Hello - Spidz Here

I want to just thank you for reading our guide.
badmitionfury and I are proud to have finally finished it.

Please use the guide to quickly navigate. Everything is alphabetical, and sorted by DLC editions.

If there is an error you spot of any kind please mention it in the comments, thanks!
Now onto the trinkets!

???'s Soul spawns a familiar that floats slowly around the room on a pattern close to The Peeper and fires spectral and homing tears.

AAA Battery automatically recharges the last energy slot of an activated item, reducing recharge rates by one.

Ace of Spades increases the chance of tarot cards or playing cards dropping after clearing a room, and the chance of finding cards when opening a chest.

A Missing Page grants a 5% chance to induce The Necronomicon's effect upon taking damage.

Bible Tract increases chance for Eternal Hearts to appear.

Black Lipstick increases the chance of Devil Rooms and Black Hearts appearing. Lowers the chance of Angel Rooms and Eternal Hearts appearing. Presented to the player with "Evil Up"

Bloody Penny gives a 50% chance to drop a half heart when money is collected.

Broken Ankh when held, Isaac has a chance to be revived as ???. Can occur multiple times.

Broken Magnet pulls coins towards Isaac, but ignores other pickups.

Broken Remote triggers the Teleport effect when an activated item is used.

Burnt Penny gives a 50% chance to drop a bomb when colected.

Butt Penny Isaac will fart when he picks up a coin.

Cain's Eye when starting a floor, 25% chance to get the The Compass effect for the duration of a floor.

Callus prevents damage from creep and spikes.

Cancer increases Tears by 2.

Cartidge chance to trigger The Gamekid effect upon taking damage.

Child's Heart increases the chance of a Heart dropping after clearing a room, and the chance of finding a Heart when opening a Chest.

Counterfeit Penny gives a 50% chance of increasing the value of every coin pickup by one.

Cursed Skull if Isaac has less than one full red heart after taking damage, he will be teleported to the last cleared room he was in.

Curved Horn increases damage by 2.

Daemon's Tail grants a huge chance of any non-specific Heart drop turning into a Black Heart.

Eve's Bird Foot has 5% chance to spawn a Dead Bird familiar for the current room each time an enemy dies.

Fish Head spawns a Blue Fly every time Isaac takes damage.

Flat Penny gives a 50% chance of spawning a key upon collecting a penny.

Flat Worm Isaac's tears take on an oblong appearance. They also push enemies back.

Goat Hoof increases speed by 0.15.

Hook Worm tears move shifting left to right forming a path of right angles. +10 to Range (effective range remains about the same).

Isaac's Head gives the player Isaac's severed head as a tear-firing familiar. Fires piercing tears.

Isaacs's Fork grants Isaac a 10% chance for being healed 1/2 a red heart upon clearing a room.

Judas' Tongue causes items in the Devil Room only to cost 1 heart. Soul heart trades still cost 3 Soul hearts.

Liberty Cap has a chance of giving Isaac a random passive effect from Mushroom Items as well as its corresponding visual effect upon entering a room. Has also 20% chance of granting the compass effect upon entering a room.

Lucky Rock causes rocks and mushrooms drop coins upon being destroyed.

Lucky Toe increases the chance to get a drop after clearing a room. Although the Luck stat also influences this, it does not actually increase the Luck stat.

Maggy's Faith gives an eternal heart at the start of every floor.

Match Stick increases the chance of Bombs dropping after clearing a room, and the chance of finding Bombs when opening a Chest. Removes Tick also.

Missing Poster if Isaac dies in a Sacrifice Room, a puzzle piece will appear on his last will.

Mom's Pearl grants a secondary 10% chance of any non-specific Heart drop turning into a Soul Heart.

Mom's Tonenail causes Mom's foot randomly stomps down somewhere in the room. 1 minute intervals.

Monkey Paw if the character has half a red heart or no red hearts after taking damage, it grants a Black Heart. The effect can trigger up to three times, after which the trinket will disappear.

Mysterious Candy causes Isaac farts or poops at random intervals. Getting hit can also trigger the effect.

Mysterious Paper gives a chance to trigger the effect of The Polaroid or The Negative every time damage is taken if the character has only half a red heart or no red hearts.

Paper Clip causes Golden Chests to be opened without using a key.

Petrified Poop greatly increases the chances of a pickup dropping when destroying poop.

Pinky Eye adds a 10% chance to shoot a poison tear, dealing damage over time when inflicted.

Pulse Worm causes shots to pulse in size.

Purple Heart increases chance for challenge rooms to be boss challenge rooms / Causes more enemy champions to spawn.

Push Pin adds a 10% chance to shoot a piercing and spectral tear.

Red Patch grants a chance of increasing damage by 1.8 for the current room upon taking damage.

Ring Worm gives Isaac spinning shots.

Rosary Bead Increases the chance of Angel Rooms and Eternal Hearts appearing. Present to the Isaac with "Faith Up"

Rusted Key improves the chance of keys and golden chests dropping after clearing a room, and chance of finding a key when opening a chest.

Safety Cap improves the chance of Pills dropping after clearing a room, and chance of finding a Pill when opening a Chest.

Samson's Lock has a 1/15 chance to increase damage by 0.5 for the current room each time an enemy dies.

Store Credit causes the next store purchase is free. The trinket disappears on purchase.

Swallowed Penny causes Isaac to drop a penny upon taking damage.

The Left Hand replaces Brown Chests/Golden Chests with Red Chests.

The Tick drains 15% health of each enemy with more than 60 HP (ie. most bosses). Also restores one red heart of Isaac whenever he enters an uncleared boss room. The Tick cannot be swapped out for another trinket.

Umbilical Cord spawns a Little Steven familiar for the current room when Isaac's health is brought to half a red heart and no soul hearts.

Whip Worm increases shot speed by 1 and increases range.

Wiggle Worm gives Isaac's shots a wave-like trajectory and increases rate of fire.

Black Feather Unknown (Will update once known)

Blasting Cap Exploding bombs have a chance for a regular bomb to spawn.

Blind Rage Adds more invincibility time after getting hit.

Blister Increases knockback of tears.

Bob's Bladder Leaves a poool of green creep under all bombs you place, which damages enemies that go over it.

Brown Cap Poop in the enviroment will now explode when destroyed.

Child Leash Causes familiars to stay closer to each other.

Cracked Dice Upon taking damage, you have a chance or activating the D6, D8, D12, D20 effects.

Endless Nameless When you use a pill, card, or rune, there is a chance to spawn another one of the same type.

Error Gives a random trinket effect each room.

Faded Polaroid Sometimes causes you to blend into the ground, which briefly confuses all enemies in the room.

Golden Horse Shoe Currently unknown! Sorry! :(

Lazy Worm Reduces your tear shot speed greatly.

Louse Gives a chance of a friendly spider spawning after defeating an enemy.

Lil Larva Spawns a Blue Fly from every pile of pop you destroy.

Mom's Locket Gives half a red heart each time a key is used.

NO! Removes all active items from every item pool.

Poker Chip Makes chests have a 50/50 chance to pay out with extra consumables or nothing/an enemy.

Rainbow Worm Gives a random worm effect. (Whip, Ring, Wiggle, Flat, Hook, Pulse, Tape or Lazy Worm)

Safety Scissors Allows you to walk over troll bombs and homing troll bombs and add them to your bomb inventory.

Second Hand Increases the time that status effects stay on foes.

Shiny Rock Will make tinted rocks and rocks with a crawlspace shine white every 10 seconds.

Stud Finder Unknown (Will update once known)

Super Magnet will make items and enemies draw closer to you. (Super Greeds Spawning Door and Moms foot also come closer)

Tape Worm gives your tears +29 Range.

Watch Battery increases your chance of a battery spawning.

Bag Lunch - When you take damage, you have a chance to drop the Lunch Item (+1 HP). When it activates, the trinket is distroyed.

Bat Wing - When you kill an enemy, you have a chance to fly for the rest of the room.

Black Tooth - Some tears are poisonous, and look like teeth.

Bloody Crown - Item Rooms appear on the womb.

Cracked Crown - All your stat increases are increased more by 30%. Gives you a tears up if none already had.

Crow Heart - While held, your red healths gets hit before your soul/black hearts. [NEED TO CHECK IF RUINS DEVIL DEAL CHANCE]

Dim Bulb - Gives you a near all stats up if your active item has no charge. If no active item it does nothing.

Duct Tape - All familiars become locked in place in reference to you, including Lilith's Incubus

Equality - When you have an equal amount of coins, bombs and keys, all consumbles become doubled.

Fish Tail - Items and trinkets will generate twice as many Flies and Spiders.

Fragmented Card - One extra (non super) secret room is available per floor. Only works if you entered the floor with it.

Locust of Conquest - In the start of a room with enemies, spawns 2 - 5 white flies that just do 2x you tear damage.

Locust of Death - In the start of a room with enemies, spawns a black attack fly that has a chance to do 4x tear damage instead of 2x tear damage.

Locust of Famine - In the start of a room with enemies, spawns a yellow fly that slows when it attacks (and does 2x your tear damage).

Locust of Pestilence - In the start of a room with enemies, spawns a green fly that poisons when it attacks (and does 2x your tear damage).

Locust of Wrath - In the start of a room with enemies, spawns an orange fly that explodes when it attacks (and does 2x your tear damage).

Lost Cork - Any creep you produce massively increase.

Meconium - Gives you an increased chance to spawn black poops, which confuse and damage all the enemies in the room.

Nose Goblin - Gives you a chance to shoot Booger Tears, whch stick to enemies (explosivo style) and do damage over time.

Ouroboros Worm - Your tears move in a gigantic arc, with an insane shot speed.

Pay to Win - Restock boxes will appear in item rooms.

Silver Dollar - Shops appear on the womb.

Stem Cell - When you travel down a floor, you heal 1/2 a heart.

Super Ball - Gives you a chance to shoot Bouncy Tears, Rubber Cement style.

Tonsil - When you take damage, you have a chance to give yourself the Tonsil (item). The item Tonsil is a familiar that block tears (like Dry Baby). This is also the only way to get this item (excluding mods and Eden starts). Tonsil (trinket) can spawn 2 Tonsil (item) familiars before the trinket is destroyed.

Used Diaper - Gives the Skatole Effect in some rooms, which neutralizes flies.

Vibrant Bulb - Gives you an all stats up if your active item is fully charged. If no active item it doesnt nothing.

Walnut - When you take damage, you have a chance to spawn a coin, a key, a heart and a trinket. You can also activate this by walking over dead shopkeeper. When it activates, the trinket is destroyed.

Wish Bone - When you take damage, you have a chance to spawn a random item on a pedestal. When it activates, the trinket is destroyed.

A Lighter - Adds a chance for enemies to burn upon entering a room.

Adoption Papers - Shops can sell familiars, which will always be at a discounted price.

Apollyon's Best Friend - Spawns two attack locust familiars which will fly forward while Isaac shoots.

Apple of Sodom - Picking up red hearts, even while at full health, can convert them into blue spiders. The effect may consume hearts needed for healing.

Azazel's Stump - When clearing a room, adds a chance to turn into Azazel until clearing another.

Beth's Essence - Once per floor, taking damage will spawn a wisp and grants a few seconds of invulnerability. Entering an Angel Room spawns 5 wisps. Giving money to beggars can spawn wisps.

Beth's Faith - When you start a new floor, you will gain 4-8 wisps circling you. These fires are identical to the ones spawned from Book of Virtues.

Blessed Penny - Chance to spawn half a soul heart when picking up a coin.

Blue Key - Doors can be unlocked without using keys. Opening a door this way brings Isaac to an in-between room that resembles ??? ???, with a few monsters.

Brain worm - Missed tears will redirect themselves and attempt to hit enemies.

Broken Glasses - Gives a 33% chance to add a '?' item to Treasure Rooms. Only one item can be taken. The extra items on the alt path are revealed instead.

Broken Padlock - Explosions can also open locked doors.

Broken Syringe - Gives you a chance at a random syringe effect every room.

Charged Penny - Picking up coins has a chance to give an Active Item charge.

Chewed Pen - Tears have a chance to slow enemies.

Cricket Leg - Adds a chance to spawn a random locust when killing an enemy.

Crystal Key - Adds a chance to automatically create Red Key rooms after clearing a room.

Cursed Penny - Picking up coins teleports Isaac to a random room.

Devil's Crown - Treasure rooms are replaced with 1 item only Devil Deals.

Dice Bag - When Isaac enters a new room, has a chance to give him a Dice item as a consumable for the current room.

Dingle Berry - Spawns two friendly Dips upon clearing a room.

Expansion Pack - Using an active item triggers another random active item effect.

Flat File - Causes all spikes to retract, making them harmless. Also affects the doors to Curse Rooms.

Forgotten Lullaby - Improves the fire rate of Isaac's familiars.

Found Soul - Spawns a familiar that copies Isaac's movements and scales with damage and tears. If it takes damage, it will die and respawn on the next floor.

Friendship Necklace - Causes familiars to orbit Isaac.

Gigante Bean - Isaac's (or his familiar's) farts will be twice as large.

Gilded Key - Replaces all new chests, except Mega Chests, with Locked Chests.

Hollow Heart - Grants an empty bone heart upon entering a new floor.

Holy Crown - A Treasure Room and Shop appears in the Cathedral Cathedral.

Ice Cube - Adds a chance to petrify enemies when entering the room. Killing the petrified enemy freezes it.

Jawbreaker - Tears have a chance to deal 3.2x damage (like the item Tough Love).

Keeper's Bargin - Devil Deals cost money instead of health.

Kid's Drawing - While held, counts towards the Guppy transformation.

Lil Clot - Spawns a clot familiar that mimics Isaac's movements and tears. It dies for the current room after taking too much damage.

Lucky Sack - Spawns a Grab Bag upon traveling to the next floor.

Modeling Clay - Grants the effect of a random passive Item each room.

Mom's Lock - Grants the effects of a random Mom item each room.

Mother's Kiss - Grants one heart container.

'M - When you use an active item, it will be rerolled into another item. Has 9 uses. (Does not work with Breath of Life).

Myosotis - When entering a new floor, up to four uncollected pickups from the previous floor spawn in the starting room.

Nuh Uh! - Replaces keys and coins that spawn in Chapter 4 and beyond with more useful pickups.

Number Magnet - Increases the chance of earning a Devil Room by 10%.

Old Capacitor - Your current active item(s) no longer gain charges like they normally would, however battery drops are much more common.

Panic Button - Activates Isaac's active item upon taking damage.

Perfection - +10 to your luck stat, however when you take damage, the trinket is destroyed.

Polished Bone - After clearing a room, adds a chance to spawn a friendly Bony.

RC Remote - Instead of trailing behind Isaac, familiars are directly controlled by the same inputs as Isaac's.

Ring Cap - Spawns one extra bomb for each bomb placed for free.

Short Fuse - Bombs placed by Isaac explode more quickly.

Sigil of Baphomet - Grants an invulnerability shield for 1 second after killing an enemy.

Strange Key - Unlocks the passageway to ??? and the Hush fight, regardless of the run duration. Using Pandora's Box grants it a special effect, consuming the key.

Swallowed M80 - Isaac explodes upon taking damage.

Teardrop Charm - Tear based effects are more likely to be on tears (effects like Common Cold, Tough Love, Mom's Eyeshadow, etc)

Telescope Lens - Increases the chance for Planetariums to spawn, adds a chance for a second Planetarium to spawn, and allows Planetariums to spawn in Chapter 4.

Temporary Tattoo - Spawns a chest after clearing a mob Challenge Room, or an item after clearing a boss Challenge Room.

The Twins - Adds a chance to duplicate one of Isaac's familiars when entering a new room.

Torn Card - Adds a chance to shoot an Ipecac + My Reflection tear.

Torn Pocket - Upon taking damage, Isaac drops all of his Pickups.

Wicked Crown - A Treasure Room and Shop appears in Sheol Sheol.

Your Soul - Can be used to pay for a Devil deal without losing hearts, and is then consumed.

If you find any errors, please report them in the comments.
Hope you enjoyed :) If you liked this please leave a thumbs up!


Hi, I'm Spidz, I helped badmitionfury with his guide.
If you enjoyed the guide, please leave a like, it lets us know if we should update it.
If you want trade - feel free to add me.
Thanks - Spidz :)
______________________________________________________________________________