Binding of Isaac: quality 4 items Alignment Chart
A tier list for quality 4 items in Binding of Isaac: Repentance. Quality 4 items are known as the strongest items in the game, but even they have some that are better than others. Note: C section is non-functional and Mom's Shovel is only used for unlocking The Forgotten so they are not included. This is extremely outdated, not recommended for use.
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Template last modified: 05/26/2023
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