+0.3 tears up. Allows Isaac to fire tears diagonally.
Tears fire sparks of electricity in random directions upon hitting an obstacle or enemy.
Upon dying, resurrect as Revived Lazarus with one heart container and Anemic item.
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.
Pay to Play
This item turns all doors that require a key into doors which need a coin to enter instead. This affects shops, item rooms, libraries and other key doors.
Spirit of the Night
Grants spectral tears and flight.
+5 bombs. Isaac's bombs will now explode in a large cross-shaped pattern (roughly 5 bombs explosions wide). This also affects troll bombs.
Isaac's tears have a chance to stick to enemies and explode.
Sack of Sacks
Spawns a sack familiar that has a chance to drop a sack upon clearing a room.
Increases damage as Isaac receives damage. Damage increase stays for the whole floor.
Eye of Greed
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.
Increases damage by 0.5, and multiplies it by 1.5x.
Isaac's head is removed from his body and floats around him. Increases Damage by 1 and grants -1 Tear Delay.
Isaac emits a beam from his face. Isaac's tears travel in the path of the beam.
A demonic familiar that follows Isaac and shoots tears identical to Isaac's in terms of damage, range, fire rate, and effects.
Has a chance to drop a random pickup when Isaac takes damage.
Tears now have a random chance to apply a poison effect, causing 4 or 6 damage per tick to enemies (Similar to The Common Cold item). Isaac now deals poison damage on contact with enemies similar to The Virus item (Damage over time 4 or 6 per tick). Enemies that were poisoned have a chance to drop a black heart when killed.