The Binding of Isaac Wiki

Alabaster Box

Tier

Spawns three soul hearts and two angel room items. Must be charged by picking up 6 soul hearts.

"A sacred offering"

This item starts with no charges. Rather than gaining charges by clearing rooms or picking up batteries, Alabaster Box has to be charged by picking up Soul Hearts or Black Hearts – they would normally go towards Isaac's health bar, but instead go towards charging the box at a rate of one charge per half heart. It requires 12 charges – 6 full soul or black hearts – to be fully charged.
- If the box requires two or more charges and Isaac picks up a black heart then the box gains charge as for a soul heart and the last soul heart (or half soul heart, if there is one) in Isaac's health will become black.
- If the box requires only one more charge and Isaac picks up a full soul heart or a black heart then the box will become fully charged and one half heart of the same type will be added to Isaac's health.
- Soul health from Blended Hearts will also be used to charge the box. (They will, as usual, be used for red health first.)
Upon activation, this item is consumed and will vanish from Isaac's inventory, spawning three Soul Hearts and two items from the Angel Room item pool.
- If a Devil Deal was taken previously, it will spawn two Soul Hearts and one Angel Room item instead.
- There is a chance that one of the spawned hearts will be an Eternal Heart.

? Card - Activates the Box without consuming it, allowing for potential multiple uses.
Void - Allows the player to charge the item normally, but its effects wear off after 1 use.