The Binding of Isaac Wiki

Gemini is a conjoined twin boss encountered in The Basement.

Contusion is the larger twin while Suture is the smaller one.


The larger of the two will walk towards Isaac, trying to deal contact damage. Eventually, he starts charging with increased speed for few seconds. Right after charging, he runs out of breath and has to stop, leaving him vulnerable to attack. The smaller one drifts along at a distance, and will fire fast-moving blood shots at Isaac if he comes near and isn't behind cover. The umbilical cord acts like an elastic tether, keeping them in roughly the same area while not restricting range of movement too much.

Killing the larger twin will cause the smaller one to turn incredibly red when becoming enraged, abandoning ranged attacks in favor of charging at Isaac (if the player deliberately focus-fire the small one from the start, it will be killed and they only have to focus on the big one, whose behavior will not change). While enraged, the smaller twin takes a lot more knockback, which can be troublesome if care is not taken.


  • The best option for handling these two is to run around the edges of the room, firing behind them as they go. Gemini's speed is usually not sufficient to reach Isaac, making him easy to fight.
  • Movement-controlling items like Mom's Bra and Mom's Pad can be helpful if the character find themselves unable to stay ahead of the larger twin's frequent charges. Strong explosive attacks like Bombs are easy to land when the large twin stops for breath.
  • Due to the knockback from tears, it is possible to keep Suture completely stationary if you got him to run at you parallel to a wall and your tears were being fired straight at him, without influence from movement.


  • Contusion will not react/enraged if Suture was killed first.

Champion Variants Wrath of the Lamb DLC[]


Gemini green

The Green Gemini starts off with the two detached; however, the smaller one will act as normal. If enraged by the death of the larger one, it does not move as fast as the normal one. However, there is a chance where just the smaller half of him is green. In this case, it's easier on the player, as when it starts its charge, it'll move slower towards the player and is much less of a threat.


Gemini blue

The Blue Gemini starts out with increased health, but decreased speed, which is more noticeable if the larger twin is colored. This actually makes Gemini easier, though it takes longer to defeat. As with the Green Champion, there is a slight chance of only the small twin becoming blue, resolving in the older one acting normally, but the smaller twin moving very slowly. Both twins' overall health is increased.


The Eternal Gemini starts out with two of the smaller twins attached. The large one is capable of destroying rocks. The first twin comes off when the larger third of Gemini is at half health, and the second comes off when the larger third is slain. As long as the large one is alive, all 3 of them slowly regenerate HP. Smaller ones have increased firepower - shoots 3 blood shots per attack.

This variant was added in the Eternal Edition update but can be exclusively encountered in Hard Mode.


  • It is possible to have only one of them being champion variant.


  • Page 13

    Gemini in the Artbook.

    From the artbook, where Gemini was referred as "The Twins", Contusion's stomach originally had a incision stitch on his stomach.
  • Gemini appears in the demo.
  • Gemini is named after the starsign of the same name, represented by the twins.
  • Their names stem from a cut boss concept (similar to that of Gemini) in Gish, another game developed by Edmund McMillen. According to Edmund, the larger twin is named Contusion due to the dent in his head, which would make the smaller twin Suture.[1]
  • Gemini may be based on the Twin-to-Twin Transfusion Syndrome (TTTS), which is characterized by joined arteries in a shared placenta between twins. This can result in unequal distribution of nutrition to the twins, leading to a bigger and a smaller twin.
  • The name Contusion and Suture are inspired by the song by The Mars Volta, where its specific lyric comes from "Cicatriz ESP".[2]
  • Contusion is the medical name for a bruise, whereas suture is the medical name for a thread used to close gaping wounds, commonly called stitches.
  • Suture makes a sound when becoming enraged, although he was silent in the Rebirth remake's initial release. His sound effect is finally re-added in the Repentance DLC.



Standard Bosses Dukeofflies fullThe Duke of FliesGemini fullGemini260x185-400px-Monstro.svgMonstroLarryjr fullLarry Jr.FistulaFistulaGurdy fullGurdyPeep FullPeepChubChubLoki fullLokiScolex fullScolexBlastocyst fullBlastocystTheFallen FullThe Fallen

Wrath of the Lamb DLC: 260x200-400px-Widow3WidowPin cleanPinMask of InfamyMask of InfamyGurdjrGurdy Jr.VS DaddyLonglegsDaddy Long Legs

Posthumous Bosses 285x230-MonstroII fullMonstro II

Wrath of the Lamb DLC: The HuskThe Husk260x220-The Hollow2The Hollow250x200-Teratoma.TeratomaLokii cutoutLokiiBlighted ovumBlighted OvumCarrionqueenThe Carrion QueenThe WretchedThe WretchedBc BloatThe Bloat

Alternate Bosses 287x265-Steven FullsizeStevenChub fullC.H.A.D.Gish fullGish

Wrath of the Lamb DLC: 200x300-400px-Triachnid boss portraitTriachnid

Harbingers 220x287-Isaac Vs famine edited- noobletkFamineBC PestilencePestilenceBC WarWarVSDeathDeath230x200-Headless HorsemanHeadless Horseman

Wrath of the Lamb DLC: BC ConquestConquest

Final Bosses 250x250-400px-MomMomMoms Heart FullMom's Heart250x250-ITLIVEScutoutIt LivesSatan FullSatan

Wrath of the Lamb DLC: Bc isaacIsaacBC xxx???