Leech
ItemRebirthUnlocked
familiarGame ID 270★★★★
How do you unlock Leech?
Verified starting unlockSource data confirms that no unlock is required.
Spawns a leech familiar that chases enemies, dealing ~3 damage per second. Heals a Half Red Heart whenever Leech kills an enemy.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Leech leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13