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

B Tier

Black Candle, Daddy Longlegs, Growth Hormones, Cat-O-Nine-Tails, Lachryphagy, Capricorn, Monstro's Lung, Tech.5, Squeezy, Fire Mind, Mucormycosis, Wire Coat Hanger, Dark Matter, SMB Super Fan, Guppy's Tail, Binky, Libra, Paschal Candle, The Battery, Guppy's Eye, Eden's Blessing, Proptosis, The Inner Eye, Eye of the Occult, Toxic Shock, Stigmata, The Soul, Cancer, Continuum, Lord of the Pit, Euthanasia, Sharp Plug, Soy Milk, Red Stew, Technology 2, Member Card, Eve's Mascara, Ipecac, Purity, Seraphim, Mr. Dolly, Sulfuric Acid, Blue Map, Fate, Saturnus, Dog Tooth, Lost Contact, Habit, Spirit of the Night, Angelic Prism, Lil Brimstone, Infestation 2, Camo Undies, PHD, Stapler, Lil Dumpy, Uranus, The Sad Onion, Champion Belt, Infamy, 9 Volt, Restock, Bot Fly, Worm Friend, Mom's Contacts, Duality, Mom's Key, The Ludovico Technique, Roid Rage, Lodestone, Humbleing Bundle, 4.5 Volt, Act of Contrition, A Dollar, Knockout Drops, My Reflection, Rosary, Tooth Picks, Lead Pencil, Sinus Infection, Synthoil, Salvation, There's Options, X-Ray Vision, The Body, Chocolate Milk, Lil Abaddon, Dead Onion, Mitre, Mysterious Liquid, Odd Mushroom (Large), Serpent's Kiss, Car Battery, Lucky Foot, Tarot Cloth, Pyro, Placenta, Scorpio, Dark Bum, Playdough Cookie, Monstrance, Censer, Black Lotus, Scapular, The Intruder, Sagittarius, Ouija Board, PJs, Whore of Babylon, Sack Head, Eye Drops, Rune Bag, The Relic, Compound Fracture, Blanket, BFFS!, Voodoo Head, Treasure Map, Options?, 1up!, Neptunus, Epic Fetus, Keeper's Sack, Gimpy, Divorce Papers, Echo Chamber, 7 Seals, Contagion, Transcendence, Pisces, Blue Cap, Blood Bag, Flat Stone, Freezer Baby, Sacrificial Dagger, Judas' Shadow, Parasitoid, Jumper Cables, Guppy's Collar, The Mulligan, A Bar of Soap, False PHD, The Polaroid, Mom's Ring, Dr. Fetus, Bloody Lust, Schoolbag, Charged Baby, Glass Eye, Consolation Prize, Virgo, Mom's Pearls, Starter Deck, Jesus Juice, Trinity Shield, 120 Volt, Tropicamide, Holy Water, 3 Dollar Bill, Broken Modem, Charm of the Vampire, Fanny Pack, Almond Milk, Spider Mod

C Tier

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

D Tier

Experimental Treatment, Hypercoagulation, Piggy Bank, Bursting Sack, Box, Ball of Bandages, Pageant Boy, My Shadow, Mom's Eyeshadow, Bob's Curse, Bob's Brain, Lil Delirium, Dead Bird, Guillotine, Lil Haunt, Leo, Key Piece 1, Juicy Sack, Dinner, Abel, Sack of Sacks, Headless Baby, A Quarter, Bone Spurs, Booster Pack (Item), God's Flesh, Thunder Thighs, 2Spooky, Wooden Spoon, Fate's Reward, Sister Maggy, Bum Friend, Betrayal, Vasculitis, Rotten Meat, Glaucoma, Friend Zone, Mom's Lipstick, Bucket of Lard, A Pound of Flesh, Lost Fly, Mystery Egg, Bomb Bag, Polydactyly, Strange Attractor, Sanguine Bond, Match Book, Giant Cell, Nancy Bombs, Battery Pack, Cursed Eye, Isaac's Heart, Obsessed Fan, Pay to Play, Jaw Bone, Best Bud, Hushy, A Snack, Heartbreak, Jupiter, Mom's Wig, Bird Cage, Little Gish, <3, Missing Page 2, Mom's Razor, Candy Heart, Night Light, Midnight Snack, Supper, Eye Sore, Little Chubby, Dessert, Strawman, Pointy Rib, Mom's Coin Purse, Poke Go, Dead Tooth, Depression, Empty Heart, Samson's Chains, Ball of Tar, Punching Bag, It Hurts, Linger Bean, Dad's Note, Key Bum, Mom's Heels, E. Coli, Forever Alone, Little Baggy, Blood Oath, Milk!, Broken Watch, Hemoptysis, Angry Fly, Mom's Underwear, Magneto, Dirty Mind, Infestation, Blood Puppy, Slipped Rib, Shade, Akeldama, Lil Spewer, Tinytoma, Leprosy, GB Bug, Key Piece 2, Farting Baby, The Wiz, Big Chubby, TMTRAINER, Marked, IBS, 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