Item: Jacob's Ladder
Isaac becomes camouflaged at the beginning of each room. Enemies will not attack Isaac until he starts firing tears.
Grants a chance of converting any red hearts pickups into soul hearts instead.
Gives Isaac's tears a boomerang effect, and increases range and shot speed.
Increases damage, and adds 1 heart container.
Increases Luck by 1, grants 1 Soul Heart and spawns 2 Keys.
Adds 3 soul hearts. Grants The Wafer effect for the current room upon taking damage.
Chance upon entering a room to slow down or speed up every enemy and their attacks. The chance to slow enemies is quite higher than the chance to speed them up.
1-3 Blue flies randomly spawn every time Isaac gets hit.
Gives 6 coins, 6 bombs, and 6 keys and balances out all attributes.
-1 Tear Delay, adds knock-back shots and increases tear size.
Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth.
Grants Isaac one full red heart container.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Increases Shot Speed and damage.