Tonsil is a trinket in The Binding of Isaac, added in the Afterbirth+ DLC.

After taking 12-20 hits, spawns a familiar that follows Isaac and blocks enemy shots.

The effect can happen only 2 times, after which the trinket disappears.

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.

Tonsil can be found in the following item pools:

The following special synergies and interactions for Tonsil have been documented.

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

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