Adds a chance to shoot a fire that damages enemies and remains in place until it deals enough damage or the room is left.
Increases range and shot height.
A blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.
+5 range. After Isaac is damaged, a trail of red creep will be left behind Isaac until he leaves the current room.
Grants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Sack of Sacks
Spawns a sack familiar that has a chance to drop a sack upon clearing a room.
A host familiar that sits on Isaac's head and has a random chance to block enemy shots and retaliate with 3 tears. Grants immunity to explosions.
The Small Rock
Increases damage by 1, increases tears by 0.2, and decreases speed by 0.1.
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.
Displays Isaac's tear damage and enemy health bars. Spawns a gray spider familiar that wanders around and inflicts a random status effect on any enemies it comes into contact with. Occasionally spawns a blue spider upon clearing a room.
Spawns a finger familiar that points at enemies, dealing constant damage.
A familiar fly that moves in a straight line and attaches itself to the first obstacle or wall it comes into contact with in each room. If any enemies walk into its path, it will deal 7 contact damage per tick. If the obstacle it is attached to is destroyed then it will continue rolling in the direction it was previously travelling until it meets another wall or obstacle.
There will be 2 items available to choose from after defeating a boss. Choosing 1 item causes the other to disappear.
Pull a chain and ball behind you that will damage enemies on contact and is able to break stones.
Tears bounce off walls, enemies, and environmental objects.