Item: Forever Alone
A familiar who will drop a half red heart every 2 rooms.
Grants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.
Decreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
Spawns a familiar that follows Isaac and makes other familiars follow it. While firing tears, it stops moving.
Gives Isaac 5 Bombs, and causes all dropped bombs to home towards the closest enemy.
Halo of Flies
Spawns two pretty fly familiars that block enemy shots and deal contact damage to enemies.
Gives 6 coins, 6 bombs, and 6 keys and balances out all attributes.
Adds a chance to shoot a fire that damages enemies and remains in place until it deals enough damage or the room is left.
All types of fly except Boom Fly and Red Boom Fly become passive and slowly move towards Isaac. Does not prevent contact damage.
Spawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one soul heart, one hostile Spider or one friendly blue spider.
Randomizes all passive items upon pickup and at the start of each succeeding floor.
Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to Boom Fliesdamaging enemies it passes through.
Grants -1 Tear Delay and reduces Range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose Range and Damage scale with Isaac's.
Adds a chance to fire a gas cloud that damages nearby enemies.
Increases damage by 1, range by 5.25, and tear height by 0.5.