

Gold Hearts flash when depleted and will temporarily turn enemies golden like Midas' Touch. When that heart is depleted, the Gold Heart will break and 3-8 Coins will be dropped around Isaac. Gold Hearts do not actually add more health, instead forming an outline around the last heart in Isaac's health bar. If Isaac has no Red Heart containers or Bone Hearts, they are placed in the second half of his first Soul Heart or Black Heart. Characters that cannot gain Red Heart containers will instead be given a Soul Heart ( Black Heart in the case of Dark Judas and Tainted Judas.) Eternal Hearts are placed in the second half of the last Red Heart container or Bone Heart, even when it is full (the Eternal Heart will overlap with the Red Heart in this case). They will also give a Red Heart container if two are collected on the same floor. When held until the next floor, Eternal Hearts will grant Isaac a Red Heart container. Should he obtain both, the damage will be tripled reaching 120. If Isaac holds A Missing Page, or has the Missing, the damage dealt will be doubled. When depleted, invokes The Necronomicon effect, dealing 40 damage to every vulnerable enemy in the room. If Isaac is only missing half a Red Heart, it will fill that half, and give him half a Soul Heart as well.ĭark Bum and The Jar will not collect this. Like whole Soul Hearts, they can be used to refill a half Black Heart.įills up a full Red Heart container, but will act as a Soul Heart when no containers are free. Blood Donation Machines and Devil Beggars will now deplete Isaac's last half or full Red Heart before depleting Soul Hearts.Ĭan replace regular Soul Heart drops. However, donating to a Blood Donation Machine or a Devil Beggar will deplete Red Hearts first as long as Isaac has more than half a Red Heart (a full heart in Womb and beyond). Soul Hearts will be depleted before Red Hearts in most cases. Soul Hearts are not permanent once lost, they cannot be replenished, although new ones may be picked up. Soul Hearts are blue hearts that are added to the end of the health bar. Humbling Bundle and Equality! will not double this. It will run away as Isaac moves towards it. Identical to the standard Red Heart, but pulses faster. Has a 1/20 spawn rate in Normal Mode and 1/50 in Hard Mode. Can only be found by using certain items or encountering certain rooms. Humbling Bundle and Equality! can replace this with a Double Heart.ĭoesn't appear naturally. Isaac cannot have more Red Hearts than Red Heart containers, but certain Heart pickups can circumvent that limit. Hearts are the standard HP for most characters and can be found in several varieties. For other uses, see Heart (Disambiguation).
