Item: Mystery Egg
A familiar that mirrors the player's movements and shoots in the opposite direction.
The Inner Eye
Grants triple shot but decreases tears.
Spawns a flying familiar that bounces around the room with a black aura, dealing rapid damage to any enemies inside it. While standing in the aura, Isaac gains a 1.5x tear damage multiplier.
Increases Luck by 1, grants 1 Soul Heart and spawns 2 Keys.
Summons a familiar that copies the tears of Isaac's other familiars.
Increases range and shot height.
8 Inch Nails
+1.5 Damage Up. Replaces Isaac's tears with nails, which have increased knockback.
Follows Isaac and automatically fires at enemies in its reach.
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.
Prevents curses. Grants one black heart. Increases the chance for a Devil or angel room to appear.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Increases damage. Adds a chance to fire acidic tears which can destroy obstacles.
A white orbiting fly which deals 3 contact damage per tick to enemies. This familiar orbits Isaac at a middle length distance somewhere between Distant Admiration and Forever Alone.
Reveals and opens all Secret Room and Super Secret Room entrances.
Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth.
Adds one filled heart container and increases Shot Speed.
Transforms Isaac's tears into a wide arc shape which gives them a much larger hitbox. Gives Isaac spectral tears which allows them to travel through objects in the environment (i.e. rocks).