Tough Love
ItemRebirthUnlocked
passiveGame ID 150★★★★
How do you unlock Tough Love?
Verified starting unlockSource data confirms that no unlock is required.
Adds a chance to shoot a tooth instead of a tear, which deals x3.2 Isaac's damage.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Tough Love leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13