TierList

Starting items tierlist:

God tier: Knife, Ipecac
Tier A: Epic fetus, Dr Fetus, Tech X, 20/20.
Tier B: Crickets Head, Magic mush, Judas shadow, Lil Brimstone
Tier B-: Monstros lung, sac dagger, deaths touch
Tier C: Poly, Quad shot
Tier D (Not real starts, only check-curse-room or desesperation start items) Choco milk, The mind, Guillotine