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Monkey Paw trinket
Monkey Paw is a trinket in The Binding of Isaac.
Description
Drops a 
Black Heart when Isaac has half a heart or less after taking damage.
The effect can trigger up to 3 times, which is indicated by the trinket's display icon. After this, the trinket will disappear.
Note
This page shows the latest information as of the new Repentance+ (Online Co-op) DLC.
To see information about this trinket for the previous Repentance version, check this page instead.
Item pools
Monkey Paw can be found in the following item pools:
| Name | Weight |
|---|
Special synergies
The following special synergies and interactions for Monkey Paw have been documented.
| Mod | Item | Synergy |
|---|---|---|
| --- | Trinket multipliers | +1 Black Heart is dropped. |
* Note that not all possible synergies and interactions are listed here.
Internal item description
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.
Monkey Paw
• Spawns a black heart when Isaac is reduced to 1/2 heart
• Golden Trinket (without Mom's Box): Spawns 2 black hearts when Isaac is reduced to 1/2 heart
• Mom's Box: Spawns 2 black hearts when Isaac is reduced to 1/2 heart
• Mom's Box + Golden Trinket: Spawns 3 black hearts when Isaac is reduced to 1/2 heart
• This trinket is consumed after triggering 3 times
External links
- Check out the trinket description on the external Isaac Wiki.
Black Lipstick 
Bible Tract 
Paper Clip 
Mysterious Paper 
Daemon's Tail 
Missing Poster