The Best Passive Items Tier List

S

A

B

C

D

F

S Tier

Sacred Heart, Rock Bottom, Birthright, Glitched Crown, Jacob's Ladder

A Tier

Mutant Spider, More Options, A Lump of Coal, Technology Zero, C Section, Holy Light, Trisagion, Goat Head, Twisted Pair, The Parasite, Black Candle, Apple!, Sacred Orb, The Stairway, Godhead, Dead Eye, Ceremonial Robes, Head of the Keeper, Chaos, Binky, Athame, Holy Mantle, Host Hat, Mom's Knife, Pluto, Cricket's Body, Ghost Pepper, Gnawed Leaf, The Mind, Succubus, Blood of the Martyr, Spirit Sword, The Mark, Technology, Spoon Bender, Explosivo, Fire Mind, Technology 2, Daddy Longlegs, Steam Sale, Soy Milk, Eden's Blessing, Dead Dove, 8 Inch Nails, Humbleing Bundle, Tractor Beam, The Halo, Rubber Cement, SMB Super Fan, YO LISTEN!, The Small Rock, Eucharist, Tech X, Member Card, Immaculate Heart, Guppy's Eye, Tech.5, Knockout Drops, Tooth Picks, Blue Map, Fate, Bird's Eye, Mom's Contacts, Abaddon, Money = Power, Lodestone

B Tier

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

C Tier

MEAT!, Bozo, Eye Drops, Tiny Planet, The Polaroid, Gemini (Item), Lil Abaddon, Adrenaline, Evil Charm, Trinity Shield, Scatter Bombs, Dead Onion, Binge Eater, Salvation, Aquarius, 7 Seals, Luna, Multidimensional Baby, Maggy's Bow, Divine Intervention, Boom!, A Bar of Soap, The Common Cold, Cambion Conception, Mitre, Mini Mush, Ghost Bombs, Iron Bar, Odd Mushroom (Thin), Mars, Orphan Socks, Censer, Holy Water, Stapler, Juicy Sack, Magic 8 Ball, Charged Baby, 20/20, Brittle Bones, Broken Modem, Empty Vessel, Quints, Old Bandage, Loki's Horns, The Body, Latch Key, Bloody Lust, Metal Plate, Sack of Pennies, Cube of Meat, Vanishing Twin, The Mulligan, False PHD, Rocket in a Jar, Breakfast, Cain's Other Eye, Card Reading, Screw, Soul Locket, Spear of Destiny, Spirit Shackles, The Negative, Big Fan, The Swarm, Bobby-Bomb, Deep Pockets, Mercurius, Dream Catcher, Guppy's Hair Ball, Mom's Ring, Skatole, Divorce Papers, Azazel's Rage, Taurus, Bomber Boy, Papa Fly, Charm of the Vampire, Starter Deck, Glyph of Balance, Polyphemus, Rotten Tomato, Midas' Touch, Camo Undies, Anemic, Montezuma's Revenge, Thunder Thighs, 120 Volt, Pupula Duplex, Cube Baby, Caffeine Pill, Hallowed Ground, Zodiac, Mom's Purse, Hive Mind, Sol, Buddy in a Box, Robo-Baby 2.0, Isaac's Tomb, Giant Cell, Chemical Peel, Epiphora, Jaw Bone, The Peeper, Haemolacria, Polydactyly, BBF, Analog Stick, Hungry Soul, Robo-Baby, Purgatory, Acid Baby, Bogo Bombs, Inner Child, Speed Ball, Cupid's Arrow, Immaculate Conception, Brother Bobby, Greed's Gullet, Raw Liver, Number One, Stem Cells, Eye of Greed, The Relic, Blood Clot, Mystery Sack, Varicose Veins, Jesus Juice, Harlequin Baby, Smart Fly, Lil Monstro, Lost Soul, Fate's Reward, Safety Pin, The Compass, Bob's Curse, Halo of Flies, Distant Admiration, The Ladder, Mr. Mega, Lunch, Dead Bird, Little C.H.A.D., Spelunker Hat, Belly Button, Box, Spider Bite, Boiled Baby, Dad's Lost Coin, Experimental Treatment, My Shadow, Sad Bombs, Brimstone Bombs, Sworn Protector, Key Piece 1, Dark Prince's Crown, Tooth and Nail, Marrow, No. 2, Midnight Snack, Venus, ???'s Only Friend, Redemption, A Quarter, Spiderbaby, Ipecac, Hushy, Finger!, Bursting Sack, Guardian Angel, Ankh, Blood Bombs, Cone Head, Fast Bombs, Circle of Protection, Sister Maggy, Rainbow Baby, Super Bandage, Jupiter

D Tier

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

F Tier

Curse of the Tower, Tinytoma, Shard of Glass, Knife Piece 2, Knife Piece 1, Forever Alone, <3, Bumbo, A Snack, Big Chubby, Keeper's Kin, Blood Puppy, The Black Bean