Head of the Keeper is a passive item in The Binding of Isaac, added in the Afterbirth DLC.

Turns Isaac's tears into coins that have a 5% chance to drop a Penny when hitting an enemy.

Can spawn by blowing up shopkeepers.

This page shows the latest information as of the new Repentance+ (Online Co-op) DLC.
To see information about this item for the previous Repentance version, check this page instead.

The following tags are applied to this item:

Below is the Internal Item Description as shown in-game.
Note that some stat changes are not displayed here. Please see the main description for the full effects.

Head of the Keeper

• Tears that hit enemies have a 5% chance to spawn a coin
• Abyss: x1 golden locust 1x Isaac's damage

• Check out the item description on the external Isaac Wiki.