The Best Passive Items Tier List

S

A

B

C

D

F

S Tier

Holy Grail, Sacred Heart, Car Battery, Glitched Crown, Eden's Blessing, Dead Dove, Mucormycosis, Rock Bottom, Apple!, Spoon Bender, The Halo

A Tier

SMB Super Fan, Latch Key, More Options, Binky, Chaos, Technology, PJs, Host Hat, Goat Head, Fruit Cake, Eucharist, C Section, Blood of the Martyr, Jacob's Ladder, Holy Light, Ceremonial Robes, Glass Eye, The Small Rock, Sharp Plug, A Lump of Coal, 8 Inch Nails, Head of the Keeper, The Mind, Twisted Pair, Athame, Sacred Orb, Black Candle, Tough Love, Technology Zero, Mutant Spider, Little Horn (Item), Mr. Dolly, Mom's Pearls, Adrenaline, Placenta, Sinus Infection, Cat-O-Nine-Tails, Ghost Pepper, Mom's Knife, The Sad Onion, Godhead, Trisagion, Birthright, Explosivo, Growth Hormones, Holy Mantle, Spirit Sword, Champion Belt, Technology 2, Playdough Cookie, Abaddon, Wire Coat Hanger, Red Stew, Fire Mind, A Dollar, The Parasite, Euthanasia, Rubber Cement, Tooth Picks, Lodestone, Pupula Duplex, Serpent's Kiss, Tech X, Toxic Shock, Lil Dumpy, The Intruder, The Mark, Humbleing Bundle, Tractor Beam, Mom's Perfume, Camo Undies, Sausage, Glitter Bombs, Blood Bag

B Tier

Monstro's Lung, Dead Eye, Rotten Baby, Tropicamide, The Pact, The Virus, Proptosis, Angelic Prism, Tarot Cloth, Scorpio, Saturnus, Dark Matter, Pluto, Montezuma's Revenge, The Body, Brittle Bones, Dogma (Item), The Soul, Blue Map, Fate, Big Fan, Ocular Rift, The Stairway, Eve's Mascara, Treasure Map, Censer, Act of Contrition, Contract From Below, Divorce Papers, Mom's Contacts, Mysterious Liquid, Bob's Curse, Gnawed Leaf, Transcendence, Guppy's Eye, Worm Friend, Almond Milk, Rune Bag, Card Reading, Rosary, Bozo, The Inner Eye, BFFS!, MEAT!, My Reflection, Bot Fly, Eye of the Occult, Neptunus, Mitre, Death's Touch, Lusty Blood, Steam Sale, Immaculate Heart, Aquarius, Echo Chamber, Cancer, 4.5 Volt, Sulfuric Acid, Guppy's Collar, Paschal Candle, Lil Monstro, YO LISTEN!, Holy Water, Tooth and Nail, Lost Contact, Salvation, Spider Mod, Leech, Lil Portal, Bobby-Bomb, Fast Bombs, The Peeper, Chocolate Milk, The Ludovico Technique, Cricket's Body, The Relic, Contagion, Dead Tooth, Pyro, My Shadow, Metal Plate, Mr. Mega, Duality, Odd Mushroom (Large), Cain's Other Eye, Pop!, Brimstone, Stem Cells, Papa Fly, Bomber Boy, Infamy, Vanishing Twin, Varicose Veins, Guillotine, Lachryphagy, Jaw Bone, Mom's Ring, Habit, Capricorn, Polydactyly, Money = Power, 9 Volt, Psy Fly, Cube of Meat, Incubus, Dry Baby, Blanket, 7 Seals, Bird's Eye, Gimpy, Lil Abaddon, Black Lotus, Magic Scab, Hive Mind, Stigmata, Libra, Astral Projection, Mom's Key, Cricket's Head, Mom's Eye, Eye of Belial, Roid Rage, Soy Milk, Dad's Ring, PHD, Soul Locket, Whore of Babylon, Member Card, Sticky Bombs, Schoolbag, Virgo, Magic Mushroom, Succubus, Finger!, Night Light, Sissy Longlegs, Maw of the Void, Deep Pockets, Crown of Light, Pentagram, The Common Cold, Fanny Pack, Lunch, Pyromaniac, Spirit of the Night, Sad Bombs, Boom!, Mystery Sack, Empty Vessel, Seraphim, Divine Intervention

C Tier

Harlequin Baby, Revelation, Tech.5, Lil Loki, Luna, Halo of Flies, Bogo Bombs, Spiderbaby, Spirit Shackles, The Wafer, The Battery, Tiny Planet, Starter Deck, Raw Liver, Match Book, Knockout Drops, Options?, Lucky Foot, X-Ray Vision, Spear of Destiny, Backstabber, Stop Watch, Lil Brimstone, Mom's Lipstick, 3 Dollar Bill, Keeper's Sack, Jumper Cables, Dead Cat, Binge Eater, Sworn Protector, Redemption, Dark Bum, Cambion Conception, Terra, Glaucoma, Dead Bird, Caffeine Pill, Key Piece 1, There's Options, Cone Head, Torn Photo, Scapular, Scatter Bombs, Marrow, A Bar of Soap, Giant Cell, Synthoil, Flat Stone, Sacrificial Dagger, Loki's Horns, Orphan Socks, Gemini (Item), Azazel's Rage, Immaculate Conception, Lead Pencil, Magic 8 Ball, Voodoo Head, Speed Ball, Skeleton Key, Jesus Juice, Compound Fracture, Rainbow Baby, Sack of Pennies, Blue Cap, Analog Stick, Marbles, Little Steven, Eye Sore, Daddy Longlegs, Freezer Baby, The Mulligan, Stapler, Kidney Stone, Butt Bombs, Odd Mushroom (Thin), Guppy's Tail, Sack Head, Little C.H.A.D., BBF, Purity, Guardian Angel, Judas' Shadow, Experimental Treatment, Dog Tooth, Pointy Rib, Greed's Gullet, Brother Bobby, Circle of Protection, Consolation Prize, Screw, The Polaroid, Stye, Cube Baby, Restock, Mars, Hallowed Ground, Trinity Shield, Sol, Rocket in a Jar, Multidimensional Baby, Bum Friend, Pisces, Breakfast, Super Bandage, Parasitoid, Mom's Purse, Blood Clot, Magneto, Mini Mush, The Belt, 20/20, Monstrance, Eye Drops, Chemical Peel, Isaac's Tomb, Demon Baby, Ghost Bombs, ???'s Only Friend, Charm of the Vampire, Best Bud, Jupiter, Squeezy, Bloody Lust, Quints, Venus, Little Baggy, Boiled Baby, False PHD, Bloodshot Eye, No. 2, Cracked Orb, A Pound of Flesh, Dead Onion, Uranus, The Compass, Lord of the Pit, Infestation 2, Isaac's Heart, Evil Eye, Safety Pin, Poke Go, Polyphemus, Blood Bombs, Box, Robo-Baby, 1up!, Number One, Little Chubby, Haemolacria, Mom's Underwear, Skatole, Mystery Egg, Inner Child, Rotten Tomato, Midas' Touch, Steven (Item), Purgatory, 120 Volt, Distant Admiration, Old Bandage, Evil Charm, Wooden Spoon, Iron Bar, Rotten Meat, Ouija Board, Hungry Soul, Eye of Greed, Lil Delirium, Hypercoagulation, Bomb Bag, 2Spooky

D Tier

Sagittarius, Bird Cage, Broken Watch, Maggy's Bow, Empty Heart, Guppy's Hair Ball, Vengeful Spirit, Cursed Eye, The Swarm, Pay to Play, Sack of Sacks, Star of Bethlehem, Glyph of Balance, Key Piece 2, The Ladder, Nancy Bombs, Mom's Wig, Candy Heart, Ball of Bandages, Dinner, Hot Bombs, Buddy in a Box, Heartbreak, King Baby, Fate's Reward, Strawman, Crack Jacks, Little Gish, The Negative, Bloody Gust, Midnight Snack, The Wiz, Lil Chest, Ipecac, Brimstone Bombs, Belly Jelly, Anti-Gravity, Continuum, Mercurius, Cupid's Arrow, Slipped Rib, Booster Pack (Item), Mom's Razor, Abel, Dark Prince's Crown, Lost Soul, Lil Gurdy, Zodiac, Charged Baby, Supper, Leo, Pageant Boy, Knife Piece 2, It Hurts, Vasculitis, Akeldama, Bucket of Lard, Bursting Sack, Dr. Fetus, Lazarus' Rags, A Quarter, Blood Oath, Aries, Shard of Glass, Taurus, Epic Fetus, Missing Page 2, Broken Modem, Belly Button, Robo-Baby 2.0, Mom's Eyeshadow, Betrayal, Juicy Sack, Dad's Lost Coin, Spelunker Hat, Dream Catcher, Samson's Chains, Lil Haunt, Curse of the Tower, Marked, Death's List, Dessert, Acid Baby, Hushy, Sanguine Bond, Ghost Baby, Ankh, Anemic, Punching Bag, Forever Alone, Piggy Bank, Black Powder, Smart Fly, Obsessed Fan, Fruity Plum, E. Coli, Depression, Epiphora, Missing No., Sister Maggy, Headless Baby, Ball of Tar, Hemoptysis, Battery Pack, Shade, <3, Spider Bite, Large Zit, Bumbo, Thunder Thighs, Strange Attractor, Leprosy, A Snack, Friend Zone, Celtic Cross, Lil Spewer, Infestation

F Tier

Dad's Note, Key Bum, Dirty Mind, Farting Baby, Bone Spurs, Milk!, Tinytoma, God's Flesh, Angry Fly, Mom's Coin Purse, Keeper's Kin, IBS, GB Bug, Lost Fly, Tonsil, TMTRAINER, Big Chubby, Mongo Baby, Mom's Heels, Knife Piece 1, Linger Bean, Bob's Brain, The Black Bean, Blood Puppy