Death Portrait
Character Information
Character Type Boss
Floors of


Womb I
Utero I
Base Health
Heart flash
Unlocked By Defeating
Mom's Heart
Items Dropped Cube of Meat
Ball of Bandages
When the Lamb broke the fourth seal, I heard the voice of the fourth living creature saying, “Come.” I looked, and behold, an ashen horse; and he who sat on it had the name Death; and Hades was following with him. Authority was given to them over a fourth of the earth, to kill with sword and with famine and with pestilence and by the wild beasts of the earth.
— Revelation 6:7-8˄ NASB

Death is an enemy in The Binding of Isaac: Rebirth. It appears as a boss on The Womb I and Utero I Floors as well as a Monster on later Floors.


Death has two phases which are as follows:

  1. Death will float around the room, occasionally spawning up to 4 vulnerable scythes that slowly float towards Isaac, picking up speed quickly. Death can also randomly slow Isaac down.
  2. At half health, Death will dismount from its horse. Death will then proceed to randomly spawn two Knights while its horse proceeds to charge across the room until it is destroyed.

Champion Variants

Death has one Champion variant.

  • Death will be black and, instead of using the Hourglass, Death will spawn Kamikaze Leeches. Also, instead of spawning Knights, it will spawn Red Maws.


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