Item: Mom's Shovel
While held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel.
Has the same effect as the card or rune currently held by Isaac.
Throws a black hole on the ground which sucks in and damages enemies.
Isaac releases bad gas, poisoning any enemy in close vicinity.
Isaac farts and pushes back nearby enemies.
Changes all enemies in the room into poop. Does not work on all enemies (Knights and bosses are immune). Instantly kills Dingle, Dangle, and Brownie.
Displaces enemy sprites for the current room and increases or decreases a random stat.
Upon activation, enemies and their projectiles are slowed down for a short duration.
The Pinking Shears
Separates Isaac's head and body for the current room. Isaac's head, which now has flight, will be under the player's control, while his body will seek out enemies to attack by contact damage.
Book of Shadows
Upon use, creates a protective shield nullifying all types of damage for 10 seconds.
Creates a small yellow pool of creep, which damages enemies that cross it.
Throws a persistent flame that deals high damage and diminishes as it damages enemies or blocks shots.
Summons a random familiar for the current room. Can summon familiars not yet unlocked.
When used, Mom's Box will drop a random trinket on the ground. While held, increases luck by 1 and doubles the effects of trinkets.
Summons a controllable ghost that can perform various tasks depending on what it targets.
Upon use, Isaac farts, charming all nearby enemies.
Upon use, rerolls all passive items on Isaac like the D4, every pedestal item in the room like The D6, and every pickup like the D20.
Telepathy for Dummies
Upon activation, grants homing tears for the current room.