Item: The Sad Onion
Grants -1 Tear Delay and reduces Range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose Range and Damage scale with Isaac's.
Grants a unlimited range piercing laser with random rate of fire that does not replace tears. The laser might occasionally fire with the effect of a random item or trinket, such as Hook Worm, Spoon Bender or Tiny Planet.
Adds a chance to fire needles. If a needle kills an enemy, it bursts into more needles.
Increases damage by 1 and range by 5 for tears fired from the left eye.
Gives a random chance for projectiles to fire in all 4 cardinal directions.
Grants a soul heart. Adds a chance to block enemy shots.
Key Piece 1
Combined with Key Piece 2, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan.
Allows Isaac to hold 1 additional trinket.
Reduces all Shop prices by 50%, rounded down to 7 coins for an item, rounded up to 2-3 coins for a pickup.
Adds a chance to fire a piercing tear that instantly kills any enemy that it touches.
Reveals type of adjacent rooms, including location for secret rooms and super secret rooms.
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).
Spawns a familiar that flies the room while firing, dealing double Isaac's tear damage to enemies that come in contact and retrieving pickups.
Adds a chance to fire a creep shot that deals double damage and leaves a trail of slowing white creep.
A Devil Room / Angel Room Door will always spawn after every boss fight, excluding the first floor and floors after Utero II/Womb II.
Adds one empty heart container. Whenever Isaac takes damage there's a chance that a Red Heart may drop.
+0.7 tears up. Grants a random item at the start of the next run.