Orchestra Leader is an unlockable passive item in TBoI: Retuned, a mod for The Binding of Isaac.

On each of the current music's signature beats:
• Swing a melee weapon for 10 damage.
• Fire a note tear for 4 damage.

Clear the Boss Rush as Cadence.

Orchestra Leader can be found in the following item pools:

The following tags are applied to this item:

• Download TBoI: Retuned from the Steam Workshop.