ALL* TBOI ITEMS TIER LIST

These Were Ranked According to How Much I Enjoy The Item!

Here's Them In Writen Form!

*Some items are not present here cause the tier list I used didn't have them... I still wrote some that I remembered!

S Tier

7 Seals

Abyss

Almond Milk

Lump of Coal

Anima Sola

Birthright

Black Candle

Book of Virtues

Brimstone

Broken Modem

Cricket's Body

Cricket's Head

C Section

Damocles

Dark Arts

Dead Cat

Death Certificate

D Infinity

Dr. Fetus

Echo Chamber

Esau JR

Eternal D6

Flip

Genesis

Ghost Bombs

Ghost Pepper

Glitched Crown

Goat Head

Godhead

Haemolacria

Hive Mind

Holy Light!

Holy Mantle

Incubus

Infestation 2

Ipecac

Jacob's Ladder

Judas' Shadow

Lemegeton

Lusty Blood

Mama Mega!

Marbles

Metronome

Mom's Box

Nancy Bombs

NO. 2

Playdough Cookie

Polyphemus

Potato Peeler

Psy Fly

Rotten Baby

Red Key

Revelation

R Key

Rock Bottom

Rubber Cement

Sacred Heart

Sacred Orb

Sad Bombs

Sausage

Scatter Bombs

Sharp Straw

Sinus Infection

Smelter

Soy Milk

Spindow Dice

Spirit Sword

Spoon Bender

*Keepers Sack

*Strawman

*Stye

*Succubus

*TMTrainer

*Twisted Pair

*The Mind

*The Soul

A Tier

20/20

8 Inch Nails

9 Volt

Acid Baby

Alabaster Box

Anarchist Cookbook

Apple!

Atheme

Backstabber

BFFS!

Bird's Eye

Bloody Gust

Bloody Lust

Bob's Brain

Bob's Rotten Head

Bone Spurs

Book of Shadows

Booster Pack

Breath of Life

Brimstone Bombs

Brittle Bones

Brown Nugget

Butt Bombs

Cain's Other Eye

Cambion Conception

Camo Undies

Cancer

Ceremonial Robes

Compound Fracture

Consolation Prize

Crooked Penny

Crown of Light

Crystal Ball

Curse of the Tower

D1

Dad's Key

Daddy Longlegs

Death's Touch

Deck of Cards

Deep Pockets

Diplopia

Dry Baby

Empty Vessel

Eraser

Eucharist

Euthanasia

Explosivo

Eye Drops

Eye of Belial

Eye Sore

Freezer Baby

Fruit Cake

Gello

Glyph of Balance

Head of the Keeper

Heartbreak

Hold

Host Hat

Hot Bombs

Humbleing Bundle

Immaculate Heart

Hungry Soul

Infamy

Isaac's Tomb

Keeper's Kin

Kidney Stone

Magic Mushroom

Magic Skin

Maw of the Void

Mega Mush

Member Card

Midas Touch

Mom's Contacts

Mom's Purse

Money = Power

More Options

Mr. Dolly

Mutant Spider

Mysterious Liquid

My Shadow

Mystery Gift

Notched Axe

Ocular Rift

Parasitoid

Pascal Candle

PHD

PJS

Pluto

Pop!

Prayer Card

Purity

Pyromaniac

Quints

Recall

Sacrificial Dagger

Rotten Tomato

Rune Bag

Sack Head

Sack of Sacks

Sacrificial Altar

Satanic Bible

Scapular

Schoolbag

Scorpio

Seraphim

Serpent's Kiss

Sharp Key

SMB Super Fan

Squeezy

Stapler

Star of Bethlehem

Steam Sale

*Glass Eye

*Mom's Ring

*Tractor Beam

*Wait What?

*Wooden Nickel

B Tier

120 Volt

4.5 Volt

Abaddon

A Bard of Soup

Angelic Prism

Angry Fly

A Pony

Aquarius

Aries

Azazel's Rage

Bag of Crafting

Belly Button

Belly Jelly

Binge Eater

Binky

Blanket

Blood Bag

Blood Oath

Blood Puppy

Bloodshot Eye

Bobby-Bomb

Boiled Baby

Book of Revelations

Bot Fly

Box of Friends

Box

Box of Friends

Buddy in a Box

Bursting Sack

Capricorn

Car Battery

Cat-O-Nine-Tails

Celtic Cross

Chocolate Milk

Circle of Protection

Cone Head

Continuum

Crack the Sky

Cube Baby

D20

D4

D7

D8

Dark Prince's Crown

Dead Eye

Decap Attack

Demon Baby

Divorce Papers

Dual Razor

Eden's Blessing

Epic Fetus

Eve's Mascara

False PHD

Fanny Pack

Farting Baby

Finger!

Fire Mind

Flat Stone

Forget Me Now

Fortune Cookie

Fruity Plum

Gimpy

Glass Cannon

Glitter Bombs

Glowing Hourglass

Growth Hormones

Guppy's Collar

Guppy's Eye

Guppy's Paw

Habit

Holy Grail

How to Jump

Lil Haunt

Inner Child

It Hurts

Jar of Wisps

Jaw Bone

King Baby

< 3

Lil Chest

Lil Gurdy

Lil Monstro

Loki's Horns

Lost Contact

Marked

Marrow

Mega Blast

Metal Plate

Mom's Knife

Mom's Perfume

Monster Manual

Monstro's Lung

Mr. ME!

Mr. Mega

Neptunus

Options?

Pandora's Box

Pentagram

Placenta

Pointy Rib

Pupula Duplex

Raw Liver

Red Candle

Restock

Robo-Baby

Sack of Pennies

Salvation

Shoop Da Whoop!

Smart Fly

Sol

Soul Locket

Spelunker Hat

Spider Bite

Spider Mod

Spirit of the Night

Spirit Shackles

Starter Deck

*Stitches

C Tier

2Spooky

3 Dollar Bill

Act of Contrition

Akeldama

Analog Stick

Anti-Gravity

A Pound of Flesh

A Quarter

Astral Projection

Ball of Bandages

Ball of Tar

BBF

Best Friend

Big Chubby

Bird Cage

Black Hole

Black Lotus

Blank Card

Blood Clot

Blood of the Martyr

Blue Cap

Blue Map

Bob's Curse

Bomb Bag

Bomber Boy

Book of Secrets

Book of the Dead

Box of Spiders

Brother Bobby

Card Reading

Censer

Champion Belt

Chaos

Charged Baby

Charm of the Vampire

Chemical Peel

Contagion

Contract From Below

Cracked Orb

Crack Jacks

Cursed Eye

D100

Dad's Ring

Dark Bum

Dark Matter

Dead Dove

Dead Sea Scrolls

Death's List

Dirty Mind

Divine Intervention

Doctor's Remote

Dog Tooth

Dream Catcher

Eden's Soul

Experimental Treatment

Eye of the Occult

Fate's Reward

Fate

GB Bug

Gemini

Giant Cell

Gnawed Leaf

Guardian Angel

Guppy's Head

Headless Baby

Guppy's Tail

Head of Krampus

IBS

Immaculate Conception

Iron Bar

IV Bag

Jar of Flies

Jesus Juice

Jumper Cables

Kamikaze!

Lachryphagy

Larynx

Latch Key

Leo

Leprosy

Lil Loki

Lil Abaddon

Lil Delirium

Lil Spewer

Lil C.H.A.D.

Lil Chubby

Lil Gish

Lord of the Pit

Lost Soul

Magic Scab

Magneto

Mars

Match Book

MEAT!

Milk!

Mine Crafter

Missing No.

Missing Page 2

Mitre

Mom's Bracelet

Mom's Eyeshadow

Mom's Pearls

Mom's Razor

Mom's Wig

Mongo Baby

Monstrance

Montezuma's Revenge

Moving Box

Mr. Boom

Mucomycosis

My Little Unicorn

My Reflection

Mystery Egg

Mystery Sack

Night Light

Odd Mushroom ( Large )

Old Bandage

Orphan Socks

Pageant Boy

Papa Fly

Pause

Pay to Play

Piggy Bank

Pisces

Placebo

Poke Go

Punching Bag

Purgatory

Rainbow Baby

Redemption

Red Stew

Roid Rage

Rosary

Samson's Chains

Saturnus

Screw

Shade

Shard of Glass

Sissy Longlegs

Sister Maggy

Skatole

Slipped Rib

Spear of Destiny

Spider Butt

Spin to Win

Sprinkler

*Telekinesis

*Tinytoma

*The Body

Trinity Shield

*Wavy Cap

D Tier

Abel

A Dollar

Adrenaline

A Snack

Battery Pack

Berserk!

Betrayal

Big Fan

Black Powder

Blood Bombs

Blood Rights

???'s Only Friend

Bogo Bombs

Bozo

Breakfast

Bumbo

Bum Friend

Butter Bean

Caffeine Pill

Candy Heart

Clear Rune

Clicker

Compost

Converter

Coupon

Cupid's Arrow

D10

D12

Dad's Lost Coin

Dataminer

Dead Bird

Dead Tooth

Delirious

Depression

Dessert

Dinner

Distant Admiration

Duality

E. Coli

Empty Heart

Epiphora

Everything Jar

Evil Charm

Eye of Greed

Fast Bombs

Flush!

fOREVER Alone

Free Lemonade

Friend Finder

Friendly Ball

Friend Zone

Ghost Baby

Glaucoma

God's Flesh

Golden Razor

Guillotine

Hallowed Ground

Harlerquin Baby

Hemoptysis

Hushy

Hypercoagulation

Infestation

Isaac's Heart

Juicy Sack

Jupiter

Keeper's Box

Key Bum

Kidney Bean

Knockout Drops

Large Zit

Lazarus' Rags

Lemon Mishap

Linger Bean

Little Baggy

Lost Fly

Lunch

Magic 8 Ball

Magic Fingers

Meat Cleaver

Mega Bean

Midnight Snack

Mini Mush

Mom's Bottle of Pills

Mom's Bra

Mom's Coin Purse

Mom's Eye

Mom's Heels

Mom's Lipstick

Mom's Pad

Mom's Underwear

Monstro's Tooth

Multidimensional Baby

Number One

Oujia Board

Plan C

Plum Flute

Polydactyly

Portable Slot

Proptosis

Pyro

Razor Blade

Remote Detonator

Robo-Baby 2.0

Rocket in a Jar

Rotten Meat

Safety Pin

Sagittarius

Sanguine Bond

Scissors

Sharp Plug

Speed Ball

Spiderbaby

Stem Cells

F Tier

Ankh

1UP

Anemic

BOOM!

Broken Watch

Bucket of Lard

Evil Eye

Greed's Gullet

Guppy's Hairball

Halo of Flies

Lil Portal

Obsessed Fan

Odd Mushromm (Thin)

Skeleton Key

Story Items

Broken Shovel #1

Broken Shovel #2

Dad's Note

Dogma

Key Piece #1

Key Piece #2

Knife Piece #1

Knife Piece #2

Mom's Shovel