Item: Big Fan
Suture becomes attached to Isaac, and does touch damage to enemies within its attacking range.
Adds a chance to fire a booger which sticks to enemies and poisons them.
A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.
Gives "Turdy Touch" Effect. Enemies that touch Isaac are changed into poop.
There will be 2 items available to choose from after defeating a boss. Choosing 1 item causes the other to disappear.
Isaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.
Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".
Increases Damage and Speed, plus adds one Soul Heart.
Range up and makes shot tears revolve around Isaac until they drop.
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 bone familiar that can be aimed with the fire buttons and does contact damage.
Once per room, when Isaac is reduced to his last half red Heart, the aura around his head temporarily vanishes and he is granted one Soul Heart.
Spawns a blue attack fly that orbits a long distance from Isaac.
Increases damage, and adds 1 heart container.
A familiar that follows Isaac and blocks tears. If a tear hits Farting Baby, there is a high chance for it to fart, which will either knock back, poison, or charm all nearby enemies.
Isaac heals 1 heart instead of taking damage from an explosive source. Adds 5 bombs.
Tears fire sparks of electricity in random directions upon hitting an obstacle or enemy.
Increases damage and speed, removes all red heart containers, grants six black hearts, and adds a chance to shoot fear tears.