Item: Cambion Conception

Increases Damage and Speed, plus adds one Soul Heart.

Spawns a bone familiar that circles around Isaac and reflects enemy shots.

Adds a chance to fire a gas cloud that damages nearby enemies.

Daddy Long Legs' shadow follows Isaac and stomps on enemies.

Adds 99 bombs.

Prevents curses. Grants one black heart. Increases the chance for a Devil or angel room to appear.

Increases damage and increases the chance for a Devil or Angel Room to appear.

Adds a heart container and increases damage.

When hit, spawns up to 2 blue spiders.

-2 Tear Delay. Tears float in position until firing ceases, after which they will fly off in the direction they were shot in.

Adds a chance to fire tears that temporarily stun enemies and turn them into gold. Any enemy killed while in this state will drop coins.

Spawns a familiar that follows Isaac around and fires homing tears.

Spawns a chest familiar that follows Isaac and drops a random pickup every few rooms.

Adds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them.

+0.3 tears up. Allows Isaac to fire tears diagonally.

Follows Isaac around shooting normal tears.

-1 Tear Delay, adds knock-back shots and increases tear size.

Increases range and shot height.

Gives Isaac a Gurdy familiar that will charge around the room dealing contact damage to enemies. Lil Gurdy is charged by holding down a fire button and letting go. The longer the button is held, the faster Lil Gurdy will fling itself across the screen. Lil Gurdy can pass over objects and obstacles in the room.

Spawns a familiar that drops random pills every 2 rooms cleared. Upon using a pill, all enemies in the room are poisoned.