Binding of Isaac Q4 Items (Updated) Alignment Chart

For ranking every Isaac Q4. Includes some top tier Q3s that could be Q4s as well (Rock Bottom, Chocolate Milk, Cricket's Body, Parasite, and Ghost Pepper).

Create a Binding of Isaac Q4 Items (Updated) alignment chart. Check out our other Indie Games tier list templates and the most recent user submitted Indie Games tier lists.

Template last modified: 08/01/2023

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Credit to https://bindingofisaacrebirth.fandom.com/wiki/Items for the images.