Item: Mom's Eye
Increases tears by 0.4, and spawns 2 Soul Hearts pickups.
Enemies, enemy shots, tears, and pickups will briefly freeze in place at random intervals.
Magic 8 Ball
Increases Shot Speed, and drops a Tarot Card when picked up.
A Lump of Coal
The more distance tears travel, the more damage they will do.
Gives Isaac a Gurdy familiar that will charge around the room dealing contact damage to enemies. Lil Gurdy is charged by holding down a fire button and letting go. The longer the button is held, the faster Lil Gurdy will fling itself across the screen. Lil Gurdy can pass over objects and obstacles in the room.
A red attack fly circles further out than the Halo of Flies / Pretty Flies, but closer than Forever Alone. Deals more damage than Forever Alone.
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.
Each time Isaac takes damage, inflicts fear on all enemies in the room and spawns a black Charger familiar that will attack enemies. The Charger will be killed if it is damaged too much.
Spider enemies no longer target or deal contact damage to Isaac.
Upon taking damage, grants a body part as an orbital, which blocks enemy shots and deals 7 damage per tick to enemies it comes in contact with. The orbitals will be destroyed if they take enough damage from enemies or enemy shots.
Grants one Heart Container and gives 2 Soul Hearts.
Tears fire sparks of electricity in random directions upon hitting an obstacle or enemy.
Upon death, the player will respawn as ??? with 3 soul hearts.
Grants spectral tears that travel through obstacles (but not enemies) instead of breaking on impact with them.
When hit, summons a white attack fly similar to Distant Admiration for the current room.
Suture becomes attached to Isaac, and does touch damage to enemies within its attacking range.
A Familiar that shoots a thin Brimstone beam. Must charge like Brimstone before shooting.
Spawns a friendly familiar leech on the ground that hunts down enemies and heals you for half a heart each time it eats one.
Grants quadruple shot but decreases tears.