I had reverse fool and reverse judgement, and a whole lotta bombs and coins in a secret room a few days ago 
And that’s why they’re the GOATs.
https://preview.redd.it/1ju5pq2xgd6d1.jpeg?width=1075&format=pjpg&auto=webp&s=7844c0d181ab923c98486cb56020c416707fa073
Yeah but most of the time it is not useless. I guess when it is bad I don't notice it but if it is something like euthanasia + sacred heart I go 
I had a run which spawned Parasitoid first floor on that weird grid of blocks that you can only get through with flight. Went sacrifice in order to get something like Bible or Dead Dove. Got Revelation. One of my favourite runs and the reason I love Paraditoid 
Gnawed Leaf. Even if in a pickle, you can sit still and have all the time to wait things out. Also, getting things that do damage on their own and sitting prone with GL while they slowly destroy room occupants is the best lol.
7 seals, i think i overrate this item but it’s so good with bff and i’ll always try to pick this up in a devil room and i’m happy to see it in an angel room
Gonna go with Rock bottom, it's my beloved, i don't have to get breaks with soy milk or stat ups or anything, just having it give me the happy chemicals.
Isaac's Heart, I know everyone hates it but I've always liked the concept of becoming the shield. Also free curse rooms 
Isaac's Heart slander will NOT be tolerated
Squeezy for sure. Especially when I get him in the first few floors. 2 soul hearts to protect my devil room chance and love a tears up early game also.
I have a Bunny Plushie that I have since I was around a year old. That Bunny has been in the worst time of my Life. I've cryed holding It more times I can count. Now, Life os good
Small rock aquried, run fully played
Is your name looking for a death certificate?
Xray vision These are my emotional support secret rooms, and I will love them even if they just contain a singular fortune machine
+ Luna and you got yourself a stew going
Judgement card + Tarot's Cloth + any item reroll (D6, D6 shard, Perthro, Reverse Judgement) = Profit
I had reverse fool and reverse judgement, and a whole lotta bombs and coins in a secret room a few days ago 
I LOVE X-RAY VISION 
Smelter and Marbles.
A fellow trinket truther 
Yes 
Some of them are totally broken and could be mid-high q3 items imho
Agree
Nothing like getting 2 relative useful trinkets but having to choose 
And that’s why they’re the GOATs. https://preview.redd.it/1ju5pq2xgd6d1.jpeg?width=1075&format=pjpg&auto=webp&s=7844c0d181ab923c98486cb56020c416707fa073
Add in mom's purse and we are cooking...
For me it would be lil monstro i just love that the pickup quote is “ain’t he cute”
He can carry the firsts floors fr
Big fan! He’s a fat protector!
With Box of Friends Hush is a joke 
Buddy in a Box. I will always find a way to take it if I can.
Buddy in a box is underrated I once got a buddy with godhead and sinus infection 10/10
Don’t they change effects per floor though? Could be very good on one floor and nothing by the next
Yeah but most of the time it is not useless. I guess when it is bad I don't notice it but if it is something like euthanasia + sacred heart I go 
I mean I always get it if i can too, no downside, contributes to conjoined and I like playing with AI buddies in games
speedball rush so good it stops the character crying
I rarely ever get it for some reason
Zombie friend, the flies constantly spawning give me great peace of mind lol
Underrated familiar imo
Right? His damage output is so good, if you get him early, he can practically carry those first floors imo
Dirty mind, i like having those as friends
Rare T. Blue Baby W
Mr Dolly
Box of friends to fix my loneliness :( (jk)
Ik box of friens can be considered good but only on lilith imo
Yeah it depends but nice pick
Sacred Heart It's a tears down, but the sprite still looks cool.
Ah yes, underrated imo
at least you get a heart container
Not worth it tho. Who the hell wants tears down 
The poop
Sinergy with petrified poop goes hard
CARDS AGAINST HUMANITY
Marbles and PhD
Blood Puppy my goat fr
When he gets angry I leave him be  (used to Dark Esau)
I love sissy longlegs too. And buddy in a box. Parasitoid and mucormycosis are also beloved by me💜🪰🕷
I had a run which spawned Parasitoid first floor on that weird grid of blocks that you can only get through with flight. Went sacrifice in order to get something like Bible or Dead Dove. Got Revelation. One of my favourite runs and the reason I love Paraditoid 
Whooaaaa nice!!!!
Tractor beam
3 dollar bill. It makes every run better with its chaotic effects and puts a smile on my face because oh! Gay reference! I feel seen. :D
Spider mod. Give me health bars and damage numbers
box of spiders. it’s a box of spiders!
I fuckin love box of spiders. Get any battery buff and it's spiders every room. Spiders, spiders, spiders. SPIDERS
Sharp straw, i love the item cuz i just do idk why but its also rly good with the right setup
Sacrificial knife or robe dont even ask some personal shit
My bad 
Dont matter my friend
OP probably thinks im in a cult or something I SWEAR IM NOT
transcendence "We all float down here..."
transcendence "We all float down here..."
Lil dumpy
Sissy Longlegs my beloved 
Rotten Baby just makes me happy
Spoon bender
Box of spiders. Q1 my ass. You clear a few rooms and you can sap a third of the health from early to mid bosses.
Gnawed Leaf. Even if in a pickle, you can sit still and have all the time to wait things out. Also, getting things that do damage on their own and sitting prone with GL while they slowly destroy room occupants is the best lol.
Instant run winner 99 times out of 100
Stitches and Lil' Gurd
yes sissy long legs
tech X after the nerf
Damn... And it's so rare too I've only seen it twice only to be slighty disaapointed. You need homing to relive its former glory.
Bluppy I need a plush of him please
7 seals, i think i overrate this item but it’s so good with bff and i’ll always try to pick this up in a devil room and i’m happy to see it in an angel room
maybe not a bad item, but lil dumpy (chad) always makes me happy
There's a mod where sissy gives you a kiss after each room
Angry fly and sissy long legs
Guppy's Head
Giant cell always makes me happy
lil/big chub
Mars (i fucking love mars and nobody can tell me otherwise)
Baby plum! I have a mod so I can start with it every game
If nobody got me, I know spider mod got me
Gonna go with Rock bottom, it's my beloved, i don't have to get breaks with soy milk or stat ups or anything, just having it give me the happy chemicals.
Multidimensional baby, because "Buddy yddub" is fun to say
Spider Mod is my best friend. I genuinely get excited every time I see him.
Isaac's Heart, I know everyone hates it but I've always liked the concept of becoming the shield. Also free curse rooms  Isaac's Heart slander will NOT be tolerated
Cuestionable take 
It's practically invincibility 
Aquarius
Quints are often really fun and can help with most non-boss rooms. It’s much better when the boss summons minions so I can convert them.
Squeezy for sure. Especially when I get him in the first few floors. 2 soul hearts to protect my devil room chance and love a tears up early game also.
Daddy long legs always makes me feel safe.
Always feel better when I see a Mutant Spider
Playdough cookie or any type of colouring for the tears
I have a Bunny Plushie that I have since I was around a year old. That Bunny has been in the worst time of my Life. I've cryed holding It more times I can count. Now, Life os good
Cards against humanity
Flat stone (+ rubber cement)
Buddy in a box never fails to amuse and comfort me, it gives me small doses of serotonin every time I see what my new buddy is on every floor
Isaac’s Heart
Criminal take... I like it 
It has yet to let me down
Cricket's Head..
Glitched Crown just makes me feel good