Randomizes all passive items upon pickup and at the start of each succeeding floor.
Increases damage by 1 and speed by 0.4.
A familiar that damages enemies by chasing them as well as inducing the fear effect.
Mom's Coin Purse
Spawns 4 random pills around Isaac.
After every 15 tears fired, Isaac will fire a high-damage cluster of tears.
Replaces all red hearts with 6 empty bone hearts. Upon losing a bone heart, Isaac fires bones in 8 directions and permanently gains a tears up.
+5 bombs. Bombs stick to enemies and spawn 2-4 blue spiders if they kill an enemy.
Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up.
Upon death, the player will respawn as ??? with 3 soul hearts.
Isaac will now fire tears automatically directed at a red target on the ground which is controlled by the player. This allows for a full 360 degree tear firing radius. Can be overridden by other tear modifiers such as Mom's Knife or Brimstone.
Allows Isaac to fire tears from the back of his head.
Tears now have a random chance to apply a poison effect, causing 4 or 6 damage per tick to enemies (Similar to The Common Cold item). Isaac now deals poison damage on contact with enemies similar to The Virus item (Damage over time 4 or 6 per tick). Enemies that were poisoned have a chance to drop a black heart when killed.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Spawns a Hush familiar that bounces around the room and deals contact damage. While firing tears, it stops moving.
Increases damage and increases the chance for a Devil or Angel Room to appear.
Isaac emits a beam from his face. Isaac's tears travel in the path of the beam.
Isaac has a random chance to fire a Holy tear, which, when it hits an enemy, will spawn a Crack the Sky-style light beam on the same enemy, dealing damage.
A blue fly familiar follows Isaac's movements on a 3 second delay. Papa Fly will fire tears at nearby enemies.