Tick
TrinketRebirthUnlocked
How do you unlock Tick?
Verified starting unlockSource data confirms that no unlock is required.
Drains 15% health from enemies with more than 60 HP. Restores one Red Heart when entering an uncleared Boss Room. The Tick cannot be dropped or swapped for another trinket.
Available from the start
No unlock needed — this is available in every new save file.
What unlocking Tick leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13