Little Horn (Item)
ItemAfterbirth+Unlocked
passiveGame ID 503★★★★
How do you unlock Little Horn (Item)?
Verified starting unlockSource data confirms that no unlock is required.
[Before Repentance] Adds a chance to fire a piercing tear that instantly kills any enemy that it touches. / [Repentance] Adds a chance to fire a tear that summons Big Horn's hand to crush the first enemy it hits, instantly killing monsters or greatly damaging bosses.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Little Horn (Item) leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13