Increases damage by 1, range by 5.25, and tear height by 0.5.
Grants poison tears, which deal damage over time when inflicted.
Spawns a Mysterious Paper, increases tears, and grants a bone heart.
Spawns a familiar that floats slowly around the room on a zig-zag pattern similar to Boom Fliesdamaging enemies it passes through.
Has a chance to fire tears that inflict bleeding on enemies, causing them to slowly take damage over time.
While Isaac has no red hearts, this item grants flight and a random chance to activate an invincibility shield for a few seconds. If Isaac gains any red hearts, these benefits will disappear.
Head of the Keeper
Isaac's tears become coins and now have a chance to drop pennies on the floor upon successfully hitting an enemy.
Increases Shot Speed and damage.
Decreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.
Reveals type of adjacent rooms, including location for secret rooms and super secret rooms.
Adds a chance to shoot fear tears and decreases tear delay by 1.
Missing Page 2
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.
Randomizes all passive items upon pickup and at the start of each succeeding floor.
Grants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them.
Isaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.
Spawns a familiar that drops random pills every 2 rooms cleared. Upon using a pill, all enemies in the room are poisoned.
When hit, summons a white attack fly similar to Distant Admiration for the current room.
Upon entering a room, poisons all enemies, dealing double Isaac's tear damage. Killing enemies leaves a small, short lasting pool of green creep on the ground.