Little Horn is a passive item in The Binding of Isaac, added in the Afterbirth+ DLC.

Grants Isaac the ability to deal 3.5 contact damage to enemies, 2 times per second.

Grants a luck-based chance to fire tears that summon Big Horn's hand. The hand will grab and crush any non-boss enemy, killing them instantly.

The hand will attack bosses 3 times, dealing 12 damage per hit.

The hand is able to push enemy projectiles and increase their speed, which may prove more difficult to dodge.

The chance of firing the special tear start at 5% with 0 luck, going up to 20% at 15 luck.

The special tears can kill otherwise invulnerable enemies, such as Peep's eyes, Death's Heads, Stoneys & Stone Grimaces.

Has a 1% chance of being dropped upon defeating Little Horn or Big Horn.

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.

Little Horn can be found in the following item pools:

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.

Little Horn

• Chance to fire void tears that summon Big Horn's hand to attack enemies struck
• Chance increases with luck
• Big Horn's hand instantly kills normal monsters and deals heavy damage to bosses
• Also causes Isaac to deal a small amount of contact damage to enemies
• Abyss: x1 grasping locust 1.5x Isaac's damage

The following sounds are related to this item.

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