Item: Chaos

Upon entering a room, poisons all enemies, dealing double Isaac's tear damage. Killing enemies leaves a small, short lasting pool of green creep on the ground.

When Isaac is hit, 1 point of an item's charge is filled.

Isaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.

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

Grants flight.

Increases Damage by 1.

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.

Isaac's tears become coins and now have a chance to drop pennies on the floor upon successfully hitting an enemy.

Spawns a large orbital familiar that blocks enemy projectiles and deals slight contact damage to enemies.

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

Isaac leaves a trail of black powder on the floor. Walking in a circle will spawn a pentagram symbol on the floor, which deals 10 damage per tick to any enemies inside it.

Adds a chance to shoot concussive tears, causing enemies to walk around randomly.

Continuously firing tears for several seconds causes Isaac to drop a Butt Bomb. Butt Bombs explode for 50 damage like normal bombs, but also deal 10 damage to all enemies in the room and daze them for a short period of time.

Spawns a familiar that fires clusters of tears. Must be charged before shooting.

Grants triple shot but decreases tears.

Allows Isaac to hold 1 additional trinket.

Heals the character for half of a red heart for every 13 monsters killed.

Grants two soul hearts. Isaac now repels enemy projectiles.

+1 luck. Spawns a fairy familiar that points out secret room entrances and tinted rocks.

Greatly increases the chance to find sacks.