Sanguine Bond is an unlockable passive item in The Binding of Isaac, added in the Repentance DLC.

Spawns a special set of spikes in every Devil Room that deal a full heart of damage per use. Taking damage from the spikes has a chance to yield a reward:
• 35% - nothing.
• 33% - +0.5 damage.
• 15% - 6 pennies.
• 10% - 2 Black Hearts.
• 5% - random item from the Devil Room pool.
• 2% - Leviathan transformation.

The spikes will deal damage to enemies that walk or fly over them.

Causes all other spikes in the Devil Room to retract.

This page shows information as of the latest Repentance release.
To see latest up-to date information about this item for the new Repentance+ (Online Co-op) DLC, check this page instead.

Defeat The Beast as Tainted Judas.

Sanguine Bond can be found in the following item pools:

The following tags are applied to this item:

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