A Missing Page
TrinketRebirthUnlocked
How do you unlock A Missing Page?
Verified starting unlockSource data confirms that no unlock is required.
5% chance to induce The Necronomicon's effect upon taking damage. [Repentance] Adds +40 damage to Black Hearts and The Necromonicon-like effects.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking A Missing Page leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13