Item: Black Powder
Tears now have a random chance to apply a poison effect, causing 4 or 6 damage per tick to enemies (Similar to The Common Cold item). Isaac now deals poison damage on contact with enemies similar to The Virus item (Damage over time 4 or 6 per tick). Enemies that were poisoned have a chance to drop a black heart when killed.
Increases damage by 0.3 and adds a chance to shoot concussive tears, causing enemies to walk around randomly.
Grants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
Using an activated item while it's not charged will charge it and Sharp Plug does 2 full heart damage to Isaac.
Doubles damage, halves tears stat, and greatly reduces shot speed.
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Summons a big attack fly that can be controlled with the shooting direction-keys.
Adds a chance to fire a creep shot that deals double damage and leaves a trail of slowing white creep.
A familiar that follows behind Isaac. It drips a trail of creep, which slows enemies, and spawns 1-2 blue spiders after each room.
Isaac has a random chance to fire a Holy tear, which, when it hits an enemy, will spawn a Crack the Sky-style light beam on the same enemy, dealing damage.
Grants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.
Grants 7 bombs and allows bombs to be placed rapidly.
A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.
Sets your key count to the maximum of 99.
When Isaac is hit, 1 point of an item's charge is filled.
Decreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
Whenever Isaac takes damage, a black ring briefly appears around Isaac, dealing damage to all nearby enemies.
Tears are replaced with laser rings that pierce through enemies and deal damage to enemies within them. Can be charged to increase the size of the ring.