Immaculate Heart is a passive item in The Binding of Isaac, added in the Repentance DLC.

+1 full Red Heart container.
×1.2 damage multiplier.

Fully heals Isaac.

Causes Isaac to frequently fire additional spectral tears that orbit around him until they hit the ground. These tears inherit most tear effects.

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.

This item contributes towards the Seraphim transformation. Collecting 3 items from this set will grant Isaac flight and +3 Soul Hearts.

Immaculate Heart 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.

Immaculate Heart

• Chance to fire additional spectral tears that orbit around Isaac
• x1.2 damage multiplier
• Abyss: x1 locust 1.5x Isaac's damage

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