Binding of Isaac Active Item Tierlist (Repentance+) Tier List Maker

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This template has 168 images and was last modified 12/11/2024.

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Literally every item in the game
Run Defining / NEVER DROP
Very Good / Will PROBABLY not drop
CAN be good, but not all the time
It has maybe like 3 uses
Literally does nothing
Actively HURTS you when used
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