Item: Cat-O-Nine-Tails

Grants flight.

Grants a chance of converting any red hearts pickups into soul hearts instead.

A familiar that damages enemies by chasing them as well as inducing the fear effect.

Spawns 2 keys. Generates additional pickups from chests.

Tears are now fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay.

A familiar who will drop a half red heart every 2 rooms.

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

Increases range.

Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up.

Using an activated item while it's not charged will charge it and Sharp Plug does 2 full heart damage to Isaac.

Spawns a familiar that follows Isaac around and fires tears with random effects.

Adds a chance to shoot slowing tears and the character leaves a trail of slowing creep behind as he moves, impeding enemies' speed.

Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeperand shoots normal tears in the same direction as Isaac.

Grants a familiar with a random tear effect. The familiar is randomized at the start of each floor.

Increases speed by +0.2 and grants piercing tears.

Increases damage by 1, range by 5.25, and tear height by 0.5.

Grants 10 bombs.

A portable beggar who follows Isaac, picks up coins for himself, and occasionally drops a pickupafter collecting a coin. Does not spawn collectibles.

Increases all stats.

Adds a chance to fire a piercing tear that instantly kills any enemy that it touches.