Item: Raw Liver
Isaac's tears split in two when they hit something.
Gives "Turdy Touch" Effect. Enemies that touch Isaac are changed into poop.
Spawns a chest familiar that follows Isaac and drops a random pickup every few rooms.
Allows Isaac to carry two cards, pills, or any combination of both at the same time. Drops a random card or pill.
-1 Tear Delay, adds knock-back shots and increases tear size.
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).
Isaac becomes camouflaged at the beginning of each room. Enemies will not attack Isaac until he starts firing tears.
Spawns a white poop familiar, which turns into a white poop when Isaac is hurt.
Spawns a familiar that follows Isaac around and has a chance to drop a heart, coin, bomb, or keyafter clearing a room.
Spider enemies no longer target or deal contact damage to Isaac.
Charm of the Vampire
Heals the character for half of a red heart for every 13 monsters killed.
Spawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one soul heart, one hostile Spider or one friendly blue spider.
A cone of light shines in the direction Isaac is moving that slows enemies and enemy shots.
Increases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo.
Tears fire sparks of electricity in random directions upon hitting an obstacle or enemy.
Adds 3 Soul Hearts and increases the chance for The Bible to appear in any item pool.
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.
Grants four soul hearts and fully restores Isaac's red health.