Item: Telepathy for Dummies

Adds 1 soul heart, increases the chance for a Devilor Angel Room to appear, and increases the chance for the next boss to be a Horseman (except on XL floors and floors with fixed bosses such as Mom).

Upon use, deals one heart of damage to Isaac and grants +1.2 damage for the current room.

Isaac releases bad gas, poisoning any enemy in close vicinity.

Upon use, duplicates all of Isaac's familiars for the current room.

Freezes all enemies until a fire button is pressed.

Upon use, petrifies all enemies in the current room for approximately 4 seconds.

Allows Isaac to re-roll collectible items in the current room into other items, depending on the current room's Item Pool.

Summons multiple beams of light in random locations around the room, dealing a large amount of damage to any enemy that touches them.

Passively grants flight and increased speed. Upon use, Isaac charges in the direction the pony is facing, becoming invulnerable during the charge and damaging enemies.

Spawns a penny and has a 50% chance to double all items and pickups in the room. If the effect fails, the items and pickups disappear.

Isaac holds the axe above his head for as long as the spacebar button is held (or until he leaves the room). While holding the axe, Isaac can break any rock he touches, but cannot attack or pick up other items.

Creates a small yellow pool of creep, which damages enemies that cross it.

Restores 1 whole red heart.

Upon use, rerolls all passive items on Isaac like the D4, every pedestal item in the room like The D6, and every pickup like the D20.

Hurts Isaac without depleting health, activating any items that trigger upon taking damage.

Upon activation, 1 coin will be consumed, and a random pickup may drop, similar to the slot machine.

Throws out a blue flame that can pass over gaps (but not through rocks). The flame damages anything in its path.

Upon use, sacrifices up to 2 familiars and spawns an item from the Devil Room Pool for each familiar sacrificed.

Spawns a stationary fly familiar that fires tears at nearby enemies.

Throws a black hole on the ground which sucks in and damages enemies.