Bloody Sacrifice is an unlockable active item in Elitium, a mod for The Binding of Isaac.

When used in a Sacrifice Room, deals a full heart of damage and gives a reward in return based on how many times it was used:
• 1 use: spawns 2 coins.
• 3 uses: spawns a Key and a Bomb.
• 6 uses: spawns a random card.
• 9 uses: spawns a random item. If Isaac has Holy Grail, it breaks.
• 12 uses: grants Holy Grail, and breaks.

If used in a Angel or Devil Room, it deals damage, rerolls all items, and breaks immediately after.

When the item breaks, it converts into Broken Bloody Sacrifice.

Defeat the Beast as Fallen Gabriel.

Bloody Sacrifice can be found in the following item pools:

The following tags are applied to this item:

• Download Elitium from the Steam Workshop.