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The first time Isaac takes damage in a room, the familiar leaps on an enemy, dealing damage and releasing a rock wave. Recharges Isaac's currently held active item and drops 2-4 batteries. Upgrades fire rate immensely but significantly decreases damage, and tears are given random worm effects. While in an uncleared room, Isaac forms trails of bloody tears that drag behind him, bursting and dealing damage upon contact with enemies. Angel Rooms can appear even if a Devil deal has been taken. Grants an Immortal Heart and increases tears. Whenever an enemy is shot, it will zap other enemies near them, dealing damage.Įnemies near Isaac will be inflicted with Fear, causing them to flee from him. Hurts Isaac without actually damaging him, activating any items that would trigger upon taking damage. Activating the item swaps the positions of Isaac and Stitches.
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Spawns a familiar that flies diagonally across the room, switching direction upon hitting walls. Summons a Peeper familiar for the current room, which leaves a trail of red creep.Īllows Isaac to consume keys and fire them at enemies. The room can be anything from a regular encounter room to a Devil Room. Allows angels rooms to be found even if the previous run included devil deals.Ĭreates a red colored room on the map near Isaac's current position. Upon use, restarts the game to the first floor, keeping all previously collected items. The effect persists between rooms.Īllows Isaac to grab obstacles and throw them, damaging enemies. Gigantifies Isaac, increasing damage and range while lowering tears, granting invulnerability, and allowing Isaac to crush enemies and obstacles he walks on. Splits all enemies in a room into 2 smaller versions of themselves with lower health. Generates one item from the current room's item pool and gives Isaac a broken heart, which permanently decreases the maximum health limit. Each item has a chance to disappear instead.ĭisplays a random fortune, and has a chance to drop a soul heart, card, rune or trinket.Ĭreates a large puddle of lemonade that damages enemies. If it hits a non-boss, prevents them from spawning for the rest of the run.
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Throws an eraser which instantly kills the first enemy it hits, also killing all other copies in the room. After Isaac takes damage, the sword can randomly fall at any point, instantly killing him. Spawns a sword above Isaac's head, which doubles all item pedestals while it remains. Re-rolls all rocks in the current room into other random objects, such as bomb rocks, metal blocks, TNT, or poop. Each tear shot by Isaac increases item charge by one. A maximum of 16 flames can be active at once: one inner ring of eight and an outer ring of eight.įires a cluster of tears. Flames are consumed after taking a certain amount of damage or touching enemies. Summons a temporary flame familiar that fires spectral tears, deal contact damage to enemies and blocks enemy shots.
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Tear delay is reset on changing rooms however, the distortion persists. Can be used multiple times to stack the effect.
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Reduces tear delay but distorts the screen for a length of time.
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After 6 full hearts are absorbed, it will spawn varying amounts of consumables and items from the Angel room pool. Gains charges through soul, black, and white hearts. They modify Isaac's Attributes, grant or modify Tear Effects, and much more. Items are an integral part of game-play in The Binding of Isaac: Rebirth. For changes to Rebirth items, see Changes.
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