Item: Lil Delirium

Heals the character for half of a red heart for every 13 monsters killed.

Gives one heart container and doubles the healing provided by red hearts.

Grants one red heart container, restores 5 red hearts, and increases speed by 0.3.

Spawns a white poop familiar, which turns into a white poop when Isaac is hurt.

Makes Isaac shoot one huge tear. Also reduces Tears to minimum. Damage increased . If tear does more damage than an enemy's life, the tear continues to travel with the extra remaining damage.

+1.5 tears, -15.77 range

Increases the size and damage of familiars.

Continuously firing tears for several seconds causes Isaac to drop a Butt Bomb. Butt Bombs explode for 50 damage like normal bombs, but also deal 10 damage to all enemies in the room and daze them for a short period of time.

Increases Shot Speed, and drops a Tarot Card when picked up.

Adds 99 bombs.

Spawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot, it has a chance of triggering The Necronomicon effect.

Adds a chance to shoot a fire that damages enemies and remains in place until it deals enough damage or the room is left.

Adds a chance to reflect enemy shots. Grants one soul heart.

If the character has half a red heart or no red hearts after taking damage, it triggers the Book Of Shadows effect, creating a shield that nullifies all types of damage for 5 seconds. Also allows entrance into The Chest.

Tears start out massive with high damage, and then shrink down and become weaker over a short range.

Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".

After Isaac takes damage, this fly will deal continuous touch damage to whatever enemy caused the damage until it is dead. The fly will then systematically attack 1 enemy at a time until the room is cleared.

Spawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one soul heart, one hostile Spider or one friendly blue spider.

Isaac can hold 2 cards at once and all pills are replaced by cards.

Tears bounce off the floor. Tears that hit an enemy after bouncing deal splash damage to all nearby enemies for 25% of Isaac's tear damage.