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Pointy Rib item
Pointy Rib is an unlockable familiar in The Binding of Isaac, added in the Afterbirth+ DLC.
Description
Spawns a familiar that can be aimed with the firing buttons in all directions, and deals contact damage.
Damage dealt is equal to Isaac's tear damage and is dealt 4.29 times per second.
The damage increases when Isaac is moving in the direction the familiar is pointing at, and it scales with the speed Isaac is currently moving at, going up to 2x its base damage.
Note
This page shows information as of the latest Repentance release.
To see latest up-to date information about this item for the new Repentance+ (Online Co-op) DLC, check this page instead.
How to unlock?
Defeat Satan as The Forgotten.
Item pools
Pointy Rib can be found in the following item pools:
| Name | Weight |
|---|---|
| Treasure Room |
1.0/1.0
|
| Greed Treasure Room |
1.0/1.0
|
Tags
The following tags are applied to this item:
| Id | Description |
|---|---|
| summonable | Can be summoned via  Lemegeton. |
| offensive | Can appear for  Tainted Lost. |
Special synergies
The following special synergies and interactions for Pointy Rib have been documented.
| Mod | Item | Synergy |
|---|---|---|
| --- | BFFS! | ×2 contact damage. No effect on bonus damage from Isaac's movement. |
* Note that not all possible synergies and interactions are listed here.
External links
- Check out the item description on the external Isaac Wiki.
Marrow 
Slipped Rib 
Hallowed Ground 
Book of the Dead 
Dad's Ring 
Divorce Papers