Item: Trinity Shield
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Gives 1 black heart. Upon taking damage that reduces Isaac's health to one heart or less, activates The Necronomicon effect, dealing 40 damage to all enemies in the room.
Increases damage by a flat 0.1 and grants a soul heart. Enemies can randomly become briefly charmed or feared. Taking damage has a chance to spawn a rainbow poop.
+2.25 Range Up. +1.5 Tear Height. Isaac's tears travel through walls and appear out of the opposite wall. Isaac's tears also travel over rocks and objects.
Spawns a familiar that follows Isaac around and fires tears with random effects.
Adds a chance to fire an egg sack which spawns slowing creep and spawns a blue fly or spider upon hitting an enemy.
Grants the player one red heart container, one soul heart, and one black heart.
Spawns a random pill, and grants a small Spewer familiar that charges up and fires different types of creep.
Adds 3 Soul Hearts and increases the chance for The Bible to appear in any item pool.
Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. In the burst of tears is a kidney stone which deals a lot of damage.
Ball of Tar
Adds a chance to shoot slowing tears and the character leaves a trail of slowing creep behind as he moves, impeding enemies' speed.
Spawns a white poop familiar, which turns into a white poop when Isaac is hurt.
Dark Prince's Crown
Increases range, tears, and shot speed when at exactly one red heart.
Halo of Flies
Spawns two pretty fly familiars that block enemy shots and deal contact damage to enemies.
Dad's Lost Coin
Increases range by 1.5. Drops a lucky penny.
Familiar that follows Isaac, leaving blood creep on the ground.
Increases tears. Adds a chance to fire a high-damage razor blade.