Allows Isaac to fire tears from the back of his head.
A familiar that follows Isaac around shooting blood tears.
Automatically negates first taken damage in every room.
All standard bomb pickups become 1+1 bomb pickups.
A familiar that follows Isaac and blocks tears. If a tear hits Farting Baby, there is a high chance for it to fart, which will either knock back, poison, or charm all nearby enemies.
Gives 3 pennies on pick-up. Every time Isaac is damaged, he will drop one additional penny.
+1.25 Range Up. +0.5 Tear Height. +1 Luck Up.
+0.7 tears up. Grants a random item at the start of the next run.
Adds a chance to fire a booger which sticks to enemies and poisons them.
Increases range and shot speed, while adding 1 Black Heart.
A cone of light shines in the direction Isaac is moving that slows enemies and enemy shots.
Increases range. Tears turn into bones, which shatter into 1-3 bone shards upon hitting an enemy or obstacle.
Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. In the burst of tears is a kidney stone which deals a lot of damage.
Adds a chance to fire needles. If a needle kills an enemy, it bursts into more needles.
A familiar that charges forward and deals touch damage to any enemies in its path.
Allows Isaac to hold 1 additional trinket.
Spawns a familiar that follows Isaac around and has a chance to drop a heart, coin, bomb, or keyafter clearing a room.