Item: Sack of Sacks
A cone of light shines in the direction Isaac is moving that slows enemies and enemy shots.
Greatly increases the chance to find sacks.
Spawns a familiar that fires clusters of tears. Must be charged before shooting.
Adds a chance to shoot concussive tears, causing enemies to walk around randomly.
Adds a chance to spawn blue spiders when firing tears. Restores 1 red heart.
A Familiar that shoots a thin Brimstone beam. Must charge like Brimstone before shooting.
Grants a chance of converting any red hearts pickups into soul hearts instead.
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.
Chance upon entering a room to slow down or speed up every enemy and their attacks. The chance to slow enemies is quite higher than the chance to speed them up.
Reveals and opens all Secret Room and Super Secret Room entrances.
Decreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 7 seconds.
Grants flaming tears that deal burning damage over time. Tears have a chance to explode on impact with an enemy, which creates a fire at the location of the explosion.
Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 10 seconds. Also converts "bad pills" into "good pills".
Isaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.
There will be 2 items available to choose from after defeating a boss. Choosing 1 item causes the other to disappear.