Item: Bomber Boy

Follows Isaac around shooting normal tears.

Upon entering a room with enemies in it, has a chance to spawn a random charmed enemy that persists across rooms.

Sets your key count to the maximum of 99.

Increases Damage by 1, and turns Isaac's tears into blood tears.

Increases Luck by 1, grants 1 Soul Heart and spawns 2 Keys.

A glass of milk follows Isaac and spills on the floor upon taking damage. After the milk spills, Isaac's tear delay is decreased by 2 for the rest of the room.

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

Gives 6 coins, 6 bombs, and 6 keys and balances out all attributes.

Tears up, adds 1 soul heart, and decreases Isaac's size.

Allows Isaac to walk across gaps one square across by automatically placing a ladder between the two walkable sections.

Spawns a Mysterious Paper, increases tears, and grants a bone heart.

+5 bombs. Bombs stick to enemies and spawn 2-4 blue spiders if they kill an enemy.

Every time Isaac takes damage, a charm effect is applied to every enemy in the room, causing them to attack each other rather than Isaac.

Allows you to crush rocks when you walk over them.

Every tear has a small shield which will allow it to block one enemy projectile.

After standing still and not shooting for a short time, Isaac turns invincible until he moves or shoots.

Grants 10 bombs.

Grants one Heart Container and gives 2 Soul Hearts.

A trail of blue creep is left behind Isaac, which damages enemies.

Allows Isaac to fire tears from the back of his head.