Item: Mom's Pearls
-1 Tear Delay, adds knock-back shots and increases tear size.
Decreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
Upon entering a room with enemies in it, has a chance to spawn a random charmed enemy that persists across rooms.
Spawns a familiar that follows Isaac and makes other familiars follow it. While firing tears, it stops moving.
Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth.
Reduces the charge of any Activated Items by 1. Any 1 charge items instead have timed recharges.
After every 15 tears fired, Isaac will fire a high-damage cluster of tears.
Isaac leaves a trail of black powder on the floor. Walking in a circle will spawn a pentagram symbol on the floor, which deals 10 damage per tick to any enemies inside it.
Has a chance to drop a random pickup when Isaac takes damage.
A portable beggar who follows Isaac, picks up coins for himself, and occasionally drops a pickupafter collecting a coin. Does not spawn collectibles.
A familiar that charges forward and deals touch damage to any enemies in its path.
Suture becomes attached to Isaac, and does touch damage to enemies within its attacking range.
The Common Cold
Adds a chance to shoot poison tears, dealing damage over time when inflicted.
Increases speed by +0.2 and grants piercing tears.
Causes shops to instantly restock their items when they are bought. Granted by default for every character in Greed Mode.
Missing Page 2
Gives 1 black heart. Upon taking damage that reduces Isaac's health to one heart or less, activates The Necronomicon effect, dealing 40 damage to all enemies in the room.
Whenever Isaac takes damage, a black ring briefly appears around Isaac, dealing damage to all nearby enemies.
Spawns a beggar familiar which floats around the room and picks up any nearby coins, leveling up after collecting several coins. At level 2, Bumbo gains a body. At level 3, it begins to fire tears. At level 4, Bumbo chases enemies slowly, dealing contact damage.
The first enemy killed in a room explodes and poisons nearby enemies. Poisoned enemies will also explode upon death.