Slipped Rib - The Binding of Isaac

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Slipped Rib is an unlockable familiar in The Binding of Isaac, added in the Afterbirth+ DLC.

Spawns an orbital familiar that reflects enemy projectiles, making them deal 6 or 7 damage based on whether they would've hurt Isaac for a half or full heart.

The familiar will insta-kill some fly enemies.

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.

Defeat Isaac as The Forgotten.

Slipped Rib can be found in the following item pools:

Name	Weight
Treasure Room	1.0/1.0
Greed Treasure Room	1.0/1.0

The following tags are applied to this item:

Id	Description
summonable	Can be summoned via Lemegeton.

The following special synergies and interactions for Slipped Rib have been documented.

Mod	Item	Synergy
---	BFFS!	Visually increases size without affecting the hitbox or reflected damage.
---	Abyss	Spawns a light grey locust that has a chance to shoot 2-3 bone projectiles upon impact with an enemy. Each bone projectile deals damage equal to the locust's damage.

* Note that not all possible synergies and interactions are listed here.

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.

Slipped Rib

• Orbital familiar that reflects enemy shots
• Abyss: x1 bone locust .75x Isaac's damage