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

B Tier

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

C Tier

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

D Tier

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

F Tier

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