Pointy Rib - The Binding of Isaac

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

Spawns a familiar that can be aimed with the firing buttons in all directions, and deals contact damage.

Damage dealt is equal to Isaac's tear damage and is dealt 4.29 times per second.

The damage increases when Isaac is moving in the direction the familiar is pointing at, and it scales with the speed Isaac is currently moving at, going up to 2x its base damage.

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 Satan as The Forgotten.

Pointy 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.
offensive	Can appear for Tainted Lost.

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

Mod	Item	Synergy
---	BFFS!	×2 contact damage. No effect on bonus damage from Isaac's movement.
---	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.

Pointy Rib

• Familiar that points whichever way Isaac is facing and moves back and forth in a stabbing motion, dealing contact damage to enemies
• Abyss: x1 bone locust .75x Isaac's damage