The Best Quality 4 Items
A list of all quality 4 items from The Binding of Isaac: Rebirth, ranked from best to worst. We combined votes from 58 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.
Vote Now39 Items
1.7K Â Votes
58 Â Voters
My Votes
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Rating
1.Glitched Crown
44100Rating0.1
Spread2.Sacred Heart
4496Rating0.4
Spread3.Death Certificate
4594Rating0.5
Spread4.C Section
4588Rating0.2
Spread5.Twisted Pair
4488Rating0.3
Spread6.The D6
4587Rating0.4
Spread7.Mom's Knife
4786Rating0.3
Spread8.Sacred Orb
4685Rating0.4
Spread9.R Key
4583Rating0.5
Spread10.Godhead
4582Rating0.5
Spread11.Holy Mantle
4482Rating0.5
Spread12.Spindown Dice
4582Rating0.5
Spread13.Tech X
4379Rating0.6
Spread14.D Infinity
4579Rating0.7
Spread15.Brimstone
4653Rating0.3
Spread16.Cricket's Head
4651Rating0.4
Spread17.Incubus
4651Rating0.4
Spread18.Crown of Light
4649Rating0.4
Spread19.Psy Fly
4449Rating0.5
Spread20.Magic Mushroom
4446Rating0.4
Spread21.Revelation
4144Rating0.4
Spread22.The Wafer
4643Rating0.4
Spread23.Binge Eater
4443Rating0.4
Spread24.Mega Mush
4742Rating0.3
Spread25.Pyromaniac
4541Rating0.4
Spread26.Stop Watch
4441Rating0.3
Spread27.Flip
4140Rating0.4
Spread28.Polyphemus
4223Rating0.5
Spread29.20/20
4522Rating0.5
Spread30.Haemolacria
4422Rating0.4
Spread31.Ipecac
4218Rating0.4
Spread32.Void
4316Rating0.3
Spread33.Satanic Bible
4114Rating0.3
Spread34.Abyss
4514Rating0.2
Spread35.Dr. Fetus
4511Rating0.5
Spread36.Epic Fetus
439Rating0.3
Spread37.Mega Blast
399Rating0.4
Spread38.Mom's Shovel
400Rating0.1
Spread39.Broken Shovel
450Rating0.1
Spread
