The Binding of Isaac: Afterbirth (DLC)
Add-on / DLC for The Binding of Isaac — view full gameAfterbirth piles hundreds of new items, enemies, and a greed mode on top of one of the best roguelikes ever made. More Isaac, properly expanded.
GamerScout Verdict
Essential for Rebirth fans hungry for more chaos; a tough sell if Isaac's punishing variance already put you off.
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About The Binding of Isaac: Afterbirth (DLC)
The Binding of Isaac: Afterbirth is a meaty expansion to Rebirth, itself already a dense, obsessive roguelike dungeon-crawler built around runs through procedurally generated basement rooms. If you have not touched Isaac before, the short version is this: you play a crying child shooting tears at grotesque monsters, collect bizarre items that stack and interact in increasingly absurd ways, and die a lot before eventually piecing together a run that feels almost unfairly powerful. Afterbirth does not reinvent that loop. It deepens it, sometimes uncomfortably so. The headliner additions are a new playable character in Lilith, over a hundred new items (bringing the pool to a genuinely overwhelming size), new alternate floors, new bosses, and a daily run mode that gives everyone the same seed to compete against. The real game-changer for many players, though, is Greed Mode, a wave-based arcade variant where you spend coins to unlock harder waves and chase a separate meta-progression track. It is a fundamentally different way to play Isaac, less about floor-by-floor exploration and more about resource management and risk thresholds. Some players love it. Some find it repetitive compared to the standard run structure. Both reactions are reasonable. The item synergies are where Afterbirth earns its reputation. Adding this many new pickups to an already complex pool means the number of possible build combinations is effectively uncountable. You will stumble into combinations the developers probably did not anticipate, and that chaos is half the point. The flip side is that a bad item run still feels bad, and Afterbirth does not do much to soften the variance. Newcomers hoping for a gentle introduction should know this expansion assumes familiarity with Rebirth's systems. Drop in cold and the sheer volume of unlockables and synergies can feel opaque rather than exciting. On the co-op side, the shared screen multiplayer from Rebirth returns, letting a second player join as a familiar - a smaller, less capable character that orbits the main run. It is chaotic and good fun in short bursts, though the asymmetry means the second player is very much along for the ride rather than an equal partner. Worth knowing before you pitch it as a co-op night to a friend expecting parity. As a standalone piece of software for Xbox players, Afterbirth slots in as the version of Isaac to own if you are coming in fresh on console. It builds on one of the sharpest run-based action games in the genre and adds enough content to justify its existence several times over, grind and all. If Rebirth already has its hooks in you, this is a straightforward yes. If you bounced off Isaac before, nothing here fixes what you already disliked about the loop.

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System Requirements
Minimum
- OS
- 7
- Processor
- i3
- Memory
- 2 GB RAM
- Storage
- 500 MB available space
- Sound Card
- Only if you want to listen!
Recommended
- OS
- 7
- Processor
- i7
- Memory
- 4 GB RAM
- Storage
- 500 MB available space
- Sound Card
- Yes
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Game Info
- Developer
- Nicalis, Inc., Edmund McMillen
- Publisher
- Nicalis, Inc
- Release Date
- Oct 30, 2015