Item: Mini Mush
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.
Every tear has a small shield which will allow it to block one enemy projectile.
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.
Using an activated item while it's not charged will charge it and Sharp Plug does 2 full heart damage to Isaac.
8 Inch Nails
+1.5 Damage Up. Replaces Isaac's tears with nails, which have increased knockback.
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.
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.
Grants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them.
Grants a heart container for every 25 coins Isaac has.
Tears have a chance to charm enemies.
Bucket of Lard
Grants two empty heart containers and heals Isaac by half a heart, but decreases speed by 0.2.
Tears up, adds 1 soul heart, and decreases Isaac's size.
Increases damage. Adds a chance to fire acidic tears which can destroy obstacles.
Gives Isaac 5 bombs, and makes Isaac's bombs have a chance to drop random pickups or charm enemies when they explode.
Has a chance of spawning a soul heart or black heart when taking damage. Enemies have a chance to drop a Half Red Heart after being killed.
Gives Isaac's tears a boomerang effect, and increases range and shot speed.