Item: Harlequin Baby

Tears have a 1/6 chance of spawning allied blue flies when they hit an enemy.

Grants 2 soul hearts and modifies drops from Champion Monsters based on certain conditions.

Tears start out massive with high damage, and then shrink down and become weaker over a short range.

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.

+5 bombs. Isaac's bombs will now explode in a large cross-shaped pattern (roughly 5 bombs explosions wide). This also affects troll bombs.

Increases luck and HP by 1.

Adds an extra life; upon death, it respawns Isaac as Black Judas with only two black hearts.

Upon picking up a certain amount of health, spawn a permanent angelic familiar.

Gives an extra life. Upon death, you will respawn in the previous room with full health and lose the 1up!.

Gives Isaac 5 bombs, and makes all dropped bombs larger, which have an increased blast radius and increased damage.

Adds a chance to fire a creep shot that deals double damage and leaves a trail of slowing white creep.

Grants Isaac one full red heart container.

Increases damage by 1 and range by 5 for tears fired from the left eye.

Increases speed by 0.6, range by 5.25, and tear height by 0.5.

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 speed by 0.3.

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

Wanders about the room, occasionally spawning blue spiders.

Increases damage and range while reducing shot speed and grants homing tears. Grants a Heart Container and replenishes all Red Hearts.

Upon entering a room with enemies in it, has a chance to spawn a random charmed enemy that persists across rooms.