The Mitre[1] is a ceremonial headgear worn by bishops in the Roman Catholic Church.


The mitre grants an extra 50% chance that random heart spawns will become Soul Hearts. Certain heart drops are not affected by this effect, such as those Red Heart pickups in the Super Secret Room with Womb background.

  • This item is extremely useful for ???, as he can only pick up Soul Hearts.


  • Natural Soul Heart drop bonus increases the odds of receiving a Soul Heart even more.
  • This effect furthermore stacks with Mom's Pearl.


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