Part 15

A comprehensive guide to Part 15 of The Binding of Isaac: Rebirth, covering coins, hearts, bombs, keys, pills, and tarot cards. Learn their effects and rarities.

This section of the guide covers various consumable items and pickups in The Binding of Isaac: Rebirth, including coins, hearts, bombs, keys, pills, and tarot cards. Understanding these items is crucial for progression and survival.

Coins: Used to buy items, gamble, and give to beggars. Money is power in the game.

• Penny — In-game Description: A copper-coloured coin. Rarity: Very common
• Nickel — The equivalence of five pennies. In-game Description: A silver-coloured coin. Rarity: Uncommon

Hearts: Restore health.

• Full Hearts — Restores one heart worth of health. If the character isn't already at full health, the second half heart of healing is wasted. In-game Description: A red heart. Rarity: Very Common
• Half-Hearts — Restores half a heart worth of health. If the character isn't already at full health, the second half heart of healing is wasted. In-game Description: Half of a red heart. Rarity: Very Common
• Soul Heart — Added to the character's total health. Used up before proper health, but once it's gone, it's gone. In-game Description: A blue heart. Rarity: Fairly Common

Bombs: Used to blow up rocks, kill enemies, push items off of spikes, destroy walls, and more.

• Bombs — In-game Description: A bomb with a skull on it. Rarity: Common
• 1+1 Free Bombs — Two bombs. In-game Description: A bomb with a skull on it with a second bomb behind it that lacks any ornamentation. Rarity: Rare
• Troll Bombs — Live bombs designed to be a nuisance and danger, though can be useful. Explosion works the same way as normal bombs. In-game Description: A bomb with a troll-face on the front. Live fuse. Rarity: Common

Keys: Used to unlock doors, locked golden chests, and locks on the floor.

• Keys — In-game Description: A grey modern-style key. Rarity: Common

Pills: Randomly paired with an effect at the start of each playthrough. Only one Pill or Tarot Card can be held at a time (Q Item). The effect is displayed as '???' until used, then revealed for subsequent uses in that playthrough.

• Pills (Visuals): Blue Top, Blue Bottom; Brown Top, Brown Bottom; Mottled Pinkish Top, Red Bottom; White Top, Blue Bottom; White Top, Red Bottom; White Top, White Bottom.
• Effects: 'Bad Gas' (poisons enemies), 'Balls of Steel' (gives two soul hearts), 'Bombs Are Key' (swaps bomb and key counts), 'Explosive Diarrhea!' (places bombs under player), 'Full Health' (fully heals player), 'Health Down' (lowers heart containers), 'Health Up' (raises heart containers), 'Pretty Fly' (gives Pretty Fly item), 'Range Down' (lowers Range), 'Range Up' (raises Range), 'Speed Down' (lowers Speed), 'Speed Up' (raises Speed), 'Tears Down' (lowers Tears), 'Tears Up' (raises Tears), 'Telepills' (teleports to a random room).

Tarot Cards: One-use items with a wide variety of effects. Only one Pill or Tarot Card can be held at a time. There are 22 cards (0-21). All look identical until picked up.

• 0 The Fool — Teleports character to the spawn room for the current floor.
• I The Magician — Gives magic purple tears with higher damage for one room. Visual: Character has a third eye with purple flames.
• II The High Priestess — Mom's foot stomps on a random enemy, dealing heavy area damage. If no enemies, attacks the player. Destroys breakable objects.
• III The Empress — Displays 'What a horrible night to have a curse.' before turning the character into a demon, raising various stats. Visual: Character turns into a black demon.
• IV The Emperor — Teleports player to the floor's Boss room.
• V The Hierophant — Spawns two soul hearts when used.
• VI The Lovers — (Effect not fully described in source text)