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Alphabirth has added a wide array of items. These items have been designed with the intent of creating thematic additions to the base The Binding of Isaac: Rebirth experience. Currently the complete Alphabirth Collection adds; 18 active items, 41 passive items and 2 trinkets.

Each new Alphabirth mod pack periodically adds additional items to the overall Alphabirth collection. Pack 1: Mom's Closet added 33 items. Pack 2: All That Is Unholy added 29 items.

Active Collectibles

Name Icon Pack Description Effect
Alastor's Candle Collectible alastorscandleChargebar3 Pack 3 "It burns with ALastor's rage" Creates fire orbitals that do damage and cause fear.
Bionic Arm Collectible bionicarmChargebar12 Pack 2 "Strength of the machine" Every charge grants +0.17 damage up. Mass room damage on use.
Black Pepper Collectible blackpepperChargebar2 Pack 1 "This really.. gets in your no... ahh!" Fires a volley of booger tears that latch onto enemies.
Blacklight Collectible blacklight Pack 2 "Pain (equals) Darkness" Mass enemy damage but every use makes the game permanently darker.
Blasphemous Collectible blasphemousChargebar2 Pack 2 "My sin follows" Summons a red hush laser that does massive damage and destroys objects.
Blood Drive Collectible blooddrive Pack 2 "Mass blood loss" Removes a heart container but lowers all future enemy's max health.
Book of the Dead Collectible bookofthedeadChargebar4 Pack 2 "Bardo Thodol" When charged can be used in a room to resurrect enemies as friendlies. Cannot be used on exited rooms.
Cauldron Collectible cauldron3 Pack 2 "I hope this pays off" Absorbs pickups in a room, upon being filled spawns a random item.
Chalice of Blood Collectible chaliceofblood3Chargebar1 Pack 2 "Consume thy enemy" Kills fill, when used in its full state it gives the player a stat boost for the current room.
Cool Bean Collectible coolbeanChargebar2 Pack 1 "Chilled to the bean" Freezes enemies within a close proximity.
Delirium's Brain Collectible deliriumsbrainChargebar4 Pack 1 "Return to sender" Turns all enemy tears on the screen into Isaac's tears and reverses their trajectory.
Green Candle Collectible greencandleChargebar2 Pack 1 "Flaming gas, in many ways!" Shoots a poisonous green flame at enemies.
Isaac's Apple Collectible isaacsappleChargebar1 Pack 1 "Gravity up" Stops the trajectory of all enemy tears, dropping them to the ground.
Isaac's Skull Collectible isaacsskullChargebar3 Pack 3 "Don't ask how this is possible..." Gives Isaac Godhead or Brimstone for the room.
Lifeline Collectible lifelineChargebar6 Pack 1 "Sure hope nobody pulls the plug" High chance to fully restore Isaac's health but a small chance to remove a heart container.
Mirror Collectible mirror Pack 2 "I am the enemy" Swaps Isaac's location with a random enemy in the room.
Stone Nugget Collectible stonenuggetChargebar1 Pack 2 "Stoned fly" Spawns stationary fly familiars that do contact damage to enemies.
Surgeon Simulator Collectible surgeonsimulator Pack 2 "Bzzt" Removes a red heart from Isaac's heart containers and puts it on the floor.
Tearleporter Collectible tearleporter Pack 1 "Warping tears and reality!" Teleports Isaac to the position of his furthest tear.
Trash Bag Collectible trashbagChargebar3 Pack 1 "One man's trash..." Spawns a random amount of flies or spiders and has a small chance to spawn additional consumables, including trinkets.

Passive Collectibles

Name Icon Pack Description Effect
Abyss Collectible abyss Pack 2 "They shall fear the abyss" Tears have a chance to freeze enemies and make them "suck in" other near-by enemies.
Addicted Collectible addicted Pack 1 "Stress just changes me, ok?" Upon being damaged Isaac has a chance to activate a random pill effect.
Aimbot Collectible aimbot Pack 2 "L33T_H4X" Tears seek out enemies that are within a close proximity.
Beggar's Cup Collectible beggarscup Pack 1 "Luck to the destitute" Upon picking up Beggar's Cup the player receives a +10 luck up but coins reduces it.
Birth Control Collectible birthcontrol Pack 2 "Familiars (equal) Stats up" Alive familiars are removed in exchange for random stat upgrades.
Blooderfly Collectible blooderfly Pack 2 "Bloody Friend" Seeks out enemies and does low contact damage. Targeted enemies explode and have a chance to drop a heart upon death
Brunch Collectible brunch Pack 2 "Health + Tears up" +1 health up, -2 tears. Turns Isaac green.
Bugged Bombs Collectible buggedbombs Pack 1 "424f4f4d21" Isaac's bombs explode with random bomb effects.
Candle Kit Collectible candlekit Pack 1 "Don't burn it at both ends" Creates two candle orbitals around Isaac that damage enemies and have a chance to ignite them.
Charity Collectible charity Pack 1 "Light in pocket, heavy in heart" The less consumables Isaacs holds the greater the stat boost Charity provides.
Chastity Collectible chastity Pack 1 "I hereby promise to abstain from council with the wicked" Grants a massive stats boost. But it is lost upon entering a "Deal with the Devil" room.
Cologne Collectible cologne Pack 1 "Rhymes with alone..." Creates an aura around Isaac that has a chance to charms enemies who get too close.
Cracked Rock Collectible crackedrock Pack 2 "Shockwave shots!" Chance to fire a rock tear that creates shockwaves upon hitting an enemy.
Crystallized Collectible crystallized Pack 3 "Can you feel the energy?" Gives Crystal Tears that give the Crystallized status effect and can trigger and damage all enemies affected.
Diligence Collectible diligence Pack 1 "The Lord protects me" Chance to 'dodge' damage and immunity to spikes, fires and red poop.
Divine Wrath Collectible divinewrath Pack 1 "Holy light barrage!" Replaces tears with a high-power "holy hush laser" that can destroy all objects.
Endor's Hat Collectible endorshat Pack 2 "Spirit heart regen" Grants a half spirit heart. Upon room clear Isaac has a 50% chance to replenish a half Spirit Heart to a full Spirit Heart.
Entropy Collectible entropy Pack 3 "Thermodynamics at it's finest!" -3 tears delay. Isaac has a very high chance to shoot an extra tear slightly off target.
Faithful Ambivalence Collectible faithfulambivalence Pack 3 "Divine intervention" Angel rooms give a free "devil deal" item, and devil rooms give a free "angel item".
Furnace Collectible furnace Pack 1 "Hot and ready to blow!" When Isaac is damaged fires shoot out in all directions.
Gloom Skull Collectible gloomskull Pack 2 "Damage Up + Evil Up + You feel scared" +1.5 damage and 100% "Deal with the Devil" chance. Causes Permanent Curse of Darkness.
Graphics Error Collectible graphicserror Pack 1 "[WARN] Exception Caught..." Killing an enemy has a chance to spawn a friendly GB Bug familiar.
Hemophilia Collectible hemophilia Pack 2 "What a bloody mess..." Enemies have a chance to explode into a bloody volley of tears on death.
Hive Head Collectible hivehead Pack 3 "Queen Status" Grants a Bee Orbital whenever Isaac finishes a room. Bees block shots but flee when Isaac is injured.
Hoarder Collectible hoarder Pack 2 "Mind if I roll need?" Each consumable held increases damage by 0.04.
Hot Coals Collectible hotcoals Pack 2 "Kinetic Dmg Up + Fire Feet" +1.4 damage while moving, -0.7 damage while still. Moving for long enough continuously will spawn a fire at Isaac's feet.
Humility Collectible humility Pack 1 "May your enemies' pride their downfall" A random enemy becomes tinted red and receives double damage.
Hushy Fly Collectible hushyfly Pack 3 "Littler Hush" A fly orbital that deals contact damage. Hushy Fly stops moving whenever Isaac shoots.
Infection Collectible infection Pack 3 "Enemy Epidemic!" Infection shots give enemies the Infection status which does damage and spreads creep that gives more Infection status.
Infested Baby Collectible infestedbaby Pack 2 "Eight-Legged Friends" Spawns spiders when Isaac shoots, max 1 Infested Baby spider alive per room.
Judas' Fez Collectible judasfez Pack 2 "Become the betrayer" Sets Isaac's health to 1 red heart, all other hearts are replaced with Spirit Hearts. Isaac gains Judas' damage multiplier (*1.35), and activates Book of Belial every 3 rooms.
Kindness Collectible kindness Pack 1 "May your intentions be pure" Enemies become randomly charmed and have elevated chances of dropping hearts.
Leaking Bombs Collectible leakybombs Pack 3 "Push and Run!" Bombs leak explosive gun powder when pushed.
Lil Alastor Collectible lilalastor Pack 3 "Like Alastor. But little." Familiar with a charged fire shot.
Lil Miner Collectible lilminer Pack 3 "Wriggle Digger" Periodically digs down and up finding consumables for Isaac.
Miniature Meteor Collectible miniaturemeteor Pack 3 "It looks like it broke apart." Gives Isaac Meteor shots that can drop Meteor Bits. Meteor Bits increase the damage of Meteor Shots for the current floor.
Mr. Squishy Collectible mrsquishy Pack 3 "Arrhythmiac Splat!" Chance to shoot Mr. Squishy shots which arc up high and then bounce multiple times before exploding into blood shots.
Mutant Fetus Collectible mutantfetus Pack 1 "Bomb Tears?" Tears have a chance to spawn a troll bomb upon hitting an enemy.
Old Controller Collectible oldcontroller Pack 1 "Third Party Revival" Upon death, respawns Isaac as a random starting character with random items.
Owl Totem Collectible owltotem Pack 2 "It watches your back" Shoots a high-knockback homing tear out the back of Isaac's head when enemies get too close.
Paint Palette Collectible paintpalette Pack 3 "Feel the PAIN...t" Dyes enemies one of three colors. Enemies of the same color are all damaged in unison.
Patience Collectible patience Pack 1 "Breathe" Damage up the longer Isaac is in an active room.
Peanut Butter Collectible peanutbutter Pack 3 "PB and Slay" Peanut Butter shots slow enemies and make them stick together.
Poly-Mitosis Collectible polymitosis Pack 3 "Splitting Tears" +0.5 damage and -1 tear delay. Splits Isaacs shots twice during flight.
Possessed Shot Collectible possessedshot Pack 2 "Tear control" Tears have a chance to possess enemies. Possessed enemies shoot Isaac's tears at other enemies and attack them.
Pseudobulbar Affect Collectible pseudobulbaraffect Pack 1 "I'm always so sad..." Tears shoot out in the direction Isaac moves.
Quill Feather Collectible quillfeather Pack 2 "Inksplosive Tears" Chance to shoot an ink tear which explodes into a volley of tears upon hitting an enemy.
Rocket Shoes Collectible rocketshoes Pack 3 "GO GO ROCKET SHOES" +0.1 speed and makes Isaac reach max speed instantly.
Satan's Contract Collectible satanscontract Pack 1 "Read the fine print." 2x damage modifier and grants flight but you also recieve 2x damage. +1 Black Heart.
Shooting Star Collectible shootingstar Pack 3 "Homing Comet Tears" Chance to shoot Shooting Star tears that bounce off of enemies and seek other enemies.
Smart Bombs Collectible smartbombs Pack 3 "Seek and Destroy" One cleared rooms bombs now seek out tinted rocks, secret rooms and crawl spaces.
Spirit Eye Collectible spiriteye Pack 2 "Other-Worldly Friend" Spawns a familiar that bounces around the room. Shooting Spirit Eye cause it to shoot a volley of homing tears.
Stoned Buddy Collectible stonedbuddy Pack 1 "Personal pushover." Familiar that pushes enemies away from Isaac.
Subconscious Collectible subconscious Pack 2 "Follow your heart's intentions" If Isaac takes lethal damage he automatically picks up any available hearts within the current room, saving him from death.
Talisman of Absorption Collectible talismanofabsorption Pack 1 "Lasers heal" Lasers heal Isaac.
Tech Alpha Collectible techalpha Pack 2 "Laser Tears!" Technology lasers fire at enemies from Isaac's tears mid-flight.
Temperance Collectible temperance Pack 1 "True power is in restraint" Grants a stat boost for each floor but it is removed once Isaac enters a treasure room.
The Cosmos Collectible cosmos Pack 3 "The center of the universe" Gives Isaac three planet orbitals that do damage and cause varying status effects.
White Candle Collectible whitecandle Pack 1 "Spread the light" Taking damage spawns random beams of holy light and adds a 1% angel chance for every room explored.

Trinkets

Name Icon Pack Description Effect
Brown Eye Trinket browneye Pack 1 "I got eye in my poop!" Poops now fire friendly tears at enemies.
Emperor's Crown Trinket emperorscrown Pack 1 "I am not afraid" Upon entering a new floor Isaac teleports directly to the boss room.
Moon Rock Trinket moonrock Pack 3 "I wonder where it's from?" Chance to shoot antigrav or tiny planet tears with the "iron bar" effect.

LittleStoney The Binding of Isaac: Alphabirth LittleStoney

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