Item: The Mind
Spawns a familiar that flies around the room in a manner similar to the Boom Fly and explodes on contact with an enemy. Respawns after ten seconds.
The Small Rock
Increases damage by 1, increases tears by 0.2, and decreases speed by 0.1.
Upon dying, resurrect as Revived Lazarus with one heart container and Anemic item.
Destroys rocks upon contact with Isaac. Adds one heart container and lowers Speed.
The first enemy killed in a room explodes and poisons nearby enemies. Poisoned enemies will also explode upon death.
Grants poison tears, which deal damage over time when inflicted.
Tears leave a small, short lasting pool of creep on impact or when their range is depleted.
Lord of the Pit
Grants flight and increases speed.
Tears have a chance to charm enemies.
Doubles damage, halves tears stat, and greatly reduces shot speed.
Replaces Isaac's tears with eyeballs that can bounce off of each other. The eyeballs are not limited by range, and will instead dissipate when they stop moving or when hitting an enemy or obstacle.
-1 Tear Delay, adds knock-back shots and increases tear size.
Has a chance to fire tears that inflict bleeding on enemies, causing them to slowly take damage over time.
Pull a chain and ball behind you that will damage enemies on contact and is able to break stones.
Spawns a familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot, it has a chance of triggering The Necronomicon effect.
Spawns a familiar that follows Isaac and makes other familiars follow it. While firing tears, it stops moving.
Spawns a familiar that follows Isaac around and has a chance to drop a heart, coin, bomb, or keyafter clearing a room.
Causes Isaac's activated item to activate twice on each use.