There will be 2 items available to choose from after defeating a boss. Choosing 1 item causes the other to disappear.
Grants a prism orbital with a large orbital radius. Tears that pass through the prism split into four multi-colored tears.
Familiar that follows Isaac, leaving blood creep on the ground.
Prevents curses. Grants one black heart. Increases the chance for a Devil or angel room to appear.
Suture becomes attached to Isaac, and does touch damage to enemies within its attacking range.
Head of the Keeper
Isaac's tears become coins and now have a chance to drop pennies on the floor upon successfully hitting an enemy.
Dagger orbits Isaac, dealing very high damage.
Adds a chance to fire a piercing tear that instantly kills any enemy that it touches.
Shooting in one direction increases Isaac's rate of fire until the cap is reached. As soon as Isaac changes direction or stops shooting, rate of fire is reset to its normal amount.
When Isaac is hit, 1 point of an item's charge is filled.
Every tear has a small shield which will allow it to block one enemy projectile.
Enemies that touch you are stunned and turn gold. Any enemy killed while in this state will drop a coin.
+1.7 tears, +0.3 speed, reduces damage.
A glass of milk follows Isaac and spills on the floor upon taking damage. After the milk spills, Isaac's tear delay is decreased by 2 for the rest of the room.
+2.25 Range Up. +1.5 Tear Height. Isaac's tears travel through walls and appear out of the opposite wall. Isaac's tears also travel over rocks and objects.
Isaac gains a shield that protects him from enemy shots.
Mom's Coin Purse
Spawns 4 random pills around Isaac.