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

Summons a friendly version of Baby Plum that fights for Isaac in the current room for 10 seconds.

The familiar will always twirl, jump, then spit blood and bounce around the room before flying away.

The familiar deals 12 contact damage per tick (36 per second), 5 when jumping in place, 3.5 per shot, 3-4 per shot while bouncing diagonally, and 2 damage per tick with creep (20 per second).

Can be obtained by using its unlock method.

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.

Spare Baby Plum's life by waiting enough time instead of defeating her.

This item contributes towards the Beelzebub transformation. Collecting 3 items from this set will grant Isaac flight, converts small enemy flies into Blue Flies, and permanently charms larger enemy flies.

Plum Flute can be found in the following item pools:

The following tags are applied to this item:

The following special synergies and interactions for Plum Flute have been documented.

* 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.

Plum Flute

• Summons a friendly Baby Plum for 10 seconds
• Abyss: x1 locust .5x Isaac's damage
• Book of Virtues: x1 middle wisp - 2 hp - 3.5 damage
• Book of Virtues: Wisps are invulnerable, bounce and fire when Plum is active

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