Follows Isaac and automatically fires at enemies in its reach.
Grants charged tears that can be fired in a tight burst of four. Getting hit while charging will teleport Isaac into another room.
Spawns a familiar that follows Isaac around and fires slowing tears, impeding enemies' speed.
Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up.
Causes Isaac's activated item to activate twice on each use.
+1.25 Range Up. +0.5 Tear Height. +1 Luck Up.
Grants an active item charge every 15 enemies killed.
Spawns a bone familiar that circles around Isaac and reflects enemy shots.
Pay to Play
This item turns all doors that require a key into doors which need a coin to enter instead. This affects shops, item rooms, libraries and other key doors.
Spawns a friendly familiar leech on the ground that hunts down enemies and heals you for half a heart each time it eats one.
Spawns a fly familiar that orbits around a random enemy and deals 5 damage per tick to enemies it comes in contact with.
Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to Boom Fliesdamaging enemies it passes through.
Increases all stats and enlargens Isaac.
All standard bomb pickups become 1+1 bomb pickups.
Adds a chance to shoot a tooth instead of a tear, which deals greater damage than regular tears.
Grants a full heart container, and a chance to regenerate a half-heart of health every minute of gameplay.
+5 Bombs. Upon exploding, bombs shoot 8 tears off in every direction, similar to Tammy's Head. The tears are affected by any tear modifiers Isaac has on his own tears.
When Isaac receives damage, the bottle breaks and a puddle of blue creep forms, which damages non-flying enemies, similar to Lemon Mishap. The bottle is reformed upon entering a different room.