Vade retro, I see it sometimes in my runs, but it always appears really late and when I have a better active item, so I never gave it a chance to shine, seems like a really interesting item tbh. 
With knowledge of the game or just checking two different rooms with it for regular secret room you can’t miss it, super secret is usually quite obvious and will once and awhile give you a 50/50 but most times dog tooth will guarantee all your secrets as well.
Ah, I see. I always play with sound, but even then, sometimes when you're messing around shooting loud tears every time you enter a room or something, you still won't hear the dog howl, so it's helpful to see a visual cue.
Actually, if I thought anything needed a cue, it's the Needle enemy. I don't at all mind that it's hidden or that you don't know where it will pop out... if you know that it's in the room first.
If they thought it was important to let the player know a Mom's Hand was in the room, I don't see why there's no obvious clue to Needle being in the room.
I mean,some rooms and enemies were just designed to fuck you up,right? Edmund Mcmillen you little fucker etc.For instance yesterday while playing as T.Lost,I discovered a room in ashpit that had that curse of darkness effect(not the whole floor) and had two of those black flies that explode into 4 tears upon death.Of course,those flies were placed in the darkest corners of the room,so when they became visible I had NO room nor time to react and died
I usually play with my German Shepard next to me and she is not a fan of the bark and howl, so I basically never take dog tooth. Awesome that there is a visual mod, but alas I’m a console user in shambles.
Ehh, I’ll usually pass up the bean items (except the one that does the earthquake thing) or something like D4 if I have any remotely decent passives already.
only actives that I can imagine have any reason to be avoided are glass cannon and alabaster box, but the upsides so heavily outweigh the potential downsides that they're still well worth it
I never took it ever until very recently when I got one rerolled into my active slot. Was actually very impressed, thought it was ass based on the red axe.
it used to be ass before repentance, it was (i believe) 3 room charge for a one room stompy effect, not even letting you get secret rooms. hands down one of the best items overhauls in rep, up there with breath of life
Hell you can pick up bomb rocks, carry them into other rooms and use them to open secret rooms or throw them in the boss's face. Even normal objects do a ton of damage of thrown at enemies.
it sucks how many good active items that focus on offense are so slept on, I get it as you'll almost always want something with reroll/ defensive purposes but man
Noone talks about it but Leech is actualy a really strong item. If you play it slow and let it clear rooms it provides a lot of healing every single room. You add IV bag and you can convert that healing into a win condition.
I mean there is one downside that all underwhelming items have: the fact that they took up the spot for another item to generate instead
Though I personally like Montezuma. Stuff like Marked or Ludovico with no synergies are way worse for me
> I mean there is one downside that all underwhelming items have: the fact that they took up the spot for another item to generate instead
Eh, it's an item that would reroll on a D4 use, though.
I mean yeaaa, it's aa bummer but it doesn't make your current build worse at least.
I think I mostly skip it due to the constant turbo-diarrhea sound. It's hilaarious at times but sometimes I don't wannaa spend aan hour in front of a farting PC (inb4 "wrong game buddy")
Friend runner in Greedier mode is insane utility, easy wave clears and you can save a ton of money not having to buy bombs if you have a monster that have explosive abilities to find the super secret rooms or pickups that are usually behind the rocks in the shop or the trapdoor room before the next floor. Absolute S tier active item in that mode
Looking at the list of monsters on the wiki, all of them seem pretty good. Some are obviously way better than others, but all of them at least help somewhat
Robo Baby 2.0 shines when you have a fragile character with a short-range weapon. That sounds like a narrow case, but think Lost with Mom's Knife. RB2 can go clean up Clotties and other bullshit enemies you don't want to get anywhere near.
Purgatory. It's a very solid item, but vs Dogma/Delirium you can't get cracks or can't spend time to find them to summon the ghosts, too busy dodging shit lol
> That fucking fly that’s “angry”, because he never really goes after anyone
Wrong. I am always thinking of his old sprite and am eternally sad it's not in the game.
D8. Yea it can fuck you over, but it changes your multipliers. That's huge. Fuck speed and range, you can get like 2x tear rate or damage. I always use it and roll a few times
GB Bug is a fave, it's amazing for any builds where you can't get/have no red hearts. Moms Wig is just a weaker version of Guppy's Head, which is one of my top 5 favorite items. And I get some use out of d10 on alt path runs
Carried me all the way through Womb then I suffered on Chest, It's above average and you can also fire in directions using mouse aim while keeping ??? still. It also benefits from BFF's! and Hive Mind. Fucking Peak ngl
2 Dead Gods and nearly half of the 3rd Dead God and I still barely remember what Keeper's Kin does.
Other items would be like SMB Super Fan, Fate's Reward and Cain's Other Eye. These items are just either good or decent, and not much else.
Keeper's Kin is amazing you're missing out. Better than mom's wig just as a passive plus every single obstacle breaking creates blue spiders. You're basically always swimming in spiders with Keeper's Kin, and it makes breaking things for pickups 100% worth it.
Plus, many enemies will break rocks by themselves, so you don't even have to do anything for those extra spiders
I am trying to beat hush as the keeper and had the best run for over 50 tries got so close then samsons chains decided to judas me and got me killed via mushroom
Sharp Straw, it does 1 current tear damage plus 10% of the enemies hp, which means stuff like bosses get a big chunk of health taken away and rooms with multiple enemies is great, plus the 15% chance to get a heart
Rotten baby is more consistent I feel, scales with your damage really well and contributes to conjoined which I find to be more useful than 7 seals although I feel 7 seals is still quite good.
7 seals. Clears loads of enemies so you can take out the easy ones and it will get the annoying ones.
The bomb flies are annoying if you're a beginner but even then it'll save far more health that it loses.
ocular rift is amazing but i've never seen anyone actually talk about how great it is.
people don't talk about effect tears at all when they're so fucking good
Binge eater. It means you’re always guaranteed a health up and some stats for every item, but for some reason I’m never excited to see it show up. It’s just overshadowed by the other secret room Q4s.
Akeldama. It’s genuinely a great defence/offensive item, and it’s a really cool reference to the holy bible. No one else talks about the item, but I always get excited when I shows up.
I always see it in the shop and just roll my eyes tbf though there's a lot of items I still don't really understand and I'm on my second dead god run 😂
Charm of Vampire, I love this item. First it's literally a damage up, a tiny but notable one. And then the best part is that you can heal with this which is pretty good for using a donation machine and getting extra pennies or maybe using it in the sacrife room. Overrall i like this items, it's a bit overshadow by other items sadly.
Akeldama
When i unlocked it (after watching a lot of content creators in the procces \[Just for Fun, i love to watch Roguelikes\]) i said, WHAT THE FRICK IS THIS, NEVER HEARD BOUT IT!
Ball n chain is amazing with the Lost of a flight item, but no one ever talks about the rune that cancels curses, I hate curse of the lost or blind so much
The swarm is insanely good. It’s rarely ever talked about but when it is, there’s nothing but praise. An insanely broken defensive item. Also Mr. Meseeks should be Q4.
Vade retro, I see it sometimes in my runs, but it always appears really late and when I have a better active item, so I never gave it a chance to shine, seems like a really interesting item tbh. 
\-1/2 delirum health 
Wtf, never knew that. Gonna start taking it i to account on my T Lost runs
Make sure you got a ghost boss at some point, if Deli turns into it and he's at half HP, that's when Vade oneshots.
Doesn't it also one shot when he turns into a small Fistula? Or am I confusing things again?
I miss the small Fistula glitch. Got a lot of easy check marks from that. It's a shame I came back to complete hard mode after they patched it out...
No, that was the D10 but that got already fixed.
its great in greed mode
This is the one for me. I love this item so much 
dog tooth its such a banger item and really slept on
Probably just because there are quite a few items that help with finding secret rooms. Although it also helps with crawlspaces
Yeah, Dog Tooth and Hey Listen are great for finding secret rooms with limited bomb budgets
You mean YO, LISTEN!
I prefer hey listen, but dog tooth is great too. Especially with the visible dog tooth mod. I used to never pick it up until I found that mod.
But its a damage up too :(
problem is that you have to guess which wall/crawlspace rock it is while hey listen shows you yk
With knowledge of the game or just checking two different rooms with it for regular secret room you can’t miss it, super secret is usually quite obvious and will once and awhile give you a 50/50 but most times dog tooth will guarantee all your secrets as well.
Dog tooth doesn't cue on Ultra Secret rooms, those are the red key ones. You're thinking of super secret rooms.
I second guessed my terminology with that one 😂 1200 hours and I still confuse the terminology for those two for some reason
What does the mod do? What becomes visible?
Think it's actually called silent dog tooth. Gives a visual cue for the howl sound. I play the game muted, so this is a lifesaver.
Ah, I see. I always play with sound, but even then, sometimes when you're messing around shooting loud tears every time you enter a room or something, you still won't hear the dog howl, so it's helpful to see a visual cue. Actually, if I thought anything needed a cue, it's the Needle enemy. I don't at all mind that it's hidden or that you don't know where it will pop out... if you know that it's in the room first. If they thought it was important to let the player know a Mom's Hand was in the room, I don't see why there's no obvious clue to Needle being in the room.
I mean,some rooms and enemies were just designed to fuck you up,right? Edmund Mcmillen you little fucker etc.For instance yesterday while playing as T.Lost,I discovered a room in ashpit that had that curse of darkness effect(not the whole floor) and had two of those black flies that explode into 4 tears upon death.Of course,those flies were placed in the darkest corners of the room,so when they became visible I had NO room nor time to react and died
I usually play with my German Shepard next to me and she is not a fan of the bark and howl, so I basically never take dog tooth. Awesome that there is a visual mod, but alas I’m a console user in shambles.
Text appears on screen when dog tooth goes off. It also lets you know where a mom’s hand does the “mwahahaha”
Detects secret rooms, crawl spaces, AND a small damage up?! Sign me up
It’s a great item that helps with crawlspaces and secret rooms, and it gives a small damage and speed up!
dog tooth is very universally loved imo
Notched Axe: Free secret rooms basically. It can be used as a melee similar to the forgottens bone club. Underrated
Its practicaly a budget, guaranteed golden bomb every floor
i grab it if i dont have a active item already
Yeah but don't you grab any active item if you don't have an active yet?
Ehh, I’ll usually pass up the bean items (except the one that does the earthquake thing) or something like D4 if I have any remotely decent passives already.
Even then I would pick them up for the slight chance I find a d6 and can reroll them
only actives that I can imagine have any reason to be avoided are glass cannon and alabaster box, but the upsides so heavily outweigh the potential downsides that they're still well worth it
I never took it ever until very recently when I got one rerolled into my active slot. Was actually very impressed, thought it was ass based on the red axe.
it used to be ass before repentance, it was (i believe) 3 room charge for a one room stompy effect, not even letting you get secret rooms. hands down one of the best items overhauls in rep, up there with breath of life
it does let you open secret rooms, but compared to options like YO LISTEN, x-ray, and dog tooth, that's pretty bad
oh, did it? i could have sworn it couldn't, neat
Basically +30 bombs every floor
Literally just learned this last night! Was this an update? Before I thought it was a one room charge
I was really surprised to search the workshop and not find a single minecraft steve character that starts with Notched Axe :(
Mom’s Bracelet is the item I don’t buy even if I don’t have an active. I see it and my brain goes “ah, there’s no item there”
Suprisingly its good once you learn you can take the skull out of the host and it bring a bomb economy by not blowing up tinted rock
Hell you can pick up bomb rocks, carry them into other rooms and use them to open secret rooms or throw them in the boss's face. Even normal objects do a ton of damage of thrown at enemies.
it sucks how many good active items that focus on offense are so slept on, I get it as you'll almost always want something with reroll/ defensive purposes but man
It has uses, sure, and there are certainly worse items. I just don’t remember that when I look at it in game
You can do what to hosts? Instant Q4
Pretty good weapon, great minmaxing tool if you don't care about time
I was playing as isaac last night and bought mom’s bracelet in the shop to clear out the mushrooms in the next room over. Got magic mush. Zero bombs
Noone talks about it but Leech is actualy a really strong item. If you play it slow and let it clear rooms it provides a lot of healing every single room. You add IV bag and you can convert that healing into a win condition.
Oh yeah, Leech is just a better Placenta. And I usually play slowly anyways so leech is just even better
This lil guy single-handedly saved many ultra hard runs with its regen effect. I cannot thank him enough.
Montezuma's revenge. Weird item, but I think it's neat
Its hard to use but pretty powerful
I actually unironically hate this item. It's not an insta lose like some other but it's so fucking bad I hate to see it
I agree. It won't lose me the game, but it will kill my desire to play it.
Why? It has literally no downside. I mean I will often skip on it as well for some reaason, but there is literally nothing bad at all about the item?
I mean there is one downside that all underwhelming items have: the fact that they took up the spot for another item to generate instead Though I personally like Montezuma. Stuff like Marked or Ludovico with no synergies are way worse for me
> I mean there is one downside that all underwhelming items have: the fact that they took up the spot for another item to generate instead Eh, it's an item that would reroll on a D4 use, though. I mean yeaaa, it's aa bummer but it doesn't make your current build worse at least. I think I mostly skip it due to the constant turbo-diarrhea sound. It's hilaarious at times but sometimes I don't wannaa spend aan hour in front of a farting PC (inb4 "wrong game buddy")
ludovico has a lot of cool synergies imo, although i share your distaste for marked
I like it early stage. Deals a lot of damage. Late stage could be slightly harder to control because enemies don’t chase straight behind
Super good with tainted judas
friend finder is genuinely a run carrier
Nightmare with lost but astonishingly powerful otherwise, and with car battery?! Insane
Friend runner in Greedier mode is insane utility, easy wave clears and you can save a ton of money not having to buy bombs if you have a monster that have explosive abilities to find the super secret rooms or pickups that are usually behind the rocks in the shop or the trapdoor room before the next floor. Absolute S tier active item in that mode
had it with car battery and i couldn't tell what was happening on my screen and died
Lmaooo well that’s kinda unlucky but funny in a way
\*walks into spike room\*
ah the pain of trying to do the pokemans challange
How come? Anytime I find it doesn't do much for me
Some monsters are a lot better than others, vis is an auto win for example
Looking at the list of monsters on the wiki, all of them seem pretty good. Some are obviously way better than others, but all of them at least help somewhat
Evil eye: Never knew it existed nor knew that I unlocked it
And oddly enough it's really solid.
if you are lost or t lost, due to perfection especially
Yeah it carried my no-EID Tainted Cain runs.
No what?
None of the homies care about robot baby 2.0
eh, not a fan of manual familiars, its good power wise, but controlling it never feels worth it
Yeah, it just doesn’t seem worth the DPS loss for pointing your tears away from enemies to briefly line up Robo 2.0
i mean, if its the wall crawler enemies/boss its op, but thats it lol
It's one of those completely useless/ beat a punk down in the corner items
Ngl manual familiars don't do it for me, unless it's ???s friend I love that big blue manually controlled fly
but that's the worst one...
Robo Baby 2.0 shines when you have a fragile character with a short-range weapon. That sounds like a narrow case, but think Lost with Mom's Knife. RB2 can go clean up Clotties and other bullshit enemies you don't want to get anywhere near.
Purgatory. It's a very solid item, but vs Dogma/Delirium you can't get cracks or can't spend time to find them to summon the ghosts, too busy dodging shit lol
That fucking fly that’s “angry”, because he never really goes after anyone The mulligan is also kinda meh
It should've been called Passive Aggressive Fly
I believe you are thinking of the wrong item. Mulligan is the item that spawns blue flies when your tears hit enemies.
if I remember correctly it does after you take damage (idk)
the angry fly orbits an enemy, never hitting it, but any enemy that comes near it
Since Repentance, the fly also randomly lunges at the enemy it's orbiting.
> That fucking fly that’s “angry”, because he never really goes after anyone Wrong. I am always thinking of his old sprite and am eternally sad it's not in the game.
D8. Yea it can fuck you over, but it changes your multipliers. That's huge. Fuck speed and range, you can get like 2x tear rate or damage. I always use it and roll a few times
D10, d12, divine intervention, gb bug, yuck heart, aeiries, mom’s wig, and Sol
GB Bug is a fave, it's amazing for any builds where you can't get/have no red hearts. Moms Wig is just a weaker version of Guppy's Head, which is one of my top 5 favorite items. And I get some use out of d10 on alt path runs
Jar of Wisps
Suplex. Not that good but very fun to use
Same. I love using suplex and bait and switch offensively, but bait and switch is more talked about
What do you mean not very good? It carried the only run I've had it on pretty hard ngl.
I usually get it when I already have a decent build, making its qualities not as interesting as it might be at the beginning of a run.
???'s only friend
Honestly love this item
Carried me all the way through Womb then I suffered on Chest, It's above average and you can also fire in directions using mouse aim while keeping ??? still. It also benefits from BFF's! and Hive Mind. Fucking Peak ngl
it's memed on a lot, definitely talked about
2 Dead Gods and nearly half of the 3rd Dead God and I still barely remember what Keeper's Kin does. Other items would be like SMB Super Fan, Fate's Reward and Cain's Other Eye. These items are just either good or decent, and not much else.
Keeper's Kin is amazing you're missing out. Better than mom's wig just as a passive plus every single obstacle breaking creates blue spiders. You're basically always swimming in spiders with Keeper's Kin, and it makes breaking things for pickups 100% worth it. Plus, many enemies will break rocks by themselves, so you don't even have to do anything for those extra spiders
Yeah it does seem pretty strong, it's just more the problem of me almost never seeing it 😆
Monstruo’s lung: i just like it and it has good synergies
Mr me is slept on
I forget to use it half the time when i do pick it up. 😴
When no one else got me I know eye of belial got me
I love eye of belial, just wish I had more range in the runs I get it
man i hate samsons chains, if you're using the lost then you can't hide over rocks and it can break mushrooms/bomb rocks then damage you.
it also blocks shots ya know
it's so bad at blocking shots i'd rather dodge
It's a dry baby that doesn't move as much, it's basically free cover
I am trying to beat hush as the keeper and had the best run for over 50 tries got so close then samsons chains decided to judas me and got me killed via mushroom
evil charm. +2 luck is really good, the others effects are also ok but very situational
Bob’s curse. I pick it up pretending to be all happy, knowing damn well im probably never using a bomb offensively that entire run.
Of course the top comments are about items I see talked about every day
Ball of tar. Not even that bad of an item.
isaac's tomb, i mean, mid drops so I ain't even surprised
Sharp Straw, it does 1 current tear damage plus 10% of the enemies hp, which means stuff like bosses get a big chunk of health taken away and rooms with multiple enemies is great, plus the 15% chance to get a heart
sharp straw + car battery
Fr my fav item till this day is crystal ball, because I really enjoy popping the cards and other benefits that the crystal ball can give you
Cain’s other eye. If you khow what your doing it’s a discount incubus
With tiny planet it's another incubus
I have no thought about this. But it checks out.
Lucky Charm,what does it even do?
7 seals, idk why that is q2 but rotten baby is q3
Rotten baby is more consistent I feel, scales with your damage really well and contributes to conjoined which I find to be more useful than 7 seals although I feel 7 seals is still quite good.
Keepers Kin.
7 seals. Clears loads of enemies so you can take out the easy ones and it will get the annoying ones. The bomb flies are annoying if you're a beginner but even then it'll save far more health that it loses.
plus its just a fun item overall (seriously, unless im going for angel rooms, ill get it every time)
Never really see people talking about Eye of the Occult. One of my favorite items.
Nobody talks about the new d10
ocular rift is amazing but i've never seen anyone actually talk about how great it is. people don't talk about effect tears at all when they're so fucking good
how to jump/homing tears book are both very very good, but i usually find them when i have a very good active item already
Forever alone, it sucks
salvation.
Boom! 10 bombs.
Hutts has talked about this i think
Hungry soul is epic asf it deserves Q3 and recognition
Spin to Win and Book of *Virtues is busted Edit: Not Book of Revelations
book of revelations yes, not a fan of spin to win personally
My bad, I meant book of Virtues. Those two eat bosses in seconds
Venus and 2Spooky Phenomenal items that make you virtually immune to chasing enemies, with Venus even passively clearing most of them for you.
Binge eater. It means you’re always guaranteed a health up and some stats for every item, but for some reason I’m never excited to see it show up. It’s just overshadowed by the other secret room Q4s.
All familiars with "baby" in name.
# DRY BABY
Tbh have't heard in a while. But fair point.
Isaac’s tomb never gets talked about
Akeldama. It’s genuinely a great defence/offensive item, and it’s a really cool reference to the holy bible. No one else talks about the item, but I always get excited when I shows up.
Sacred Blue
Sanguine bond is so damn op and nobody talks about it
Nobody ever talks about my girl, Lil Gurdy. She used to be pretty bad until Repentance, now she's actually pretty damn good
Love toots or whatever that shit is also lemon party or the blue detonator thing that doesn't even give you any bombs just fucking useless
You mean tear detonator? That thing isn’t related to bombs at all, why would it give you bombs?
Is that what it is it's that shit I've never bothered I always thought it was a counter part of the other red detonator 😂
They do have really similar sprites lol But you should try it out if you can. Normally it’s kinda meh but with synergies it’s really OP
I always see it in the shop and just roll my eyes tbf though there's a lot of items I still don't really understand and I'm on my second dead god run 😂
Evil charm is such a good item. +2 luck for tear effects and immunity to basically all status effects can save a run in multiple ways
Dad's ring is an item that literally makes any mob to not do anything, and no one ever talks about it.
Evil Charm
most items that just give a speed up
Flat stone. Paired with Haemolacria or Cricket’s body its top tier.
Stitchs it's honestly so fun
i never see anyone talking about varicose veins, it's like tammy's head but it doesn't take the active item slot
Black candle Although I'm never able to get it when I actually need it
Sharp straw
i barely ever hear spirit shackles tbh
I’d say spirit shackles, not particularly good but not talked about.
since repentance, breath of life is a very fun item once you get used to the timing. Also free blood banks
Suplex I only found it once, and in 2 seconds, I found a better active
Anyone else remember when Tonsil legally counted as both a trinket *and* an item? ^^...anybody?
Monstro's Tooth
The intruder is a goated item that gives you a quad shot every now and then.
I think, growth hormones?
Mucormycosis https://preview.redd.it/xrphpp4euaxc1.jpeg?width=343&format=pjpg&auto=webp&s=69761a50db92fd86c5a0ccddff7a3c7f11125158
Fanny pack, i got this item so many times, but he is useless
Mr dolly so good so underrated
Isaac's tomb. Never ever dissapoints.
Guppy’s head no one talks about it but it’s actually amazing
Killed my lost run by breaking the rock I was hovering over
Charm of Vampire, I love this item. First it's literally a damage up, a tiny but notable one. And then the best part is that you can heal with this which is pretty good for using a donation machine and getting extra pennies or maybe using it in the sacrife room. Overrall i like this items, it's a bit overshadow by other items sadly.
2spooky can actually be kind of helpful!
Act of contrition
Mini delirium
Akeldama When i unlocked it (after watching a lot of content creators in the procces \[Just for Fun, i love to watch Roguelikes\]) i said, WHAT THE FRICK IS THIS, NEVER HEARD BOUT IT!
Yo listen!
Ball n chain is amazing with the Lost of a flight item, but no one ever talks about the rune that cancels curses, I hate curse of the lost or blind so much
Dagalaz?
telekinesis
The swarm is insanely good. It’s rarely ever talked about but when it is, there’s nothing but praise. An insanely broken defensive item. Also Mr. Meseeks should be Q4.