Item: A Lump of Coal
Increases damage by 1 and range by 5 for tears fired from the left eye.
Spirit of the Night
Grants spectral tears and flight.
Spawns a shadow familiar that follows Isaac's movements on a 1 second delay and deals contact damage to enemies.
Drops a random card or rune. Doubles the effects of cards and runes.
Grants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
1-3 Blue flies randomly spawn every time Isaac gets hit.
Spawns a portable key master that follows Isaac and collects keys, giving random chests in return.
Spawns a friendly familiar leech on the ground that hunts down enemies and heals you for half a heart each time it eats one.
Gives Isaac a Gurdy familiar that will charge around the room dealing contact damage to enemies. Lil Gurdy is charged by holding down a fire button and letting go. The longer the button is held, the faster Lil Gurdy will fling itself across the screen. Lil Gurdy can pass over objects and obstacles in the room.
Taking damage releases a ring of 10 high damage tears.
+1.25 Range Up. +0.5 Tear Height. +1 Luck Up.
A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Eye of Greed
Adds a chance to fire tears that temporarily stun enemies and turn them into gold. Any enemy killed while in this state will drop coins.
Transforms Isaac's tears into a wide arc shape which gives them a much larger hitbox. Gives Isaac spectral tears which allows them to travel through objects in the environment (i.e. rocks).
Spawns a flying familiar that bounces around the room with a black aura, dealing rapid damage to any enemies inside it. While standing in the aura, Isaac gains a 1.5x tear damage multiplier.