Adds 3 black hearts and increases Damage by 1.
Tears bounce off walls, enemies, and environmental objects.
Spawns a bone familiar that circles around Isaac and reflects enemy shots.
Spawns a Mulligan Familiar that will wander the room randomly. Enemies will attack the Mulligan if it's closer.
A bag that follows Isaac and drops a random rune every 3 rooms.
A Lump of Coal
The more distance tears travel, the more damage they will do.
Adds a chance to shoot petrifying tears, which stop enemies in place and prevent them from moving or attacking. Range up.
Increases Luck by 1, grants 1 Soul Heart and spawns 2 Keys.
Increases Speed and Shot Height and decreases Isaac's size, but lowers Range.
Continuously firing tears for several seconds causes Isaac to drop a Butt Bomb. Butt Bombs explode for 50 damage like normal bombs, but also deal 10 damage to all enemies in the room and daze them for a short period of time.
Spawns an egg familiar, which cracks and turns into a random charmed enemy when Isaac is hurt. The egg regenerates upon entering a different room.
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.
Spawns a blue attack fly that orbits a long distance from Isaac.
???'s Only Friend
Summons a big attack fly that can be controlled with the shooting direction-keys.
Whore of Babylon
Increases damage and speed whenever Isaac has half a red heart or less (one red heart for Eve), ignoring any soul or black hearts.
Gives Isaac 5 bombs, and makes Isaac's bombs have a chance to drop random pickups or charm enemies when they explode.
Spawns a familiar that slowly charges forward and damages enemies in its path.