
Sacred Heart
ItemRebirthUnlocked
passiveGame ID 182★★★★
How do you unlock Sacred Heart?
Verified starting unlockSource data confirms that no unlock is required.
[Before Repentance] Adds a Red Heart Container. Grants homing tears, a x2.3 Damage multiplier, +1 flat Damage, -0.4 Tears, -0.25 Shot Speed, and +4.125 Range. / [Repentance] Adds a Red Heart Container. Grants homing tears, a x2.3 Damage multiplier, +1 flat Damage, -0.4 Tears, and -0.25 Shot Speed.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Sacred Heart leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13