Item: Juicy Sack
Tears start out massive with high damage, and then shrink down and become weaker over a short range.
Grants 7 bombs and allows bombs to be placed rapidly.
A familiar that follows Isaac around shooting blood tears.
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Summons a big attack fly that can be controlled with the shooting direction-keys.
A familiar that charges forward and deals touch damage to any enemies in its path.
Zodiac will give Isaac a random zodiac item effect that changes after every floor.
Grants one bone heart and spawns three red heart pickups.
Increases range and shot height.
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.
Every tear has a small shield which will allow it to block one enemy projectile.
Grants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them.
Spawns a familiar that follows Isaac around and fires homing tears.
Chance to block projectiles coming from any direction.
While firing tears, Isaac has a chance to fire an eye across the screen with a very slow shot speed, which will fire tears of its own in the same direction as Isaac. The eye will be destroyed if it comes into contact with an enemy or obstacle.
Reveals all special rooms (except secret rooms of any kind).
Reveals all rooms for every floor. However, it does not reveal icons or secret rooms.
Summons a familiar that copies the tears of Isaac's other familiars.