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

B Tier

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

C Tier

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

D Tier

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

F Tier

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