Ring of Pain

Ring of Pain

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Item Tier List
Von orian34
Having a good grasp on which items are worth taking and which are not, is essential and this is the primary goal of the guide.
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The Crux of Fate
You've been going in circles for a while now, and you finally come across a mimic holding treasures! The choice opens to you: Inner Fury or False Confidence. Which to choose? Such decisions can either make or break your run, and that makes them hold a lot of importance.

Having a good grasp on which items are worth taking and which are not, is essential and this is the primary goal of the guide.

I will be rating each item by tier, explaining each time a bit more in detail my choice. I'm no pro, but since I have over 100 hours of play, hopefully my experience can help make up your own choices.

Reminder that those ratings are purely subjective and by no means are gospel you should follow blindly. This only serves as giving insight on them.

Feel free to comment on points of the guide, I will be improving it over time, and as updates come!

S = Top tier item I'd take over many others.
A = Solid item that is worth taking most of the time.
B = Tricky item that requires specific composition or build, otherwise mediocre.
C = Fodder item that you take if you have a free slot, but never over another item.
BR (Blood Ritual) = Either so unusable that you don't want to pick it even with a free slot and a winning build, or extremely good in very specific situations/builds. The most polarizing tier!
Common Rarity Part 1
Item
Tier
Description
X
Candle

The starter candle, obtained by default and evenly balanced.
X
Dark Stone

Makes it harder to survive but promotes sneaking.

Unlocked by Shadow Spreads.
X
Double Candle

Has a lot of survivability. Is the strongest candle due to the ability to choose any common item at the start.

Unlocked by Illuminate, Eliminate.
X
Glow Stone

Changes how you handle mimics, as you'll prefer rerolling only once or twice and use the extra souls to open more mimics. Barrier becomes a free pass for one mimic, very strong.

Unlocked by Challenge Increases.
X
Inverted Candle

Completely warps how you play the game and item values.

Unlocked by A Hard Carry.
X
Lantern of the Ox

Similar to Inverted Candle will warp how you play, although much more items are usable. Aim for stat upgrades.

Unlocked by A Long Climb.
X
Pain

Pushes to exploit advantages a lot more, as you can freely move around but can't as easily engage in combat. Gets very hard as you win.

Has fun interactions with sneak chance effects like Jousting Pants or Reaper's Heart.

Unlocked by Illuminate, Annihilate.
X
Selective Stone

Allows you to try out more specific synergies in the same class. Class payoffs get really strong with this.

Unlocked by Obsessed.
B
Bandana

A decent item if you have nothing else, but it won't push you over the edge. Don't rely on its effect.
BR
Chaotic Underwear

Don't take it in a normal run, it'll more often than not ruin you.

But... if you were to find it early on, it's worth a shot for a special build run where you'll try to sabotage your speed all you can.
A
Helmet

A very sturdy item that is hard to say no to. Defense is vital, and this one is free.
A
Hermit's Tiara

A trap that is still a decent item, don't try to keep the effect active for more than the few first rooms, you'll lose too much on it. Worth keeping for the high clarity until decently late.

Has potential to be game winning, but requires very specific builds.
B
Scavenger

Amazing starting bonus, but quickly stops working. Unlike tiara, cannot carry you and takes the same slot.

Unlocked by Minimalist.
C
Skullcap

Compared to Helmet, it's underwhelming and also gives mostly inconsequential bonuses. Take it only if it's a free slot.
BR
Striker's Veil

Negative defense means death.

In very specific builds, can be quite powerful.
?
Tiny Crown

I wonder what this does?
Can be obtained from killing Sam in Ravaged.

Give it to a frog with Diamond Spoon and Friend of Frog equipped.
A
Chestplate

Good armor and ability, all for a measly cost of 1 speed, take it any day. The explosion reduction can even turn exploders into weapons for you to poke.
B
Dasher's Cloak

Really good at the start, it runs out of steam fast.
A
Porous Shell

Passable stats, the ability makes slimes a joke. Very strong early on.
B
Ritual Garment

A fairly decent item, mostly useful for the clarity boost and the effect, but it's not worth relying on.
B
Scale Top

Very close to being A Tier, if you can't find another freeze item, it's not that great. If you do, it's really good with powerful stats.
B
Shrouded Leather

Fairly well balanced stats all around, not much you wouldn't want from it. Always a solid starting pick.
A
First Strike

Good early hands. Don't neglect the speed boost.
S
Grabby Hands

Good stats that easily outclass other hand slot commons. The effect is both a punishing and rewarding one; you will get compensated if it replaces an item, meaning you become able to buy more easily additional items.

If you play your cards right, it won't be even noticeable and the natural soul gain will increase significantly. It's also very good because it spices up the gameplay; take it every time, keep it as long as you can.
C
Nightshade Wrap

The negative defense is a bit prohibitive due to the fairly passive bonuses, although it gives off enough to be sometimes worth taking, but not often.
BR
Pain's Reward

Another amazing hands slot. The bonus quickly snowballs as you take crossroad/? doors. It's now a game where you try to always stay low health, just don't be too greedy.

Don't take Fairy or Soup with it.

Unlocked by Ignoring Midgame.
A
Soul Stealer

The bonus on souls is alluring. The lowered defense means that early on, it will kill you, but the immense advantage provided can be worth the risk.
Common Rarity Part 2
Item
Tier
Description
A
Bindings

Really strong, requires to focus on resilience.
C
Fancy Tights

Usable.
B
Fire Dance

Usable, effect is relevant.

Unlocked by Down Under.
A
Guards

The guaranteed parry bonus is huge, and can be worth keeping even late game.
C
Shorts

You don't want to lose defense for only this. Very fringe use, although it sometimes can be picked, but be wary of the drawback.
A
Skirt

The damage and health boost are great, especially for only 1 clarity. The potion boost counterbalances the already cheap cost, so it's a first pick very often.
S
Wading Rags

Decent stats, the effect is insanely strong. Valid endgame choice as it makes Viscid Unions and other poisonous threats living piñatas.
A
Boots

Good stats, and a strong ability. Take it any day. Remember to keep track of the attacks to maximize the ability.
BR
Insidious

Either unusable, or carries an indirect damage build. It steals your kill effects so plan accordingly. Needs to be obtained at the start or it'll hard to use it effectively.

Unlocked by Need An Antidote?
C
Lucky Shoes

Well, nothing particularly interesting. Clarity is nice, but not over most of the rest you could find.
B
Rainbow Socks

Fairly good stats if you have nothing.
C
Sandals

Thankfully it doesn't give any negative stats.
C
Slippers

Fringe use if you try to do a build with clarity or chaotic underwear, otherwise not worth the bother unless you have too much speed.
BR
Glass Shield

It's a trap! The attack and dodge bonus are enticing, but in reality, the lowered defense and health are deadly. You'll regret taking it unless you get lucky(which isn't the goal here).
A
Heat Shield

Very solid pick, the stats help your survivability, and the explosion immunity is a huge deal.
S
Misting Vessel

Rare are the items that provide stealth chance, and this one breaks the limit. Gamewinner with Tiara.
A
Tome of Stillness

Good stats and effect.
A
Axe

Great stats that can suddenly make you one shot the weaker enemies and make you a real threat, right from the start! Take it everyday.
S
Diamond Spoon

The Spoon is obviously S tier, it's so OP that the best tier is named after itself.

Is upgraded by winning with it.
B
Halberd

The stats aren't that bad, but in comparison to other weapons, it's weak.
A
Ice Breaker

A more defensive version of the Axe, but still as strong, arguably even better. Synergizes extremely well with Scaled Top for a top tier starting build. Close to S tier when you can freeze monsters.

Unlocked by Cold Hearted.
B
Ladle

A decent early option for survival. Not useful for every build since it takes up the weapon slot with no damage or speed.

Unlocked by Raw Power.
B
Poison Dagger

The inherent weakness of poison is that it will always damage after retaliation, which means that if you rely on poison to kill, you will take more hits than usual, making speed not matter. Still very solid with the right build.
S
Chugging Mask

One of my favorite common items(totally not because I suggested it), it has a very complex potential. Try to maximize the health gain, then change it later on(or never do and keep gaining max health). You can't get wrong if you take it, and if it doesn't work, the drawback is minimal. Very strong synergy with healing items that can keep your health maxed.

The only item that stays S tier regardless of your starting candle!
A
Generalist

A literal representation of an all rounder item. It's good, take it.
B
Spiritual

Fun at the start, useless later on. God tier with Tiara.
C
Weightless

Provides a significant boost, but becomes a liability as you progress, swap asap.
Common Rarity Part 3
Item
Tier
Description
S
Catalyst

The supreme stat boosting jar. Especially take the +4 stats boosts since only the gained stats are doubled.
A
Creepy Doll

It's a good item, the additional cards can sometimes mean more danger, but also more souls/loot, so don't underestimate it!
B
Decanter

Useful ability, although the jar slot is a very cramped space, so it will often have to be thrown away.
A
Eyeballs

Anything that gives a permanent advantage is invaluable, and even boosting clarity is really good when it's close to free. Do not underestimate it as a first pick.
B
Mushrooms

The weakest of the stat jars is still a solid pick. If you don't have a hard time, just take the jar.
C
Slime Cells

A very passive item that might or might not get used, quite terrible unless you have the slot empty. To replace without hesitation.

Unlocked by Antivenom.
C
Volatile Crystals

The item itself isn't that bad, but since it will be consumed after 3 hits, it barely passes as a scroll. Don't waste an item pick for it unless you only filled slots/BR tier items.
B
Crossed Heart

The stats are fairly mediocre, but the health gain can push you over the edge. Especially useful at the start.
B
Jewel

4 speed is a nice deal, especially at common level. It's better if you have the damage to follow up, but still would take it over a number of items.
C
Prismatic

You're trading your damage for a random one, which is practically a nerf unless you have Soul Charger. Consistency is important, and this is the opposite. If you have enough damage it can be useful.
A
Stealth

It has the same stats as Crossed Heart, but the stealth chance bonus is big, replace it for Stealth everyday.
BR
Blood Ritual

The meme item in person! It's unusable.
You're losing the max health that could be regained before you die from attacking, and the best part? It's barely 20% to regain 1 health!
While usually max health drawbacks can be scoffed at, this one is almost half of your starting life, there's no use regaining a bit of health if you're dead by losing some.
Every charm is better than that, having no charm is better than that!

Unlocked by An Offering.
B
Corruption

Strong but with a severe clarity/curse drawback, if you weren't going in that direction then it's perfect.
A
Ferocity

Really solid stats, take it.
A
Solidarity

The defensive version of Ferocity, the both can be swapped depending on your build.
B
Time Rift

Very situational, can be useful and even lifesaving.

Unlocked by A Rough Road.
B
Visionary

Most of the important card get flipped on their own, and you can see the card backs. The effect is good, but doesn't justify taking it over any other good charm.

C
Amber

Draining speed is the least interesting stat to drain, since either you hit first, and it doesn't matter. Or you don't, and get hit at least once. Fringe usage.
C
Black Opal

Gets worse as you progress and acquire items, very strong at the start but clarity is a stat that's good long term, which is the opposite of this.

Great if absorbed.
A
Crystalline

Simple stats, but the splash damage is a huge deal. You become able to kill weak monsters or weaken strong ones freely, even exploding them safely! Don't underestimate splash damage.
BR
Opalescence

Do you wish to lose the run? Then just take it.
A
Thunder Egg

Real good, the potion pays off the lowered defense with interests.
A
Tigerstone

Good stats, the crit chance is a pretty nice bonus.
Common Rarity Part 4
Item
Tier
Description
C
Chaotic Healing

Books can't be BR tier since they don't have negative stats just for holding them, but it's close. Never use it without fallback healing, and you might have a fair use of it, until it blows up.
A
Cure

Strong help, can sometimes stopgap huge poison damage. Good all around.
B
Exit Phase

It's the perfect tool to catch Scroungers, as well as a nice escape plan. But too passive to be really sought after.
C
Fencer

Occasional trick. Can trigger exploders safely.
S
Poison

A ridiculously useful spell for the start, dealing 10 damage free of retaliation, allows to set off exploders safely. Nothing you wouldn't want from it.
C
Shields Up

Yes it's bad. It only lasts for one hit, and can't even guarantee a safe turn due to defense mechanics. The cooldown is the nail in the coffin.
B
Timeless

Doing nothing, strangely can be really strong sometimes. Exploders setting off the charge, chasers moving to you, letting poison wear off/damage enemies. It also has a ridiculous synergy with spell items.
A
Barrier

Really strong 1 turn death trump. Can be used to prevent any loss of health, regardless of the source.

Extremely good with Glow Stone.
B
Bear Trap

Close to a joker card to kill or incapacitate a monster, it loses steam once you reach higher levels. The ensnare shouldn't be underestimated to clear a Reckless room safely.
S
Freeze

Due to the scroll's nature, having the ability to freeze 2 monsters is incredibly strong. It's often worth keeping above a number of higher tier scrolls, although don't hold it too long, as scrolls are best when used.
B
Pierce

This is a particular scroll, since it's best not to keep it, instead you should use it instantly because the effect is constant until triggered. The drawback is that it can be burned by having to fight weak monsters like small slimes or rats.
S
Replenish

Jars are amazing. Let's make them doubly so...
B
Rock

Quite fun to use, the low damage makes it not always relevant. Great to get rid of small slimes and finish off monsters for free.

Good spell synergy. Try to win a run holding it.
B
Shadowstep

Same as Pierce.
B
Shadowstrike

Same as Pierce.
C
Soul Spill

Strong on paper, the fact it will burn all your souls is prohibitive. If you don't mind losing it all(or would die), then you can often blast the entire room, so it isn't that bad.
A
Stone Skin

Permanent upgrades are always top tier, this one is frequent enough, and gives the best stat, for a small trade. Use all of the ones you find. Drawback is that you need to use/drop the scroll you hold first.
A
Summon Nestling

Can provide souls, maneuverability, but most importantly can summon exploders or a scrounger. A riskier Target Dummy.
Rare Rarity Part 1
Item
Tier
Description
A
Cover Of Darkness

Great stats, great ability, and no drawbacks. Yes.

Unlocked by Sneaky.
A
Dealer's Hood

Quite good, the loss of souls from the negative clarity is offset by the reroll bonus. Great payoff and enabler for negative clarity builds.
A
Iron Grinder

It's pretty good, brute items tend to have high stats so the benefits are high.

Being a rare means you can access it quite early.

Unlocked by Brute.
A
Neuron Sight

Same as Cover of Darkness, although it depends on which stat you need more.

Unlocked by Willing The World.
B
Shadow Hood

Fairly good, mind the drawback.
A
Living Corset

Health gain on kill can easily snowball, very strong all the time.

Unlocked by Fragile Mortality.
A
Onion Suit

The drawback is rough, but the defense is good. The ability is crazy strong, and the only reason it's not an S tier is because the damage doesn't scale well late game. It can carry your entire build until that point.
BR
Spike Suit

What would seem to be a great item holds a dark secret: exploders will be your bane. You become unable to sneak around exploders, and that is a huge deal. The spike damage is a strong bonus other than that, but the death threat is too high to be worth the risk most of the time.
S
Vitality Robes

Hopefully doesn't need to be explained. Works with scrolls and more.

Unlocked by Nothing To Lose.
S
Cold Blooded

Losing attack, but you gain stats and the freezing ability is really strong. Keep track of it, and the lowered damage will quickly be forgotten.
B
Haggler's Gloves

The stats aren't great, the effect is. Sadly the hands slot is very stacked already.

Unlocked by Decisions, Decisions.
C
Hand Of Dog

Stats are eh, fine. Petting the dogs is a gimmick, but it also loses you souls.
A
Inner Fury

The stats are not stellar, but the knockback is a gamechanger. Not always useful, but strong enough, especially for exploders and similar synergies. Be mindful of anti synergies like with Hungry Sun.
C
Noxious Grasp

Fairly good stats, the lowered health can be hard. The effect is barely noticeable, don't rely on it...

Unlocked through the Well.
S
Quick Draw Gloves

It would be A tier, but the hand slot has many mitigated choices, making it stand out as particularly good.
Similar to Giant's Wrap and Chugging Mask, it has a strong payoff value for long term and due to the impact of the speed stat, once you paid back the drawback it has decent stats.
Attack is rare on a hand slot, making it quite valued.

Unlocked by Martial Master.
B
Setting Grasp

Decent effect, the drawback stings a bit but is paid off.
C
Dark Pants

Mediocre, the lack of drawback is noticeable for pants.
B
Ghostly

Interesting ability, the stats can be worth it. The ultimate cheese for Patience.

Unlocked by A Quick Escape.
A
Grounding Force

Fairly even stats, the crit is very strong.
BR
Hermits Pockets

Trash or treasure. If you have many empty slots it's amazing, if not don't even bother. Get rid of it after taking it as the drawback is crippling.
BR
Spiked

It's worse than the Spike Suit, which is already a poor pick. Don't bother, Guards is way better and is a lower tier.
BR
Tainted Belt

Not great on its own, it goes crazy as you have more class items. Get some petrify or soul damage to finish enemies more easily.
B
Agile Boots

Good stats, just not good enough to be a high pick.
B
Charming Claws

Fine stats, the effect can help save up some souls.

Unlocked by Thank You, Friend.
S
Giant's Wrap

Prohibitive stats, and even with that, the item is very strong. Use all the scrolls, get a quick spellbook, and grind your health to infinity and beyond! Bonus points for using Timeless.

Unlocked through the Well.
BR
Heavy Boots

The stats are bad. It's just not good, even for the defense. Look at Chestplate and Boots, then cry.
A
Vine Grip Shoes

Very strong considering it halves the creature's power.
S
Wanderer

Steep drawback, but always ensures you have additional floors to go into. Great for minmaxing.
Rare Rarity Part 2
Item
Tier
Description
B
Buckler

At least it's usable.
B
Extractor

Fairly decent stats, will net a few souls over time.

Unlocked by Resourceful.
BR
Immolation

Don't ever think that you can benefit from it, it's not worth it. Only cases where it becomes great is with Inner Fury or Hungry Sun.
B
Purity

The effect replaces the negative clarity for healing. Can be really strong with other healing items.

Unlocked by Powerful Potion.
S
Shovel

This item holds a secret. If you dig a grave with it, you can obtain the Bone Pearls, and just for that reason it would be S tier already. Other than that, the stats are ok, and the 3 treasures are really good. Take it all the time!
B
Soul Charger

Fairly good stats, becomes interesting with soul damage items.
BR
Spiked Shield

Bit better stats than Spike Suit, still bad due to exploders.

Unlocked by Deflection.
S
Venom Guard

The effect is extremely strong, negates most poison monsters.
BR
Cursed Wand

RNG the weapon. Don't rely on it, and try to find another weapon soon.

Good with Insidious.

Unlocked by Goodbye, Frog Friend.
B
Glass Sword

The power is definitively not negligeable. The risk of losing the item is more important than the lost health, and that's why it's not an item to take in priority. Interesting with Transcendence.

Unlocked by Just Chilling.
BR
Putrid Incense

It's pushing you to take risks, but also lowers your defense. The other issue is that it's only useful to slightly damage monsters that you wouldn't want to take out in normal combat, which is either too dangerous, or negligible.

The final nail is that it guarantees you can't pass exploders safely. All that while negating potential weapon slot items, taking it is asking for death.

Unlocked by Spreading Plague.
A
Rapier

Very solid weapon with reach.

Unlocked by Defeat The Dark.
S
Soul Torch

One of the best choices for weapons of this tier. The soul damage can ramp up really fast, and the stats are good in themselves.
A
Switchblade

A potent weapon, more suitable to defensive builds that can survive many fights.

Unlocked by Blizzard.
BR
Tainted Cleaver

Curse damage has the drawback of not being lethal, not worth breaking your build.

Good with auxiliary damage like petrify or poison.
BR
Consumption

Very interesting enabler for negative stats builds.

Unlocked by Near Death Experience.
BR
Dark Defiance

It's been a while since we had a trap! And this one has great stats, so strong. The ability is a killer, it will always make the situation troublesome, and we don't need that. Don't pick it.

Can be interesting with transform payoffs.
A
False Confidence

The stats are interesting, and the ability makes up for the lost defense. With enough speed, it becomes really strong. Intimidate is not to be underestimated!
BR
Insatiable

I would rate it higher but I have to stay reasonable; the effect is very interesting, but also quite deadly. It's very situational, if you can master it it becomes a powerful tool, if you don't pay attention it will kill you.
Try to have it increase attack or defense for the best pay off. Once you traded enough, ditch it asap otherwise you might die from being too strong.
B
Masochist

In itself, the stats are horrible. The ability might make it worth it and could compensate the lost health.
B
Ravenous

The balance on the stats is a bit on the weak side, but the ability makes it interesting enough to consider using it. Don't expect wonders, but it's still decent.
B
Slow Burn

An ability that makes you dream, but the stats are bad. Don't overestimate it...
C
Dissipating Mist

It's great but jars have too much better choices.
B
Fairy

Pretty good survivability, but because the jar slot is filled with stronger picks, it's a pretty poor choice. Obviously take it if you're dying.

Unlocked by R.I.P.
S
Ginseng

Defense is the best stat. +3 permanent defense is insane and you should always take it, even if the other choice is enticing.
S
Pocket Frogs

Le frogge build.

Prevents any monster/boss to do anything until attacked. Get Transformer and you won't be able to lose.

To unlock it, you have to obtain the Tiny Crown, Diamond Spoon and Friend of Frog, then speak to a frog.
S
Tasty Beans

Same as Ginseng, the only reason you wouldn't pick it is that you already have Ginseng.

Unlocked by Getting A Glimpse.
Rare Rarity Part 3
Item
Tier
Description
C
Haunted

The effect is so situational it's barely usable.
BR
Hungry Sun

Fallen from glory, the effect is still very strong, but now it's a lot more deadly to use. Try to have healing items or explosion synergy otherwise you might find yourself in quite some troubles.

Unlocked by Chain Reaction.
BR
Infected Necklace

Amazing stats, not S tier since it can kill you. Take only with a potion nearby.

Be careful against Viscid Unions.
C
Potion Vial

Rarely interesting, maybe if you're dying.

Unlocked by Hydrophobe.
B
Soul Stitch

Allows you to spend your max health freely. Probably best to have at least 4-5 extra class items.

Anti-synergy with max health giving items.

Unlocked by All Natural.
S
Supplement

Good stats and effect. I'm a broken record on stat jars now.
C
Fire Frenzy

Pretty situational, the shuffle effect can be a bane or a blessing. Be wary of chain explosions. Stats are not horrible.

Great with Noxious Ambience.
A
Friend of Frog

5 clarity is quite a high number, and if you manage to find Companions rooms, it becomes a good pay off. Fun synergy with Transformer and Hex.
BR
Gambler's Reward

Quite interesting for negative stats builds. Enter all the Crossroads.

Unlocked by The Tickler.
S
Insanity Stone

Incredible stats and effect. The drawbacks are a sidenote.

Unlocked by Delving Deeper.
B
Unstable Fragments

Balanced stats, the effect is too occasional to be worth relying on, especially when it sometimes becomes undesirable. A weaker intimidate.
S
Brittle Seed

Really solid(haha) item, good stats and insanely strong effect. Don't underestimate it, it's worth keeping above legendaries.
C
Chilled Crystal

If you have nothing else, maybe? Get something more useful if you can.
B
Fury Ore

Not as strong as poltergeist.
C
Oil

Speed is the one stat being in surplus of barely matters...
A
Poltergeist

Soul damage is absurdly strong.
A
Soul Glass

Strong effect, fair stats, the soul gain can be a major advantage.
B
Strength Leech

The weaker version of Brittle Seed, still fairly decent if you have enough speed.

Unlocked by Berzerker.
B
Swamp Matter

Weaker than Tigerstone, it can sometimes dish out good damage. But that would require having more than poison 1 to even trigger it, and only matters if the monster you fight wouldn't die in two normal hits.
B
Titanium

Same as Fury Ore, although the defense is more appealing.
S
Toxic Lump

A gambler's dream. Huge benefits by staying on the edge, pay with life for more stats. Try to do it in a precautionary way.

Unlocked by Walk It Off.
Rare Rarity Part 4
Item
Tier
Description
B
Enrage

Too occasional to be worth relying on. I prefer having spells that do something I can't do through normal fighting. The splash damage stays a strong tool.
S
Ensnare

Low cooldown and neuters any monster permanently. Also works on some bosses.
C
Forceful

There are much better spells out there. Sometimes useful to punch away explosions.
A
Hello Friend

Provides positioning and souls for the wicked. Also amazing with Friend of Frog.

Can be obtained by defeating the hound mini boss in Companions
C
Life Store

A faster, but less consistent version of Cure. Benefits from having indirect damage causing multiple kills in one turn.
A
Poison Droplet

Faster and weaker, but still very useful.
B
Shuffle

It's a really fun spell, but it's a bit too random to rely on it. Still pretty decent to change the layout and escape tricky situations.

Unlocked by New Perspectives.
S
Siphon Gem

Quite good, it can be worth trying to get as much gems as possible, but the RNG can be tricky for it.

The fact you can still cast the spell without a gem, combined with the low cooldown makes it a really powerful spell synergy item with strong occasional benefits.
A
Soul Scream

Low damage at first, but can snowball very high if maximized. Benefits from soul synergies.

Unlocked by Soul Stash.
A
Stone Scream

Low damage at first, but can snowball very high if maximized. Benefits from petrify synergies.

Unlocked by Stone Touch.
A
Switch

A seemingly underwhelming effect, but it's much stronger than you would think. You often come from a safe card, and the switch trick can help pass the strongest obstacles effortlessly.

Bonus points when you switch with a wall.

Unlocked by Shadow Walker.
C
Banish

Can be useful.
S
Create Exit

Additional stat boosts and souls are the way to win. And this helps by spawning crossroads in normal rooms and shrines in special rooms.

It also doubles as an escape plan, a space trick for movement, etc...
C
Detonate

Pretty fun on paper, but if you are already facing an exploder, it'll be a dead scroll. I prefer a scroll that can do something I can't by myself, and this isn't it.

Unlocked by C-C-Combo.
A
Heal

Yes.
B
Hex

Only dealing with 1 monster and losing the souls lowers the value of the scroll. Still good when empty handed.
S
Overgrowth

Mass room decimation.
B
Salvage

Can be used to recycle costly mimics or gear.
C
Soul Feed

Low damage, but can be interesting when maximized.
S
Target Dummy

It's hard to explain why it's so good due to all the potential implications it gives. It's a safe space to move or retreat, at least a full spellbook recharge if not more, 6 turns of free splash damage and other combat effects, a way to skip turns...

All this at any moment whenever you wish for it. It's not a plan B, it's THE plan B.
Epic Rarity Part 1
Item
Tier
Description
C
Agile Cap

If you want speed at all costs.
A
Blindfold

Good offensive stats with a complementary ability.
B
Brittle Wreath

Decent overall, a bit limited on the spells usage.
BR
Crown Of Clarity

The stats are really not appealing, and directly undermine the effect. Interesting for curse synergy, but is it really something you want when you can have other strong items that don't make you gain less souls/healing/crit.
S
Living Helmet

Powerful ability, great stats, and mostly a slot where it fits perfectly.
B
Poison Fiend

Good defensive item that can be lifesaving.
BR
Amorphous Mass

The drawback is huge, but it affects piercing damage. If you can compensate it, you become very resistant to all manners of threats.
BR
Chained Iron

Poor stats, the effect isn't that helpful.
C
Dark Leather

A bit of everything but not consequential enough unless really needed.
S
Extra Onion Suit

It has layers.
S
Fur Coat

No effect, but the stats are really solid, especially early on.

Obtained by doing Sam's quest in Companions
A
Gluttony

Really strong item, the drawback is part of the effect and that ends up being quite balanced. Better if you have reliable healing.

Unlocked by All Consuming.
S
Juggernaut

Above Gluttony in terms of consistency, it's for a more focused defense build that tanks a lot. You can't go wrong by taking it.
A
Molten

Makes explosions even more fun. Decent stats as well.

Goes great in an explosion/healing build.

Unlocked by What Doesn't Kill You.
B
Possessed Robe

A great dodge build enabler/payoff.
C
Summoned Robe

The stats feel mediocre, and the effect is too situational.
A
Power Glove

Intimidate is very strong, combined with very solid stats, it's a no brainer.
A
Shadow Flight

Nice stats and a strong effect.
B
Touch Of Decay

Not a particularly stellar hand item, the stats and effects are all mediocre, but there's always worse.
A
Vine Grip Gloves

Amazing stats and ability. With reliable ensnare, it becomes a carry.
C
Alchemy Belt

Sometimes usable, better with a way to heal back.
BR
Impactful

Essential if you have splash damage sources, otherwise it's not good. Can be worth taking the gamble.

Unlocked by Clearing The Room.
A
Jousting Pants

Great stats, the effect is negligible but interesting with Shadowstep.

Unlocked by Become The Nightmare.
S
Versatile

Does it also make my bed and prepare coffee? Seems like it.
A
Warrior Kilt

Brutality with no cost, smash em good.
S
Bounty

Makes every stat boost even gooder. Bone Pearls loves this trick to increase your stats.

Unlocked by Disposal.
A
Lucidity

Pretty strong to get out of predicaments.

Unlocked by Sentimental Value.
A
Mist Walker

Aggressive stats for boots, enables all the item limit items a lot more easily. The tiara dream isn't a dream anymore.
B
Phase Boots

Decent survivability, though not a fan of randomness.

Unlocked by Predator.
A
Sneaky

Fairly even stats, and a strong ability that is always reliable when it proves unreliable.
S
Glacier

It is incredibly strong, and provides so much benefits that the lower speed is barely noticeable. Now you can freeze enemies on missed sneak, freeze them in combat, stop double attacks...
S
Parrying Shield

Insane stats, no drawback, oh, and the ability is crazy good too.

Unlocked by Juggernaut.
BR
Poison Shield

Weak stats for the rarity, the ability is deadly against exploders. Clearly the weakest epic shield.

Unlocked by Toxic.
BR
Strongest Potion

Really dependent on the situation. With porous shell it's absurdly good, without you'll need to have a potion or exit right next to survive. It's still a +10 max health so if you can handle the gamble, go for it.

Unlocked by Diviner.
A
Unstable Tome

Very strong but also quite situational. Not all spellbooks like having this(Timeless, Siphon Gem and more).
Epic Rarity Part 2
Item
Tier
Description
S
Darkened Blade

Great stats, amazing effect. Might be worth a double take if you have a clarity build though.
S
Poison Sword

Even though poison weapons are always iffy, the amount applied here is too high to disregard.
A
Soul Claw

A great payoff for spells, the damage can make the difference although be careful with exploders. Good stats as well.
BR
Swapper

The swapping ability proves to become a nuisance when tied to combat.

What you'd usually want to swap away is something you don't want to fight, and when progressing it forces you to pass the card you already passed each time.

Unlocked by Fire Away!
B
Transformer

It looks great, but you lose souls from it. Has amazing synergies with frog related items.

Unlocked by The Bestiary.
B
Camouflage

If you're used to dealing with ranged monsters, it won't feel as useful as some other masks, but it's still a decent one.
B
Flame Eater

Not bad. Good soul harvester.

Unlocked by Quick To Pick.
A
Frostbite

It's pretty strong, but in general, if you attack frozen enemies, you already won. Good item, but not as useful as it seems.
A
Merchant

Good stats, the effect is huge the earlier you get it. It becomes near useless near the end. S tier if you can get it before room 7.

Unlocked by Save Our Souls.
C
Mimic Friend

Most of the time not that useful as you might want to clear the room first.

It does prevent bad starts in new rooms, so that's a plus.
BR
Sadistic Will

Requires a good setup, but when it's going, it keeps on rolling. It is very fun with Suffocate.

Unlocked by Snake Sneak.
B
Sculptor

A rock solid sadistic will.
BR
Bag of Holding

It takes up the jar slot. The stats go on the item, so you'll need to absorb it somehow to free the slot.

On the other hand, it only accumulates the positive stats so it can be much stronger than jars.

Unlocked by Scrounger Appreciation.
C
Bowl of Soup

Potentially better Fairy, although doesn't increase max health. Probably very good for Inverted Candle.
S
Creepier Doll

Perfect swap for late game, get all dem souls.
C
Memoir

Great when you don't have other jars. Too unreliable to be worth keeping over them. Amazing with Echo.
A
Mimicry Formula

Amazing stats, the effect is a great payoff for Transform builds.

Unlocked by Nudie Run.
BR
Restrained Heart

This one is a pretty bad value/risk ratio. It barely gives 2 more attack than Tasty Beans, and has a really huge drawback.

More often than not, it's not worth risking your run for it. Really dangerous to fight Viscid Unions with it, that could kill you.

Do take it if you can directly get back to full health. Is absurdly amazing with Replenish.
S
Momentum

This was a common once.
B
Rebirth

What's stopping you to die again with less defense? Works as a nice assurance though.

Unlocked by Dead Revels.
S
Smoke

Now we're talking, great stats and a ridiculously great ability.

The chance to skip past a monster is only called after the sneak, which means that it's more than just a 60% chance to pass a monster safely.
A
Trophy Amulet

Good stats, Intimidate, often a straight upgrade from lower rarity necklaces as well.
A
Berzerker Relic

Very strong offensive charm. Intimidate is still as good.
C
Bronze Leaf

This is a gambling charm.
C
Endurance

It's a lot of health.
BR
Tipping Point

The fact it doesn't activate unless the monster is already under 25% health narrows its activation range a lot. Exploders and weak enemies who die in one hit will never get frozen.

The stats are really prohibitive.
A
Volcanic

Solid stats, the ability doubles as a drawback and an advantage.

Exploding monsters can be handy to trim enemy ranks, and it's even better with abilities like Hungry Sun or Knockback.
Epic Rarity Part 3
Item
Tier
Description
A
Bright Jewel

The effect is very situational, although it can be useful. The stats make it worth it on their own.
A
Chrysallis Heart

Similar to Bright Jewel.
A
Fractal

Rarely seen stats, it's very good. The drawback is quite punishing in return, but that's a choice to make.

Supremely good with Siphon Gem.

Unlocked by Colorful Corpse.
B
Nefarious

Really interesting in negative clarity builds. Compensates the lower healing.
S
Phoenix Gift

Free stats and it frees up the slot once used.

Unlocked by The Boulder.
B
Precious

Slow to become good, can build up nicely if found early.
S
Reaper's Heart

Very aggressive. Is guaranteed crit chance with Pain.
C
Sight Sphere

It's nice, nothing more.
B
Slippery

Pretty good converter if you need speed, good passive stats regardless.

Unlocked by Friend Of Vermin.
S
Stone Caller

I don't think I need to explain why this is busted.
BR
Void

Good enabler for non-clarity negative builds. Do not take with Underwear though.

Unlocked by Here Comes The Airplane.
C
Feed

Does nothing, unless you have petrify items, then it becomes great.
S
Icy Touch

The scroll version is already worth an S tier, so a renewable version... You can even hit the frozen monsters safely to refill a bit the charge.
B
Perilous Intent

Nice way to recycle potions. Too situational.
S
Plague

A pretty crazy amount of damage for free, every 2 turns, it's insane.
C
Poison Transfer

You need to wait for your turn to use this, so it will always be lower. Considering how situational it is, and requires hurting yourself, it's a miracle it's not BR.
A
Potion Bank

Really high utility value. As good as you can make it.
A
Cursed Bounty

Instantly pushes threats away, as well as giving a chance to spring back if you're low on health.
B
Explosive

Fairly decent, the damage might feel too low when the monsters ramp up in strength.
B
Frog Ritual

Frogs! Fun factor is high, and high clarity means you summon a lot of them. Great with Friend of Frog.
A
Key

Often means a free legendary or epic, allows spare souls for rerolls as well.
S
Soul Craft

You like items? You want more items? But you don't want to remove your previous items? I got you covered!

The only "downside" is that you don't keep the effect, but choosing means you will never be disappointed and you even get souls back.
B
Transcendence

Holds an enormous potential, but losing out on the abilities will be a huge hit to your build.

It allows gaining an absurd amount of stats if you can suit up again after it.

One of my sleeper items, but it's not always good to use.

Unlocked by Poor Choices.
S
Upgrade

It's strong, it's very strong. And the later you are, the stronger it can snowball through clarity gains.

You just gain so much with it, even 2 or 3 stats is a good deal.
B
Weaken

Not amazing, but it works on bosses.
Legendary Rarity Part 1
Item
Tier
Description
A
Carapace

It rarely is a bad deal, unless you really have even class items. No drawbacks for a negative clarity build.
B
Changeling Crown

Ok stats, the effect is good when you can actually trigger it.
B
Cryokinesis

Decent stats and effect, sadly prevents chain explosions.

Unlocked by Mastermind.
S
Focus

The effect is extremely strong, especially because clarity is a stat you will often have high numbers of. The damage also goes through defense, and the stats compliment the effect well.

Unlocked through the Well.
A
Maniacal

Become a slaughter machine. Bonus points with Battering Shield, Flail or Void Portal.
S
Void Portal

Free damage everyone? I don't think I need to elaborate too much, this item is really good. Wreck tough monsters by slaughtering the weaker ones first.
B
Conduit

Hard to really rely on it, but gets really good with low cooldown books. The damage is often a one shot.

Unlocked by Soul Kin.
S
Devourer

Crippling stats, but well worth it. Keep in mind which monster you want to save later for the stat gain.
BR
Feathered Friend

The speedrunner's friend. Hard to say how good it can be as you're left to luck, without souls to reroll and dependent on whatever's given to you.

Unlocked by Tunnel Vision.
A
Gilded Chestplate

Great stats, great ability.
A
Gripping Mantle

Fair stats, and a chance to negate monsters in combat.
C
Immovable Object

You will gain defense over some turns, and then reset because you'll be moving around. The gain is too conditional to matter and you still need to lose health to activate it.
B
Stacked Plate

This item is in a bit of a tricky place, as it boosts your current defense, but it also takes the slot that gives the most defense. The high health helps a fair bit, and makes it a strong tank item, but it might not be that good depending on your build.
A
Brewer's Gloves

Great survivability, losing the defense is easily compensated with the rest and potion making.
S
Deflection

Surely you don't need me to tell you why this is S tier.
S
Dual Wield

Yes, yes, yes. Triple yes! Note that the monster you don't target will not retaliate.

Unlocked by Heavy Hitter.
S
Noxious Ambience

Becomes extremely deadly with Fire Frenzy or Shuffle. Very good regardless.

Unlocked by Acid Bath.
S
Parting Gift

The legendary Hand slot is incredibly stacked, and this one is still an amazing option.

Unlocked by Barbecue.
A
Phase Friend

Good value and interesting mobility. Also reduces the amount of threats.
S
Changeling Belt

Good stats, the effect is terrific. Choose your tools to victory.
A
Channelling Kilt

Can be very strong in the right composition.
A
Sacrificial Cloth

Incredible potential. Requires healing or it might become troublesome.
BR
Skirt Of Visions

Doubling the stat is insane and will grossly increase your soul gain, plus everything related. Can be kinda bad if your build isn't suited for it.

Unlocked by Just Looking Around.
S
Trapping Tools

I activate my trap card!

More seriously, it's an amazing ensnare enabler as well as a very solid item by itself. Do not underestimate ensnare's ability to halve enemy attack and stop movement. The activation also allows some room scouting.

Unlocked by Stalker.
A
Ascension

A weaker version of Focus for petrify. The lowered damage hurts, but health is higher than clarity so the damage is compensated.
S
Freezing Aura

Incredible stats and effect. It prevents danger after getting hit. Combined with Glacier, no matter the outcome the monsters will be frozen.
B
Leaping Boots

Good for survival. Prevents walking into death traps from passing by exploders.
BR
Soul Raiser

Very strong transform enabler, but needs a way to do it. Makes Dark Defiance extremely good.

Unlocked by Shapeshifting.
S
Thunderstep

Stomping everything to death, that's what this does.

Splash damage is invaluable, and does ravages.

Unlocked by Don't Ignore Me!
Legendary Rarity Part 2
Item
Tier
Description
S
Battering Shield

Overkill is now even more overkill. Embrace the power!
A
Bolster

At worst it has great stats, at best... it's the first item you find after using Transcendence.
C
Dark Aura

Rarely relevant.
S
Flail

There is nothing more aggressive than this. Perfect with Maniacal.

Unlocked through the Well.
A
Giant's Club

Infinitely growing attack, what could go wrong? Requires a fast spell to counter the steep drawback.
S
Goblet

Both enabler and payoff for transform. And what a payoff!
S
Toxins

The poison legendary we needed.

Unlocked by Dig Your Own Grave.
C
Banishing Mace

It's an underwhelming weapon.

The teleportation can end up being more of a nuisance, and isn't reliable for exploders. It's a fun one with splash damage.
S
Bludgeon

Amazing stats item. Perfect to soul craft, few weapons are better.

Obtained by completing the quest in Separation
S
Inferno

Not only is it extremely good, but it can create room wipes with a single spark!

Unlocked by Defuser.
BR
Metal Ox

Why would you want to lose offensive abilities and make it a pain to fight monsters?
S
Polearm

Famous for being very strong.

Important note that you can kill yourself if you aren't careful with spinebacks or exploders. Other than that, just dance and slaughter!
S
Quaking Hammer

Splash damage is strong, get more splash damage and add great stats on it.

Splash refers to the blood on your face.

Unlocked by Explosive Betrayal.
S
Screamer

The risk-free version of Polearm, with a different gimmick. Just hack everything in your way, none shall stand!

Unlocked by Ambitious Intent.
B
Betrayal

It feels a bit dwarfed by the other legendary masks, but it's still quite great. Very good enabler/payoff for a dodge build.
A
Collector's Disguise

If clarity isn't your focus, take it. Don't underestimate the loss of soul gain and healing, but the stats are pretty hefty.

Unlocked by Achievement Hunter.
S
Eruption

A very good item that enables first strike, boosts critical chance, and then triples the damage from crits? This is hard to say no.

Unlocked by Shootout.
BR
Nightmare Walker

Could be fine for a negative clarity build... until you see Collector's Disguise. You'd need at least -9 clarity when found to even be somewhat equal with it.

Gets more worth if you do have extremely low clarity already.
BR
Precision

Great for crit chance, even more if doing negative builds. Fairly subpar in normal circumstances compared to other masks.
S
Seeing Double

A minigame item that pushes you to play differently. And the reward is very well worth the trouble.

Obliterates slimes in fun ways.
S
The Crow

Yes.

Unlocked by Destroy Your Fears.
BR
Backpack

Not S tier because without payoffs it doesn't do a single thing.

But wow wow that item can be really crazy with Tiara or Bolster!

Unlocked by Precious.
S
Crushing Concoction

Very strong with healing abilities, although you need to actually lose health for it to do anything.
B
Hunter's Formula

At that point you probably want a more impactful jar slot, also needs a Transform build to get anything more than the stats.
A
Soul Hourglass

It won't do much by itself, but as soon as you get ways to damage more enemies than the one you attacked, it starts cleaning up fast.

Gets really strong with ways to damage all the room. Higher clarity for absurd damage.

Unlocked by Doing Time.
BR
Warmonger

Can be great after absorbing most of your gear, or can do nothing. Amazing after a Transcendence.
Legendary Rarity Part 3
Item
Tier
Description
S
Bone Pearls

Grind all the monsters. Get it, get OP. Juicy stat boosts.

Can only be obtained if you dug a grave with the Shovel.
S
Choker

Once again a powerhouse. You might need to trade defense to pick it, but it's so consistently strong that it won't matter.

Can only be found in Sacrifice Shrines.
S
Collateral Damage

When splash damage becomes too strong. Mind what you potentially destroy and if needed sneak a bit first.
S
Creeping Roots

Tremendous stats, with a great bonus effect.
BR
Multiclass Gambit

This one is the most straightforward item to evaluate. You know instantly if it'll be a good pick or not. Do the maths and choose!

Unlocked by Matching.
S
Positivity

Many items become potentially S tier. Avoid if doing negative builds.

Unlocked by Path To Enlightenment.
S
Ritual Torc

Incredible enabler/payoff for crit builds.

Unlocked by Flesh Wound.
A
Turbulence

The drawback is quite punishing, and works actively against the effect. Once it's active, it's obviously ridiculously strong and as such the price is needed.

Because of this, not every build will want it, but it's still a very solid item.

Unlocked by That Was Quick.
S
Chaos Flower

The only regret is the weak stats, but considering you get so much damage in return, it's not that big of a deal.
C
Feinting Token

Can be annoying, notably for bosses. Really useful for exploders.
B
Generosity

The effect is very powerful, but also not that useful when you're already fully stacked.

It's an incredibly good pick after using Transcendence.
S
Instability

Amazing choice, the ability is very strong.
A
Vaulter

Allows a free hit each time. Doesn't mesh too well with splash damage.

Unlocked by Well Prepared.
S
Bloodstone

There is no better gem than this. Just... take it.

Can only be obtained from the Denial Shrines.
B
Dark Pact

Can be useful with transform payoffs. Mind the souls lost.
A
Evasive

Good. Sadly can't be absorbed.
BR
Grim Seal

Negative builds love this. Others? Not so much. Soul gain isn't that relevant this late.
A
Spell Gem

Spells, dodge and stealth builds can benefit from this. Quite good all around.
B
Thief Bind

Decent filler.

Unlocked by The Long Run.
S
Absorb

Don't get too greedy and lose the effects you need.

Unlocked by I Am Overburdened.
S
Echo

This isn't even my final Final Form!
S
Frost Root

Yes.
S
Mind Flay

Stupidly strong with spell payoffs since it often deals the finishing blow right after.
C
Shatter

Freezing is often death already.

Unlocked by Only The Best.
A
Soul Cannon

Very strong through repeated uses, be wary of running out of souls during boss fights.
S
Blizzard

Yes.
B
Bombard

Interesting spell, hard to use efficiently. Funnily gets way stronger in Hard.

Hilarious with Inferno.
A
Crushing Dash

Can be really strong, or not, but rarely isn't useful. Being risk-free is a huge advantage.
S
Final Form

This isn't even my final form! The meme is real, and it's good. If there's one scroll you should carry around, it's this one.
A
Heart Power

Needs enablers to become even stronger. Good escape potential on a damaging spell.
B
Suffocate

Very solid, although most beefy enemies won't pay much attention to it. Gets worse as you go in the very late areas.

Fun with Sadistic Will.
C
Touch of Chaos

Ok, I guess. Decent on Luminous rooms.
91 Kommentare
Mike 17. Aug. 2024 um 8:32 
You're a genius XD
Had a blast thanks to You!
orian34  [Autor] 17. Aug. 2024 um 0:12 
Thanks! I think Stalker and Brute go really hard together. I'm a fan of ensnare, I'll admit.
Mike 16. Aug. 2024 um 14:44 
Hey Orian, your guide is absolutely amazing!! :cuphead:
Quick question: with Selective Stone, what Item Sets synergize well in your opinion? I've been having a blast with Brute + Diviner.
Railgun 15. Mai 2024 um 23:15 
What is this weeb/gatcha Tier rankings. Man I swear. Be normal
D.M 8. Nov. 2023 um 16:45 
B| This guide emphasize too much on defense that neglect all other stats, helpful to starters only.
Jagged 20. Jan. 2023 um 14:57 
@symphony I've won two runs with grabby hands, one on normal and one on medium. It really is like the guide describes it, at worst you may accidentally replace one or two good items, but you'll get enough souls to buy 8 more from the effect. You're swimming in souls by dungeon 7-8 and then you're just buying every purple/yellow chest you see, and replacing the grabby hands at dungeon 14 or 15.
symphony 8. Nov. 2022 um 22:16 
You're joking about grabby hands right? it's the worst item in the game
McTrill 16. Sep. 2022 um 15:50 
thanks for the guide!
BottomScorer 4. Sep. 2022 um 21:39 
Place default descriptions after your toughs on each cards.
BottomScorer 4. Sep. 2022 um 21:38 
Cards are too big. Images are not good for blind people.