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Items

All 72 passive items in MeatSlicer, with exact effects pulled from js/items.js and the proc logic in js/enemies.js / js/player.js.


How items work

  • Items are passive and permanent for the run. Pick one up and its effect applies immediately.
  • Duplicates upgrade the tier (shown as Roman numerals on the pedestal and in your item tray). Each duplicate re-applies the item's effect — multiplicative stats compound, additive stats stack linearly.
  • Tier caps are per-item. Simple stat items stack deep (up to VIII); build-defining and legendary items cap at III or I. Picking up a duplicate at cap instead grants +150 score and 5 XP gems with a "MAX" toast.
  • Every item has a rarity band — Common, Uncommon, Rare, or Legendary — which drives both its drop weight and how much it inflates enemy scaling (see below).
  • Item rolls use a "smart roll": a small chance to upgrade an item you already own (below cap), otherwise a weighted roll from the source's pool. Builds naturally specialize, but rares stay rare.

Rarity bands

Band Base weight Power/tier Typical cap Colour
Common 100 0.5 V–VIII bone
Uncommon 55 1.0 IV–VI teal
Rare 25 1.5 II–III gold
Legendary 8 3.0 I red

Power score (drives enemy HP/speed scaling) = perks × 0.5 + Σ(item tier × band power). A deep stack of commons inflates difficulty far less than a few rares.

Where items come from

Source Chance Pool tilt
Item room pedestal Guaranteed (1 per floor) Favours Uncommon / Rare
Boss kill Guaranteed (1 pedestal) Favours Rare / Legendary (boss-only)
Elite enemy kill 18% + luck × 10% Favours Common

Legendary items are boss-exclusive — they never roll from item rooms or elites. Items already at their tier cap are excluded from fresh rolls, so pedestals don't waste themselves.


Damage & Fire Rate

Item Description Effect per tier
Hollow Points +25% damage dmgMul ×1.25
Marrow Glut +20% damage, −10% fire rate dmgMul ×1.20, rateMul ×0.90
Bloat Rounds +25% attack size, +10% damage sizeMul ×1.25, dmgMul ×1.10
Twitch Fibers +20% fire rate rateMul ×1.20
Grafted Trigger +18% fire rate, +6% shot speed rateMul ×1.18, shotSpeedMul ×1.06
Bonemeal Powder +15% damage, +15% shot speed dmgMul ×1.15, shotSpeedMul ×1.15
Marrow Piston +30% knockback, +12% attack size knockbackMul ×1.30, sizeMul ×1.12
Whipcord Tendon +20% range, +8% fire rate rangeMul ×1.20, rateMul ×1.08
Butcher's Twine +12% bleed, +8% fire rate bleed +0.12, rateMul ×1.08

Note: attack size (sizeMul) also enlarges melee arcs, blast radii, acid pools, and projectile hitboxes — Bloat Rounds is secretly an AoE item.

Shot Modifiers

Item Description Effect per tier
Scalpel +25% shot speed shotSpeedMul ×1.25
Lead Marrow +25% range rangeMul ×1.25
Piercing Gaze Shots pierce +1 enemy pierce +1
Ricochet Ribs Shots bounce +1 time bounce +1 (wall bounces)
Gyroscopic Ribs +2 bounce, +10% range bounce +2, rangeMul ×1.10
Split Cortex +1 pierce, +1 chain pierce +1, chain +1 — Rare hybrid projectile modifier
Split Tongue Twin parallel shot split +1 — extra parallel shots per volley
Hydra Maw Fires 2 extra angled shots fan +1 — extra angled shots (±0.16 rad per level)
Homing Tumor Shots seek flesh (stronger per tier) homing +1 — homing strength 1.6 + homing × 0.7
Backstabber +1 rear shot rear +1 — fires backward too
Splinter Bone Shots shatter into +2 shards on hit splinter +2 — on-hit shards dealing 40% of the hit's damage each

On-Hit Procs

All of these trigger from your weapon hits (orbital knives proc at half chance). Chances stack additively across tiers and are rolled per hit.

Item Description Exact effect per tier
Flayer Kiss Hits inflict heavy bleeding bleed +0.20 — every hit applies 2.2 s bleed at hit damage × bleed × 0.45 DPS
Ember Jar 20% chance to ignite +0.20 chance — burn for 1.8 s at 5 × dmgMul DPS
Chill Gland 18% chance to chill +0.18 chance — slows enemies (activates the previously unused slowOnHit stat)
Cinder Sump +12% ignite, +12% acid igniteChance +0.12, acidOnHit +0.12 — dual-element hybrid
Dead Weight +40% damage to enemies under 30% HP executeBonus +0.40 — checked in damageEnemy
Cauterized Veins +15% ignite, +25% damage to burning enemies igniteChance +0.15, burnDamageBonus +0.25
Hollow Choir Every 4th shot fires a free extra volley choirEvery +1 — fires a second fireWeapon every 4th trigger pull
Sawbone Coil Expiring bullets split into 2 shards sawboneCoil +1 — on bullet expiry, spawns 2 shards at 40% damage
Glutton's Gut Hearts heal +1 extra; overheal becomes score gluttonGut +1 — heart heal 2 + tier, full-HP score 25 + tier × 10
Slaughter Rhythm +4% fire rate per recent kill (cap +40%) slaughterRhythm +0.04 — kills stamp killStamps; rate bonus decays after 3 s
Pain Engine +30% damage for 4s after being hit painEngine +0.30 — dmgLiveMul rises while painEngineT is active
Thresher Plate Passive contact-damage aura thresherPlate +1 — ticks 6 × tier × dmgMul on nearby enemies every 0.4 s
Blood Moat Kills leave an acid pool bloodMoat +1 — on kill, spawns an acid hazard at the corpse
Iron Lung The first hit each room is blocked ironLung +1 — re-armed by enterRoom; blocks one hit with a 0.5 s i-frame
Meat Hook Kills yank nearby enemies to the corpse meatHook +1 — on kill, nearby enemies are pulled toward the body
Blood Debt +35% damage, −½ heart container dmgMul ×1.35, maxHp −1 — the Rare trade-off item
Acid Gland Hits may leave acid pools +0.12 chance (cap 65%) — pool radius 18 × sizeMul, 2.5 s, 5 × dmgMul DPS
Hook Rounds Hits pull enemies toward you +0.18 chance (cap 80%) — yanks the enemy toward you at speed 170
Sledge Rounds More knockback, hits may stun knockbackMul ×1.35, +0.08 stun chance (cap 75%) — 0.35 s stun, non-bosses only
Chain Sinew Hits arc to +1 nearby enemy chain +1 — arcs to up to 6 nearby enemies within 180 px for 35% of the hit's damage each
Mortar Bone Every sixth hit erupts mortar +1 — every max(2, 7 − mortar) hits, AoE blast: radius 42 + mortar × 5, 55% of the hit's damage

On-Kill Effects

Item Description Exact effect per tier
Vampire Dentures Kills may heal you lifestealChance +0.04 — on kill, chance × 3 (cap 90%) to heal 1 HP (2 for elites, 4 for bosses)
Volatile Bile Kills explode (bigger per tier) explodeOnKill +1 — kill explosions: radius 60 + 15/tier, damage (10 + 8/tier) × dmgMul
Bloodlust Kills may drop bonus XP +0.12 chance per kill to drop bonus XP equal to the enemy's XP value
Dead Man's Switch Kills trigger a fire-rate frenzy frenzy +0.12 — any kill grants 1 + frenzy fire rate for 3 s

Survivability

Item Description Exact effect per tier
Iron Stomach +½ heart container, heal ½ heart maxHp +1, heal 1
Ghoul Heart +4 max HP, heal 4 maxHp +4, heal 4 — a full 2 hearts
Twin Hearts +1 max heart, heal to full maxHp +2, hp = maxHp — the premium Rare HP item
Rendered Fat +½ heart, +4% armor maxHp +1, armor +0.04, heal 1 — clean hybrid HP/armor
Gristle Cord +0.12s hurt immunity, +4% armor invBonus +0.12, armor +0.04
Bone Plate +½ shield heart each floor shieldPerk +1, shieldHp +1 — shields refill every floor (1 shield HP = ½ heart, renders as half a cyan pip)
Second Stomach +½ heart and excess healing shields maxHp +1, heal 1, overShield +1 — overflow healing becomes shield HP
Tanned Hide +8% chance to ignore damage armor +0.08 — literal dodge chance, cap 75%
Dead Man's Clock +0.25s hurt immunity invBonus +0.25 — post-hit invulnerability 0.9 s → 1.15 s at tier I
Worm Gut Heal ½ heart after combat rooms roomHeal +1 — guaranteed 1 HP heal after each combat room clear
Spine Cage Contact attackers take damage thorns +8 — melee attackers take 8 × dmgMul when they hurt you
Spite Well Taking damage releases a blood nova retaliate +10 — on hit taken: nova radius 85 × √sizeMul, damage 10 × dmgMul

Criticals

Item Description Effect per tier
Bloodshot Eye +6% critical chance crit +0.06 (base 5%)
Hollow Needle +50% critical damage critMul +0.50 (base ×2.0)

Utility

Item Description Exact effect per tier
Orbital Knives +1 circling knife orbitals +1 — each knife orbits you, dealing 12 × dmgMul × orbDmgMul on contact (0.35 s cooldown per enemy, half proc chance)
Orbit Crown +25% orbital speed and damage orbSpeedMul ×1.25, orbDmgMul ×1.25
Lucky Coin Better drops luck +0.2
Crow Bait +15% drop luck, +25% pickup radius luck +0.15, magnet ×1.25
Magnet Maw +60% pickup radius magnet ×1.6 — magnet radius 46 × magnet px
Gorging Leech +20% XP gained xpMul ×1.20
Reroll Rib +1 perk reroll each level rerollPerLevel +1 and +1 reroll immediately
Brass Magazine +10% ammo efficiency, +20% ammo found ammoEff +0.10 (same diminishing additive formula as Scrap Feed, so the saving never reaches 50%), ammoPickupMul ×1.20
Hollow Bones +14% move speed speedMul ×1.14 (178 → ~203 px/s at tier I)
Gorged Tick +15% XP, +10% luck xpMul ×1.15, luck +0.10
Hooked Sinew +30% pickup pull speed, +10% radius magnetPull ×1.30, magnet ×1.10 (activates the magnetPull stat)
Rusted Diadem +40% orbital speed orbSpeedMul ×1.40
Rimed Fang +4% crit chance, +25% crit damage crit +0.04, critMul +0.25

Complete item index (A–Z)

# Item Rarity Cap Category
1 Acid Gland Uncommon VI On-hit proc
2 Backstabber Rare III Shot modifier
3 Bloodlust Common V On-kill
4 Bloodshot Eye Common VIII Criticals
5 Bloat Rounds Uncommon V Damage
6 Bone Plate Rare III Survivability
7 Bonemeal Powder Common VI Damage
8 Brass Magazine Common V Utility
9 Butcher's Twine Uncommon V Fire rate
10 Chain Sinew Uncommon VI On-hit proc
11 Chill Gland Uncommon V On-hit proc
12 Cinder Sump Uncommon V On-hit proc
13 Crow Bait Common V Utility
14 Dead Man's Clock Rare III Survivability
15 Dead Man's Switch Rare III On-kill
16 Ember Jar Uncommon V On-hit proc
17 Flayer Kiss Uncommon V On-hit proc
18 Ghoul Heart Uncommon V Survivability
19 Gorged Tick Common V Utility
20 Gorging Leech Common IV Utility
21 Grafted Trigger Common VI Fire rate
22 Gristle Cord Uncommon IV Survivability
23 Gyroscopic Ribs Uncommon IV Shot modifier
24 Hollow Bones Common VI Utility
25 Hollow Needle Common VI Criticals
26 Hollow Points Common VI Damage
27 Homing Tumor Uncommon IV Shot modifier
28 Hook Rounds Uncommon V On-hit proc
29 Hooked Sinew Common V Utility
30 Hydra Maw Rare III Shot modifier
31 Iron Stomach Common VIII Survivability
32 Lead Marrow Common VIII Shot modifier
33 Lucky Coin Common V Utility
34 Magnet Maw Common III Utility
35 Marrow Glut Uncommon VI Damage
36 Marrow Piston Common V Damage
37 Mortar Bone Uncommon V On-hit proc
38 Orbit Crown Uncommon V Utility
39 Orbital Knives Rare III Utility
40 Piercing Gaze Uncommon V Shot modifier
41 Rendered Fat Common VI Survivability
42 Reroll Rib Rare II Utility
43 Ricochet Ribs Uncommon V Shot modifier
44 Rimed Fang Common VI Criticals
45 Rusted Diadem Uncommon V Utility
46 Scalpel Common VIII Shot modifier
47 Second Stomach Rare III Survivability
48 Sledge Rounds Uncommon V On-hit proc
49 Spine Cage Uncommon V Survivability
50 Spite Well Uncommon V Survivability
51 Split Cortex Rare III Shot modifier
52 Splinter Bone Rare III Shot modifier
53 Split Tongue Rare III Shot modifier
54 Tanned Hide Common VI Survivability
55 Twin Hearts Rare III Survivability
56 Twitch Fibers Common VI Fire rate
57 Vampire Dentures Uncommon V On-kill
58 Volatile Bile Rare III On-kill
59 Whipcord Tendon Uncommon V Damage
60 Worm Gut Rare III Survivability
61 Blood Debt Rare III Damage
62 Blood Moat Uncommon IV On-kill
63 Cauterized Veins Uncommon V On-hit proc
64 Dead Weight Uncommon V Damage
65 Glutton's Gut Common V Survivability
66 Hollow Choir Rare III Shot modifier
67 Iron Lung Rare III Survivability
68 Meat Hook Uncommon IV On-kill
69 Pain Engine Rare III Damage
70 Sawbone Coil Uncommon V Shot modifier
71 Slaughter Rhythm Rare III Fire rate
72 Thresher Plate Uncommon V Survivability
73 Abattoir Engine Legendary I Utility
74 Butcher's Oath Legendary I Damage
75 Crimson Metronome Legendary I Fire rate
76 Gore Crown Legendary I On-kill
77 Hollow Father Legendary I Utility
78 Meat Grinder Legendary I Survivability
79 Second Skin Legendary I Survivability
80 The Last Cut Legendary I Damage
81 Thousand Teeth Legendary I Shot modifier
82 Twin Sidearm Legendary I Shot modifier

Active items

Actives live in their own slot (separate from the passive tray) and are charged by clearing rooms: +1 charge per combat room, +2 per boss. Using an active spends all charges. Picking up a new active drops the old one with its remaining charges. Sources: 30% chance of a bonus pedestal on boss kills, 15% in item rooms. Use with SPACE.

Active Cost Effect
Bone Nova 2 Damage ring + hard knockback around you
Offal Bomb 1 Lobs a gore bomb at the cursor
Blood Transfusion 2 Heal 2 hearts, lose 25% of current XP
Cleaver Storm 2 12 orbiting cleavers shred on contact for 6 s
Butcher's Bell 2 Pull every enemy in and stun for 1 s
Marrow Draught 3 +100% fire rate and free ammo for 5 s
Slaughter Time 3 All enemies slowed to 25% speed for 5 s
Panic Room 3 2.5 s invulnerable — but you can't fire
Skinner's Coin 3 Clear every enemy bullet into XP gems
Gut Reroll 1 Reroll the item pedestal you're standing on

Holding an active contributes a flat +2 to power score.

Synergy notes

  • Second Stomach turns every healing source into shield generation: Worm Gut, Bone Knit, Vampire Dentures, Hemophage, and hearts at full HP.
  • On-hit procs scale with hit frequency — pair Flayer Kiss / Ember Jar / Chain Sinew with the Ribcage Repeater, Bile Blunderbuss, or Cauterizer.
  • Split Tongue / Hydra Maw / Backstabber multiply projectile count, which multiplies proc rolls per second — the core of most broken builds.
  • Piercing Gaze + Ricochet Ribs feed the slam/saw/beam "inert" bonus (+6% each) on The Tenderizer, Red Right Hand, and Spinal Tap, while also powering Swarm Jar maggots.
  • Volatile Bile chains: explosions can kill, which triggers more explosions (and frenzy, and lifesteal procs).
  • Bone Plate + Shield Heart (perk) stack into a large shield that refills free every floor.