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Meconium trinket
Meconium is an unlockable trinket in The Binding of Isaac, added in the Afterbirth+ DLC.
Description
Adds a 33% chance for any poop to turn into Black Poop.
Adds a 5% chance for Black Poops to drop a 
Black Heart when destroyed.
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.
How to unlock?
Defeat Ultra Greedier as ???.
Special synergies
The following special synergies and interactions for Meconium have been documented.
| Mod | Item | Synergy |
|---|---|---|
| --- | Trinket multipliers | Poop conversion chance is 66% or 100% if tripled, while Black Heart chance is 7% or 10% if tripled. |
* 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.
Meconium
• 33% chance for poops to be replaced with black poops
• Destroyed black poops have a 5% chance to spawn a black heart
• Golden Trinket (without Mom's Box): 66% chance for poops to be replaced with black poops
• Golden Trinket (without Mom's Box): Destroyed black poops have a 7% chance to spawn a black heart
• Mom's Box: 66% chance for poops to be replaced with black poops
• Mom's Box: Destroyed black poops have a 7% chance to spawn a black heart
• Mom's Box + Golden Trinket: 100% chance for poops to be replaced with black poops
• Mom's Box + Golden Trinket: Destroyed black poops have a 10% chance to spawn a black heart
External links
- Check out the trinket description on the external Isaac Wiki.
NO! 
Child Leash 
Brown Cap 
Cracked Crown 
Used Diaper 
Fish Tail