Item: X-Ray Vision

+1.7 tears, +0.3 speed, reduces damage.

An Angel Room door will always spawn after every boss fight, excluding the first floor and floors after Utero II/Womb II.

Reduces the charge of any Activated Items by 1. Any 1 charge items instead have timed recharges.

Tears are replaced with laser rings that pierce through enemies and deal damage to enemies within them. Can be charged to increase the size of the ring.

Tears bounce off walls, enemies, and environmental objects.

Orbiting familiar that blocks enemy shots and deals damage to enemies. If collected while already having one, makes the familiar evolve. Only drops from Horsemen. Similar to Ball of Bandages.

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

Combined with Key Piece 1, unlocks the golden gate in the starting room of The Chest and Dark Room to fight Mega Satan.

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

Increases damage by 1 and range by 5 for tears fired from the left eye.

Follows Isaac around shooting normal tears.

Spawns a beggar familiar which floats around the room and picks up any nearby coins, leveling up after collecting several coins. At level 2, Bumbo gains a body. At level 3, it begins to fire tears. At level 4, Bumbo chases enemies slowly, dealing contact damage.

Tears up, adds 1 soul heart, and decreases Isaac's size.

+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.

A glass of milk follows Isaac and spills on the floor upon taking damage. After the milk spills, Isaac's tear delay is decreased by 2 for the rest of the room.

Isaac's tears gain a random effect that changes every shot.

Increases damage. Adds a chance to fire acidic tears which can destroy obstacles.

Increases Tears by 0.7.

Tears have a 1/6 chance of spawning allied blue flies when they hit an enemy.

Gives Isaac 5 Bombs, and causes all dropped bombs to home towards the closest enemy.