The Best Passive Items Tier List

S

A

B

C

D

F

S Tier

Sacred Heart, Rock Bottom, Glitched Crown, Mutant Spider

A Tier

Birthright, A Lump of Coal, Jacob's Ladder, Trisagion, More Options, C Section, Apple!, Holy Light, Technology Zero, Goat Head, The Parasite, Black Candle, Twisted Pair, Ceremonial Robes, Godhead, Sacred Orb, The Stairway, Dead Eye, Pluto, Head of the Keeper, Holy Mantle, Chaos, Athame, Mom's Knife, Host Hat, Cricket's Body, Ghost Pepper, Soy Milk, Fire Mind, Eden's Blessing, The Mark, Gnawed Leaf, The Mind, Succubus, Blood of the Martyr, 8 Inch Nails, Technology, The Small Rock, Spoon Bender, Explosivo, Daddy Longlegs, Binky, Dead Dove, Knockout Drops, Tractor Beam, The Halo, Rubber Cement, SMB Super Fan, Mom's Contacts, YO LISTEN!, Tech X, Fruit Cake, Eucharist, The Battery, Member Card, Immaculate Heart, Tech.5, Steam Sale, Tough Love, Spirit Sword, Fate, Bird's Eye, Abaddon, Money = Power, Mucormycosis, Cat-O-Nine-Tails, Death's Touch, Eye of Belial

B Tier

Growth Hormones, PJs, The Sad Onion, Treasure Map, Lost Contact, Placenta, Ocular Rift, Wire Coat Hanger, The Pact, Playdough Cookie, Blue Map, Paschal Candle, Stigmata, Sausage, Rotten Baby, Habit, Dark Matter, Technology 2, Spider Mod, Monstro's Lung, Guppy's Eye, Tarot Cloth, Rosary, Red Stew, Champion Belt, Duality, Lachryphagy, The Soul, Humbleing Bundle, Guppy's Tail, Holy Grail, Backstabber, Almond Milk, Squeezy, Cancer, Lodestone, Capricorn, Brimstone, Sinus Infection, Little Horn (Item), Tooth Picks, Dead Cat, Pentagram, Car Battery, The Inner Eye, Maw of the Void, Libra, Blanket, Terra, Toxic Shock, Sharp Plug, Eve's Mascara, Scorpio, Restock, Neptunus, Mom's Pearls, The Ludovico Technique, Mr. Dolly, Voodoo Head, Dogma (Item), A Dollar, Infestation 2, Sulfuric Acid, Psy Fly, Lusty Blood, Act of Contrition, Infamy, The Intruder, Gimpy, Roid Rage, Flat Stone, Echo Chamber, Uranus, Transcendence, Keeper's Sack, Purity, Odd Mushroom (Large), Incubus, My Reflection, Saturnus, Cricket's Head, Mom's Key, Pyro, Parasitoid, Blood Bag, Star of Bethlehem, Euthanasia, PHD, Whore of Babylon, Proptosis, Monstrance, Serpent's Kiss, 3 Dollar Bill, Continuum, Marbles, Mysterious Liquid, Sticky Bombs, X-Ray Vision, Lucky Foot, Angelic Prism, Synthoil, Crown of Light, Scapular, Contagion, Torn Photo, 1up!, Pisces, Sagittarius, Magic Mushroom, Mom's Perfume, Worm Friend, Lead Pencil, Blue Cap, Tropicamide, Bot Fly, Freezer Baby, Lil Dumpy, Guppy's Collar, Virgo, Seraphim, 9 Volt, Lord of the Pit, Schoolbag, Ouija Board, Compound Fracture, Sack Head, Chocolate Milk, 4.5 Volt, Astral Projection, Dad's Ring, Sissy Longlegs, Rune Bag, Jumper Cables, Eye of the Occult, Dog Tooth, Skeleton Key, Spirit of the Night, Lil Brimstone, Dark Bum, Options?, Dry Baby, The Wafer, Bozo, Glitter Bombs, Sacrificial Dagger, Pyromaniac, The Polaroid, Pop!, Eye Drops, Stop Watch, Glass Eye, Adrenaline, Evil Charm, Revelation, Kidney Stone, Scatter Bombs, Lil Abaddon, 7 Seals, Black Lotus, Iron Bar, Stapler

C Tier

Trinity Shield, Dead Onion, A Bar of Soap, Contract From Below, Salvation, Mitre, Aquarius, Magic Scab, Little Steven, BFFS!, Maggy's Bow, Binge Eater, The Common Cold, Leech, The Mulligan, Consolation Prize, Boom!, Judas' Shadow, Mom's Eye, Ghost Bombs, Cambion Conception, There's Options, Holy Water, Fanny Pack, The Body, Soul Locket, Quints, Mini Mush, Odd Mushroom (Thin), Magic 8 Ball, Orphan Socks, Charged Baby, Broken Modem, Censer, Tiny Planet, Cube of Meat, Loki's Horns, MEAT!, Empty Vessel, Gemini (Item), Pupula Duplex, Starter Deck, Breakfast, Bloody Lust, Screw, The Swarm, False PHD, Divorce Papers, 120 Volt, Dream Catcher, Multidimensional Baby, Luna, 20/20, Skatole, Big Fan, Camo Undies, Divine Intervention, Mercurius, Mom's Ring, Rotten Tomato, Charm of the Vampire, Speed Ball, Guppy's Hair Ball, Thunder Thighs, Anemic, Azazel's Rage, Montezuma's Revenge, Analog Stick, Midas' Touch, Mom's Purse, Hive Mind, Buddy in a Box, Hallowed Ground, Mars, Robo-Baby 2.0, Chemical Peel, Giant Cell, Polydactyly, Cupid's Arrow, Juicy Sack, Brittle Bones, Hungry Soul, Polyphemus, BBF, Purgatory, Inner Child, Robo-Baby, Experimental Treatment, Raw Liver, Sack of Pennies, Cain's Other Eye, Old Bandage, Number One, Spider Bite, Spear of Destiny, The Negative, Latch Key, Greed's Gullet, Metal Plate, Vanishing Twin, The Relic, Varicose Veins, Marrow, Brother Bobby, Spirit Shackles, Card Reading, Eye of Greed, Distant Admiration, Harlequin Baby, Smart Fly, Rocket in a Jar, Jesus Juice, Dead Bird, Deep Pockets, Haemolacria, Boiled Baby, Epiphora, Lunch, The Compass, Papa Fly, Bobby-Bomb, Bomber Boy, Cone Head, Halo of Flies, Mystery Sack, Glyph of Balance, Taurus, Sad Bombs, Key Piece 1, Dad's Lost Coin, Tooth and Nail, Cube Baby, Sol, Caffeine Pill, Zodiac, Venus, Sworn Protector, Redemption, Dark Prince's Crown, Isaac's Tomb, ???'s Only Friend, The Peeper, Midnight Snack, Spiderbaby, Jaw Bone, Finger!, Acid Baby, Bursting Sack, Bogo Bombs, Immaculate Conception, Sister Maggy, Super Bandage, Blood Clot, Stem Cells, Butt Bombs, Ipecac, Lost Soul, Bob's Curse, The Ladder, Spelunker Hat, Fate's Reward, Mr. Mega, Lil Loki, Lil Monstro, Little C.H.A.D., Stye, Belly Button, Safety Pin, Brimstone Bombs, Belly Jelly, My Shadow, Bloodshot Eye, Cracked Orb, Death's List, Steven (Item), Box, A Quarter, Evil Eye, Vengeful Spirit, No. 2, Mystery Egg

D Tier

Black Powder, Large Zit, Hushy, Guardian Angel, Night Light, Pointy Rib, Hypercoagulation, Fast Bombs, Ankh, Fruity Plum, Circle of Protection, Friend Zone, Blood Bombs, Lil Haunt, Mongo Baby, Pageant Boy, Jupiter, Ghost Baby, Rainbow Baby, King Baby, Mom's Coin Purse, Dead Tooth, Celtic Cross, Abel, 2Spooky, Bone Spurs, Mom's Lipstick, Lil Chest, Dad's Note, Epic Fetus, Lazarus' Rags, Pay to Play, Lil Delirium, Mom's Eyeshadow, Supper, The Belt, Demon Baby, Lil Gurdy, Dr. Fetus, Rotten Meat, Aries, Wooden Spoon, Lil Portal, Mom's Razor, A Pound of Flesh, Crack Jacks, Missing No., The Virus, Little Baggy, Betrayal, Bum Friend, E. Coli, Infestation, Bob's Brain, Dinner, Lil Spewer, Best Bud, Eye Sore, Booster Pack (Item), Ball of Bandages, Poke Go, Mom's Wig, Vasculitis, Match Book, Empty Heart, Bucket of Lard, Depression, Candy Heart, Dessert, Bloody Gust, Obsessed Fan, Guillotine, Lost Fly, Bird Cage, Key Piece 2, Hemoptysis, Punching Bag, Linger Bean, Mom's Underwear, Isaac's Heart, Glaucoma, Samson's Chains, Cursed Eye, Milk!, Heartbreak, GB Bug, Piggy Bank, Missing Page 2, Blood Oath, It Hurts, Sack of Sacks, Sanguine Bond, Little Gish, Slipped Rib, Headless Baby, Ball of Tar, Key Bum, Strawman, Battery Pack, Dirty Mind, Magneto, Hot Bombs, Nancy Bombs, Angry Fly, Bomb Bag, Anti-Gravity, Tinytoma, TMTRAINER, Leo, Tonsil, Knife Piece 2, Strange Attractor, Broken Watch, Shade, IBS, Mom's Heels, Little Chubby, A Snack, The Wiz, God's Flesh, Akeldama, Big Chubby, Leprosy, Farting Baby

F Tier

Marked, Curse of the Tower, Shard of Glass, Knife Piece 1, Forever Alone, <3, Bumbo, Keeper's Kin, Blood Puppy, The Black Bean