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In-Game Appearance

Ankh Isaac

Tears Appearance


Item Type

Passive Collectible

Pickup Quote

Eternal life?


Movie strip

Collection Grid:

Recharge Time:

Secret Room

Unlocked By:

An Ankh.


Isaac wears an Ankh, and gains eye shadow.

When Isaac is killed, he respawns in the previous room as ???, regardless of whether ??? is unlocked. After respawning, all future Heart Container upgrades will be Soul Hearts only.

For ???, the Ankh will revive him in the previous room with 3 Soul Hearts (similar to 1UP).

Only works once.


  • If you defeat any end game boss in the revived ??? state, you will receive the reward for ??? instead of the character you picked at the start of the game.
    • This is especially useful for unlocking The Dice, which requires you to complete The Womb with ???.
  • If you respawn as ??? and hold R, you will restart your current run as ??? instead of the character you started as regardless of whether you've unlocked him or not. This is most likely a loophole.


  • The Ankh revives Isaac before the Dead Cat does
    • If Isaac dies as ???, Dead Cat revives him into his previous character state with 1 Heart Container.
  • Whore Of Babylon is always active for ???, especially useful for Eve in post-The Depths levels when all damage deals 1HP as opposed to 1/2HP.


  • The Ankh is the Ancient Egyptian hieroglyphic symbol for life.
  • Possible reference to Spelunky, where the ankh respawns the spelunker after death.
  • The character being reborn as ??? hints an imperfect resurrection. This is remiscent of classical mummy horror movies, where Egyptian revival rituals tend to produce similar imperfect results as well.
  • Dying as ??? will show the name of your original character on Isaac's Last Will.


  • Different characters respawn with different number of soul hearts.
    • Judas and Samson: 5
    • Cain and Eve: 4
    • Others: 3
    • During the revived ??? state however, if a new run is started without dying, the game will treat the player as the previous original character chosen upon the next death. Thus any character can respawn with 3-5 soul hearts.

Start a Discussion Discussions about Ankh

  • Ankh and bosses

    4 messages
    • This is why 9 lives is so valuable, or any other respawn item. When I get 9 lives, I ensure that I both find a boss I don't mind fighting 8 ti...
    • It is something that can happen. Dead Cat, the 1UP mushroom and Ankh can all allow you to refight a room if you died in it, even if you beat ...
  • 9 Lives + Ankh Bug?

    2 messages
    • I picked up Nine Lives as Maggy, then a few minutes later, picked up the Ankh. After I died the first time, I respawned as ???, with 3 s...
    • I think, because you picked up 9 Lives and the Ankh, when you died the first time, you respawned as Blue Baby, then you died again and respaw...
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