Dead Tooth
ItemAfterbirth+Unlocked
passiveGame ID 446★★★★
How do you unlock Dead Tooth?
Verified starting unlockSource data confirms that no unlock is required.
While firing, Isaac gains a green aura that poisons nearby enemies.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Dead Tooth leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13