Item: Spelunker Hat

Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to The Peeperand shoots normal tears in the same direction as Isaac.

This item will boost one of Isaac's stats depending on the color of the aura around him. The aura will disappear upon taking damage and will reappear with a random color upon entering a new room. A red aura boosts damage, a blue aura boosts rate of fire, a yellow aura boosts speed, and an orange aura boosts range.

Adds a chance to shoot slowing tears, reducing speed of enemy movement and any projectile fired by them.

Adds a heart container and increases damage.

Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. In the burst of tears is a kidney stone which deals a lot of damage.

Increases chance of finding gold chests and normal chests, but reduces chance of finding pickups.

While firing, Isaac gains a green aura that poisons nearby enemies.

Surrounds Isaac with a large white halo around him that pulsates. With each pulse, the halo deals contact damage to enemies equal to Isaac's damage. Each pulse also converts any enemy shots touching the ring into friendly purple homing tears.

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

Spawns two pretty fly familiars that block enemy shots and deal contact damage to enemies.

Familiar that follows Isaac, leaving blood creep on the ground.

+2.25 Range Up. +1.5 Tear Height. Isaac's tears travel through walls and appear out of the opposite wall. Isaac's tears also travel over rocks and objects.

The first enemy killed in a room explodes and poisons nearby enemies. Poisoned enemies will also explode upon death.

Isaac emits a beam from his face. Isaac's tears travel in the path of the beam.

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.

Grants flight and one eternal heart.

Causes Isaac's activated item to activate twice on each use.

Adds a chance to shoot concussive tears, causing enemies to walk around randomly.

Increases damage and speed. Upon entering a room adjacent to a secret room, a howl sound effect will play.

Increases speed by 0.3 and shot speed by 20%.