The Binding of Isaac Quality 4 Items Tier List
39Â Items5.7KÂ Votes183Â Voters
49%Consensus
A list of all quality 4 items from The Binding of Isaac: Rebirth, ranked from best to worst. We combined votes from 183 players to create this list. Based on the latest version of The Binding of Isaac: Repentance.
Quality is the game's internal tier list for items. Quality 4 is the highest tier, so these items are typically the most powerful.
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