Fiend FolioBlended Black HeartBlended Black HeartPickup
Acts as either a Heart or Black Heart based on Isaac's current health.

If Isaac has an empty red heart container, it will refill one, otherwise it will add a black heart.

If Isaac is missing only a half red heart container, it will fill it, and grant a half black heart.
- Links -
ANNOUNCEMENT The Repentance+ DLC has been released! The full release notes can be found here. The new game files have been imported to the website and any item attribute changes are automatically shown. Manual descriptions have also been updated according to the release notes and other various sources. [dismiss]
Search filters
Item type
Trinket type
Trinket quality
Item quality Item pools (any)
Item tags (any)
Transformations (any)
Stat changes (any)
Unlockable Grants costume Has YouTube video Animated icon Favorite (?)

▾ITEMS ()▾


▾TRINKETS ()▾


▾PICKUPS ()▾


▾CONSUMABLES ()▾


▾MACHINES/BEGGARS ()▾


▾CHARACTERS ()▾


▾CURSES ()▾