Item: The Belt
Increases damage and increases the chance for a Devil or Angel Room to appear.
Gives one heart container and doubles the healing provided by red hearts.
Allows Isaac to fire tears from the back of his head.
Isaac's tears split in two when they hit something.
Causes Isaac's activated item to activate twice on each use.
Spawns a Hush familiar that bounces around the room and deals contact damage. While firing tears, it stops moving.
Increases damage and speed, removes all red heart containers, grants six black hearts, and adds a chance to shoot fear tears.
Increases Shot Speed and damage.
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).
After standing still and not shooting for a short time, Isaac turns invincible until he moves or shoots.
The Small Rock
Increases damage by 1, increases tears by 0.2, and decreases speed by 0.1.
Shooting in one direction increases Isaac's rate of fire until the cap is reached. As soon as Isaac changes direction or stops shooting, rate of fire is reset to its normal amount.
Eye of Belial
Grants piercing tears. After piercing one enemy, tears start homing and deal double damage.
Activated Items can be "overcharged" to allow for an additional use.
When Isaac receives damage, the bottle breaks and a puddle of blue creep forms, which damages non-flying enemies, similar to Lemon Mishap. The bottle is reformed upon entering a different room.
Increases damage by 0.5, and multiplies it by 1.5x.