Item
Meat Cleaver
Rare
The Meat Cleaver is a once-per-battle rare weapon in the Butcher set that deals damage equal to 50% of the target's current HP against regular enemies, or roughly 17% against bosses. It inflicts Cleave status on hit and can critically hit — a crit against a non-boss enemy is an instant kill regardless of remaining HP. Backstabbing increases damage further. Best deployed as an opener on a dangerous high-HP target rather than saved as a finisher, since percentage-based damage loses value as HP drops.
Dual Wield grants a free second use on the same turn, letting you potentially remove a regular enemy entirely in one round. Unrestricted converts it to once-per-turn, which sounds powerful but has real diminishing returns — since damage keys off current HP, each subsequent swing on the same target hits for less. Also appears in The Binding of Isaac: Rebirth with the same percentage-damage design.
At its best against elite enemies who enter a fight with large HP totals where 50% is a massive swing. On bosses the reduced 17% rate is still significant at high HP. Works synergistically with Meat Hook in the Butcher set: Hook pulls high-HP enemies into range, then Cleaver halves their HP in a single activation. A staple of any Butcher set build and worth prioritizing on the right cat.
Details
Item Sets
Quick Facts
- Type
- Item
- Confidence
- High
- Verified
- Mar 18, 2026