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 68 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
2.1K Votes
68 Voters
My Votes
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Rating
1.Sacred Heart
54100Rating0.3
Spread2.Death Certificate
55100Rating0.4
Spread3.Glitched Crown
5499Rating0.4
Spread4.C Section
5590Rating0.3
Spread5.Twisted Pair
5488Rating0.4
Spread6.Sacred Orb
5686Rating0.5
Spread7.The D6
5486Rating0.4
Spread8.Mom's Knife
5586Rating0.5
Spread9.R Key
5584Rating0.5
Spread10.Godhead
5483Rating0.5
Spread11.Holy Mantle
5383Rating0.5
Spread12.Spindown Dice
5582Rating0.5
Spread13.Tech X
5279Rating0.5
Spread14.D Infinity
5575Rating0.7
Spread15.Brimstone
5655Rating0.4
Spread16.Incubus
5655Rating0.4
Spread17.Cricket's Head
5553Rating0.4
Spread18.Magic Mushroom
5452Rating0.5
Spread19.Psy Fly
5351Rating0.5
Spread20.The Wafer
5649Rating0.4
Spread21.Crown of Light
5548Rating0.4
Spread22.Pyromaniac
5546Rating0.5
Spread23.Stop Watch
5446Rating0.5
Spread24.Revelation
5046Rating0.4
Spread25.Binge Eater
5445Rating0.5
Spread26.Mega Mush
5644Rating0.4
Spread27.Flip
5139Rating0.4
Spread28.20/20
5529Rating0.6
Spread29.Polyphemus
5228Rating0.5
Spread30.Haemolacria
5424Rating0.4
Spread31.Void
5321Rating0.4
Spread32.Satanic Bible
5119Rating0.4
Spread33.Ipecac
5117Rating0.4
Spread34.Abyss
5516Rating0.3
Spread35.Dr. Fetus
5412Rating0.4
Spread36.Mega Blast
4811Rating0.4
Spread37.Epic Fetus
5210Rating0.3
Spread38.Mom's Shovel
500Rating0.1
Spread39.Broken Shovel
540Rating0.1
Spread
