Monkey Paw is a trinket in The Binding of Isaac.

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.

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

Monkey Paw can be found in the following item pools:

The following special synergies and interactions for Monkey Paw have been documented.

* Note that not all possible synergies and interactions are listed here.

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