Item: Backstabber

Creates a ring of light around Isaac that petrifies enemies in contact.

Spawns a familiar that follows Isaac around and fires tears with random effects.

Tears are now fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay.

While Isaac has no red hearts, this item grants flight and a random chance to activate an invincibility shield for a few seconds. If Isaac gains any red hearts, these benefits will disappear.

Spawns a familiar that flies the room while firing, dealing double Isaac's tear damage to enemies that come in contact and retrieving pickups.

Spawns several coins around Isaac.

Increases damage by 0.04 for every coin Isaac has, up to +3.96 damage at 99 coins.

Causes shops to instantly restock their items when they are bought. Granted by default for every character in Greed Mode.

Allows Isaac to carry two cards, pills, or any combination of both at the same time. Drops a random card or pill.

Allows you to crush rocks when you walk over them.

Spawns a familiar that fires clusters of tears. Must be charged before shooting.

Grants piercing tears. After piercing one enemy, tears start homing and deal double damage.

+1 Luck. Increases chance of winning Shell Game Beggar. (Independent of luck stat)

When taking damage, Isaac farts, causing poison damage to all enemies in range.

Tears leave a small, short lasting pool of creep on impact or when their range is depleted.

Increases Tears by 0.7.

Whenever Isaac takes damage, a black ring briefly appears around Isaac, dealing damage to all nearby enemies.

Adds 99 bombs.

Grants charged tears that can be fired in a tight burst of four. Getting hit while charging will teleport Isaac into another room.

Tears simultaneously fire out of both eyes diagonally, similar to the effect of the R U A Wizard?pill. Isaac's tears also travel above all obstacles.