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, Brimstone, Tech X, Incubus, Goat Head, Trisagion, Psy Fly, Cricket's Head, Rock Bottom, Magic Mushroom, Mutant Spider, Jacob's Ladder, A Lump of Coal, Crown of Light, Birthright, The Parasite, More Options, The Wafer, Ceremonial Robes, Succubus, Holy Light, Chaos, Revelation, Stop Watch, Pyromaniac, Apple!, Technology Zero, The Stairway, Ghost Pepper, 20/20, Death's Touch, The Pact, 8 Inch Nails, Polyphemus, The Mark, Gnawed Leaf, Athame, Tractor Beam, Pluto, Spirit Sword, Dead Eye, Backstabber, Cricket's Body, Head of the Keeper, Steam Sale, Spoon Bender, Binge Eater, Host Hat, Haemolacria, Bird's Eye, Abaddon, The Mind, Blood of the Martyr, Immaculate Heart, Star of Bethlehem, Eucharist, Tough Love, Terra, Dead Cat, Eye of Belial, Dead Dove, Fruit Cake, Technology, Sausage, Money = Power, Ocular Rift, Little Horn (Item), Maw of the Void, The Small Rock, Rubber Cement, Lusty Blood, Explosivo, Rotten Baby, Holy Grail, Pentagram, The Halo, Dogma (Item), YO LISTEN!

B Tier

Black Candle, Growth Hormones, Cat-O-Nine-Tails, Daddy Longlegs, Lachryphagy, Capricorn, Tech.5, Monstro's Lung, Squeezy, Fire Mind, Mucormycosis, Wire Coat Hanger, Dark Matter, SMB Super Fan, Guppy's Tail, Binky, The Battery, Libra, Paschal Candle, Guppy's Eye, Eden's Blessing, Eye of the Occult, The Inner Eye, Proptosis, Toxic Shock, Stigmata, The Soul, Cancer, Continuum, Lord of the Pit, Euthanasia, Sharp Plug, Soy Milk, Red Stew, Technology 2, Eve's Mascara, Member Card, Ipecac, Purity, Seraphim, Mr. Dolly, Blue Map, Fate, Sulfuric Acid, Saturnus, Dog Tooth, Lost Contact, Spirit of the Night, Habit, Lil Brimstone, Camo Undies, Infestation 2, Angelic Prism, PHD, Stapler, Uranus, The Sad Onion, Lil Dumpy, Champion Belt, Infamy, 9 Volt, Bot Fly, Restock, Duality, Worm Friend, Mom's Key, Mom's Contacts, Humbleing Bundle, Roid Rage, The Ludovico Technique, 4.5 Volt, Lodestone, Act of Contrition, A Dollar, Knockout Drops, Rosary, My Reflection, Lead Pencil, Tooth Picks, Synthoil, Salvation, Sinus Infection, X-Ray Vision, There's Options, The Body, Chocolate Milk, Dead Onion, Lil Abaddon, Mitre, Mysterious Liquid, Odd Mushroom (Large), Serpent's Kiss, Car Battery, Lucky Foot, Placenta, Tarot Cloth, Dark Bum, Pyro, Scorpio, Playdough Cookie, Monstrance, Censer, Black Lotus, Scapular, The Intruder, Ouija Board, Sagittarius, PJs, Whore of Babylon, Rune Bag, Sack Head, Eye Drops, The Relic, Compound Fracture, Blanket, BFFS!, Voodoo Head, Treasure Map, Options?, Epic Fetus, Gimpy, Neptunus, 1up!, Keeper's Sack, Echo Chamber, Divorce Papers, Transcendence, 7 Seals, Contagion, Pisces, Blue Cap, Blood Bag, Flat Stone, Freezer Baby, Sacrificial Dagger, Judas' Shadow, Parasitoid, Jumper Cables, A Bar of Soap, Guppy's Collar, The Mulligan, False PHD, Bloody Lust, The Polaroid, Mom's Ring, Dr. Fetus, Schoolbag, Charged Baby, Glass Eye, Consolation Prize, Virgo, Starter Deck, Mom's Pearls, Trinity Shield, Jesus Juice, 120 Volt, Tropicamide, 3 Dollar Bill, Fanny Pack, Broken Modem, Charm of the Vampire, Holy Water, Almond Milk, Spider Mod

C Tier

Leech, Adrenaline, Luna, Multidimensional Baby, Divine Intervention, Dream Catcher, Dad's Ring, Cambion Conception, Marbles, Mini Mush, Speed Ball, Skeleton Key, Rotten Tomato, Analog Stick, Maggy's Bow, Magic Scab, Gemini (Item), Cube of Meat, Dry Baby, Kidney Stone, Torn Photo, Odd Mushroom (Thin), Loki's Horns, Redemption, Cupid's Arrow, Astral Projection, Spelunker Hat, Steven (Item), Orphan Socks, Little Steven, Tiny Planet, Screw, Sissy Longlegs, Glitter Bombs, Pop!, Mom's Perfume, Sol, The Negative, Cone Head, Quints, Lil Loki, Mongo Baby, Magic 8 Ball, Old Bandage, Mars, Tooth and Nail, Aquarius, Ankh, Contract From Below, Mom's Purse, Hungry Soul, Pupula Duplex, Mom's Eye, Scatter Bombs, Bozo, Midas' Touch, Big Fan, Spider Bite, Brittle Bones, Marrow, The Compass, Inner Child, Soul Locket, Sad Bombs, Iron Bar, Mercurius, Ghost Bombs, Montezuma's Revenge, Empty Vessel, Raw Liver, MEAT!, Bloody Gust, Chemical Peel, Lil Monstro, Spiderbaby, Cain's Other Eye, Halo of Flies, Buddy in a Box, Caffeine Pill, Blood Clot, Sworn Protector, Card Reading, Anemic, Number One, Robo-Baby, Immaculate Conception, Dark Prince's Crown, Belly Jelly, Rocket in a Jar, Breakfast, Taurus, Bomber Boy, Azazel's Rage, Deep Pockets, Papa Fly, The Ladder, Zodiac, Purgatory, Metal Plate, Acid Baby, Sticky Bombs, Belly Button, Aries, Boom!, Brother Bobby, Cube Baby, Glyph of Balance, Venus, Super Bandage, Harlequin Baby, Spear of Destiny, Ghost Baby, The Peeper, Hive Mind, Eye of Greed, Mr. Mega, King Baby, Dad's Lost Coin, Robo-Baby 2.0, Hot Bombs, Evil Charm, Stye, Mystery Sack, BBF, Isaac's Tomb, Smart Fly, Brimstone Bombs, Finger!, Stem Cells, Rainbow Baby, Lunch, Lost Soul, Bogo Bombs, Butt Bombs, Varicose Veins, Lazarus' Rags, Fruity Plum, Vanishing Twin, Fast Bombs, Death's List, Little C.H.A.D., Epiphora, ???'s Only Friend, Latch Key, Anti-Gravity, The Common Cold, Distant Admiration, No. 2, The Swarm, Lil Chest, Black Powder, Evil Eye, Guppy's Hair Ball, Cracked Orb, Safety Pin, Lil Gurdy, Bobby-Bomb, Blood Bombs, Guardian Angel, Hallowed Ground, Demon Baby, Boiled Baby, Sack of Pennies, Large Zit, The Belt, Circle of Protection, The Virus, Skatole, Spirit Shackles, Celtic Cross, Vengeful Spirit, Lil Portal

D Tier

Greed's Gullet, Bloodshot Eye, Crack Jacks, Experimental Treatment, Hypercoagulation, Piggy Bank, Bursting Sack, Ball of Bandages, Box, Mom's Eyeshadow, Pageant Boy, My Shadow, Bob's Curse, Bob's Brain, Lil Delirium, Guillotine, Dead Bird, Lil Haunt, Leo, Key Piece 1, Dinner, Juicy Sack, Abel, Sack of Sacks, A Quarter, Headless Baby, Bone Spurs, God's Flesh, Booster Pack (Item), Fate's Reward, Bum Friend, Thunder Thighs, 2Spooky, Wooden Spoon, Sister Maggy, Vasculitis, Betrayal, A Pound of Flesh, Rotten Meat, Glaucoma, Friend Zone, Mom's Lipstick, Bucket of Lard, Mystery Egg, Lost Fly, Bomb Bag, Polydactyly, Strange Attractor, Giant Cell, Sanguine Bond, Match Book, Nancy Bombs, Battery Pack, Cursed Eye, Isaac's Heart, Obsessed Fan, Pay to Play, Jaw Bone, Best Bud, Hushy, Mom's Wig, Heartbreak, A Snack, Jupiter, Bird Cage, Little Gish, <3, Missing Page 2, Midnight Snack, Mom's Razor, Candy Heart, Night Light, Eye Sore, Poke Go, Little Chubby, Dessert, Strawman, Supper, Pointy Rib, Mom's Coin Purse, Depression, Dead Tooth, Empty Heart, Samson's Chains, Punching Bag, Ball of Tar, Dad's Note, It Hurts, Linger Bean, E. Coli, Key Bum, Mom's Heels, Little Baggy, Forever Alone, Milk!, Blood Oath, Broken Watch, Hemoptysis, Angry Fly, Mom's Underwear, Magneto, Dirty Mind, Infestation, Blood Puppy, Slipped Rib, Shade, Akeldama, Tinytoma, Lil Spewer, Leprosy, GB Bug, Key Piece 2, The Wiz, Farting Baby, Big Chubby, TMTRAINER, Marked, IBS, Missing No., Shard of Glass, Bumbo, Tonsil, Knife Piece 2

F Tier

Keeper's Kin, Curse of the Tower, Knife Piece 1, The Black Bean