Shuko's Scalpel is an unlockable trinket in Kicks and Giggles, a mod for The Binding of Isaac.
x1.1 Damage Multiplier.
Grants a 3% chance for enemies to drop a random heart when killed.
If held by Tainted Shuko, enables her to use her scalpel melee attack.
This trinket cannot be smelted or gulped.
Defeat Mega Satan on Hard Mode while holding Lil Sis's Memorial Photo.