Item: Tractor Beam

Increases damage by 1, increases tears by 0.2, and decreases speed by 0.1.

Increases range, tears, and shot speed when at exactly one red heart.

Tears leave a small, short lasting pool of creep on impact or when their range is depleted.

Combined with Key Piece 2, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan.

Increases Damage by 1 and adds a chance to shoot fear tears.

Doubles damage, halves tears stat, and greatly reduces shot speed.

Grants poison tears, which deal damage over time when inflicted.

A familiar that follows behind Isaac. It drips a trail of creep, which slows enemies, and spawns 1-2 blue spiders after each room.

+0.25 Speed. Running into enemies while at a high speed will deal 18 points of damage. Does not prevent contact damage.

Gives one extra pickup (1+1 Free version) of Red Hearts, pennies, bombs, and keys. Does not work with blue, black, and half red hearts, nickels, and dimes.

Increases luck and HP by 1.

Tears start out massive with high damage, and then shrink down and become weaker over a short range.

A purple fly familiar that follows Isaac's movements on a 3 second delay and deals contact damage to enemies.

Grants a chance to trigger the Book of Shadows effect upon taking damage, creating a shield that nullifies all types of damage for 7 seconds.

Increases range and shot speed, while adding 1 Black Heart.

Grants a prism orbital with a large orbital radius. Tears that pass through the prism split into four multi-colored tears.

Increases damage and speed whenever Isaac has half a red heart or less (one red heart for Eve), ignoring any soul or black hearts.

Adds 25 to Isaac's coin count, capping at 99.

Sets the amount of red heart containers to 1, but gives Isaac 9 extra lives. After dying, Isaac is teleported to the last safe room. New heart containers can be obtained after picking up this item, but after each death, the number of heart containers is set to 1 again.

Spawns 1 of each (non-collectible) item: 1 coin, 1 key, 1 bomb, 1 heart, 1 card, 1 pill, 1 trinket.