Definition of Icon

Icon
Item ID
Icon
Description

Chemical Peel

154
Chemical Peel
Tears fired from left eye do increased damage.
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Polyphemus

169
Polyphemus
Makes Isaac shoot one huge tear. Also reduces Tears to minimum. Damage increased . If tear does more damage than an enemy's life, the tear continues to travel with the extra remaining damage.
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Blood Rights

186
Blood Rights
Damages all enemies in the room, but deals a heart of damage to Isaac with each use.
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Cambion Conception

412
Cambion Conception
After taking damage a certain amount of times, a permanent demonic familiar spawns.
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Odd Mushroom

120
Odd Mushroom
+1.7 tears, +0.3 speed, reduces damage.
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Kidney Bean

421
Kidney Bean
Upon use, Isaac farts, charming all nearby enemies.
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Telepathy for Dummies

192
Telepathy for Dummies
Upon activation, grants homing tears for the current room.
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Proptosis

261
Proptosis
Tears start out massive with high damage, and then shrink down and become weaker over a short range.
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Lazarus' Rags

332
Lazarus' Rags
Upon dying, resurrect as Revived Lazarus with one heart container and Anemic item.
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Pointy Rib

544
Pointy Rib
Spawns a bone familiar that can be aimed with the fire buttons and does contact damage.
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Black Powder

420
Black Powder
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.
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Butt Bombs

209
Butt Bombs
Gives +5 bombs and makes all bombs Butt Bombs that fill the room with gas, damaging and confusing all enemies.
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A Snack

346
A Snack
Grants one full red heart container.
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Spider Mod

403
Spider Mod
Displays Isaac's tear damage and enemy health bars. Spawns a gray spider familiar that wanders around and inflicts a random status effect on any enemies it comes into contact with. Occasionally spawns a blue spider upon clearing a room.
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Incubus

360
Incubus
A demonic familiar that follows Isaac and shoots tears identical to Isaac's in terms of damage, range, fire rate, and effects.
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9 Volt

116
9 Volt
Reduces the charge of any Activated Items by 1. Any 1 charge items instead have timed recharges.
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Cain's Other Eye

319
Cain's Other Eye
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.
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Cancer

301
Cancer
Adds 3 soul hearts. Grants The Wafer effect for the current room upon taking damage.
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Blanket

535
Blanket
Grants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
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Black Hole

512
Black Hole
Throws a black hole on the ground which sucks in and damages enemies.
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