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, Tech X, Brimstone, Psy Fly, Cricket's Head, Incubus, Magic Mushroom, Mutant Spider, Crown of Light, Jacob's Ladder, Goat Head, Trisagion, A Lump of Coal, Stop Watch, More Options, The Wafer, The Parasite, Pyromaniac, Rock Bottom, Apple!, Revelation, Ceremonial Robes, Athame, Holy Light, Succubus, Birthright, Technology Zero, 20/20, Cricket's Body, Binge Eater, The Stairway, Polyphemus, Chaos, Spoon Bender, Pluto, Ghost Pepper, Dead Eye

B Tier

8 Inch Nails, Fire Mind, Host Hat, Gnawed Leaf, Little Horn (Item), The Mind, Haemolacria, Immaculate Heart, Technology, The Mark, Dark Matter, Backstabber, Money = Power, Death's Touch, Steam Sale, Rubber Cement, The Pact, Binky, Blood of the Martyr, Eye of Belial, Abaddon, Duality, Head of the Keeper, Tough Love, Eden's Blessing, Soy Milk, The Battery, Sausage, Tractor Beam, Spirit Sword, Bird's Eye, The Small Rock, Black Candle, Explosivo, Mucormycosis, Ocular Rift, Guppy's Tail, Growth Hormones, Tech.5, Cat-O-Nine-Tails, Stigmata, The Halo, SMB Super Fan, Holy Grail, Pentagram, Lusty Blood, Capricorn, Dead Cat, Cancer, Blue Map, Eucharist, Technology 2, Wire Coat Hanger, Monstro's Lung, Tooth Picks, Libra, Rotten Baby, Knockout Drops, Squeezy, Dead Dove, Lachryphagy, Daddy Longlegs, Maw of the Void, Placenta, Guppy's Eye, Fruit Cake, PJs, Lodestone, Almond Milk, Dogma (Item), Rosary, Mom's Contacts, YO LISTEN!, Paschal Candle, Proptosis, Blanket, Champion Belt, Red Stew, Terra, Lost Contact, Tarot Cloth, Eve's Mascara, Ipecac, Car Battery, 4.5 Volt, The Soul, Sharp Plug, Saturnus, Spider Mod, Star of Bethlehem, Lord of the Pit, Purity, Uranus, Humbleing Bundle, My Reflection, Stapler, Mom's Pearls, Fate, Sagittarius, Voodoo Head, Lead Pencil, Sulfuric Acid, Angelic Prism, Member Card, A Dollar, Gimpy, 1up!, The Sad Onion, Synthoil, Monstrance, Dog Tooth, Eye of the Occult, The Inner Eye, Playdough Cookie, The Ludovico Technique, Sacrificial Dagger, Toxic Shock, Whore of Babylon, Sinus Infection, Flat Stone, Habit, Continuum, Infamy, Scapular, Euthanasia, Mom's Key, Blue Cap, 9 Volt, Restock, Tropicamide, Pisces, 7 Seals, Odd Mushroom (Large), Act of Contrition, Pyro, Spirit of the Night, Contagion, Roid Rage, Mr. Dolly, The Intruder, Treasure Map, X-Ray Vision, Infestation 2, Transcendence, Neptunus, Bot Fly, Leech

C Tier

Guppy's Collar, Seraphim, Salvation, Torn Photo, There's Options, Worm Friend, Keeper's Sack, Charm of the Vampire, Serpent's Kiss, Lil Dumpy, Lucky Foot, Sack Head, Trinity Shield, Chocolate Milk, Dead Onion, Mysterious Liquid, Jumper Cables, A Bar of Soap, Glass Eye, Ouija Board, The Body, Rune Bag, Eye Drops, Echo Chamber, Dark Bum, Compound Fracture, Freezer Baby, Charged Baby, Epic Fetus, Dr. Fetus, PHD, BFFS!, Mitre, Scorpio, Pupula Duplex, Options?, Pop!, Black Lotus, Dad's Ring, Cambion Conception, Schoolbag, 3 Dollar Bill, Censer, Astral Projection, Kidney Stone, Camo Undies, Fanny Pack, Blood Bag, Marbles, The Mulligan, Speed Ball, Magic 8 Ball, Scatter Bombs, Bloody Lust, Skeleton Key, Metal Plate, Rotten Tomato, Analog Stick, False PHD, Odd Mushroom (Thin), Tiny Planet, Jesus Juice, Judas' Shadow, Glitter Bombs, Consolation Prize, Magic Scab, Cupid's Arrow, Lil Brimstone, Mom's Purse, Cone Head, Mom's Perfume, The Polaroid, Azazel's Rage, Parasitoid, Papa Fly, Orphan Socks, Adrenaline, The Compass, Mini Mush, Multidimensional Baby, Lil Abaddon, Divorce Papers, Cube of Meat, The Relic, Divine Intervention, Contract From Below, Sticky Bombs, Hungry Soul, Sissy Longlegs, Mom's Ring, Big Fan, Luna, Holy Water, Hallowed Ground, Aquarius, MEAT!, Ghost Bombs, Dry Baby, Spider Bite, Screw, Midas' Touch, Little Steven, Virgo, Safety Pin, Mars, 120 Volt, Lunch, Deep Pockets, Broken Modem, Vanishing Twin, Mom's Eye, Bozo, Starter Deck, Spelunker Hat, Soul Locket, Marrow, Maggy's Bow, Greed's Gullet, Isaac's Tomb, Chemical Peel, Gemini (Item), Anemic, Taurus, Dad's Lost Coin, Eye of Greed, Evil Charm, Guppy's Hair Ball, Raw Liver, Brittle Bones, Brother Bobby, Boom!, Loki's Horns, Old Bandage, Number One, Montezuma's Revenge, Lil Portal, Iron Bar, Quints, Redemption, Card Reading, Breakfast, Belly Button, Empty Vessel, Varicose Veins, Caffeine Pill, Purgatory, Skatole, Tooth and Nail, Smart Fly, Mercurius, Evil Eye, Cain's Other Eye, Spear of Destiny, The Ladder, Acid Baby, Ankh, Inner Child, Dark Prince's Crown, Sol, Buddy in a Box, The Common Cold, Immaculate Conception, No. 2, Halo of Flies, Bogo Bombs, Butt Bombs, Zodiac, Stye, Rainbow Baby

D Tier

Rocket in a Jar, Robo-Baby, Latch Key, Dream Catcher, Blood Clot, Glyph of Balance, Cracked Orb, The Negative, Lil Monstro, The Swarm, Hive Mind, Giant Cell, Blood Bombs, Sack of Pennies, Distant Admiration, Epiphora, Lost Soul, Bloody Gust, Bomber Boy, The Virus, Experimental Treatment, Venus, Lil Loki, Boiled Baby, Spirit Shackles, Thunder Thighs, Harlequin Baby, BBF, Steven (Item), Mystery Sack, Black Powder, Stem Cells, Little C.H.A.D., Sad Bombs, Sworn Protector, Robo-Baby 2.0, Spiderbaby, ???'s Only Friend, Glaucoma, Box, Sister Maggy, Mongo Baby, Death's List, Bob's Curse, Bobby-Bomb, Vengeful Spirit, Dead Bird, The Peeper, Large Zit, My Shadow, The Belt, Betrayal, Mom's Eyeshadow, Bloodshot Eye, Fate's Reward, Super Bandage, A Quarter, Bum Friend, Bone Spurs, Cube Baby, Brimstone Bombs, Obsessed Fan, Celtic Cross, Key Piece 1, Belly Jelly, Fast Bombs, Mr. Mega, A Pound of Flesh, Lil Chest, Juicy Sack, Jaw Bone, Pageant Boy, Polydactyly, Mom's Lipstick, Ball of Tar, Lil Haunt, Finger!, 2Spooky, Vasculitis, Aries, Bursting Sack, Circle of Protection, Ghost Baby, King Baby, Lil Gurdy, Night Light, Pay to Play, Lil Delirium, Midnight Snack, Hot Bombs, Demon Baby, Mystery Egg, Sack of Sacks, Cursed Eye, Lost Fly, Wooden Spoon, Little Baggy, Friend Zone, Abel, Crack Jacks, Pointy Rib, Key Bum, Hypercoagulation, Bob's Brain, Mom's Razor, Strange Attractor, Match Book, Lazarus' Rags, Fruity Plum, Sanguine Bond, E. Coli, Piggy Bank, Mom's Wig, Leo, Dead Tooth, Hushy, Broken Watch, Empty Heart, Best Bud, Candy Heart, Linger Bean, Eye Sore, Tinytoma, Jupiter, Supper, Mom's Underwear, Guardian Angel, Missing No., Ball of Bandages, Infestation, Guillotine, Dad's Note, Shade, Booster Pack (Item), Rotten Meat, God's Flesh, IBS, Dinner, Bucket of Lard, Bomb Bag, Little Gish, Strawman, Missing Page 2, Samson's Chains, Dessert, Headless Baby, Bird Cage, Hemoptysis, Isaac's Heart, Mom's Coin Purse, TMTRAINER, Key Piece 2, Blood Oath, Anti-Gravity, Punching Bag, Battery Pack, Depression, Dirty Mind, Angry Fly, Heartbreak, Akeldama, It Hurts, Nancy Bombs, Milk!, Poke Go, Magneto, <3, A Snack, Slipped Rib, GB Bug, Forever Alone, Lil Spewer, Tonsil, The Wiz, Knife Piece 2, Leprosy, 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