Sacrificial Altar
ItemAfterbirth+Locked
activeGame ID 536★★★★
How do you unlock Sacrificial Altar?
In The Binding of Isaac, Sacrificial Altar is unlocked by unlocking Sacrificial Altar (Achievement).
Structured pathSource-backed requirements are mapped into trackable steps.
Sacrifices up to two familiars and spawns an item pedestal for each familiar sacrificed. Converts all friendly spiders and flies into coins.
How to unlock: Take 50 Deals with the Devil
What unlocking Sacrificial Altar leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13