TBOI REP+ Quality 4 Items Alignment Chart

A ranking of all the quality 4 items up to the newest version of the game.

Create a TBOI REP+ Quality 4 Items alignment chart. Check out our other Indie Games tier list templates and the most recent user submitted Indie Games tier lists.

Template last modified: 04/21/2025

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