The Binding of Isaac ALL ITEMS (Afterbirth+Repentance) Alignment Chart

Hopefully, this includes every single item. I've seen tier lists that don't even include all Afterbirth items. I haven't seen a tier list that is BOTH Afterbirth AND Repentance items. Ultra Tier is items that under no circumstances would you ever NOT take and you would never reroll.

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Template last modified: 06/21/2021

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