Sanguine Desire is an unlockable active item in Isaac's Limbus, a mod for The Binding of Isaac.

Waits until Isaac shoots to spin a large axe that inflicts Bleed to enemies.

When this item kills bleeding enemies, gain +1 charge.

Defeat The Beast as Rodion.

Sanguine Desire can be found in the following item pools:

The following tags are applied to this item:

• Download Isaac's Limbus from the Steam Workshop.