Base game
- Isaac (Repentance+)
- Isaac (Repentance)
-
Mods (0 • hidden)
- 21 Trinkets
- A Bushel of Burdens & Blessings
- Andromeda
- Ascension
- Bael
- Balatro Jokers
- Baphomet
- Basement Moon
- Battle Fantasy
- Bedroom Expanded
- Benevolence
- Benighted Soul
- Beyond
- Birthcake
- Birthcake: Rebaked
- Brown Shapiro's Addons
- Chocolate Mod
- Community Remix
- Curiosity Crate
- D!Edith
- Damnation
- Dark Vaults
- Daydream all Day
- Doki Doki
- Eclipsed
- Elitium
- Ena Mod
- Epiphany
- Fiend Folio
- Foks' Booster Pack
- Fruity Rooms
- Glacier's Laboratory
- Godmode Achieved
- Heaven's Call
- Insane Pain Mod
- Inscryption Card Pack
- Job
- Joseph
- Kicks and Giggles
- Lazy MattPack
- Library Expanded
- Lost and Forgotten
- Magic Expanded
- Malware & Spam
- Martha of Bethany
- Mastema
- Me's Very Rocky Collection
- Minmaxers Anonymous
- More Penny Trinkets
- More Unus Cards
- Neapolitan Pack
- Painted Paths
- PJJ & Niro's Collection
- Pop Pack
- Potato Packs
- Preyn's Collection
- Red Baby
- Repentance Negative
- Repentance Plus
- Reshaken
- Restored Mods
- Revelations
- Reverie
- Reverie: Make Good Omissions
- Road to Enlightenment
- Sacred Dreams
- Samael
- Sewing Machine
- Sweet Halloween
- The Bimbing of AIsaac: Reedged
- The binding of Neuro-sama
- The Forbidden Suits
- The Miles Mod
- The Sheriff
- Virtue Items
- Warp Zone
21 more currently being worked on!
- Add your mod
- To the GuruWiki
Kicks and Giggles
▾Table of Contents▾
Shuko's Scalpel trinket
Shuko's Scalpel is an unlockable trinket in Kicks and Giggles, a mod for The Binding of Isaac.
Description
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.
How to unlock?
Defeat Mega Satan on Hard Mode while holding Lil Sis's Memorial Photo.
External links
- Download Kicks and Giggles from the Steam Workshop.
R Key Plush 
Torn Cherub Wing 
Wynne's Earrings 
Piezoelectric Igniter 
Lil Sis's Memorial Photo 
Blank Soul