Tooth Picks
ItemRebirthUnlocked
passiveGame ID 183★★★★
How do you unlock Tooth Picks?
Verified starting unlockSource data confirms that no unlock is required.
+0.7 tears, +0.16 shot speed.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Tooth Picks leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13