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What does the Goat Head do?

Author

Robert King

Published May 11, 2026

Twice now, I've picked up the Goat head item, but I can't tell what it does. The item description just says "He accepts your offering." So, what does it do?

4 Answers

The wiki is partially correct, but not entirely. From my own personal exploration, I can confirm that an angel/devil room WILL spawn after EVERY boss fight where one can, however it does NOT block damage from above.

According to the Gamepedia wiki for BoI Rebirth:

No damage will be taken from directly above. This includes jumping enemies and Mom's foot. Devil Room spawns after every boss fight.

2

The effect that I have experienced with the goat's head is that after taking damage that eliminates a soul heart, all remaining enemies in the room die. I have yet to test this on a boss and this only works with soul hearts.

1

I figured it out: If an enemy touches you, it turns them into poop.

2