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, Mom's Knife, Holy Mantle, Tech X, Brimstone, Psy Fly, Cricket's Head, Incubus, Magic Mushroom, Mutant Spider, Crown of Light, Goat Head, Jacob's Ladder, Trisagion, Stop Watch, A Lump of Coal, The Wafer, More Options, Pyromaniac, Holy Light, The Parasite, Rock Bottom, Revelation, Apple!, Ceremonial Robes, Athame, Succubus, Birthright, Technology Zero, 20/20, Binge Eater, Polyphemus, Cricket's Body, The Stairway, Chaos, Spoon Bender, Ghost Pepper, Pluto, Dead Eye, The Mark, Death's Touch, 8 Inch Nails, Abaddon, Little Horn (Item), Fire Mind, Haemolacria, Head of the Keeper, Immaculate Heart, Technology, Host Hat, The Mind, Gnawed Leaf, Dark Matter, The Small Rock, Backstabber, Money = Power, The Pact, Steam Sale, Eye of Belial

B Tier

Tech.5, Binky, Rubber Cement, Blood of the Martyr, Duality, The Battery, Tractor Beam, Bird's Eye, Lusty Blood, Tough Love, Black Candle, Sausage, Eden's Blessing, Explosivo, Mucormycosis, Ocular Rift, Placenta, Spirit Sword, Cat-O-Nine-Tails, Soy Milk, Guppy's Tail, The Halo, SMB Super Fan, Pentagram, Stigmata, Maw of the Void, Growth Hormones, Dead Cat, Cancer, Technology 2, Capricorn, Paschal Candle, Wire Coat Hanger, Monstro's Lung, Tooth Picks, Member Card, Blue Map, Rotten Baby, Knockout Drops, Holy Grail, Squeezy, Dead Dove, Daddy Longlegs, Champion Belt, Guppy's Eye, Eucharist, Libra, Eve's Mascara, Fruit Cake, Lachryphagy, PJs, Lodestone, Sagittarius, YO LISTEN!, Proptosis, Ipecac, Euthanasia, Almond Milk, Rosary, Red Stew, Terra, Lost Contact, Dogma (Item), The Sad Onion, Car Battery, The Soul, Spider Mod, Mom's Contacts, Star of Bethlehem, Tarot Cloth, Uranus, Humbleing Bundle, My Reflection, Mom's Pearls, Fate, Habit, Voodoo Head, 4.5 Volt, Mom's Key, Blanket, Lead Pencil, Saturnus, Sharp Plug, 1up!, Purity, Sinus Infection, Synthoil, Mr. Dolly, Stapler, Infamy, Angelic Prism, The Inner Eye, Sacrificial Dagger, Gimpy, The Ludovico Technique, Playdough Cookie, Lord of the Pit, Treasure Map, Toxic Shock, Sulfuric Acid, Whore of Babylon, Restock, Tropicamide, Flat Stone, Bot Fly, Eye of the Occult, Scapular, Monstrance, Roid Rage, Dog Tooth, Dark Bum, 9 Volt, A Dollar, Scorpio, Jumper Cables, 7 Seals, Spirit of the Night, Pyro, Contagion, Continuum, A Bar of Soap, The Intruder, 3 Dollar Bill, Leech, Eye Drops, Guppy's Collar, Pisces, Odd Mushroom (Large), Act of Contrition, Keeper's Sack, Charm of the Vampire, Serpent's Kiss, Mysterious Liquid, Blue Cap, Lucky Foot, Trinity Shield, Chocolate Milk, X-Ray Vision, Transcendence, Infestation 2, Neptunus, Seraphim, Dad's Ring, Ouija Board, Echo Chamber, Glass Eye, Epic Fetus, Salvation, Dr. Fetus, Rune Bag, Torn Photo, Sack Head, Compound Fracture, Marbles, Mitre, Charged Baby, Worm Friend, Pupula Duplex, PHD, Mom's Perfume, Lil Dumpy

C Tier

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

D Tier

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

F Tier

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