Item: Blue Cap
Spawns a familiar that follows Isaac around and fires tears with random effects.
Adds 3 soul hearts. Grants The Wafer effect for the current room upon taking damage.
Increases range. Tears turn into bones, which shatter into 1-3 bone shards upon hitting an enemy or obstacle.
Connects Isaac's tears with electricity that can damage enemies.
Adds a chance to fire a gas cloud that damages nearby enemies.
Spawns a familiar that slowly charges forward and damages enemies in its path.
Gives 5 bombs and grants all bombs poison effect.
Inflicts poison to enemies who make contact with Isaac. Speed down.
Gives 3 pennies on pick-up. Every time Isaac is damaged, he will drop one additional penny.
Spawns 3 random trinkets. Taking damage has a small chance to swallow Isaac's currently held trinket, gaining its effect permanently.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Two items spawn in every Treasure Room. Only one can be taken; the other will disappear.
Spawns 1 of each (non-collectible) item: 1 coin, 1 key, 1 bomb, 1 heart, 1 card, 1 pill, 1 trinket.
Grants one Heart Container, +0.3 Damage, +0.2 Tears, +0.25 Range, +0.3 Speed, and +0.5 Tear Height.
Curse of the Tower
Causes Isaac to spawn 6 troll bombs on the floor every time he gets hit, similar to the Anarchist Cookbook mechanic.
Isaac's tears have a chance to stick to enemies and explode.
Gives Isaac a golden censer familiar which creates a huge aura of light that slows down any enemies and enemy shots inside it.
A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.