Gold Pill
AchievementRepentanceUnlock unknown
Achievement details
- Achievement number
- 603
- Description
- ???
- Requirement
- Defeat Mega Satan as Tainted Cain
How do you unlock Gold Pill?
In The Binding of Isaac, Gold Pill is unlocked by earning the Mega Satan completion mark as Tainted Cain.
Structured pathSource-backed requirements are mapped into trackable steps.
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- ??? or The Lamb must be defeated once for the Golden Gate to spawn. source
- Open the Golden Gate by combining Key Piece 1 and Key Piece 2 into the Golden Key, or by using Dad's Key or another gate-opening effect. source
- Reach the starting room of Chest or Dark Room, pass through the Golden Gate, and defeat Mega Satan. source
How to unlock: Use Red Key (etc.) to open the hidden closet in Home as Cain
What unlocking Gold Pill leads to
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13