Item: Placenta

Whenever Isaac takes damage, a black ring briefly appears around Isaac, dealing damage to all nearby enemies.

Grants -1 Tear Delay and reduces Range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose Range and Damage scale with Isaac's.

Daddy Long Legs' shadow follows Isaac and stomps on enemies.

Grants flight.

Adds 5 bombs. Isaac's bombs explode into 2-4 tiny bombs.

Adds 3 black hearts and increases Damage by 1.

Increases Damage and Speed, plus adds one Soul Heart.

After standing still and not shooting for a short time, Isaac turns invincible until he moves or shoots.

Gives a random chance for projectiles to fire in all 4 cardinal directions.

Fires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears.

Adds a chance to fire a creep shot that deals double damage and leaves a trail of slowing white creep.

Grants one red heart container, restores 5 red hearts, and increases speed by 0.3.

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.

Gives Isaac 5 Bombs, and causes all dropped bombs to home towards the closest enemy.

Tears leave a small, short lasting pool of creep on impact or when their range is depleted.

Adds a chance to fire tears that temporarily stun enemies and turn them into gold. Any enemy killed while in this state will drop coins.

Adds a chance to shoot a fire that damages enemies and remains in place until it deals enough damage or the room is left.

Spawns a flying familiar for the current room that chases enemies whenever Isaac takes damage.

Isaac's tears become coins and now have a chance to drop pennies on the floor upon successfully hitting an enemy.

Spawns a chest familiar that follows Isaac and drops a random pickup every few rooms.