Issac <FREE | 2025>

: A trinket that mimics the effects of other paper-based items like the Missing Poster , The Polaroid , or The Negative .

: A fan-made modification that changes the game's aesthetic or mechanics to a "paper" style. : A trinket that mimics the effects of

: A passive item that grants a Bone Heart , increases tears, and spawns the Mysterious Paper trinket. : A trinket that mimics the effects of

: The specific trinket used to unlock The Lost by dying in a sacrifice room. : A trinket that mimics the effects of