Sacred Heart

Effects

Grants one Red Heart Container and replenishes all health.
x2.3 damage multiplier.
+1 flat Damage.
-0.4 tears.
-0.25 Shot Speed.
+0.75 Tear Height.
(Removed in Repentance) +4.125 range.
Grants homing tears.
(Removed in Repentance) Grants homing bombs (the effect of Bobby-Bomb).
(Added in Repentance) This item belongs to the Seraphim set. Collecting three items from this set will transform Isaac into an angel.

(Removed in Repentance) Sacred Heart is a special item.
Sacred Heart has the highest damage multiplier of all passive items.
The flat damage gained by Sacred Heart is not affected by its damage multiplier. However, other flat damage upgrades (such as those gained by (Curved Horn) Curved Horn or (Added in Afterbirth †) Void) will be affected normally.
(Removed in Repentance) Although Sacred Heart increases range, the reduction of shot speed results in a slight decrease in effective range, not accounting for homing.
- (Added in Repentance) The item no longer decreases range, as shot speed no longer affects effective range.

Sacred Heart: Picking up multiple copies of the item will only result in acquiring additional heart containers, while decreasing fire rate and shot speed.
(Tainted Bethany) Tainted Bethany: On pickup, grants 12 blood charges.