Death Certificate is an unlockable active item in The Binding of Isaac, added in the Repentance DLC.

Teleports Isaac to an abandoned and expanded version of the Home floor which contains a copy of every unlocked item in the game spread across different rooms.

After taking an item, Isaac returns to the room he used Death Certificate in.

The area often contains pickups and chests. Picking them up or acquiring items from the chests will not cause Isaac to leave the area.

Curse of the Blind! has no effect in the area.

Items in the area show up in the order from the lowest ID to the highest.

Modded items will also show up, expanding the area further.

Items that have the hidden tag and Dad's Note will not show up. Death Certificate itself cannot show up either.

Returning to the Death Certificate room on the same floor via another copy of the item or other means will result in an empty room.

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.

Earn all Hard Mode completion marks for all characters, including tainted ones.

Death Certificate 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.

Death Certificate

• The Death Certificate is consumed to teleport Isaac to a special floor containing many rooms that hold 1 of every collectible pedestal item in the game
• Upon collecting 1 pedestal item, Isaac is teleported back to where he used Death Certificate
• Abyss: x1 locust 2x Isaac's damage
• Book of Virtues: x1 middle wisp - 2 hp - 3 damage

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