The Binding of Isaac Wiki

Hearts are Pick Ups that replenish Isaac's health. If Isaac runs out of both Red and Soul Hearts he will die and view his Last Will, unless he has Dead Cat, Ankh or 1UP.

If Isaac enters a room with a half Red Heart or less, a pool of urine (blood in Eve's case) will be formed under him. 

Red Hearts[]

Half heart Full heart

Heart Containers[]

In order for Isaac to pick up Red Hearts, he must have Heart Containers that can be gained from a number of "Health Up" collectables or through completion of an Eternal Heart. Most characters also begin the game with at least one Heart Container, with the exception of ???, who is unable to gain Heart Containers at all, instead converting them into single Soul Hearts. Upon taking damage, Isaac will lose Red Hearts and be left with unfilled Heart Containers, which can then be refilled by the collection of Red Hearts.

Since the Eternal Edition, if the player gets more than 12 Heart Containers, their icons will shrink, allowing for more to be visible on the health bar. However, it's not possible to have more than 16 Heart Containers, as any HP up earned at that time will be turned into a Soul Heart instead of a Heart Container.

Heart Containers can be lost from the use of a Health Down Pill, certain Collectables, or being traded to the Devil.

1+1 Free Heart fills two heart containers.

SouI Hearts[]

Soul heart

Soul Hearts look similar to regular hearts but are blue with a gray outline. They are a rarer form of Heart which may replace nonspecific Red Hearts, or can be found in Shops. They have a high chance of spawning when a Tinted Rock is blown up.

Soul Hearts function as a form of armor for Isaac, absorbing damage that he takes so that he does not lose any Red Hearts. Once a Soul Heart is obtained, most damage removes Soul Hearts until their supply is depleted. Each Soul Heart adds a full Heart and can take a full Heart's worth of damage before being lost. Soul Hearts may be increased beyond the maximum visible level of Red Hearts and will still be counted even though they are not shown. The last half Soul Heart Isaac has will absorb any amount of damage while breaking, so taking a full Heart of damage with one half Soul Heart will not affect Isaac's Red Hearts.

Additionally, three Soul Hearts may occasionally be traded in the Devil Room in exchange for a Collectable (for ???, all devil deals are traded for soul hearts).

A Heart has a chance of spawning as a Soul Heart based on these rules:

  1. 1/10 chance
  2. 1/6 chance if playing as Eve (16.25%)
  3. 1/10 if holding the Mom's Pearl trinket
  4. 1/2 if holding the Mitre

Note that the extra chances for a Soul Heart to spawn are consecutive rather than additive, so (if not Eve) with Mom's Pearl, Isaac's chance would be 1 - (0.9 * 0.9) = 19% (rather than 20%) and with the Mitre his chance would be 1 - (0.9*0.5) = 55% (rather than 60%)

Eternal Hearts[]


Eternal Hearts are a type of Heart introduced in Wrath of the Lamb. They act as a Half Red Heart until Isaac picks up a second one or moves onto the next floor (also works when the Forget Me Now is used), in which case it will turn into a filled Heart Container. Eternal Hearts alone are not enough to prevent death. If Isaac has an Eternal Heart but no Red Hearts, he will still die if he loses all of his Soul Hearts. However, the Eternal Heart will remain if Isaac comes back to life with Dead Cat, Ankh or 1UP.

Eternal Hearts can replace nonspecific Heart Drops with a 1/50 base chance or be granted by obtaining certain Collectable Items. They can also be found in the Cathedral-themed Super Secret Room. In addition, any nonspecific Hearts Spawned in that room will be Eternal.

It is possible to lose Eternal Hearts by getting hurt by enemies and Blood Donation Machines (including IV Bag). Blood Donation Machines take Eternal Hearts before any other type of hearts, but getting hurt by an enemy takes Soul Hearts first, then Eternal Hearts then Red Hearts. Unlike Soul Hearts, taking a full Heart of damage with just an Eternal Heart and Red Hearts will remove the Eternal Heart and half of a Red Heart, not just the Eternal Heart.

  • If you lose an Eternal Heart by taking damage from other enemies, the chance of spawning Devil Room will be heavily decreased. This may indicate that Eternal Hearts are actually treated as Red Hearts and thus explain why they are depleted first when using Blood Donation Machines.

If you go into a Devil Room with no soul hearts and an Eternal Heart, and take a deal with the devil that doesn't kill you, you will lose the eternal heart. If Isaac goes into a Devil Room and he has an eternal heart and 2 or more soul hearts, and takes a deal costing two red hearts, Issac may die instantly.

Magneto will only attract Eternal Hearts when Isaac has unfilled Heart Containers.

In the Eternal Edition, if you obtain 7 or more total heart containers purely from eternal hearts in a single run (either from more to the next floor with an eternal heart or combining 2 eternal hearts), your character will be tinted white, given flight for the rest of the run, and you will be given the achievement Eternal Life.

Finding Hearts[]

Nonspecific Hearts[]

These Hearts have a chance to be Red, Soul or Eternal.

Furthermore, the Child's Heart Trinket adds an additional 10% chance to spawn a heart upon clearing a room, as well as an extra 67% chance to find them in Chests.

Red Hearts[]

Items That Spawn Them[]

Items That Give Them[]


Soul Hearts[]

Items That Spawn Them[]

Items That Give Them[]


  • 1 — Shop

Eternal Hearts[]

Items That Give Them[]


  • 1 — Cathedral-themed Super Secret Room


Related Achievements[]

Maggyswig "Maggy's Wig" - Have seven or more Heart Containers at once in a single playthrough.