The Best Passive Items Tier List

S

A

B

C

D

F

S Tier

Sacred Heart, Glitched Crown

A Tier

C Section, Twisted Pair, Godhead, Sacred Orb, Holy Mantle, Mom's Knife, Brimstone, Tech X, Goat Head, Incubus, Psy Fly, Trisagion, Cricket's Head, Rock Bottom, Magic Mushroom, Mutant Spider, Jacob's Ladder, A Lump of Coal, Crown of Light, Birthright, More Options, The Parasite, The Stairway, The Wafer, Ceremonial Robes, Succubus, Stop Watch, Holy Light, Chaos, Revelation, Pyromaniac, Apple!, Technology Zero, 20/20, Ghost Pepper, Athame, Dead Eye, Death's Touch, The Pact, 8 Inch Nails, Polyphemus, Spoon Bender, The Mark, Gnawed Leaf, Pluto, Spirit Sword, Tractor Beam, Abaddon, Backstabber, Tough Love, Cricket's Body, Head of the Keeper, Binge Eater, Haemolacria, Bird's Eye, Steam Sale, Technology, Eye of Belial, Host Hat, The Mind, Immaculate Heart, Blood of the Martyr, Sausage, Maw of the Void, Star of Bethlehem, Eucharist, Dead Cat, Terra, Lusty Blood, Dead Dove, Rotten Baby, The Halo, Pentagram, Fruit Cake, Black Candle, Little Horn (Item), The Small Rock, Money = Power, Ocular Rift, Rubber Cement, Tech.5, Fire Mind, Explosivo, Holy Grail, Dogma (Item), YO LISTEN!

B Tier

Libra, SMB Super Fan, Binky, Daddy Longlegs, Paschal Candle, Lachryphagy, Growth Hormones, Cat-O-Nine-Tails, Capricorn, Guppy's Eye, Squeezy, Mucormycosis, Monstro's Lung, Dark Matter, Lord of the Pit, Wire Coat Hanger, Guppy's Tail, Member Card, The Battery, Proptosis, Purity, Stigmata, Eden's Blessing, Blue Map, Eye of the Occult, The Inner Eye, Sharp Plug, Toxic Shock, The Soul, Ipecac, Cancer, Spirit of the Night, Euthanasia, Continuum, Seraphim, Worm Friend, Soy Milk, Red Stew, Eve's Mascara, Technology 2, Fate, Mr. Dolly, Lodestone, My Reflection, A Dollar, 4.5 Volt, Sulfuric Acid, Knockout Drops, Camo Undies, Saturnus, Dog Tooth, Rosary, Synthoil, Stapler, Lil Dumpy, Habit, Lost Contact, Lil Brimstone, Angelic Prism, Infamy, 9 Volt, Infestation 2, PHD, The Sad Onion, Uranus, Champion Belt, Humbleing Bundle, Odd Mushroom (Large), Bot Fly, Act of Contrition, Duality, Car Battery, Restock, Tarot Cloth, Placenta, Mom's Contacts, Mom's Key, Tooth Picks, Salvation, Pyro, Playdough Cookie, X-Ray Vision, The Ludovico Technique, Roid Rage, Sagittarius, The Body, The Intruder, Chocolate Milk, Lead Pencil, Sinus Infection, There's Options, PJs, Serpent's Kiss, Rune Bag, Sack Head, Whore of Babylon, Blanket, Lucky Foot, Lil Abaddon, Mitre, Scorpio, Voodoo Head, Compound Fracture, Mysterious Liquid, Dead Onion, Censer, Neptunus, 1up!, Black Lotus, Scapular, Keeper's Sack, Ouija Board, Dark Bum, Gimpy, Eye Drops, Monstrance, The Relic, Blue Cap, BFFS!, Epic Fetus, Parasitoid, Judas' Shadow, The Mulligan, A Bar of Soap, Guppy's Collar, Treasure Map, Options?, 7 Seals, Schoolbag, Echo Chamber, Transcendence, Virgo, Flat Stone, Contagion, Sacrificial Dagger, Divorce Papers, Mom's Pearls, Jumper Cables, Pisces, Fanny Pack, Trinity Shield, Broken Modem, 3 Dollar Bill, The Polaroid, Dr. Fetus, Freezer Baby, Blood Bag, Bloody Lust, Consolation Prize, Dad's Ring, False PHD, Starter Deck, Cambion Conception, Mom's Ring, 120 Volt, Marbles, Charged Baby, Charm of the Vampire, Almond Milk

C Tier

Glass Eye, Jesus Juice, Analog Stick, Cupid's Arrow, Tropicamide, Holy Water, Astral Projection, Odd Mushroom (Thin), Mini Mush, Spider Mod, Luna, Multidimensional Baby, Divine Intervention, Adrenaline, Dream Catcher, Leech, Cube of Meat, Magic Scab, Pop!, Skeleton Key, Quints, Sol, Old Bandage, Rotten Tomato, Speed Ball, Maggy's Bow, Tooth and Nail, Gemini (Item), Dry Baby, Mars, Kidney Stone, Torn Photo, Redemption, Sissy Longlegs, Aquarius, Loki's Horns, Scatter Bombs, Contract From Below, Orphan Socks, Spelunker Hat, Steven (Item), Lil Loki, Big Fan, Brittle Bones, Mongo Baby, Magic 8 Ball, Little Steven, The Compass, Screw, Ankh, Tiny Planet, Hungry Soul, Mom's Perfume, Soul Locket, Glitter Bombs, Inner Child, Bozo, The Negative, Midas' Touch, Mercurius, Ghost Bombs, Empty Vessel, Lil Monstro, Cone Head, Buddy in a Box, Iron Bar, Halo of Flies, Mom's Eye, MEAT!, Mom's Purse, Montezuma's Revenge, Bloody Gust, Anemic, Pupula Duplex, Spider Bite, Raw Liver, Chemical Peel, Belly Jelly, Marrow, Sad Bombs, Deep Pockets, Papa Fly, Purgatory, Robo-Baby, Immaculate Conception, Spiderbaby, Taurus, Boom!, Cain's Other Eye, Caffeine Pill, Sworn Protector, Blood Clot, Glyph of Balance, Metal Plate, The Peeper, Spear of Destiny, Card Reading, Evil Charm, Dark Prince's Crown, Dad's Lost Coin, Belly Button, Robo-Baby 2.0, Venus, Harlequin Baby, Breakfast, Number One, Ghost Baby, Azazel's Rage, Smart Fly, Rocket in a Jar, Hive Mind, Rainbow Baby, Bogo Bombs, Bomber Boy, Epiphora, Acid Baby, The Ladder, Zodiac, Brother Bobby, Little C.H.A.D., Latch Key, Isaac's Tomb, The Common Cold, Fruity Plum, The Swarm, Stem Cells, ???'s Only Friend, Death's List, Lunch, No. 2, Distant Admiration, Aries, Evil Eye, Lil Chest, Lazarus' Rags, Super Bandage, Cube Baby, Sticky Bombs, Safety Pin, Fast Bombs, Cracked Orb, Anti-Gravity, Butt Bombs, Guppy's Hair Ball, Guardian Angel, Mr. Mega, Sack of Pennies, Mystery Sack, King Baby, Eye of Greed, Hot Bombs, Lil Gurdy, BBF, Stye, Brimstone Bombs, Blood Bombs, Finger!, Hallowed Ground, Demon Baby, Lil Portal, Celtic Cross, Boiled Baby, Vengeful Spirit, Lost Soul, Spirit Shackles, Large Zit, Greed's Gullet, Varicose Veins, Vanishing Twin, Black Powder, Skatole, Bursting Sack, Box

D Tier

Hypercoagulation, Bobby-Bomb, Piggy Bank, Ball of Bandages, Lil Delirium, Dead Bird, Circle of Protection, Lil Haunt, Pageant Boy, Key Piece 1, The Belt, Mom's Eyeshadow, Bob's Curse, Abel, Bone Spurs, Booster Pack (Item), The Virus, Bloodshot Eye, Crack Jacks, Fate's Reward, Sister Maggy, Experimental Treatment, A Quarter, Thunder Thighs, Wooden Spoon, My Shadow, Friend Zone, Bum Friend, Lost Fly, Betrayal, Guillotine, Bob's Brain, Rotten Meat, Mom's Lipstick, Polydactyly, Bomb Bag, Juicy Sack, Leo, Headless Baby, Sack of Sacks, Dinner, 2Spooky, Match Book, Sanguine Bond, God's Flesh, Giant Cell, Battery Pack, Vasculitis, Jaw Bone, Isaac's Heart, Best Bud, Obsessed Fan, A Pound of Flesh, Glaucoma, Bucket of Lard, Heartbreak, Jupiter, Hushy, Mystery Egg, A Snack, Bird Cage, Strange Attractor, Mom's Wig, Little Gish, Missing Page 2, Night Light, Eye Sore, Supper, Midnight Snack, Pointy Rib, Strawman, Mom's Razor, Candy Heart, Nancy Bombs, Cursed Eye, Poke Go, Little Chubby, Dessert, Mom's Coin Purse, Depression, Pay to Play, Dead Tooth, Empty Heart, Ball of Tar, Linger Bean, Samson's Chains, It Hurts, Key Bum, E. Coli, Little Baggy, Milk!, Forever Alone, Broken Watch, <3, Hemoptysis, Angry Fly, Dirty Mind, Infestation, Slipped Rib, Shade, Punching Bag, Akeldama, Tinytoma, Lil Spewer, Leprosy, GB Bug, Blood Oath, Dad's Note, Mom's Heels, Key Piece 2, Farting Baby, The Wiz, Big Chubby, Mom's Underwear, TMTRAINER, Magneto, Marked, IBS, Blood Puppy, Missing No., Shard of Glass, Bumbo, Tonsil, Knife Piece 2

F Tier

Keeper's Kin, Curse of the Tower, Knife Piece 1, The Black Bean