Trinkets

Trinkets are Items that are found throughout the floors of The Binding of Isaac: Rebirth. Only one Trinket can be held at one time, that is, unless the player possesses Mom's Purse, in which the player may carry up to a maximum of two Trinkets. Trinkets can be dropped if the player holds the Control (Ctrl) key for 3 seconds. This method, however, will also drop any Consumables that the player possesses. Below is a list of all of the Trinkets in the game and their effects.

Item	Icon	Effect
???'s Soul	Imaginary friend	Familiar that flies diagonally around the room, bouncing off of walls and shooting in the same direction as Isaac.
AAA Battery	Trickle charge	Active Collectibles take one less bar to charge.
Ace of Spades	Luck of the draw	The chance to find Tarot Cards and Miscellaneous Cards in increased.
Bible Tract	Faith up	Increases the chance to find Eternal Hearts.
Black Lipstick	Evil up	Increases the chance to find Black Hearts.
Bloody Penny	Wealth of Health	When picking up Coins, there is a chance that a Red Half-Heart may spawn.
Broken Magnet	It kinda works	Coins are now automatically pulled towards Isaac when in range.
Broken Ankh	Eternal life?	When the player dies, there is a small chance that they will respawn as Blue Baby (???).
Broken Remote	It's broken	The player will be teleported upon using their Active Collectible.
Burnt Penny	Wealth of chaos	When picking up Coins, there is a chance that a Bomb may spawn.
Butt Penny	Wealth of gas	When picking up Coins, Isaac will release gas.
Cain's Eye	May you see your destination	25% chance of revealing all map icons upon advancing to a new floor.
Callus	Your feet feel stronger	Isaac no longer takes damage from walking on Creep and Spikes.
Cancer	Yay, cancer!	Removes 2 from the player's Tear Delay stat.
Cartridge	I remember these	Isaac has a chance to gain the Gamekid effect upon taking damage. This chance is affected by the player's luck stat.
Child's Heart	It calls out to its brothers	Higher chance of a Heart Pickup spawning after clearing a room and from opening a chest.
Counterfeit Penny	Wealth of wealth	When picking up coins, Isaac has a chance to automatically receive an extra coin in his inventory.
Cursed Skull	Cursed?	Upon taking damage when the player only has a half Red Heart Container remaining, the player will be teleported to the previous room.
Curved Horn	DMG up	Raises the player's Damage stat by 2.0.
Daemon's Tail	Evil up	Pickups are rerolled upon being spawned. Hearts that have spawned before the player obtained Daemon's Tail will be converted to Black Hearts.
Eve's Bird Foot	Revenge from beyond	The Dead Bird has a chance of spawning after damaging an enemy.
Fish Head	It stinks	Upon taking damage, Isaac spawns one Blue Fly.
Flat Penny	Wealth of answers	When picking up coins, Isaac has a chance to spawn a Key.
Flat Worm	Blub blub!	Tears are vertically flattened, giving them a wider hitbox. The player's Damage stat is unaffected. The player's Knockback stat, however, is increased.
Goat Hoof	Speed up	Raises the player's Speed stat by 0.15.
Hook Worm	Zip zoop!	Tears now turn, alternating from 90 degree (right) turns to -90 degree (left) turns every other turn. The player's Range stat is increased by 10.0 to compensate for the turning.
Isaac's Fork	Consume the enemy	After clearing a room, there is a chance that one Half Red Heart of Isaac's can be restored.
Isaac's Head	Dead friend	Familiar that shoots tears that do 3.5 damage.
Judas' Tongue	Payment received	All devil deals that previously cost 2 Red Heart Containers now only cost 1.
The Left Hand	The left hand path reaps dark rewards	Replaces all Chest drops with Red Chests.
Liberty Cap	Touch fuzzy, get dizzy!	Random chance to have an effect applied on Isaac for the duration of the room when entering a room. Possible effects are Mini Mush, one of the Odd Mushrooms, and The Compass.
Lucky Rock	There's something inside	When broken, Rocks have a very high chance to drop a Coin.
Lucky Toe	Luck up!	Raises the player's Luck stat by 1.0 when held.
Maggy's Faith	Faith's reward	Upon advancing to a new floor, Isaac will receive an Eternal Heart.
Match Stick	Tastes like burning	Isaac's chance to find Bombs is increased.
A Missing Page	It glows with power	Upon taking damage, Isaac has a chance to activate a Necronomicon-like effect, damaging all enemies in the room. This chance is affected by the player's Luck stat, the highest percentage being %50.
Missing Poster	???	Upon dying, the player will discover a puzzle piece on their last diary entry. This puzzle piece helps the player unlock The Lost.
Mom's Pearl	It eminates purity	Isaac's chance to find Soul Hearts is increased.
Mom's Toenail	???	Every 60 seconds, Mom's foot will crash down in a random location in the current room, possibly damaging either enemies Isaac, or both.
Monkey's Paw	Wish granted	When the player reaches one Half Red Heart of health, they will automatically receive a Black Heart. This may only happen three times, for, on the third time, Monkey's Paw will disappear.
Mysterious Candy	Uh-oh!	Isaac will randomly spawn poop.
Mysterious Paper	???	Can imitate the effect of either The Negative, The Polaroid, The Missing Page, or the Missing Poster.
Paper Clip	Master of lockpicking	Isaac can now open Golden Chests without the use of a Key.
Petrified Poop	It feels lucky?	Poops, when broken, have a much higher chance of dropping Pick-ups.
Pinky Eye	Poison shots	Isaac has a chance to shoot a tear that applies a poison effect on enemies. This chance is affected by Isaac's Luck stat.
Pulse Worm	Wub wub!	Tears grow and shrink in size as they are projected across the room. Pulse Worm does not affect Isaac's damage stat.
Purple Heart	Challenge up	Isaac has a higher chance of encountering Champion enemies.
Push Pin	Piercing shots	Isaac has a chance to shoot a piercing spectral tear. This chance is affected by Isaac's Luck stat.
Red Patch	Your rage grows	Isaac has a chance to gain a 1.8 increase to his Damage stat upon taking damage for the duration of the room.
Ring Worm	Woop woop!	Tears now circle around as they are projected across the room. This greatly decreases Isaac's accuracy, but buffs his Range stat.
Rosary Bead	Faith up	Isaac has a higher chance of finding an Angel Room instead of a Devil Room.
Rusted Key	It feels lucky?	Isaac has a higher chance of finding Keys and Chests.
Safety Cap	Don't swallow it	Isaac has a higher chance of finding Pills.
Samson's Lock	Your rage grows	Upon killing an enemy, Isaac has a chance of receiving a 0.5 buff to his Damage stat for the duration of the room.
Store Credit	YES!	All Items in the Shop room now cost 0 cents. Upon purchasing an Item for 0 cents, however, this Trinket will disappear, resetting all Shop prices.
Swallowed Penny	Gulp!	Upon taking damage, Isaac will drop a few coins (specifically 1-2).
Tick	Well, that's not coming off	Upon entering a Boss Room, the Boss will lose 15% of its health and Isaac will restore one Red Heart of his health. The Tick cannot be dropped nor can it be swapped out with a different Trinket. The only way to gain another trinket with the Tick is to possess Mom's Purse.
Umbilical Cord	Fetal protection	Upon taking damage that leaves Isaac's health at one Red Half Heart, Little Steven will spawn.
Whip Worm	Whooosh!	Increases Isaac's Shot Speed stat by 0.5.
Wiggle Worm	Wiggle wiggle!	Isaac's tears now wiggle back and forth as they are projected across the room.

Trivia

• Wiggle Worm was a Passive Collectible in the original game, The Binding of Isaac.
• Trinkets can be found twice. For an example, The Left Hand can be dropped after clearing a Room, while it is also dropped after defeating Ultra Pride. A duplicate Trinket cannot be obtained.
  • It is unknown as to whether Isaac may obtain a duplicate Trinket if he also possesses Mom's Purse.