The Best Passive Items Tier List

S

A

B

C

D

F

S Tier

Sacred Heart, Glitched Crown

A Tier

C Section, Twisted Pair, Sacred Orb, Godhead, Holy Mantle, Mom's Knife, Tech X, Brimstone, Cricket's Head, Psy Fly, Magic Mushroom, Incubus, Mutant Spider, Crown of Light, Goat Head, Trisagion, A Lump of Coal, Jacob's Ladder, The Wafer, Stop Watch, The Parasite, Pyromaniac, More Options, Rock Bottom, Ceremonial Robes, Revelation, Birthright, Holy Light, Succubus, Apple!, 20/20, Athame, The Stairway, Technology Zero, Polyphemus, Spoon Bender, Pluto, Chaos, Binge Eater, Dead Eye, Ghost Pepper, Cricket's Body, The Mark, Eye of Belial, Death's Touch, The Mind, 8 Inch Nails, Technology, Little Horn (Item), The Pact, Immaculate Heart, Gnawed Leaf, Host Hat, Fire Mind, Haemolacria, Backstabber, Tractor Beam, Abaddon, Steam Sale, Spirit Sword, Bird's Eye, Blood of the Martyr, Sausage, Lusty Blood, Dark Matter, Rubber Cement, Tech.5, Head of the Keeper, Binky, Holy Grail

B Tier

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

C Tier

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

D Tier

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

F Tier

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