This article is about the item Steven. For the boss with the same name, see Steven (boss).


In-Game Appearance

Tears Appearance


Item Type

Collectible Item

Pickup Quote



Collection Grid:

Recharge Time:

Dropped by Steven
Golden Chests

Unlocked By:

Not to be confused with the Familiar, Little Steve

Steven's severed head.


When picked up, makes a smiling tumor grow on the side of Isaac's head.

Increases Damage by 1.

If Little Steve has already been acquired, Steven will drop this item instead. There is also a chance to get Steven without Little Steve.

Using The Dice on Little Steve after the Steven boss fight will have a small chance to change it to Steven.



  • The item is a reference to one of Edmund McMillen's games, Time Fcuk, along with the boss Steven himself and the item Little Steve.
  • In Time Fcuk, the majority of the game takes place inside a box, which may explain why the item can be found in golden chests.

Related AchievementsModifier

Fichier:Myheadhurts.jpg "My Head Hurts..." - Defeat Steven.

de:Steven (item)

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