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, Cricket's Head, Psy Fly, Incubus, Magic Mushroom, Crown of Light, Mutant Spider, Goat Head, Trisagion, Jacob's Ladder, A Lump of Coal, Rock Bottom, The Parasite, The Wafer, Birthright, Pyromaniac, Ceremonial Robes, Stop Watch, More Options, Apple!, Revelation, Holy Light, Succubus, The Stairway, Athame, Chaos, 20/20, Technology Zero, Binge Eater, Ghost Pepper, Polyphemus, Dead Eye, Technology, Death's Touch, Spoon Bender, Cricket's Body, The Mark, Gnawed Leaf, 8 Inch Nails, Host Hat, Eye of Belial, Pluto, The Pact, Tractor Beam, Backstabber, Immaculate Heart, Haemolacria, Spirit Sword, Abaddon, Steam Sale, Bird's Eye, Little Horn (Item), Blood of the Martyr, Tough Love, Star of Bethlehem, Head of the Keeper, Lusty Blood, Holy Grail, Black Candle, The Mind, Maw of the Void, Dark Matter, Eucharist, The Halo, Fruit Cake, Binky, Dead Cat, Pentagram, Dead Dove, Lachryphagy, Growth Hormones, Rotten Baby, Sausage

B Tier

Rubber Cement, Tech.5, Fire Mind, YO LISTEN!, Terra, Dogma (Item), Explosivo, Paschal Candle, Ocular Rift, Money = Power, The Small Rock, Libra, Eden's Blessing, Squeezy, SMB Super Fan, Daddy Longlegs, Capricorn, Cancer, Cat-O-Nine-Tails, Lost Contact, Monstro's Lung, Guppy's Tail, Proptosis, Stigmata, Mucormycosis, Guppy's Eye, Purity, The Battery, Fate, Technology 2, Wire Coat Hanger, Eve's Mascara, Lord of the Pit, Lodestone, Ipecac, Voodoo Head, Sharp Plug, Blue Map, Member Card, The Inner Eye, Toxic Shock, The Soul, Uranus, Knockout Drops, Duality, Champion Belt, Red Stew, Seraphim, Humbleing Bundle, Placenta, Soy Milk, Eye of the Occult, Rosary, The Sad Onion, Car Battery, Spirit of the Night, Saturnus, Angelic Prism, Mr. Dolly, 9 Volt, Stapler, My Reflection, Habit, A Dollar, Sagittarius, Euthanasia, Synthoil, Camo Undies, Dog Tooth, Infestation 2, Blanket, Continuum, Whore of Babylon, Lil Dumpy, PJs, Lil Brimstone, Act of Contrition, The Ludovico Technique, Neptunus, Salvation, Odd Mushroom (Large), Pyro, Restock, Tarot Cloth, Mom's Contacts, PHD, Compound Fracture, Scapular, Tooth Picks, 4.5 Volt, Gimpy, X-Ray Vision, Playdough Cookie, Sinus Infection, Worm Friend, Black Lotus, Roid Rage, Lead Pencil, Bot Fly, The Body, Infamy, Rune Bag, Chocolate Milk, There's Options, Lil Abaddon, Scorpio, Sulfuric Acid, Mom's Key, Dead Onion, Serpent's Kiss, Lucky Foot, Keeper's Sack, Blue Cap, Monstrance, Almond Milk, Flat Stone, Sack Head, Judas' Shadow, 1up!, BFFS!, Mom's Pearls, Epic Fetus, Jumper Cables, Ouija Board, Mitre, Dr. Fetus, Echo Chamber, Pisces, Mysterious Liquid, Blood Bag, Dark Bum, 3 Dollar Bill, The Relic, A Bar of Soap, Trinity Shield, Parasitoid, 7 Seals, Guppy's Collar, The Intruder, The Mulligan, Charged Baby, Sacrificial Dagger, Cambion Conception, Censer, Options?, Fanny Pack, Charm of the Vampire, Schoolbag, Treasure Map, The Polaroid, Contagion, Transcendence, Glass Eye, Eye Drops, Virgo, Divorce Papers, Odd Mushroom (Thin), False PHD, Spider Mod, Marbles, Cupid's Arrow, Tropicamide, Dad's Ring, Divine Intervention, Bloody Lust, Starter Deck

C Tier

Mini Mush, Consolation Prize, Freezer Baby, Broken Modem, Mom's Ring, Multidimensional Baby, Little Steven, Dry Baby, Jesus Juice, Leech, Speed Ball, Luna, Old Bandage, Torn Photo, Analog Stick, Astral Projection, Mars, Holy Water, Kidney Stone, Magic Scab, Cube of Meat, Contract From Below, Magic 8 Ball, Ghost Bombs, Brittle Bones, Skeleton Key, Maggy's Bow, The Compass, Screw, Pop!, Sissy Longlegs, Glitter Bombs, Orphan Socks, Mom's Perfume, Sol, Loki's Horns, Scatter Bombs, Quints, 120 Volt, Hungry Soul, Soul Locket, Cone Head, Inner Child, Montezuma's Revenge, Tooth and Nail, Cain's Other Eye, Aquarius, Mercurius, Tiny Planet, Rotten Tomato, Adrenaline, Redemption, Mom's Purse, Steven (Item), Spelunker Hat, Pupula Duplex, Chemical Peel, Lil Loki, Glyph of Balance, Ankh, Marrow, Empty Vessel, Iron Bar, Spider Bite, Gemini (Item), The Negative, Mom's Eye, MEAT!, Bozo, Midas' Touch, Belly Jelly, Raw Liver, Robo-Baby, Boom!, Buddy in a Box, Sticky Bombs, Brother Bobby, Metal Plate, Spear of Destiny, Dream Catcher, Caffeine Pill, Dark Prince's Crown, Card Reading, Anemic, Immaculate Conception, Death's List, Big Fan, Bloody Gust, Dad's Lost Coin, Super Bandage, The Peeper, Purgatory, Breakfast, Sad Bombs, Hallowed Ground, Mongo Baby, Evil Charm, Smart Fly, Deep Pockets, Hive Mind, Lil Monstro, Epiphora, Acid Baby, Isaac's Tomb, Demon Baby, Guppy's Hair Ball, Number One, Evil Eye, Belly Button, No. 2, Bogo Bombs, Harlequin Baby, Taurus, Papa Fly, Blood Clot, Butt Bombs, Robo-Baby 2.0, Bomber Boy, Safety Pin, The Ladder, The Common Cold, Rocket in a Jar, Sworn Protector, Azazel's Rage, Lazarus' Rags, Vanishing Twin, Lunch, Greed's Gullet, King Baby, Brimstone Bombs, Lil Portal, Stye, Halo of Flies, Cracked Orb, Sack of Pennies, Large Zit, Spiderbaby, Latch Key, The Swarm, Blood Bombs, Eye of Greed, Skatole, Stem Cells, Venus, Box, Celtic Cross, Rainbow Baby, ???'s Only Friend, Lil Chest, Ghost Baby, Anti-Gravity, Spirit Shackles, Boiled Baby, Zodiac, Black Powder, Mystery Sack, Lil Gurdy, Aries, Mr. Mega, Cube Baby

D Tier

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

F Tier

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