Binding of Isaac Q4 Items (Updated) Tier List Maker

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).

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This template has 45 images and was last modified 08/01/2023.

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

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1. Edit the label text in each row. 2. Drag the images into the order you would like. 3. Click 'Save/Download' and add a title and description. 4. Share your Tier List.