Item: King Baby
Gives "Turdy Touch" Effect. Enemies that touch Isaac are changed into poop.
Increases damage by 0.3 and adds a chance to shoot concussive tears, causing enemies to walk around randomly.
Automatically negates first taken damage in every room.
An angel familiar which follows Isaac and fires homing tears which deal 10 damage at -25% shot speed and a reduced fire rate.
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.
Isaac has a random chance to fire a Holy tear, which, when it hits an enemy, will spawn a Crack the Sky-style light beam on the same enemy, dealing damage.
Displays Isaac's tear damage and enemy health bars. Spawns a gray spider familiar that wanders around and inflicts a random status effect on any enemies it comes into contact with. Occasionally spawns a blue spider upon clearing a room.
Replaces all red hearts with 6 empty bone hearts. Upon losing a bone heart, Isaac fires bones in 8 directions and permanently gains a tears up.
Adds 3 soul hearts. Grants The Wafer effect for the current room upon taking damage.
Tears and Range up. Spawns 3 random types of hearts on the floor when picked up.
Spawns a flying familiar for the current room that chases enemies whenever Isaac takes damage.
Spawns a familiar that fires clusters of tears. Must be charged before shooting.
Guppy's Hair Ball
Loosely follows behind Isaac. Can be swung like a flail by rapidly spinning Isaac in a circle. Grows bigger by killing enemies.
Grants one Heart Container, +0.3 Damage, +0.2 Tears, +0.25 Range, +0.3 Speed, and +0.5 Tear Height.
Charm of the Vampire
Heals the character for half of a red heart for every 13 monsters killed.
Drops a random trinket. Grants a second trinket slot.
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).
A Loki familiar that follows Isaac and shoots 4 tears in a cross pattern.