
It Hurts
ItemRepentanceUnlocked
passiveGame ID 560★★★★
How do you unlock It Hurts?
Verified starting unlockSource data confirms that no unlock is required.
Releases a ring of tears and increases fire rate for the current room when Isaac takes damage. [Repentance+] Isaac's tears also leave pools of red creep for the rest of the room.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking It Hurts leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13