Head Of The Keeper

Head of the Keeper is a passive item added in Afterbirth.

Effects

 * Enemies have a chance to drop coins when hit with Isaac's tears.
 * Turns Isaac's tears into coins (cosmetic effect).

Interactions

 * Brimstone: Overrides Head of the Keeper.
 * Dr. Fetus: Overrides Head of the Keeper.
 * Epic Fetus: Overrides Head of the Keeper.
 * Ipecac: Because Ipecac's high damage will quickly kill enemies, and because enemies will often be hit with explosions rather than tears themselves, coins will not drop as frequently.
 * Mom's Knife: Overrides Head of the Keeper.
 * Tech X: Overrides Head of the Keeper.

Synergies

 * Bum Friend: Generated coins may be traded for other pickups via bum friend.
 * Bumbo: Coin drops will quickly raise Bumbo to useful level.
 * Burnt/Bloody/Flat Penny: Penny trinkets allows Isaac to harvest a lot of bombs/health/keys from dropped coins.
 * D20: Easy way to create a lot of pickups to reroll.
 * Money = Power: Dropped coins can boost damage.
 * Portable Slot: Extra money allows you to gamble more.
 * Sack Head: When hit, enemies will occasionally drop sacks instead of coins.
 * Soy Milk: Due to the Soy Milk's high fire rate and low damage, enemies can be hit many more times than usual, resulting in a larger amount of coins dropping.

Trivia

 * The item visually resembles Ultra Greed's head.

Seeds
3C4D F1LV (In the room just south of spawn in the Gold chest.) NNNQ 0CJT (Challenge room south west - Necropolis 1)