Item: Guppy's Tail
The Common Cold
Adds a chance to shoot poison tears, dealing damage over time when inflicted.
Shard of Glass
Upon taking damage, Isaac has a chance to drop a full red heart, gain 5 range, and leave a trail of damaging red creep for the current room.
Spirit of the Night
Grants spectral tears and flight.
Fires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears.
Gives 3 pennies on pick-up. Every time Isaac is damaged, he will drop one additional penny.
Gives a random chance for projectiles to fire in all 4 cardinal directions.
Transforms Isaac's tears into a wide arc shape which gives them a much larger hitbox. Gives Isaac spectral tears which allows them to travel through objects in the environment (i.e. rocks).
When hit, summons a white attack fly similar to Distant Admiration for the current room.
Adds a chance to fire needles. If a needle kills an enemy, it bursts into more needles.
Gives Isaac's tears a boomerang effect, and increases range and shot speed.
Has a chance of spawning a soul heart or black heart when taking damage. Enemies have a chance to drop a Half Red Heart after being killed.
Grants a soul heart. Adds a chance to block enemy shots.
Grants a unlimited range piercing laser with random rate of fire that does not replace tears. The laser might occasionally fire with the effect of a random item or trinket, such as Hook Worm, Spoon Bender or Tiny Planet.
Increases speed by +0.2 and grants piercing tears.
Replaces tears with a piercing laser with unlimited range.
Increases damage by 0.5, tears by 0.7 and grants two soul hearts upon pickup.
Grants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed.
Isaac becomes camouflaged at the beginning of each room. Enemies will not attack Isaac until he starts firing tears.