Tonsil

Effects

• After taking 12-20 hits, a removed tonsil familiar starts following Isaac, blocking enemy shots.
  • The effect can happen twice, after which the trinket will be destroyed.
  • The familiar does not deal damage to enemies.

Notes

(T)(o)(n)(s)(i)(l)

Item Icon

(Item icon)

Pickup Quote

"Gross..."

Entity ID

5.100.474

Item Pool

None

Collection Grid

(page 4, column 9, row 6)

(Added in Afterbirth † / Removed in Repentance)

• When the familiar is generated, Isaac will gain the familiar permanently as a passive item. This allows Isaac to drop the trinket while keeping the familiar.
  • (Removed in Repentance) The passive Tonsil item does not exist in any item pool; thus, this is the only way to find it and make it appear in the Collection Page aside from starting with it as (Eden) Eden.
• (Removed in Repentance) If Eden starts with the passive tonsil item and picks up the trinket, the trinket will spawn only one familiar before being consumed.
• Sources of self-inflicted damage, like (IV Bag) IV Bag or Blood Donation Machines, can spawn a familiar.
• Damage that is blocked by (Holy Mantle) Holy Mantle or the (Added in Afterbirth †)(Holy Card) Holy Card does not count to the number of hits that are needed for the tonsil familiar to spawn.