Pause
ItemAfterbirth+Unlocked
activeGame ID 478★★★★
How do you unlock Pause?
Verified starting unlockSource data confirms that no unlock is required.
Freezes all enemies until a fire button is pressed.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Pause leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13