Item: My Reflection
Increases damage, but also increases the chance of champion enemies appearing.
Increases damage. Adds a chance to fire acidic tears which can destroy obstacles.
Spawns a familiar that follows Isaac around and fires two tears at once in a V-pattern.
Contract From Below
Doubles the number of pickups and chests spawned after clearing a room or performing some other triggering action (such as using a blood donation machine), but reduces the chance for any pickups to spawn at all.
Allows Isaac to hold 1 additional trinket.
Tears fire sparks of electricity in random directions upon hitting an obstacle or enemy.
Has a chance to drop a random pickup when Isaac takes damage.
When hit, summons a white attack fly similar to Distant Admiration for the current room.
Follows Isaac around, shooting enemies with an eye laser similar to Technology.
Spawns a bone familiar that can be aimed with the fire buttons and does contact damage.
Spear of Destiny
In addition to tears, Isaac now holds a spear in front of him which deals damage equal to 2 times his tear damage, and occasionally inflicts fear. The spear cannot be thrown, but deals damage while it is in contact with an enemy.
Connects Isaac's tears with electricity that can damage enemies.
Increases range and shot speed, while adding 1 Black Heart.
Adds a chance to shoot fear tears and decreases tear delay by 1.
Speed down; gains speed while in a room with enemies until gaining My Little Unicorn effect for a few seconds.
Increases damage and range while reducing shot speed and grants homing tears. Grants a Heart Container and replenishes all Red Hearts.
Reveals all special rooms (except secret rooms of any kind).