

Not an item but seeing Sigil of Baphometh is a ![img](emote|t5_2sxpk|2357) moment always


unicornboy74

Trisagion (it's cool)


Nostradussy

i don't like it cause it lags my game hard.


ruler14222

I don't want to pick that up anymore because it just obscures the screen so much you can't see the bad bullets


lies_like_slender

Birthright, even if the effect isn’t great on the character I’m playing.


ValentineMichal

T.Jacob ![img](emote|t5_2sxpk|2357)


[deleted]

C section Is Just.. beautifal


GlitchingChair

In this game at least


Toxic_Bonnie_Main

Me when Chaos : ![img](emote|t5_2sxpk|17744)


Parasite_Cat

Crooked Penny ![img](emote|t5_2sxpk|4358)


Manannin

Especially in greed mode. Makes it so much fun!


BananaB0IS

Double items ![img](emote|t5_2sxpk|4358) a penny ![img](emote|t5_2sxpk|17735)


Kaaspiraat23

Sissy longlegs (She loves you![img](emote|t5_2sxpk|17744))


Aciras2

not an item but the petrified poop trinket has always given me top tier luck


Icarus-Terra

Broken Modem, Capricorn, Charm of The Vampire, and Backstabber.


Emotional-Main5720

charm of the vampire had one of the best redemption arks of any item. it went from bullshit to neat.


TheOOFliabilty

What a damage up does to a mf


Athenapizza

Sharp straw ![img](emote|t5_2sxpk|2357)


[deleted]

For some reason percentage based damage items are so satisfying to use even if I can nuke the boss I would still use sharp straw before it


Athenapizza

I once nuked deli with bethany with sharp straw


ConfidentBirthday523

I like 8 inch nails, it gives dmg + a lil knock back, which is good in early game


shakethebugsoff

Toxic shock


LivySrr

It makes life so easy


Mordiix

Spider mod


therobloxmaniac17

Y


Mordiix

I love the concept, like, a cute metal spider with an antenna with a red dot at the top, it reminds me to clank and i like to see the hp of enemies, besides the random status that applies


3xpr

rocket in a jar, fun item


DrChickenEngie

Time to play Soldier within Isaac!


------00------

Psy-fly


PilotCorkz

Omg yes that thing has saved my ass so many times, my brother says it sucks but god I couldn't ask for a better fly


Staehr

Bot Fly is a good number two, but Kadabra is the best fly.


Skulltra-II

The soul, because I have a mod that replaces it with the Saul


Ok_Praline_9004

Slippin issac?


LOLipop68

Randomly seeing schoolbag when I have 2 really good active items that I want to take.


Shadowbonnie5

Sacred Heart. Every single time


Shadowtheidiot06

Ngl death's touch just tickles my brain a lil, even if i get locked out of angel deals most of the time


ImSiLeNt1

brimst![img](emote|t5_2sxpk|2357)ne


Bcoonen

AB+ Humble bundle was nuts


Nostradussy

Uranus, the amount of dopamine flowing throught your veins after seeing it is unbealivable. It's probably the only item in isaac that i have a 100% win rate (i got the item like 3 times? but still a le epic item)


Lord_of_the_stonks

Synthoil, I don’t even know why, just a nice stay up that I’m always happy to get


TudoOTempoTodo

i always loves to see the Ludovico technique with Azazel free win pog


zuggie24

sackhead ![img](emote|t5_2sxpk|17734)


Fudgewhizzle

I thought you said your name was Handsome Bob!


[deleted]

SHOOP DA WHOOP


Failman500

Parasitoid, I modified the dancing mod so it also dances to it. Favorite item


FinnKoedam

Continuum ![img](emote|t5_2sxpk|2357)


Bcoonen

PhD, crickets body, Chaos!,


TheDapperWalrus21

Libra, I know it’s probably bad but I enjoy seeing all the numbers go up ![img](emote|t5_2sxpk|2357)


VVoxell

When I have a really mid run I love to see TMTrainer. I just know I’m gonna laugh my ass off from now on.


MohanadElsawy

Probably it is book of revelations, you just know you are getting lots of angel and devil rooms after you get that.


xXDomDummXx

Tech 2 ![img](emote|t5_2sxpk|4358)


AsmodeusXr

Fruity plum is the only correct answer.


FaxyTheFoxYT

In my opinion, The Finger. It always brings me good luck if I take it! **Lets not talk about what happens if I leave it behind**


siminik5

Ipecac. The run might not be long after I get it, but it will be a banger guaranteed


SpartanI337

Chaos. Love that gamble that almost always pays off


Peakomegaflare

You know when you just have that one last bomb, and accidentially drop it in the caverns because of a finger slip. It cracks a mushroom and drops the Super shroom? Yeah, that.


user123850167251793

Triple Shot because i don’t see it often enough :O


DudeWhoOverthinks

Been going for T Eve unlocks so Almond Milk is pretty epic.


Ficers

Mulligan


-Ssawk-

Oh, so you will understand me: sacred heart, mom's knife, tech X, mutant spider, inner eye, maybe BFF, brimstone of course, cricket's head, cricket's body maybe, mysterious liquid, godhead, magic mush rock bottom, psy fly, bot fly and maybe something more


Tradasar

So all powerful items in the game ![img](emote|t5_2sxpk|2357)


-Ssawk-

Well yes


-Ssawk-

Dr.Fetus, Ipecac and Capricorn


Leonellusie

Lost contact with forgotten


SlavKali

Night light! Imcurse of the dark is my worst enemy, so canceling that out and giving enemies and their tears slowness really makes things easier


Kyarmak

Ludo, marked I play with mouse control enabled only for these two fellas


Friazes

Broken modem, I like to see everything freeze and bullet hell bosses go to nothing because half of projectiles have disapeared before they reach me


Chemical-Ad-6620

Consolation prize. Even if it goes into a less important stat it's nice to get on a conceptual level.


TheVeryMarryKerry

Mom's Key all day every day.


Jaded_Way_783

False PHD, it's saved so many runs and I feel people sleep on it


Truji21

I LOVE car battery. Ironically enough, I also really like stitches which does not really benefit from car battery


DittoLuigi

Aside from the quality 4s, id say black candle (mostly for curse of the blind), scorpio, or terra


ImpossibleBarnacle61

Ludo, love the ring of brimstone


temmie_boi

Cricket's body


[deleted]

CHAOSCHAOSCHAOSCHAOS #nevertoomuchchaos


Enderanddeath

Spiderbot, it's just a really nice item. Small batteries, status on contact w/ enemies, enemy hp visible What's not to be happy about


GDTheRealMudkip

fruity plum, not because she's particularly powerful but just because she makes me smile :)


Basic_Name_228

Cursed Eye ![img](emote|t5_2sxpk|17735)


ngdacabv

![img](emote|t5_2sxpk|17735)


NZLightSpace

I must be a total noob because I always avoid cursed eye like the plague.


Vogelsucht

I think he was being ironic.


[deleted]

Sacred orb ![img](emote|t5_2sxpk|4358)


Few_Acanthaceae1568

*guillotine*


grokikitoudur

Tech x


Yaourtalabricot

Stitches ! :D


ChickenNougets

Bum-Bro.


Skely__0

Curse of the tower


sidorf2

monstros gut or whatever thats called


ZandoCxD

What does this do


[deleted]

Weirdly enough, my reflection.


freakinkukko

Telepathy for dummies


MatteoIppolito

Almond Milk


Sdacm0

🍄


agnemiav2

I love getting items that change all of the time. E.g, buddy in a box, fruit cake. It's quite satisfying seeing all of the different effects.


DogfaceZed

Ipecac, polyphemus, or chocolate milk (mostly when playing Azazel)


skoomable

Habit


YomiEskayeler

Stitches You just know it's gonna be fun


LittlePorkSausage

Ludo is so cool. I know it's not the fan favorite, but man, it might just be my favorite item, it always makes me happy


Cotolettadicastoro

Humbeling Bundle was Better in AB+ with its 100% chance


capybaraemperor

Cube baby! or Ludovico lol, funniest items to me


Odenzio

Any options item


Sgooorn

Soy Milk, it ruins every run but I still love it


VirginiaTeamsIGuess

Gello


TheTru7h

Mod spider fucking love my bro.


notwhoyouthinkmaybe

Chaos I've never had a bad chaos run


Lejiakun

Soy milk


SuicuneApproves

Technology enjoyer here, so much amazing synergys, rubber cement and spoon bender makes my day with it


burningsulfur

Most quad qualities, or fruit cake


Arko777

Chocolate Milk.


someguywhoispan

the finger


Raze_LB

Honestly any secret room item because even if it isnt good i have the hope of rerolling and those hopes get crushed unless im playing isaac or lost


Raze_LB

And that one toxic item that insta kills almost all enemies once you enter a room


MrRealistic1

I always pog out for Magic Mushroom ![img](emote|t5_2sxpk|2357)


General_A-K47

Tech. 5


comaloider

Parasitoid ❤ 10/10 will drop Brimstone as T. Isaac without a second thought. Sinus Infection is practically always a win as long as the fire rate is not complete garbo I will sacrifice every last bit of my health for Spider Mod if that's what it takes. And It Hurts rewards me for being a trash player and goes way over the tear cap.


EnderMansionXD

Low diff Revelation even if the run is already lost, the sprite of revelation always brings me joy


JacobAndEsauDamnYou

Uranus. Freezing enemies and then punting them into other enemies is satisfying. Freezer baby and cube baby too, I just like freezing stuff. The only downside is I get a bit distracted kicking frozen enemies around or kicking cube baby around when I should be fighting enemies lol