Item: Chocolate Milk

Randomly increases and decreases some of the character's stats. There will always be at least one stat increase and one decrease and the same stats can be increased/decreased multiple times.

Allows Isaac to carry two cards, pills, or any combination of both at the same time. Drops a random card or pill.

Grants a random Harbinger familiar that changes every 10 seconds.

Converts all bad pills into good pills, spawns one pill pickup and restores health. Identifies all pills upon pickup.

Adds 3 heart containers.

Adds one heart container and drops a random trinket.

Increases Damage and Speed, plus adds one Soul Heart.

Grants Isaac one full red heart container.

Grants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed.

Gives +5 bombs and makes all bombs Butt Bombs that fill the room with gas, damaging and confusing all enemies.

Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".

Reduces all Shop prices by 50%, rounded down to 7 coins for an item, rounded up to 2-3 coins for a pickup.

Adds a chance to fire an egg sack which spawns slowing creep and spawns a blue fly or spider upon hitting an enemy.

Summons a familiar that copies the tears of Isaac's other familiars.

Zodiac will give Isaac a random zodiac item effect that changes after every floor.

A familiar that spawns blue flies.

Isaac's tears have a chance to stick to enemies and explode.

Grants 7 bombs and allows bombs to be placed rapidly.

A Familiar that shoots a thin Brimstone beam. Must charge like Brimstone before shooting.

Isaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.