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, Brimstone, Tech X, Incubus, Psy Fly, Goat Head, Cricket's Head, Magic Mushroom, Trisagion, Rock Bottom, Mutant Spider, Crown of Light, Jacob's Ladder, A Lump of Coal, Birthright, More Options, The Parasite, The Wafer, The Stairway, Stop Watch, Ceremonial Robes, Succubus, Revelation, Pyromaniac, Holy Light, Chaos, Apple!, 20/20, Technology Zero, Ghost Pepper, Athame, Dead Eye, Polyphemus, The Pact, Spoon Bender, Death's Touch, The Mark, Gnawed Leaf, 8 Inch Nails, Pluto, Spirit Sword, Tractor Beam, Haemolacria, Technology, Backstabber, Binge Eater, Tough Love, Abaddon, Cricket's Body, Bird's Eye, Steam Sale, Eye of Belial, Host Hat, Immaculate Heart, The Mind, Head of the Keeper, Blood of the Martyr, Maw of the Void, Star of Bethlehem, Eucharist, Dead Cat, Lusty Blood, Dead Dove, Rotten Baby, Sausage, Pentagram, Fruit Cake, The Halo, Terra, Little Horn (Item), Money = Power, Ocular Rift, Rubber Cement, SMB Super Fan, Tech.5, Fire Mind, Explosivo, Holy Grail, Dogma (Item), YO LISTEN!, Black Candle, The Small Rock, Dark Matter, Libra

B Tier

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

C Tier

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

D Tier

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

F Tier

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