[["Spore shot",["Enemies now explode upon death","Other enemies caught in the explosion become poisoned"],null,null,null,"item"],["4me",["Any enemies that come within close range of Isaac will become feared, which causes them to flee"],null,null,null,"item"],["More active item room",["Gives you an extra active item slot","Pressing the CTRL key allows you to switch active items"],null,null,null,"item"],["Temporary demon form",["Upon use, grants use of Brimstone for the current room","Using this item twice in the same room will give you the Brimstone effect permanently"],null,"3 rooms",null,"item"],["Reusable fortunes",["Upon use, displays a random fortune and has a chance to drop either a soul heart, tarot card, rune or trinket."],null,"2 rooms",null,"item"],["More eyes",["With each tear fired, you have a chance to fire up to three extra tears in random directions."],null,null,null,"item"],["Zap!",["Successfully hitting an enemy with a tear will cause other nearby enemies to be zapped with damage"],null,null,null,"item"],["No it doesn't...",["Taking damage causes Isaac to fire a circle of tears around him (similar to the Tammy's Head effect)","After taking damage, you also gain a Tears Up (fire rate increase) for the rest of the current room"],null,null,null,"item"],["DMG down + tears up + you feel nutty",["Greatly increases tears (fire rate)","Greatly decreases damage (0.3 damage multiplier)","Individual tears gain random worm effects (e.g. Hook Worm, Wiggle Worm etc.)"],null,null,null,"item"],["It's only up from there",["Resets all of your stats back to their original values","Prevents stats from being reduced any more for the rest of the run"],"UNLOCK: Unlock this item by beating the Boss Rush as Jacob & Esau.",null,null,"item"],["Random blast +5 bombs",["+5 Bombs","Bombs now explode with a random effect (e.g. Poison, Homing)"],null,null,null,"item"],["Tears + shot speed up",["Tears Up","Shot Speed Up"],null,null,null,"item"],["Temporary tears up",["Upon use, gives you a large tears up for the rest of the room (Halves your tear delay)"],null,"3 rooms",null,"item"],["Reroll your playground",["When used, the D12 re-rolls any rocks into another random type of object (e.g. poop, pots, TNT, red poop, stone blocks etc.)"],null,"3 rooms",null,"item"],["Keep the flame burning",["Gives -1 tear delay (tears up) for each room completed without taking damage, up to a maximum of -6","When you take damage, all stat upgrades given by this item are reset"],null,null,null,"item"],["Splash!",["Upon use, fires a cluster of tears","This item is recharged 1 bar for each tear fired"],null,"1 bar per tear fired",null,"item"],["Bleed me dry",["At the beginning of each new floor, this item will stab Isaac and reduce your red health down to half a heart, but give a damage and speed up","If Isaac is already at half a red heart when stabbed, no damage or speed increases are given","The damage from being stabbed can be avoided with invincibility, however no damage or speed stat increases are gained if you do"],null,null,null,"item"],["Multicolored tears",["Your individual tears each gain a random effect (e.g. Poison)"],null,null,null,"item"],["Speed up + your feet feel stronger",["+2 Soul Hearts","Allows you to walk on harmful floor effects without taking damage (e.g. spikes, creep)"],null,null,null,"item"],["DMG up + range up + controlled tears",["Tears can be controlled mid-flight using the directional keys","+1 Damage Up","+21 Range Up","-0.16 Shot Speed Down"],null,null,null,"item"],["Halo of tears",["In addition to regular tears, Isaac will fire extra tears that orbit around him","+1 HP up","+20% damage multiplier (x1.2)"],null,null,null,"item"],["Purifying light",["Isaac now emits a light aura that damages nearby enemies","The visual effect is similar to the effect given to tears by the GodHead item","The aura deals more damage towards the center"],null,null,null,"item"],["Invasive friend",["In addition to normal tears, Isaac now also fires a set of 4 quadshot tears with a slowing effect","Upon taking damage, you have a chance to spawn a familar spider for the current room that leaps at enemies, dealing damage to them"],null,null,null,"item"],["Filthy friends",["Fully destroying poop will now spawn friendly Dip familiars that follow you and attack nearby enemies","Different poop types will spawn different types of Dip, each with their own effect"],null,null,null,"item"],["A king's fortune... but at what cost?",["Special item","When used, places a sword directly above Isaac's head and while active will spawn an extra item for every item pedestal spawned.","After being hit for the first time with the sword active, the sword now has a 1 in 1000 chance every 4 frames to fall and instantly kill you.","Taking more hits will make the sword more likely to fall down.","Items with a price (i.e. in shops or devil rooms) will spawn the extra item free of charge.","If the sword falls while you have an extra life, you will respawn as normal but the extra items will no longer spawn"],"UNLOCK: Unlock this item by defeating The Lamb as Jacob & Esau.","One time use",null,"item"],["Party time!",["Upon use, spawns a large puddle of lemonade that damages any enemies which come in contact with it","Effectively the same effect as the Lemon Party pill"],null,"4 rooms",null,"item"],["Divine blade",["Your tears are replaced with a sword which can be swung to deal damage","Holding any fire button charges a spin attack","While at full health you also shoot a projectile across the room with each swing (similar to the Master Sword in Zelda)"],null,null,null,"item"],["Explore the other side",["Upon use, this item will spawn an extra red room on the map nearby.","A red outline of a door will be visible on the wall showing where the room will spawn","This room can be of many types, including but not limited to any regular room from that floor, treasure rooms, curse rooms or devil rooms."],"UNLOCK: Unlock this item by defeating The Witness as Cain.","3 rooms",null,"item"],["Flamboyant protector",["A familiar fly that can catch enemy shots and fire them back as homing tears"],"UNLOCK: Unlock this item by beating challenge 8x (Isaac's Awakening).",null,null,"item"],["Tears up. A mind changing experience!",["Upon use, increases tear rate for the current room (Tears up)","Also when used, this item will reduce your movement speed and distort the screen and sound slightly","All of these effects stack while in the same room, meaning if used too many times the screen will be distorted so much it becomes unplayable."],null,"1 second",null,"item"],["Rocket propulsion +5 bombs",["+5 Bombs","Your bombs now become rocket powered and will fly in the direction Isaac is facing"],null,null,null,"item"],["Spiritual companionship",["Upon use, spawns a flame familiar that fires spectral tears and deals contact damage to enemies. After taking two hits, the fire will be extinguished","A maximum of 16 fires can be active at one time around Isaac","Bethany starts with this item"],"UNLOCK: Unlock this item by beating Isaac as Bethany.","2 rooms",null,"item"],["A sacred offering",["A single use active item that will spawn random amounts of consumables and angel room items when used","Starts fully uncharged and gains charges through soul, black and immortal hearts. (6 full hearts to fully charge)"],"UNLOCK: Unlock this item by defeating The Lamb as Bethany.","12 charges (one time use)",null,"item"],["Stairway to heaven",["Spawns a ladder in the starting room of the next floor, which leads to an Angel Room"],"UNLOCK: Unlock this item by defeating Isaac as Jacob & Esau.",null,null,"item"],["Shot multiplier",["A Menorah familiar that fires tears based on the number of candles which are lit.","It starts with 1 lit candle and gains 1 each time you take damage, up to a maximum of 7 tears per shot","While at 7 candles lit, taking damage once more will cause it to fire out blue flames and reset back to 1 lit candle."],null,null,null,"item"],["Radiant victory",["After defeating the boss fight, this item will activate a use of the Sun card (full heal and map reveal) while also fully recharging your active item and removing curses from the current floor.","Permanently shows the location of the boss room on the map","Only available inside a Planetarium"],null,null,null,"item"],["More secrets",["Adds one extra secret room and one extra super secret room to each floor","Only available inside a Planetarium"],null,null,null,"item"],["Speed up + you feel elusive",["Speed Up","Doors remain open when entering a room with enemies in it. This means you can leave rooms before defeating all the enemies inside.","Only available inside a Planetarium"],null,null,null,"item"],["HP up + you feel pretty",["This item causes nearby enemies to be affected by the charm effect, causing them to attack other nearby enemies","The charm effect will wear off very quicky when enemies move away from Isaac","+1 HP up","Only available inside a Planetarium"],null,null,null,"item"],["Born to rock",["This item causes your tears to become rocks, which can break other rocks and objects","Only available inside a Planetarium"],null,null,null,"item"],["Double tap dash",["Allows Isaac to charge by double tapping the same direction, dealing damage to any enemies caught","You are invincible while charging","Can be used multiple times per room","Only available inside a Planetarium"],null,null,null,"item"],["Ring of tears",["Gives you an aura which grants 7 orbital tears upon entering a new room","Has a chance to absorb any enemy tears","Only available inside a Planetarium"],null,null,null,"item"],["Ice tears",["Isaac now shoots ice tears, which will freeze killed enemies","Touching a frozen enemy will shatter it, firing ice shards in a circle around it","Only available inside a Planetarium"],null,null,null,"item"],["Size down",["Tears Up","Range Down","Greatly reduce Isaac's size, to an extent where some enemy tears will now travel straight over him without dealing damage","Only available inside a Planetarium"],null,null,null,"item"],["Extra curse rooms",["This item has a chance to spawn additional curse rooms on each future floor"],null,null,null,"item"],["Tears up",["Each of Isaac's eyes now fires at differing rates, giving an overall increase to rate of fire"],null,null,null,"item"],["Tears up, all is forgiven",["+1 Immortal Heart","Tears Up","Allows Angel Rooms even if a Devil deal has been taken before."],null,null,null,"item"],["Exclusive access!",["All shops now contain a trapdoor with a ladder, which leads down to a special shop","The special shop contains various consumables and items which are not necessarily from the normal Shop item pool"],"UNLOCK: Unlock method currently unknown, possibly bugged.",null,null,"item"],["Instant energy!",["When picked up, this item fully recharges your currently held active item and drops between 2-4 battery pickups"],null,null,null,"item"],["Mother's strength",["Upon use, Mom's Bracelet allows you to grab objects in the room and throw them, damaging any enemies which are hit","Objects include pots, rocks etc."],null,"1 second",null,"item"],["Plop!",["When used, this item spawns a Peeper familiar for the current room, which deals contact damage to enemies and leaves red creep in its path"],null,"3 rooms",null,"item"],["Stare into the abyss",["Fired tears now have a chance to summon a rift when they land on the ground","The spawned rift sucks in enemies, projectiles and pickups and deals damage to enemies caught inside"],null,null,null,"item"],["Messy friend",["A familiar boil that randomly fires bursts of tears, similar to the Boil enemy"],null,null,null,"item"],["Ice ice baby",["A familiar baby that fires tears which freeze enemies","Frozen enemies will shatter and fire ice shards when touched"],null,null,null,"item"],["???",["Upon use this item acts identical to the D6 item, however the item also has a small chance to disappear","In the game files this item is called 'Florians Dice', which is a reference to the Eternal update for the original Binding of Isaac game, which changed the D6 to act as this item does"],"UNLOCK: Unlock this item by defeating The Witness as ???.","3 rooms",null,"item"],["Fat buddy",["Taking damage for the first time in a room spawns a familiar which targets an enemy and jumps on them, releasing a rock wave outwards","For the remainder of the room the familiar then continues to attack enemies similar to the Dead Bird item"],"UNLOCK: Unlock this item by defeating The Witness as Eve.",null,null,"item"],["Come at me!",["Upon taking damage, this item causes you do a spin attack, dealing damage to nearby enemies and blocking projectiles for a short while"],"UNLOCK: Unlock this item by defeating The Witness as Samson.",null,null,"item"],["Protect him",["This item gives you a familiar version of The Lost character which dies instantly upon hit","If the familiar survives an entire floor you get a random reward","Regenerates at the start of each floor if dead"],"UNLOCK: Unlock this item by defeating The Witness as The Lost.",null,null,"item"],["Bloody blast + HP up",["+1 HP up","Restores 4 empty heart containers","Bombs now spawn a puddle of red creep upon explosion","While at 0 bombs, you can also place further bombs now at the cost of 1/2 of a heart"],null,null,null,"item"],["Puffy buddy",["A familiar that floats around and farts when touched by an enemy, which causes enemies to be pushed back"],null,null,null,"item"],["It burns",["Each tear now has a chance to be a fire instead, which deals damage to enemies that come in contact with it"],null,null,null,"item"],["Magnetizing tears",["Tears now have a chance to cause enemies to be magnetized","Magnetized enemies attract other enemies, tears (including Isaac's) and enemy projectiles"],null,null,null,"item"],["Delicious!",["Tears now have a chance to 'mark' enemies","Marked enemies will be attacked by other enemies"],null,null,null,"item"],["???",["This item has a different effect for each character","Isaac - Doubles item pedestal spawns similar to the There's Options item","Maggy - +3 Health Up","Cain - Gives a golden key on each floor","The Lost - HP upgrades are removed from the item pool","??? - Every HP upgrade is now worth 2 soul hearts","Judas - Using a book now deals damage to all enemies in the room as well as triggering its normal effect","Eden - Gives the effect of a random item","Eve - Getting hit has a chance to spawn a dead bird that persists between rooms","Bethany - Using spirit hearts to charge your active item will sometimes not use any hearts","Jacob & Esau - When picked up, whichever character picks it up gains the current passive effects of the other","Samson, Azazel and Lazarus - No special effect yet, it simply copies another random item's effect"],"UNLOCK: Unlock this item by defeating ??? as Jacob & Esau.",null,null,"item"],["Ow!",["Upon use this item hurts Isaac without actually taking health away, allowing you to activate any items which trigger when taking damage without losing health"],null,"2 rooms",null,"item"],["Full HP + temporary DMG up",["Fully heals all red heart containers","Significantly increases damage, however the damage boost wears off over time"],"UNLOCK: Unlock this item by defeating Satan as Jacob & Esau.",null,null,"item"],["All stats up",["+1 Health Up","+1.0 Damage Up","+5.25 Range Up","+0.5 Tear Height","+0.7 Tears Up","+0.3 Speed Up","+0.16 Shot Speed Up","+1 Luck Up"],null,null,null,"item"],["Open your enemies",["+5 Keys","Upon use, allows you to consume 1 key and fire it at an enemy, dealing significant damage","Keys fired by this item can open doors, secret rooms and destroy objects in the room"],null,"Instant",null,"item"],["Collect them all!",["Spawns 3 random tarot cards"],null,null,null,"item"],["I'm a big boy now!",["When used, this item causes Isaac to become humongous for a short duration","While huge, Isaac is invincible and can crush objects, doors and enemies.","Gives a large damage and range stat increase but greatly reduces fire rate while active"],"UNLOCK: Unlock this item by defeating The Witness as with every character on Hard Mode.","12 rooms",null,"item"],["???",["Has no effect on its own","When combined with the other 2 key pieces, a knife familiar is created which charges across the room and deals damage to enemies","The knife familiar grants access to the Corpse floor, which is accessible after the Mausoleum II floor","Acquired in Downpour II in the empty room which has a chest icon on the minimap by placing a bomb in the center of the room"],null,null,null,"item"],["???",["Has no effect on its own","When combined with the other 2 key pieces, a knife familiar is created which charges across the room and deals damage to enemies","The knife familiar grants access to the Corpse floor, which is accessible after the Mausoleum II floor","Acquired in Mines II in the room with 4 buttons by pressing them in the correct order. The order is indicated by the number of pebbles on the floor next to the button."],null,null,null,"item"],["???",["Has no effect on its own","When combined with the other 2 key pieces, a knife familiar is created which charges across the room and deals damage to enemies","The knife familiar grants access to the Corpse floor, which is accessible after the Mausoleum II floor","Acquired in Mausoleum II in a pair of rooms with the same pattern of fireplaces and teleporters. The piece is given when you put out the fires thet correspond with the inactive teleporters in the paired room"],null,null,null,"item"],["Defense drone",["Gives you a robot fly familar that fires shielded tears at incoming projectiles"],null,null,null,"item"],["Slice but no dice",["When used, the Meat Cleaver will split all enemies in the room into 2 smaller versions with lower health","If the split enemy has low enough health, it will just die instead of splitting"],"UNLOCK: Unlock this item by defeating The Witness as Isaac.","2 rooms",null,"item"],["Luck up",["+3 Luck Up"],null,null,null,"item"],["Rock blast +5 bombs",["+5 Bombs","Placed bombs now explode and create rock waves in all 4 cardinal directions","The rock waves can damage enemies, destroy objects and open secret rooms, as well as harming Isaac"],null,null,null,"item"],["Bait and switch",["While held, this item spawns a familiar that travels across the room and bounces upon hitting the wall.","When used, the item swaps the locations of Isaac and Stitches","Can be used to telefrag enemies, dealing a lot of damage"],null,"A few seconds",null,"item"],["Time to start over",["When used, this item restarts the game and places you back on the first floor with all your currently collected items","The game timer does not reset","Allows angel rooms to be found in the new run if a devil deal was taken in the first run"],null,"Single use",null,"item"],["They pack a punch",["Isaac now has a chance to fire a fist instead of normal tears"],null,null,null,"item"],["Erase thy enemy",["A one time use active item that allows you to throw an eraser at any enemy, which will prevent it from appearing for the rest of the run","The first use will raise it above your head, then by pressing the fire button it will be thrown in that direction"],null,null,null,"item"],["Gross!",["When used, this item will give you +1 Rotten Heart","Rotten Hearts act as red hearts and spawn a blue fly upon successfully clearing a room if you are in posession of one"],"UNLOCK: Unlock this item by defeating The Witness as Maggy.","4 rooms",null,"item"],["Spill your guts",["With each shot fired, another bloody tear will spawn behind Isaac.","Spawning multiple tears will form a trail of tears that follow Isaac as he moves, bursting and dealing damage upon contact with enemies","The effect from this item will only work while in a hostile room that contains at least 1 enemy"],"UNLOCK: Unlock this item by defeating The Witness as Judas.",null,null,"item"],["All your desires fulfilled",["Upon use, this item consumes 1 heart container or 2 soul hearts and spawns one item pedestal from the current room's pool","The removed health container turns into a broken heart, meaning that slot is permanently broken and the maximum health limit is reduced by 1 for the rest of the run","After 12 uses, Isaac dies instantly (this also applies to The Lost despite having no health)","Picking up Magic Skin and discarding it for another active item will give it a 100% chance to appear again on your next item pedestal found","Magic Skin will continue to appear after finding it once if you are not still holding it - the chance for it to replace an item is 1 ÷ (12 - number of times used) up to a maximum of 50%"],"UNLOCK: Unlock this item by defeating The Witness as Jacob & Esau.","6 rooms",null,"item"],["Awaken your faith",["+2 Immortal hearts","Give you spectral tears, homing tears and the ability to fly","Range Down","+0.38 Shot Speed up","Gives the Brain Worm trinket effect, which causes missed tears to redirect themselves and travel sideways towards enemies"],"UNLOCK: Unlock this item by defeating The Witness as Bethany (due to a bug this is currently not unlockable).",null,null,"item"],["+1 to lowest stat",["When picked up, this item raises your lowest stat or gives you some of whichever consumable item is the lowest (+3 coins or +1 bomb or +1 key)."],null,null,null,"item"],["Itching for revenge",["Grants a large orbital that orbits Isaac","When the orbital takes enough damage, it splits into two smaller ones that rotate in opposite directions","After the smaller orbitals take enough damage, they explode into blue spiders and the large orbital respawns"],"UNLOCK: Unlock this item by defeating The Witness as Lazarus.",null,null,"item"],["Tears up",["+0.7 Tears Up"],null,null,null,"item"],["Triple shot",["Tears now shoot three at a time (Triple Shot)","Tears Down significantly (tears = tears * 2.1 + 3)."],null,null,null,"item"],["Homing shots",["Gives Isaac's tears a homing effect."],null,null,null,"item"],["DMG up",["+0.5 Damage Up","x1.5 times Damage Multiplier (Does not stack with the Magic Mushroom multiplier).","Can be found in golden chests.","Cricket's Head used to be known as Max's Head in the original game and was renamed for Rebirth."],null,null,null,"item"],["Boomerang tears",["Gives tears a boomerang effect.","+1.5 Range Up.","+0.6 Shot Speed Up.","+1 Tear Height."],null,null,null,"item"],["Tears up",["Gives you a very high tear rate in exchange for a big range down.","+1.5 Tears Up.","-17.62 Range Down.","+0.76 Tear Height."],null,null,null,"item"],["DMG up",["+1.0 Damage Up.","x1.5 times Damage Multiplier if you also have Book of Belial (Does not stack with Magic Mushroom or Cricket's Head multipliers)"],null,null,null,"item"],["Friends 'till the end",["A familiar which follows Isaac and shoots normal tears which do 3.5 damage.","Brother Bobby fires tears at a rate of 1 tear per second.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],null,null,null,"item"],["Fly love",["A lot of fly enemies are no longer aggressive towards Isaac.","Attack Fly, Dart Fly, Eternal Fly, and Ring Fly are transformed into a neutral black fly.","Boom Fly, Red Boom Fly, Drowned Boom Fly move slower, but still deal contact damage.","Moter, Level 2 Fly, Full Fly, Pooter, and Super Pooter move slower and deal no contact damage.","Can only be obtained from the shell game in the arcade.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Projectile protection",["Gives Isaac 2 orbital flies which block enemy shots.","Picking up this item as well as 2 other fly-type items will allow you to transform into Lord of the Flies.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Extra life",["Gives the player an extra life","When revived, the green mushroom that follows Isaac will disappear and he will respawn with the same amount of red heart containers at full health.","Resurrection takes place before all other items which give you an extra life"],null,null,null,"item"],["All stats up!",["+1 Health Up.","+0.3 Damage Up.","x1.5 times Damage Multiplier (Does not stack with the multipliers from Cricket's Head / Blood of The Martyr + Book of Belial).","+5.25 Range Up.","+0.3 Speed Up.","+0.5 Tear Height.","Increases the size of your player sprite, but doesn't increase the hitbox.","Fully restores all red heart containers.","Counts as 1 of 3 mushroom items needed towards the Fun Guy transformation.","Counts as 1 of 3 size-increasing items needed towards the Stompy transformation."],null,null,null,"item"],["Poison touch",["Deals poison damage on contact with enemies (Damage over time 4 or 6 per tick).","-0.1 Speed Down","Has a chance to drop from the Lust miniboss fight.","Counts as 1 of 3 syringe items needed towards the Spun transformation.","In Afterbirth this item has a 20% chance to cause enemies to drop black hearts if it was poisoned."],null,null,null,"item"],["Speed and range up",["+0.6 Speed Up.","+5.25 Range Up.","+0.5 Shot Height.","Counts as 1 of 3 syringe items needed towards the Spun transformation."],null,null,null,"item"],["HP up",["+1 Health Up","Fully restores all red heart containers","Has a chance to drop from the Gluttony miniboss fight."],null,null,null,"item"],["HP up",["+2 Health Up.","Full red heart heal."],null,null,null,"item"],["99 keys",["Gives Isaac 99 Keys"],null,null,null,"item"],["$$$",["Gives Isaac 99 coins.","Can drop from an exploding slot machine while playing it."],null,null,null,"item"],["10 bombs",["+10 Bombs"],null,null,null,"item"],["We all float down here...",["Gives Isaac the ability to fly."],"UNLOCK: Unlock this item by beating Mom's Heart 3 times.",null,null,"item"],["The end is near",["Shows most icons on the map (Shops, Item Rooms, Boss Rooms etc.)","Does not show the layout of the map.","Doesn't show the location of Secret or Super Secret rooms.","Room icons will not show if a Curse of the Lost is in effect on the current floor."],null,null,null,"item"],["HP up",["+1 Health Up."],null,null,null,"item"],["HP up",["+1 Health Up."],null,null,null,"item"],["HP up",["+1 Health Up."],null,null,null,"item"],["HP up",["+1 Health Up."],null,null,null,"item"],["HP up",["+1 Health Up"],null,null,null,"item"],["Speed up",["+0.3 Speed Up."],null,null,null,"item"],["Speed up",["+0.3 Speed Up."],null,null,null,"item"],["Range Up",["+5.25 Range Up","+0.5 Tear Height.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Range up",["+5.25 Range Up","+0.5 Tear Height.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Range up",["+5.25 Range Up","+0.5 Tear Height.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Tears up",["+0.7 Tears Up."],"UNLOCK: Unlock this item by beating Mom's Heart 4 times.",null,null,"item"],["Temporary flight",["Gives Isaac angel wings for the current room, allowing him to fly.","Instantly kills the Mom's Foot, Mom's Heart and It Lives boss fights.","If used during the Satan fight, The Bible will instantly kill Isaac.","Counts as 1 of 3 angel items needed towards the Seraphim transformation.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],null,"6 rooms.",null,"item"],["Temporary DMG up",["Upon use, gives +2 damage up which lasts for the current room.","x1.5 times Damage Multiplier if you also have Blood of the Martyr (Does not stack with Magic Mushroom or Cricket's Head multipliers).","Increases your chances of getting a devil/angel room by +12.5% (Before Afterbirth DLC this was a guaranteed 100%)","Judas starts with this item.","The effect stacks if used multiple times.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],null,"3 rooms",null,"item"],["Mass room damage",["Deals 40 damage to everything in the room when used.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],"UNLOCK: Unlock this item by using 4 XIII - Death cards.","6 rooms",null,"item"],["Plop!",["Drops a poop on the floor.","Blue Baby starts with this item.","Can be placed next to a pit and exploded to make a bridge.","Can be placed over a broken red poop to overwrite it, causing it to no longer regenerate.","Counts as 1 of 3 poop items needed towards the Oh Crap transformation."],null,"1 room",null,"item"],["Reusable bomb buddy",["Drops a large bomb below the player which does 110 damage.","Compatible with bomb modifiers, such as Glitter Bombs, Sticky Bombs etc.","Has a chance to drop from the Wrath miniboss fight."],null,"2 rooms",null,"item"],["Reusable tear burst",["Fires 10 tears in a circle around Isaac.","Each tear is equal to your damage stat + 25 flat damage.","The tears spawned from Tammy's Head retain tear effects of Isaac's tears, such as poison or homing.","Synergizes extremely well with Brimstone due to how the damage from both items is calculated when combined."],null,"1 room",null,"item"],["Mass fear",["When used, freezes all enemies in the current room for about 4 seconds.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,"3 rooms",null,"item"],["Become the bomb!",["Causes an explosion near Isaac which takes away half a heart and does 40 damage all enemies in close proximity."],null,"Instant",null,"item"],["Gross...",["When used, causes all enemies in the current room to run away from Isaac in fear for 5 seconds.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,"3 rooms",null,"item"],["Reusable ranged bomb",["A poison bomb which can be thrown and leaves a poison effect on any enemies within the blast radius.","The bomb deals 50 damage on hit and leaves a damage over time poison effect that does 3 times your tear damage per tick. Before Afterbirth this was 6 or 8 damage per tick.","Synergizes with tear modifying items such as My Reflection or Tiny Planet.","Has a chance to drop from the Sloth miniboss fight.","Counts as 1 of 3 poison items needed towards the Bob transformation."],null,"3 rooms",null,"item"],["Teleport!",["Teleports Isaac to a random location on the map.","Can't be used to teleport to the I AM ERROR room."],null,"2 rooms",null,"item"],["Reusable regeneration",["Heals Isaac for one whole red heart.","Maggy starts with this item.","When used as the Keeper, one coin HP is restored.","Has a chance to drop from the Super Lust miniboss fight."],null,"4 rooms",null,"item"],["Luck up",["+1.0 Luck Up.","Better chance to win while gambling at the Shell Game and Fortune Telling Machine.","Higher chance to get a random drop after clearing a room."],null,null,null,"item"],["Reusable air strike",["A target is placed on the floor which can be controlled. After a few seconds a huge missile hits the target and deals 20x your tear damage to anything nearby.","Essentially a one-time use of the Epic Fetus item."],null,"2 rooms",null,"item"],["Piercing shots",["Isaac's tears now have a piercing effect which allows them to travel through enemies instead of breaking on hit."],null,null,null,"item"],["BLLLARRRRGGG!",["When used, fires a high damage laser in a straight line across the room in a similar way to Brimstone.","The laser deals damage equal to double your tear damage. The laser hits up to 13 times if an enemy stays inside it for the duration.","Has a chance to drop from the Envy and Super Envy miniboss fights."],null,"2 rooms",null,"item"],["DMG up",["+1 Damage Up.","Can be found in gold chests, or dropped by the Steven boss. Before afterbirth this wasn't in the gold chest item pool"],"UNLOCK: Unlock this item by beating the Basement 40 times and defeating the Steven boss.",null,null,"item"],["DMG up",["+1.0 Damage Up.","+10% chance of a devil/angel room opening while held.","A second Pentagram will give an extra +5% chance.","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],null,null,null,"item"],["???",["Special item","Instead of tears, Isaac now shoots bombs from his eyes, which explode dealing damage to anything nearby.","Bomb damage = damage * 5 + 30 (Pre-afterbirth this was damage * 3).","Tears Down (Tear delay * 2.5).","Bombs will also synergize with other bomb items and tear modifiers, including Sad Bombs, Mr. Mega and many more."],"UNLOCK: Unlock this item by beating Mom's Heart 9 times.",null,null,"item"],["Item snatcher",["Causes pickups on the floor move towards the player.","Works across pits, but not through Key blocks."],null,null,null,"item"],["Full visible map",["Reveals the entire map for every floor except the secret room locations.","Does not show the icons for any unexplored rooms.","Can still help you to guess which direction the boss room is in, due to the fact that the Boss Room is usually in the room furthest away from the first room."],null,null,null,"item"],["Eye in the back of your head",["Isaac has a random chance to fire another tear out the back of his head.","The chance to fire the second tear can improve based on your luck stat and will always activate at +2 Luck.","Synergizes very well with a lot of items. If used with Brimstone you have a 100% chance to fire a laser out the back of your head.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Oops...",["When used, drops a pool of 'lemonade' on the floor which damages any enemies that come into contact with it for 8 damage per tick."],null,"2 rooms",null,"item"],["Attack fly",["Gives Isaac an orbiting fly which deals 5 contact damage to enemies per tick.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Temporary invincibility",["Gives the player an invulnerability effect which lasts for a 10 seconds.","Can be used to get free hits on the Blood Donation machines and Devil Beggars.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],null,"3 rooms",null,"item"],["Building bridges",["Allows Isaac to walk over gaps with a width of one tile."],null,null,null,"item"],["Kills heal",["Heals half a heart after every 13 enemies killed.","Works with the Keeper for restoring coin HP."],null,null,null,"item"],["Stores energy",["All spacebar items can now be 'overcharged', allowing them to be charged up twice instead of once.","The extra charges appear in yellow on top of the normal green bars.","If playing with Afterbirth+, this item works with self-recharging items."],null,null,null,"item"],["50% off",["Items in the shop are now -50% off.","15c items are reduced to 7c. 5c pickups become 3c. 3c pickups become 2c.","Has a chance to drop from the Greed miniboss fight or when bombing the shopkeeper.","In Afterbirth, taking multiple Steam Sales will reduce all shop prices to 0 coins. This was nerfed in Afterbirth+, where it simply gives a chance to discount items with each new Steam Sale.","This item is called Steamy Sale on PS4, PS Vita, Xbox One and Switch versions, probably due to copyright reasons."],null,null,null,"item"],["Summon bombs",["Spawns 6 troll bombs at random locations around the room.","Bombs are effected by other passive bomb items.","Has a chance to drop from the Pride miniboss fight.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],null,"3 rooms.",null,"item"],["Temporary enemy slowdown",["When used, slows down all enemies in the current room and their projectiles for about 8 seconds."],null,"2 rooms",null,"item"],["Friends 'till the end",["A familiar which follows Isaac around and shoots blood tears that deal 3.5 damage.","The tears appear red but have no additional damage.","Sister Maggy fires tears at a rate of 1 tear per second.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],null,null,null,"item"],["Laser tears",["Isaac's tears are replaced with a laser that has unlimited range and can only fire at right angles.","Lasers travel through enemies but not obstacles in the room.","Synergizes with most items that affect how many tears you fire (20/20, Mutant Spider etc.) or the path they take (My Reflection, Tiny Planet etc.)."],null,null,null,"item"],["Charge shots",["Isaac can now charge shots for more damage by holding down the fire button.","At full charge, your tears do 4 times more damage.","Tears fired at the minimum possible charge do roughly 1/3 of your normal damage.","You can spam the fire button to rapid fire, however the overall damage per second will be low.","Tears down: Delay * 2.5."],null,null,null,"item"],["DMG up + speed up",["+1.0 Damage Up","+0.4 Speed Up","Counts as 1 of 3 syringe items needed towards the Spun transformation."],null,null,null,"item"],["Speed + range up",["+0.3 Speed Up","Decreases range stat by -4.25 but increases your tear height by 1.5, increasing your actual tear range.","Causes Isaac to shrink in size (including hitbox slightly).","Can be dropped when exploding mushrooms in the environment that are usually found in the Caves/Catacombs and in secret rooms.","Counts as 1 of 3 mushroom items needed towards the Fun Guy transformation."],null,null,null,"item"],["Faith up",["+3 Soul Hearts.","Adds several instances of The Bible item into all item pools.","Counts as 1 of 3 angel items needed towards the Seraphim transformation."],null,null,null,"item"],["Gotta meat em all",["An orbital which blocks shots and damages enemies it comes into contact with for 7 damage per tick.","Exclusively drops from one of the horsemen bosses.","2 cubes of meat transform the orbital into a meat head which fires blood tears which deal 3.5 damage each.","3 cubes of meat transform it into a meat boy familiar that walks around and deals 3.5 contact damage per tick to enemies.","4 cubes of meat cause the meat boy familiar to grow in size and do 5.5 damage per tick instead.","Any further cubes of meat past 4 will start the cycle again."],"UNLOCK: Unlock this item by beating Mom for the first time.",null,null,"item"],["+25 coins",["+25 Coins","Has a very small chance to drop after destroying one of the pots that appear in the Basement and Cellar floors.","Has a chance to drop from the Super Greed miniboss fight."],"UNLOCK: Unlock this item by beating Mom's Heart 8 times.",null,null,"item"],["Better pills",["Converts most negative pills into their positive counterparts, e.g. Stat Down becomes Stat Up. Bad Trip becomes Balls of Steel. Amnesia becomes I Can See Forever etc.","Pills are identified before using them.","Drops one pill on pickup.","Heals for 2 full red hearts.","Adds 0-2 coins to the payout when you use a Blood Donation machine or IV Bag."],null,null,null,"item"],["I've seen everything",["Reveals the entrance to secret rooms and automatically opens the hole, removing the need for bombs to enter."],null,null,null,"item"],["Temporary badass",["Gives Isaac invincibility and +0.28 Speed for 6 seconds.","While active you cannot fire tears, but running into enemies will deal 40 contact damage per second.","Allows free hits on the Blood Donation machines and devil beggars."],null,"6 rooms",null,"item"],["Reusable soul protection",["Upon use, gives Isaac an extra Soul heart.","Using this item gives you a higher chance of finding a horsemen boss at the end of the floor.","+17.5% chance of a Devil Deal opening after the boss fight (Before afterbirth this was 35% chance)","Counts as 1 of 3 book items needed towards the Bookworm transformation."],"UNLOCK: Unlock this item by beating one of the horsemen bosses for the first time.","6 rooms",null,"item"],["DMG up",["+1.0 Damage Up.","+0.2 Speed Up.","+1 Soul Heart.","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],null,null,null,"item"],["DMG + tears up",["+0.5 Damage Up.","+0.7 Tears Up.","+2 Soul Hearts.","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],null,null,null,"item"],["9 lives",["Isaac's health is set to 1 and he also gains 9 extra lives.","Each time Isaac dies, he will respawn with 1 Health.","Has a chance to drop from the Super Pride mini boss.","The floating Dead Cat head that follows you will disappear when you are on your last life (Very useful for The Lost)","Counts as 1 of 3 cat items needed towards the Guppy transformation."],null,null,null,"item"],["Demon wings",["Gives Isaac demon wings and the ability to fly.","+0.3 Speed Up"],null,null,null,"item"],["Temporary demon form",["+0.7 Damage Up.","-0.18 Speed Down.","+1 Soul Heart","Gives you the ability to crush most obstacles by walking over them.","Allows Isaac to deal contact damage to enemies for the current room. Does not prevent Isaac from taking contact damage.","All the above effects are only active when the item is used for the current room.","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],"UNLOCK: Unlock this item by beating the Boss Rush with Azazel.","6 rooms",null,"item"],["Reusable level skip",["Spawns a trapdoor at Isaac's feet which allows him to travel to the next floor.","The trapdoor has a 10% chance to become a Crawl Space or Black Market.","Has no effect in Sheol, Cathedral, Chest and Dark Room.","Cannot spawn a trapdoor directly infront of a secret room entrance.","Can destroy rocks if used when Isaac is flying over a rock."],null,"6 rooms",null,"item"],["Reusable card generator",["Gives Isaac a random tarot card on use."],null,"6 rooms",null,"item"],["Summon monstro",["When used, spawns a Monstro which will jump on a random enemy in the room, dealing 120 damage and destroying nearby obstacles."],"UNLOCK: Unlock this item by beating the Basement II for the first time.","3 rooms",null,"item"],["Cross tears",["Everytime you fire a tear, there is a chance that you will also fire three more tears in all cardinal directions.","The chance to fire 4-way tears is affected by your luck stat and at +7 Luck it will activate every time."],"UNLOCK: Unlock this item by beating Lokii for the first time.",null,null,"item"],["Attack buddy",["A familiar that follows Isaac and charges forwards, dealing 3.5 damage per tick to any enemies it comes into contact with."],"UNLOCK: Unlock this item by beating the Caves II for the first time.",null,null,"item"],["Slow effect",["Tears now have a chance of slowing enemies and their projectiles for 2.5 seconds.","The chance to slow enemies is affected by your luck stat and at +15 Luck it will activate every time."],null,null,null,"item"],["DMG up",["+1.0 Damage Up.","+0.2 Tears Up.","-0.2 Speed Down.","Has a chance to drop when exploding a tinted rock."],"UNLOCK: Unlock this item by destroying 100 tinted rocks.",null,null,"item"],["See-through doors",["Reveals adjacent room types, this includes revealing if you're next to a Secret Room or Super Secret Rooms.","Gives Isaac a slight glow when Curse of Darkness is active."],null,null,null,"item"],["+2 hearts",["+1 Health Up.","+2 Soul Hearts"],"UNLOCK: Unlock this item by making a Super Bandage Girl.",null,null,"item"],["Temporary Man-Pac",["When used Isaac transforms into pacman, which makes him invincible for 6 seconds and does 40 contact damage to enemies per chomp.","Everytime you 'eat' 2 enemies, you regain 1/2 heart of red health.","You can't shoot tears while the effect is active."],"UNLOCK: Unlock this item by visiting 10 arcades.","6 rooms",null,"item"],["Gives money",["A bag that floats around following Isaac and drops a random coin every 2 rooms."],"UNLOCK: Unlock this item by beating Isaac with Cain.",null,null,"item"],["Friends till the bzzzttt",["A familiar which follows Isaac and shoots lasers, similar to the Technology item.","Robo-Baby's laser is spectral and piercing (It will pass through rocks and objects in the environment)","Robo-Baby's lasers deal 3.5 damage per hit."],null,null,null,"item"],["Gives kisses",["A familiar which follows Isaac and drops half a red heart every 3 rooms."],"UNLOCK: Unlock this item by beating the Caves 30 times and defeating C.H.A.D.",null,null,"item"],["Reusable item generator",["Spawns a random pickup on the floor.","Any pickups are possible from this item, including Bombs, hearts, keys, coins, pills, batteries, tarot cards, runes etc.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],"UNLOCK: Unlock this item by beating each of the Seven Sins once.","4 rooms",null,"item"],["Soul generator",["A blue cross that follows Isaac and drops a soul heart every 5 or 6 rooms."],"UNLOCK: Unlock this item by beating the Isaac boss with Maggy.",null,null,"item"],["Sticky friend",["A familiar that follows Isaac and fires black tar tears, which slow enemy movement and projectile speed for a few seconds.","Little Gish's tears do 3.5 damage.","Little Gish fires tears at a rate of 1 tear per second.","A Guaranteed drop from the Gish boss fight."],"UNLOCK: Unlock this item by beating the Depths 20 times and killing the Gish boss.",null,null,"item"],["Psychic friend",["A familiar that follows Isaac and fires homing tears that deal 3.5 damage each.","Has a high chance to drop from the Steven boss fight.","Little Steven fires tears at a rate of 1 tear per second with a slightly longer range than other familiars.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],"UNLOCK: Unlock this item by killing the Steven boss for the first time.",null,null,"item"],["All stats up",["+1 Health Up.","+0.3 Damage Up.","+0.2 Tears Up.","+0.25 Range Up.","+0.3 Speed Up.","+0.5 Tear Height.","Counts as 1 of 3 angel items needed towards the Seraphim transformation."],"UNLOCK: Unlock this item by killing Mom (Mom's Foot or Mom's Heart) using The Bible.",null,null,"item"],["Reusable pill generator",["When used, gives Isaac a random pill.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,"6 rooms",null,"item"],["Poison damage",["Tears now have a random chance to apply a poison effect, causing double your tear damage per tick to enemies over time.","Before Afterbirth this poison effect dealth a static 4 or 6 dmg per tick.","The chance to fire poison shots is affected by your luck stat and at +12 Luck it will activate every time."],null,null,null,"item"],["Split shot",["Isaac's tears now split into two upon contact with enemies or the environment.","Tears that split off from the main tear do less damage (tear damage * 0.5).","Tears can keep splitting if they still have range and damage above 1."],"UNLOCK: Unlock this item by collecting two of the following items: Bob's Rotten Head, Dead Cat, Cricket's Head, Tammy's Head.",null,null,"item"],["Reroll your destiny",["Special item","When used, replaces all pedestal items in the current room with another random item. Re-rolled items pick from the current room's item pool.","Isaac starts with this item after it is unlocked."],"UNLOCK: Unlock this item by defeating the Isaac boss with Blue Baby.","6 rooms",null,"item"],["Blast damage",["+5 Bombs","Bombs now do 110 damage (up from 60) and have a larger blast radius.","Can be found in the secret room.","Has a chance to drop from the Super Wrath miniboss fight."],"UNLOCK: Unlock this item by destroying 10 tinted rocks.",null,null,"item"],["Cut and run",["Cuts Isaac's head from his body for the current room, allowing him to fly and leaving the decapitated body to run around attacking enemies for 5.5 damage per tick."],null,"6 rooms",null,"item"],["Damage resistance",["All damage taken is reduced to half a heart.","Damaged reduction is reduced from every source in the game except Devil Deals and health down pills.","Does not prevent death (i.e. Suicide King or using The Bible on Isaac, ??? or Satan).","The Wafer becomes most effective in the Womb and beyond where enemies all deal a whole heart of damage.","The Wafer causes the Sharp Plug item to only cost 1/2 a heart per use.","Has no effect with the Keeper - there's no such thing as half a coin health point."],null,null,null,"item"],["$$$ = DMG",["+0.04 Damage Up for every coin you currently have.","At 99 coins this item gives +3.96 Damage Up.","+0.04 per coin is the amount added before the damage formula is calculated , as this is the only way to show a consistent amount of damage given. You may see more or less than this on the Found HUD overlay, however this number varies based on your other damage increasing items"],null,null,null,"item"],["Freeze effect",["Tears now have a random chance to freeze enemies in place.","The chance to freeze enemies is affected by your luck stat.","+0.25 Range Up.","+0.5 Tear Height.","Chance to activate increases with luck, up to around 50% chance at +20 luck.","Counts as 1 of 3 mom items needed towards the Mom transformation."],"UNLOCK: Unlock this item by collecting 3 'Mom' items in one playthrough.",null,null,"item"],["Toot on command",["Upon use, this item causes Isaac to fart and poison any enemies in close proximity.","The Bean deals 5 damage, then poisons enemies for 6 total ticks of damage.","The poison deals your current tear damage per tick. Before Afterbirth this was a flat 3.5 damage."],null,"1 room.",null,"item"],["Extra protection",["An orbital which does 7 contact damage per tick, blocks shots and increases the speed of all other orbitals.","Counts as 1 of 3 angel items needed towards the Seraphim transformation."],"UNLOCK: Unlock this item by beating Satan with Maggy.",null,null,"item"],["Auto-turret friend",["A familiar which follows Isaac and automatically fires tears that deal 3 damage each at any enemies in close range."],"UNLOCK: Unlock this item by beating the Dark Room with Azazel.",null,null,"item"],["Stab stab stab",["Special item","Tears are replaced with a knife which can be charged and thrown in a boomerang style action.","The knife can also do damage without being thrown as a close range melee weapon.","When used as a melee weapon, Mom's Knife deals your tear damage * 2 per tick.","At the furthest point from Isaac the knife deals your tear damage * 6.","Counts as 1 of 3 mom items needed towards the Mom transformation."],"UNLOCK: Unlock this item by beating Satan with Isaac.",null,null,"item"],["Spectral tears",["Gives Isaac spectral tears which allows them to travel through objects in the environment (i.e. rocks)."],null,null,null,"item"],["Quicker charge",["Automatically gives you 1 bar of charge after using your spacebar item.","Fully recharges your current spacebar item when picked up.","Causes the Sharp Plug item to become useless for 2+ room recharge items, due to the fact that you can never have 0 charge on your spacebar item.","Any items which are normally a 1 room recharge are now timed instead."],null,null,null,"item"],["Protective buddy",["When Isaac takes damage, the dead bird will spawn and attack nearby enemies in the current room for 2 damage per tick.","Eve starts with this item."],null,null,null,"item"],["Blood laser barrage",["Special item","Tears are replaced with the ability to charge and fire a powerful laser that travels in a straight line across the room, dealing a lot of damage (damage * 13) to any enemies it comes into contact with.","Does not directly affect your Damage stat but hits enemies 13 times per charge, spawning Guppy flies with every hit.","Synergizes very well with a lot of items including Tammy's Head, Tiny Planet, Inner Eye (Triple Shot), Mutant Spider (Quad Shot) and many others.","An item only found in the devil room pool (Note: The Fallen boss pulls items from the Devil Room Pool)","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],null,null,null,"item"],["HP up",["+1 Health Up","+0.3 Speed Up","Heals for 5 full red hearts.","Has a chance to drop while playing any Blood Donation machine."],"UNLOCK: Unlock this item by playing the Blood Donation machine 30 times.",null,null,"item"],["Fire rate up",["Gives you a high rate of fire in exchange for a damage down.","+1.7 Tears Up.","+0.3 Speed Up.","Damage Down (damage * 0.9 - 0.4).","Counts as 1 of 3 mushroom items needed towards the Fun Guy transformation."],null,null,null,"item"],["DMG up",["+1 Health Up (The given heart container is empty)","+0.3 Damage Up.","+0.25 Range Up.","-0.1 Speed Down.","+0.5 Tear Height.","Counts as 1 of 3 mushroom items needed towards the Fun Guy transformation."],null,null,null,"item"],["Curse up",["When you only have half a red heart remaining or less, you enter a curse state which adds +1.5 damage and +0.3 speed.","When playing as Eve, this item activates with one FULL heart remaining or less AND also removes her 0.75 damage multiplier, raising it up to 1.0.","The effect is permanently active for characters with no red hearts (e.g. Blue Baby, The Lost).","One of Eve's starting items."],null,null,null,"item"],["Temporary buddy generator",["When used, gives a random familiar for the rest of the room.","It can spawn familiars you haven't unlocked yet!"],null,"3 rooms",null,"item"],["It's a mystery",["Upon use, the dead sea scrolls gives a random spacebar item effect.","An item that can be found in the Angel room."],null,"2 rooms",null,"item"],["Friends till the end",["+5 Bombs.","All of Isaac's bombs now having a homing effect when placed on the floor."],null,null,null,"item"],["Feel my pain",["When used, deals damage to Isaac in exchange for +1.2 damage up which lasts for the current room.","In Afterbirth Eve starts with this item after donating 439 coins to the Greed Donation Machine.."],"UNLOCK: Unlock this item by beating Satan with Eve.","Instant",null,"item"],["I don't remember...",["Upon use, this item refreshes the current floor with brand new rooms, monsters and items, as if you had entered a new floor."],"UNLOCK: Unlock this item by beating Satan with Blue Baby.","Instant (One time use)",null,"item"],["Attack fly",["An orbiting fly which deals 2 contact damage per tick to enemies.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["HP up",["+2 Health Up.","-0.2 Speed Down.","Of the two heart containers given from this item, only 1/2 a red heart of them is filled.","Has a chance to drop from the Super Gluttony miniboss fight."],null,null,null,"item"],["Flight + dash attack",["Allows Isaac to fly while the Pony is held.","Sets your speed stat to 1.5 if it isn't already that high.","When the active attack is used, Isaac will dash across the screen dealing 40 contact damage to anything he hits.","Drops from the Headless Horseman boss fight."],null,"4 rooms",null,"item"],["Gives bombs",["A bag of bombs that will drop a bomb pickup every 2 rooms."],"UNLOCK: Unlock this item by beating Satan with Cain.",null,null,"item"],["My Xmas present",["Tears gain a damage up and increase in size based on the distance they travel.","The length of a normal room roughly gives +6 damage, but this can be higher with double rooms or Tiny Planet.","In Afterbirth this item synergises with Brimstone and Tech, allowing them to do more damage the further away the enemy is. If not playing with Afterbirth it simply gives Brimstone +2 flat damage."],null,null,null,"item"],["Soul converter",["When used, removes one heart container and gives you 3 soul hearts.","Bone hearts cannot be converted.","Counts as 1 of 3 cat items needed towards the Guppy transformation."],null,"Instant",null,"item"],["Cursed?",["Gives a 1/3 chance for room clear rewards to become a normal or locked chest, and a 1/3 chance to reward nothing at all.","Doesn't affect coins dropped after waves in Greed Mode.","Counts as 1 of 3 cat items needed towards the Guppy transformation."],null,null,null,"item"],["Portable blood bank",["Upon use, the IV Bag takes half a red heart and spawns 1-3 coins (the same effect as a blood donation machine)","Can drop from a blood donation machine after playing it.","In the Womb and beyond this deals 1 full heart of damage.","If no red hearts exist, other types of hearts are consumed instead.","With the Keeper this is changed to spawning 0-1 coins per use instead."],null,"Instant",null,"item"],["Friends 'till the end",["Places a decoy on the floor which attracts enemies and explodes after a period of time.","When it explodes, it deals 110 damage to everything in radius (Same damage as Mr Mega bombs)."],null,"3 rooms.",null,"item"],["Remote bomb detonation",["+5 Bombs.","Bombs no longer automatically explode and will only do so when you activate the remote detonator.","Can be used to detonate Dr. Fetus bombs early."],null,"Instant",null,"item"],["DMG + HP up",["+1 Health Up.","+0.3 Damage Up."],null,null,null,"item"],["More trinket room",["Isaac can now hold two trinkets at the same time","Allows you to pick up more trinkets while also holding The Tick","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Poison bombs",["All of Isaac's bombs now leave a poison effect on any enemies within the blast radius.","+5 Bombs.","As well as dealing the standard 60 damage for a bomb, it will apply a Damage over Time effect that does 4 or 6 damage per tick.","Has a chance to drop from the Super Sloth miniboss fight.","Counts as 1 of 3 poison items needed towards the Bob transformation."],null,null,null,"item"],["Ultimate grand supreme",["Spawns 7 random coins around Isaac on the floor.","Isaac wears a pink crown on his head."],null,null,null,"item"],["You have been blessed",["Once per room when you are damaged down to your final half a heart, you gain 1 soul heart.","Re-entering a room allows this effect to be triggered again."],null,null,null,"item"],["Speed + shot speed up",["+0.3 Speed Up.","+0.2 Shot Speed Up.","Counts as 1 of 3 syringe items needed towards the Spun transformation."],null,null,null,"item"],["He's Greedy",["A beggar who follows Isaac around and automatically picks up nearby coins.","After picking up 6 coins he will drop a random pickup, e.g. hearts, keys, bombs, coins, pills, cards, trinkets etc.","After the first drop, he has a 67% chance to drop a pickup after 3 coins and a 33% chance to drop a pickup after 4 coins.","Counts as 1 of 3 bum items needed towards the Super Bum transformation."],null,null,null,"item"],["Reusable fly hive",["When used, spawns between 2-4 blue flies.","Blue Flies do double your tear damage.","Counts as 1 of 3 cat items needed towards the Guppy transformation."],null,"1 room",null,"item"],["Reusable eternity",["Gives Isaac an eternal heart when used.","Taking an eternal heart to the next floor or collecting two on the same floor gives you an extra heart container."],null,"6 rooms",null,"item"],["Rocks didn't stand a chance",["Each charge of this item allows Isaac to break all rocks, pots and secret room doors in the current room.","Cannot break the stone blocks which appear in the environment.","If Isaac is damaged while the effect is active, it will deactivate."],null,"3 rooms",null,"item"],["They grow inside",["When Isaac gets hit, 1-3 blue flies will randomly spawn.","Blue Flies do double your tear damage.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Explosive shots",["Isaac's tears are replaced with explosive poison bombs, which will arc upwards and explode on contact with the floor, dealing huge damage and leaving a poison effect on enemies in range.","Ipecac shots are given a flat +40 Damage on top of the normal 3.5 base damage.","Tears Down (Tear delay * 2 + 10).","+13.0 Tear Height.","Shots will damage Isaac if he is in the blast radius when they explode.","Counts as 1 of 3 poison items needed towards the Bob transformation."],"UNLOCK: Unlock this item by beating Mom's Heart 6 times.",null,null,"item"],["Tooth shot",["Isaac has a random chance to fire a tooth shot instead of a tear sometimes.","Teeth shots deal damage equal to your tear damage * 3.2.","The chance to fire a tooth is affected by your luck stat and at +9 Luck it will activate every time.","Synergizes well with some tear modifiers such as Ipecac, which causes it to do massive damage."],null,null,null,"item"],["They grow inside",["Isaac has a 1/6 chance to spawn a blue fly when one of his tears hits an enemy.","Blue Flies do double your tear damage.","The chance to activate this effect is not changed with your Luck stat.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Laser",["Isaac now also has a laser with unlimited range which fires continuously and does damage very rapidly.","-35% Damage Down (0.65 damage multiplier).","The laser can apply status effects (e.g. Poison) rapidly due to how often it hits."],null,null,null,"item"],["Quad Shot",["Special item","Tears now shoot 4 at a time (Quad Shot)","Tears Down significantly (Tear delay * 2.1 + 3).","Synergizes well with a lot of tear effects - e.g. with Brimstone you get 4 lasers.","Counts as 1 of 3 spider items needed towards the Spider Baby transformation."],null,null,null,"item"],["DMG up",["+2 Damage Up for tears fired from Isaac's left eye.","If playing as Cain or you have an item which modifies which eye you fire tears from, each shot has a 50% chance to do +2 Damage."],null,null,null,"item"],["Plop!",["Gives Isaac an eye companion that floats around the room and deals 8 damage per tick on contact with enemies."],null,null,null,"item"],["Item martyr",["When you take damage, this item recharges one room's worth of charge to your spacebar item.","For example, with the D6 you would need to take damage 6 times to fully recharge it."],null,null,null,"item"],["RAGE!",["Each time you take damage, you gain a damage up which lasts for the rest of the floor and turn a darker red colour each time.","After taking 6 hits Bloody Lust doesn't give you any further damage increases.","Damage given for each hit increases as follows: +0.5, +0.5, +0.5, +33%, +33%, +33%.","The maximum effect is (damage + 1.5) * 2, resulting in more than double your original damage and stacking with other damage increasing items.","Samson starts with this item."],"UNLOCK: Unlock this item by beating the Isaac boss with Samson.",null,null,"item"],["I see my future",["Upon use, reveals the map and gives the player a random tarot card, mystic rune or soul heart.","Does not reveal the location of Secret or Super Secret rooms.","Has a chance to drop from playing a fortune machine."],null,"6 rooms",null,"item"],["Scary",["Gives Isaac the ability to fly and spectral tears.","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],null,null,null,"item"],["Holy white death",["Creates 5 beams of light from the sky that deal damage equal to your tear damage + 20 to any enemies which come into contact with them.","In Afterbirth, the beams now have improved targetting and have a high chance to spawn on top of enemies where possible."],null,"4 rooms",null,"item"],["Eternal life?",["Upon death, the player respawns as Blue Baby with three Soul hearts.","This is a one time use item and all new heart containers will be soul hearts.","Can be used to unlock some of Blue Baby's secrets before having the character available."],null,null,null,"item"],["You feel blessed",["Upon taking damage, you have a 20% chance to gain an invulnerability shield for 7 seconds.","The chance to gain a shield is affected by your luck stat and at +27 Luck it will activate every time."],"UNLOCK: Unlock this item by beating the Chest with Maggy.",null,null,"item"],["Spectral buddy",["A familiar which follows Isaac and shoots spectral tears that deal 3.5 damage.","Ghost Baby fires tears at a rate of 1 tear per second.","Can drop while destroying skulls in the Depths and Necropolis floors."],null,null,null,"item"],["Reusable flame",["A spacebar item which allows Isaac to fire a blue flame that damages anything in its path for 23 damage per tick.","Can cause up to a total of 276 potential damage.","The flame destroys enemy shots, making it useful for bullet hell bosses."],"UNLOCK: Unlock this item by donating 900 coins to the Shop.","Timed (A few seconds)",null,"item"],["Shot speed up + DMG up",["+1.0 Damage Up.","+0.23 Shot Speed Up.","An item only found in the Boss room pool."],null,null,null,"item"],["Reroll the basics",["Upon use, re-rolls all pickup consumables in the current room into another random kind of pickup.","This includes all types of pickup such as hearts, bombs, keys, coins, pills, tarot cards, chests, trinkets etc."],"UNLOCK: Unlock this item by beating the Chest with Isaac.","6 rooms",null,"item"],["Double shot buddy",["A familiar which follows Isaac and shoots two normal tears at once in a V-shaped pattern.","Each of Harlequin Baby's tears deal 4 damage.","Harlequin Baby fires tears at a rate of 1 tear per second.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],null,null,null,"item"],["On-demand air strike",["Special item","Tears now become missiles which deal huge damage to anything nearby.","Missiles damage = damage * 20.","This item places a controllable red target on the ground which will cause a missile to fall from the sky and hit it after a short period of time."],"UNLOCK: Unlock this item by beating Challenge #19 (The Family Man).",null,null,"item"],["Mega tears",["Special item","High Damage Up - (damage + 4) * 2.","Tears Down significantly (Tear delay * 2.1 + 3).","If a tear kills an enemy, it continues to travel forward with the leftover damage."],null,null,null,"item"],["Daddy's love",["A shadow follows Isaac and stomps on enemies randomly, dealing 40 damage per stomp (2 damage ticks at 20 damage each)."],null,null,null,"item"],["Mass enemy slowdown + damage",["Upon use, does 10 damage to all enemies in the room and gives them a slowing effect for 4 seconds.","Counts as 1 of 3 spider items needed towards the Spider Baby transformation."],null,"2 rooms",null,"item"],["My fate protects me",["Gives Isaac an orbital knife that blocks shots and deals 15 damage per tick on contact with enemies.","The highest damage orbital in the game, dealing 225 damage per second.","Synergises very well with invulnerability items such as Book of Shadows."],"UNLOCK: Unlock this item by beating the Chest with Eve.",null,null,"item"],["You feel blessed",["Gives a 50% chance of converting red heart drops into soul hearts.","Counts as 1 of 3 angel items needed towards the Seraphim transformation."],null,null,null,"item"],["Random buddy",["A familiar the follows Isaac and fires random tears.","Rainbow Baby's tears can choose from any of the other familiars, such as homing, spectral, tar shots etc."],null,null,null,"item"],["Opens all doors...",["Upon use, opens all closed doors in the current room, including the ones which require a key to enter and secret room doors.","Can be used to open the golden door that appears in the Dark Room or the Chest.","Cannot be used to escape the Mom's Foot boss, open angel/devil rooms, or open the door to the Blue Womb floor."],"UNLOCK: Unlock this item by collecting both Key Pieces #1 & #2 for the first time.","2 rooms",null,"item"],["HP up",["+1 Health Up.","+0.16 Shot Speed Up."],null,null,null,"item"],["Gamble 24/7",["Using the portable slot takes a coin and has a chance to give a pickup - similar to how the normal slot machines work."],null,"Instant",null,"item"],["Splash!",["When Isaac takes damage, the bottle breaks and leaves a pool on the floor which deals 8 damage per tick to enemies which walk over it."],null,null,null,"item"],["Flight eternal",["Gives Isaac an eternal heart and the ability to fly.","Taking an eternal heart to the next floor or collecting two on the same floor gives you an extra heart container."],"UNLOCK: Unlock this item by beating the Chest with Blue Baby.",null,null,"item"],["Toot on touch",["Upon taking damage, Isaac will fart, causing all enemies in close proximity to become poisoned.","Black Bean deals your tear damage for 6 ticks. Before Afterbirth this was a flat 5 damage per tick."],null,null,null,"item"],["Flight + holy death",["Allows Isaac to fly while the White Pony is held.","While held, sets your speed stat to 1.5 if it isn't already that high. If your speed stat is already higher then that value is still used.","Upon use, Isaac charges in the direction the pony is facing, becoming invulnerable during the charge and damaging enemies while also casting the effect of Crack The Sky.","The charge of the spacebar attack deals 40 damage on contact with enemies and the beams deal damage equal to your tear damage + 20.","Drops from the Conquest boss fight."],null,"6 rooms",null,"item"],["Homing shots + DMG up",["Special item","Tears are now white, do a lot more damage and move slower across the screen with a homing effect.","Health Up.","Damage Up (damage * 2.3 + 1).","-0.4 Tears Down.","-0.25 Shot Speed Down.","+4.125 Range Up.","+0.75 Tear Height.","Full red heart heal."],null,null,null,"item"],["Tears + shot speed up",["+0.7 Tears Up.","+0.16 Shot Speed Up.","Does not increase your damage, simply makes your tears red."],null,null,null,"item"],["Flight + HP up",["+1 Health Up","Gives Isaac the ability to fly.","Counts as 1 of 3 angel items needed towards the Seraphim transformation."],null,null,null,"item"],["Flight + spectral tears",["Gives Isaac the ability to fly and spectral tears.","An item only found in the Angel room.","Counts as 1 of 3 angel items needed towards the Seraphim transformation."],null,null,null,"item"],["Mass enemy damage at a cost",["Upon use, takes away one full heart and deals 40 damage to the entire room.","With the Isaac's Heart item, you can use Blood Rights without taking damage."],"UNLOCK: Unlock this item by beating Satan with Samson.","Instant.",null,"item"],["Swing it",["Follows behind Isaac and can be swung back and forth, dealing 5 contact damage per tick to anything it hits.","Every time the hairball kills an enemy, it grows in size allowing it to deal more damage.","This is one of the items which allows you to transform into Guppy.","Moving to a new floor decreases the size of the hairball.","Counts as 1 of 3 cat items needed towards the Guppy transformation."],null,null,null,"item"],["Mirrored buddy",["A familiar that mirrors the player's movements and shoots tears directly at Isaac.","Abel's tears do the same as Isaac's base damage (3.5).","In larger rooms, Abel will mirror to the other side of the screen instead of the entire room."],"UNLOCK: Unlock this item by beating the Dark Room with Cain.",null,null,"item"],["All stats up",["Isaac turns red like Meatboy.","+1 Health Up.","+0.3 Damage Up.","+0.2 Tears Up.","+0.5 Range Up.","+0.2 Speed Up.","+1.0 Tear Height.","Full red heart heal."],"UNLOCK: Unlock this item by beating Challenge #14 (It's in the Cards).",null,null,"item"],["99 bombs",["Gives Isaac 99 bombs."],null,null,null,"item"],["Rainbow tears",["Grants Isaac random tear effects.","Possible tear effects: 20/20, Ball of Tar, Dark Matter, Death's Touch, Fire Mind, Iron Bar, Mom's Contacts, My Reflection, Mysterious Liquid, Number One, Ouija Board, Proptosis, Sagittarius, Scorpio, Speed Ball, Spoon Bender, The Inner Eye, Tough Love.","The tear type changes every few seconds. Before Afterbirth the tear effect changed for each room."],null,null,null,"item"],["Temporary psychic shot",["When used, Isaac gains homing shots for the current room.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],null,"2 rooms",null,"item"],["DMG + HP up",["+1 Health Up.","+0.3 Damage Up."],null,null,null,"item"],["Shot speed up",["+0.16 Shot Speed Up.","Gives Isaac a random tarot card when picked up."],null,null,null,"item"],["What's all this...?",["Drops 4 random pills on the floor around Isaac.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Tears up",["+2 Soul Hearts.","+0.4 Tears Up."],null,null,null,"item"],["Damage + range up",["+0.5 Damage Up.","+0.25 Range Up.","+0.5 Tear Height."],null,null,null,"item"],["Stuff",["When picked up, spawns 1 red heart, 1 key, 1 bomb, 1 coin, 1 card/rune, 1 pill and 1 trinket."],null,null,null,"item"],["Less is more now +2 keys",["+2 Keys","Doubles the yield of hearts, coins, bombs and keys that spawn from non-red chests.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Charm tears",["Tears have a random chance to charm enemies.","Charmed enemies will prioritize attacking other enemies in the room, otherwise they will still attack Isaac.","The chance to charm enemies is affected by your luck stat and at +27 Luck it will activate every time.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Concussive tears",["+0.3 Damage Up.","Tears now have a chance to concuss enemies, causing them to walk around dazed and confused for a short period of time.","The chance to concuss enemies is affected by your luck stat and at +27 Luck it will activate every time."],null,null,null,"item"],["Golden touch",["Isaac's touch now petrifies enemies, turning them to gold for a few seconds.","If an enemy is killed while it is golden, it will drop between 1-4 coins.","Contact damage is also dealt to enemies equal to the amount of coins Isaac is currently holding.","Has a synergy with The Poop item, which gives it a high chance to spawn golden poops."],null,null,null,"item"],["1+1free 4evar!",["All future pennies, keys, bombs and hearts will drop in pairs.","Does not work for other pickups, such as soul hearts, nickels, dimes, cards, pills etc."],null,null,null,"item"],["Filled with goodies",["When you take damage, there is a 50% chance to drop a random heart, key, bomb or coin."],null,null,null,"item"],["Charge with blood",["When your spacebar item is out of charge, you can press spacebar to recharge it at the cost of 2 health.","Can't be used if your spacebar item has any number of charges on it.","This item only costs 1/2 a heart to use if you have The Wafer item.","The Sharp Plug will take health from Soul/Black hearts (if any) before taking red hearts."],null,null,null,"item"],["An out-of-body experience",["+1.0 Damage Up.","-1 Tear Delay (Tears Up).","Causes Isaac's head to detach and orbit his body, blocking shots and dealing 7 contact damage per tick.","BFFs will cause the Guillotine head to do double damage (14 damage per tick)","Tears are still fired from Isaac's head but the hitbox remains around his body."],"UNLOCK: Unlock this item by beating the Isaac boss with Judas.",null,null,"item"],["Gotta lick em all",["Gives Isaac an orbital ball of bandages that deals 7 contact damage per tick and blocks enemy shots.","Collecting a second Ball of Bandages in the run turns the orbital into a pink head that shoots tears that deal 7 damage each and have a chance to charm enemies.","Getting a third Ball of Bandages will transform the head into bandage girl which will chase enemies dealing 3.5 contact damage per tick while firing charm tears.","A fourth Ball of Bandages will make the Bandage Girl bigger and stronger, making her deal 5.5 damage per tick instead.","Any further Ball of Bandages will repeat the cycle.","Charmed enemies will prioritize attacking other enemies in the room, otherwise they will still attack Isaac."],null,null,null,"item"],["DMG + Challenge up",["+1.0 Damage Up.","Increases the chance of champion enemies appearing by 15%.","Doesn't affect the chance for champion bosses to spawn.","An item only found in the Shop room pool."],null,null,null,"item"],["Toxic blast +5 bombs",["+5 bombs.","Bombs now become poop bombs, which deal 10 damage to all enemies in the room and daze them for a short period of time.","Butt Bombs heal the poop bosses (Dingle, Dangle, Brownie) by 25% of their max HP."],null,null,null,"item"],["Unbreakable",["If Isaac stands still and stops shooting for a second, he turns to stone, making him invincible until he moves/shoots again.","Using bombs or your active item will remove the invicibility as well.","This item is a reference to the Tanuki suit in Super Mario 3."],null,null,null,"item"],["Spider revenge",["Spawns 1-2 friendly attack spiders every time you take damage.","Counts as 1 of 3 spider items needed towards the Spider Baby transformation."],null,null,null,"item"],["Eternal life?",["When Isaac dies, he has a 50% chance to resurrect with 1/2 a heart.","Counts as 1 of 3 cat items needed towards the Guppy transformation."],null,null,null,"item"],["Shielded tears",["All of Isaac's tears now have a shield, allowing them to block an enemy projectile.","If a tear blocks something, both Isaac's and the enemies tears are destroyed.","If a tear blocks something, both Isaac's and the enemies tears are destroyed.","-0.16 Shot Speed Down."],null,null,null,"item"],["Toxic blood",["+5 Range Up.","When Isaac takes damage, he will start to leave a trail of blood creep behind him as he walks for the current room. The creep deals 2 damage per tick while enemies stand in it.","Lazarus' revived form (Lazarus II) respawns with this item."],null,null,null,"item"],["He accepts your offering",["Gives Isaac a guaranteed devil or angel room on every floor that they can appear, even if you have already beaten the boss and it didn't show up originally.","Taking the Goat Head (or any other item) in a Devil Deal bars you from encountering Angel Rooms naturally. After which, the only way to access an Angel Room is via the Sacrifice Room."],null,null,null,"item"],["Sin up",["+3 Black Hearts.","+1 Damage Up.","When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect."],null,null,null,"item"],["You feel itchy",["Isaac now has a small chance to create friendly attack spiders everytime he fires a tear.","Can create up to a maximum of 5 spiders in the room at one time.","The Hive Mind item allows Mom's Wig to spawn a maximum of 10 spiders at once, and increases their damage.","The chance to create a spider is affected by your luck stat and at +10 Luck it will activate every time.","Heals you for 1 red heart when picked up.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["HP up + regen",["+1 Health Up.","Gives a chance to heal 1/2 a red heart every time the in-game timer hits a new minute.","There are no restrictions on when the regeneration effect happens as long as the game is not paused, so you can simply afk and heal over time.","Works in crawl spaces.","It's possible to find this item by blowing up Polyps (the weird red rocks found in the Womb floors)"],null,null,null,"item"],["HP up",["+1 Health Up.","The given heart container is empty.","When you get hit, you will sometimes cause hearts to drop on the floor.","The chance to drop hearts is affected by your luck stat and at +29 Luck it will activate 50% of the time."],null,null,null,"item"],["Tear blast +5 bombs",["+5 Bombs","Everytime a bomb explodes, it will release a circle of 10 tears outwards, much like the Tammy's Head effect.","The tears from each bomb deal a flat 25 damage and are affected by any tear modifiers Isaac has.","The tears caused by Sad Bombs are much larger and do a lot more damage than Isaac's normal tears."],null,null,null,"item"],["Bouncing tears",["Isaac's tears now bounce off walls and objects in the environment, such as rocks and pots.","Allows tears to hit the same enemy multiple times.","If you also have Lost Contact, tears will bounce off enemy projectiles instead of being destroyed."],"UNLOCK: Unlock this item by beating Mom's heart 2 times.",null,null,"item"],["Antigravity tears + tears up",["-2 Tear Delay (Tears Up).","As you hold down the fire button, shots will float in the same place until you release the fire key again.","Allows you to store up a lot of tears in the air and release them all at once.","When the tears are released, they will fire off in the direction that Isaac was originally facing when it was created."],null,null,null,"item"],["Hurts so good +5 bombs",["Special item","+5 Bombs","All explosions now heal Isaac for 1 heart instead of hurting him.","Isaac will also be immune to other sources such as Mom's leg stomp, Satan's leg stomp."],null,null,null,"item"],["Splash damage + tears up",["-1 Tear Delay (Tears Up).","-10.0 Range Down.","x1.2 Tear Size.","Makes tears break into 4 smaller tears on impact with anything, which deal half of your damage."],null,null,null,"item"],["Sweet suffering",["When getting hit, this item has a chance to drop a soul heart or black heart.","The chance to spawn a heart is affected by your luck stat and at +22 Luck it will activate 50% of the time.","Enemies have a chance to drop half a red heart when killed."],null,null,null,"item"],["HP up x3",["+1 Health Up.","+1 Soul Heart.","+1 Black Heart.","When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect.","An item only found in the secret room pool."],null,null,null,"item"],["My life savings",["+3 Coins when picked up.","When you take damage, 1-2 coins will drop on the floor.","When playing as the Keeper, this item drops 0-1 coins instead."],null,null,null,"item"],["Fear shot",["-1 Tear Delay (Tears Up).","Isaac's tears have a 15% chance of causing a fear effect.","Feared enemies will run away from Isaac temporarily.","The chance to fear enemies is affected by your luck stat and at +85 Luck it will activate every time.","Counts as 1 of 3 mom items needed towards the Mom transformation."],null,null,null,"item"],["Charged attack",["Tears can now be charged and released in a shotgun style effect, much like Monstro's main attack.","Tears down (Tear delay * 4.3).","Partial charging does nothing - must be fully charged to use."],null,null,null,"item"],["Evil up + DMG up + fear shot",["On pickup removes all of your red hearts and gives you 6 black hearts.","+1.5 Damage Up.","+0.2 Speed Up.","Tears now have a chance to induce the fear effect, causing enemies to run away from Isaac for a short period.","The chance to fear enemies is affected by your luck stat and at +85 Luck it will activate every time.","When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect.","Counts as 1 of 3 evil items needed towards the Leviathan transformation."],"UNLOCK: Unlock this item by beating the Chest with Azazel.",null,null,"item"],["Sticky feet...",["Isaac leaves a trail of tar behind him which will slow down enemies that walk over it.","Tears have a chance to slow enemies and their projectiles for a short period of time.","The chance to slow enemies can improve based on your luck stat and will always slow enemies at +18 Luck."],null,null,null,"item"],["Let's slow this down a bit",["+0.3 Speed Up.","After you get hit the Stop Watch applies a slowing effect for the rest of the room to all enemies and their projectiles.","The effect will still activate when hit while the Holy Mantle effect is active.","The slowing effect has a reduced effect against Brimstone lasers fired by enemies.","* This used to be a 'special' item in Rebirth that was permanently active, however was downgraded in Afterbirth and onwards."],"UNLOCK: Unlock this item by donating 999 pennies to the Shop.",null,null,"item"],["Orbiting tears + range up",["+7.0 Tear Height.","Range greatly increased.","Tears now revolve around Isaac's Body at a fixed distance until they hit the ground.","Aiming in the opposite direction is often better due to how the tears circle around Isaac.","Causes a lot of great synergies with items such as Lump of Coal, Brimstone, Rubber Cement, Technology and most of the worm trinkets."],null,null,null,"item"],["Infestation shot",["Creates a friendly blue spider when you kill an enemy.","Spiders are spawned at the location where the enemy died."],null,null,null,"item"],["Turdy Touch",["E. Coli turns normal enemies into poop if they touch you.","Enemies can turn into poop even if they do not do contact damage, allowing you to apply the effect without taking damage.","Can be combined with Midas Touch to turn enemies into Golden Poop.","This does not work on mini-bosses and bosses.","Counts as 1 of 3 poop items needed towards the Oh Crap transformation."],null,null,null,"item"],["Penetrative shots + DMG up",["+1.5 Damage Up.","-0.3 Tears Down.","x2 Tear Size.","Isaac's tears turn into large scythes that pierce through enemies (Similar to how Death's scythes look)."],"UNLOCK: Unlock this item by beating Challenge #17 (Waka Waka).",null,null,"item"],["???",["Increases your chances to find an Angel Room instead of a Devil Room. See the dedicated Devil room page for more details.","First half of the key required to enter the door to the Mega Satan boss.","Drops from one of the angels which appear by bombing the statue in an angel room."],null,null,null,"item"],["???",["Increases your chances to find an Angel Room instead of a Devil Room. See the dedicated Devil room page for more details.","Second half of the key required to enter the door to the Mega Satan boss.","Drops from one of the angels which appear by bombing the statue in an angel room."],null,null,null,"item"],["All stats up! ... and then shuffled",["Randomly increases 4 of your stats, and decreases 2 of them","Possible stat changes are fixed values: ±1 health, ±1 damage, ±0.2 speed, ±0.5 range, ±0.5 tears, ±0.2 shot speed, ±1 luck.","Pre-afterbirth this increased 1 stat, and decreased 1-3 stats.","Counts as 1 of 3 syringe items needed towards the Spun transformation."],"UNLOCK: Unlock this item by beating Mom's Heart 7 times.",null,null,"item"],["Wealth, but at what cost?",["Doubles pickups and chests from clearing a room.","Also gives a 30% chance for room clear rewards to not spawn.","Doesn't affect coins spawned in Greed Mode."],null,null,null,"item"],["Blocks damage... sometimes",["Gives a 50% chance to not take damage from projectiles."],null,null,null,"item"],["You feel guarded",["Puts a shield in front of Isaac which blocks projectiles.","The shield will rotate based on the direction in which Isaac is firing tears."],null,null,null,"item"],["It's still being tested",["Gives Isaac a laser that will fire at random intervals in addition to your normal tears.","Each laser does damage equal to your current tear damage.","The laser will occasionally fire with one of these effects: Hook Worm, Spoon Bender, Tiny Planet, Mysterious Liquid, Rubber Cement.","Luck has no effect on the rate at which Tech.5 fires and does not scale with items that increase your tears stat."],"UNLOCK: Unlock this item by beating Challenge #18 (The Host).",null,null,"item"],["Double shot",["Isaac now shoots two tears at once.","Unlike the Inner Eye and Mutant Spider items, this double shot item does not give a tears down, effectively giving you double damage per second potential."],null,null,null,"item"],["Secrets",["Reveals the locations of the secret and super secret room for the current floor and all future floors."],"UNLOCK: Unlock this item by donating 10 pennies to the Shop.",null,null,"item"],["Your friends rule!",["Makes all of Isaac's familiars stronger and bigger.","Causes most familiars to deal double damage.","Has no effect on most familiars that scale with Isaac's tear damage."],null,null,null,"item"],["Giant spiders and flies",["Causes your friendly blue spiders and flies to become bigger and do 2x more damage.","Allows Mom's Wig to spawn a maximum of 10 spiders at once instead of 5.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["More options",["Two items now spawn after beating a boss fight and the boss rush, however only one can be taken.","The additional item will pick from the Boss Item Pool.","Does nothing after the Krampus fight.","Unlocked by donating to the donation machine in the shop."],"UNLOCK: Unlock this item by donating 50 pennies to the Shop.",null,null,"item"],["1+1 bombs",["All bomb pickups are now 1+1 bombs.","An item only found in the Shop item pool."],null,null,null,"item"],["Extra card room",["Spawns a random card.","Isaac can now hold 2 cards or runes at once. Tap the drop button to cycle between each one","All future pill drops will now instead become cards.","An item only available in the Shop room."],null,null,null,"item"],["Extra pill room",["Allows for 2 pills to be held. Tap the drop button to cycle between each one","Drops a pill on the floor when picked up.","Changes all card and rune drops into pills. Any Tarot card or rune on the floor or current held when picking this item up will change into a pill.","Dice Shard counts as a card and will be converted."],"UNLOCK: Unlock this item by picking up 2 of the following items: Roid Rage, The Virus, Growth Hormones, Experimental Treatment or Speed Ball.",null,null,"item"],["HP + luck up",["+1 Health Up.","+1.0 Luck Up."],null,null,null,"item"],["DMG + range up",["+1.0 Damage Up (Left eye only).","+5 Range Up (Left eye only).","The above stats only apply to tears fired from Isaac's left eye or with a 50% chance if you have an item which causes you to fire from a single source only."],null,null,null,"item"],["Tears + shot speed up",["+0.5 Tears Up","+0.2 Shot Speed Up"],null,null,null,"item"],["Burning blast +5 bombs",["+5 Bombs","Gives all bombs a burning effect when they explode, leaving fire on the floor which deals 22 damage to enemies."],null,null,null,"item"],["Flaming tears",["Isaac's tears now set enemies on fire, leaving a damage over time effect that does 4 or 6 damage per tick.","There is a chance that tears that hit enemies will explode, leaving a small fire on the floor that damages enemies.","Exploding tears deal damage * 2 + 22 per tick.","The chance for tears to explode is affected by your luck stat and at +13 Luck it will activate every time."],null,null,null,"item"],["Syntax error",["When picked up, and at the start of each floor this rerolls all your current items, giving you a new item to replace each of the ones you had.","Also rerolls all your stats at the same time, giving a random flat modifier that changes each time.","Doesn't affect important items such as Polaroid, Negative and Key Pieces."],"UNLOCK: Unlock this item by beating Boss Rush with Lazarus.",null,null,"item"],["Fear shot",["+1.0 Damage Up.","Tears now have a chance to apply the fear effect to enemies, which causes them to run away from Isaac.","The chance to fear enemies is affected by your luck stat and at +20 Luck it will activate every time.","An item only found in the devil room pool (Note: The Fallen boss pulls items from the Devil Room Pool)"],null,null,null,"item"],["Curse of immunity + evil up",["+1 Black Heart.","Immunity to all floor curses (e.g. Curse of the Lost)","Black Candle removes the teleportation effect of Cursed Eye.","+15% chance of a devil or angel room opening after the boss fight."],"UNLOCK: Unlock this item by donating 150 pennies to the Shop.",null,null,"item"],["Short range mega tears",["Gives Isaac high damage tears with a short range.","Tear size and damage falls off very fast with this item, the further the tear travels the less damage it does.","Tear damage starts at double (+100%) and decreases over range to roughly (+30%).","Despite the very small tears visually, Proptosis is always a damage up at any range for tears. However with lasers such as Brimstone this point is no longer true."],null,null,null,"item"],["Evil up + your enemies will pay",["+1 Black Heart.","If the total sum of all your health is at one heart after taking damage, the necronomicon effect will activate, dealing 40 damage to the entire room."],null,null,null,"item"],["Revenge fly",["A yellow orbital fly that will block shots and when Isaac gets hit, will seek out the nearest enemy and attack it.","If the fly is in its attacking state and there are no longer any enemies in range, it will return to Isaac and go back to being a defensive orbital.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Immortal friend",["A familiar that follows Isaac and blocks any shots that hit it.","If a projectile is blocked by Dry Baby, he has a 10% chance to activate the Necronomicon effect, dealing 40 damage to the entire room.","The chance to activate the effect is not changed by your Luck stat.","Can drop while destroying skulls in the Depths and Necropolis floors."],null,null,null,"item"],["Sticky babies",["A familiar that follows isaac around dropping white creep which slows down enemies that walk over it.","Spawns 1-2 familiar blue spiders after every room.","Blue Spiders do 2.5x of Isaac's damage."],null,null,null,"item"],["We worked out all the kinks",["A familiar that is controlled via the arrow keys and will automatically fire a laser if anything is in its line of sight.","Robo-Baby 2.0's lasers deal 3.5 damage per hit."],"UNLOCK: Unlock this item by beating Challenge #16 (Computer Savvy).",null,null,"item"],["Infested friend",["A familiar which follows Isaac and spawns a blue flies as you're firing tears.","Rotten Baby can only create one fly at a time, meaning if he has created a fly he cannot make another until it is used.","Blue Flies do double your tear damage.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],null,null,null,"item"],["Bloody friend",["A familiar that follows Isaac and leaves blood creep on the floor as it floats, hurting enemies that walk over it for 2 damage per tick.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],null,null,null,"item"],["Blood sucker",["Spawns a familiar leech on the ground that hunts down enemies and heals you for half a heart each time it eats one.","The Leech deals 1.5 contact damage per tick."],null,null,null,"item"],["?",["A bag that follows Isaac and drops a random heart, coin, bomb or key every 5-6 rooms (alternating, 5 rooms then 6, then repeats).","Can drop any kind of heart, coin, bomb or key."],"UNLOCK: Unlock this item by beating the Dark Room with Eden.",null,null,"item"],["Big beautiful fly",["A large familiar black fly that bounces around the room, exploding on contact with enemies dealing 70 damage.","Does not explode if it hits Isaac, however if it explodes on an enemy while Isaac is in range, he will take damage.","Respawns after 10 seconds or by moving to another room.","Picking up this item as well as 2 other fly-type items will allow you to transform into Lord of the Flies.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Explosive thoughts",["A green brain that launches in the direction you are firing your tears and will explode on contact with enemies, dealing damage and poisoning anything in the blast radius.","Bob's Brain deals 60 damage and applies a poison damage over time effect, which deals double your tear damage per tick.","Regenerates over time.","Will hurt Isaac if he is in the blast radius.","Counts as 1 of 3 poison items needed towards the Bob transformation."],null,null,null,"item"],["Sworn protector",["When Isaac takes damage, a white attack fly will spawn that orbits him at a similar distance to the Distant Admiration fly.","The fly orbits a lot faster than Distant Admiration or Forever Alone and deals 5 damage per tick.","Picking up this item as well as 2 other fly-type items will allow you to transform into Lord of the Flies.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["Evil friend",["A familiar that follows Isaac and can fire up and charge brimstone shots, exactly how the normal Brimstone item works but with less damage.","Each laser deals 3.5 damage per tick, up to 9 times for a total of 31.5 damage.","A familiar found in the devil room.","* This used to be a 'special' item in Rebirth, however was downgraded in Afterbirth and onwards"],null,null,null,"item"],["Protect it",["Prevents Isaac from taking any damage, but instead summons a familiar heart that follows you around. If the heart is hit, Isaac will take damage.","Most enemies will target the heart over Isaac himself.","Blood donation machines and devil beggars can be used for free. Spikes and Curse Rooms no longer deal damage.","Sharp Plug becomes useless with this item, due to how damage is prevented on Isaac's body."],"UNLOCK: Unlock this item by beating the Isaac boss with The Lost.",null,null,"item"],["Fear him",["A familiar ghost that follows Isaac around and chases enemies close-by, damaging them for 2 contact damage and causing a fear effect."],null,null,null,"item"],["He wants to take your life",["A familiar beggar similar to Bum Friend that follows Isaac and collects red hearts, giving Isaac soul hearts or spiders in return.","For every 1.5 red hearts he takes, he will give 1 heart/spider in return.","Soul hearts are the most common payout with only a small chance to spawn friendly, hostile spiders or black hearts.","Counts as 1 of 3 bum items needed towards the Super Bum transformation."],null,null,null,"item"],["Fat protector",["A very large orbital that moves around Isaac very slowly, blocking shots and dealing 2 contact damage per tick.","Affects the speed of all other orbitals, slowing them down a lot (NOTE: This effect does not happen until you get a new orbital after Big Fan).","Does not count as one of your three standard orbital slots.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],null,null,null,"item"],["She loves you",["An adorable friendly blue spider that walks around the room laying other blue spiders which attack enemies.","Blue Spiders do 2.5x of Isaac's damage.","She can only spawn a maximum of up to 5 spiders at a time and will only do so while there are enemies in the room."],null,null,null,"item"],["Scape goat",["Spawns a friendly Mulligan that walks around the room. Mulligan can be hit by enemy projectiles, making him a good shield.","Enemies will sometimes target the Mulligan if he is closer."],null,null,null,"item"],["It's time you learned how",["When used, makes Isaac leap in the air, similar to the leaper enemies.","Maintains momentum if you are already moving in the same direction.","If you already have an item which gives you flying, this item becomes a dash effect instead.","Can be used in the Isaac boss fight to jump over the beams of light he spawns."],null,"Instant",null,"item"],["REEROLLLLL!",["Special item","When used, rerolls each item you currently own into another item room pool item and any pedestal items and pickups in the room.","Has the combined uses of the D4, D6 and D20."],"UNLOCK: Unlock this item by beating Boss Rush with The Lost.","6 rooms",null,"item"],["Reroll into something else",["When used, the D4 re-rolls each item you currently have into another random item from the same item pool.","If you have an item with no room pool (e.g. Blood Bag) it will be rerolled into a random Item Room item.","Each time an item is generated by the D4, it is also removed from the pool. When the pool is empty, it will eventually re-roll all your items into heart containers.","Cannot remove Azazel's Brimstone laser."],"UNLOCK: Unlock this item by blowing up 30 slot machines.","6 rooms",null,"item"],["Rerolls enemies",["When used, rerolls all enemies in the room which are currently alive into another random type of enemy from any floor.","Dangerous to use in early floors, it could replace a basement enemy with something usually found in the Womb only.","Cannot reroll mini-bosses or bosses."],null,"1 room",null,"item"],["Card Mimic",["When used, copies the effect of the card or rune you are currently holding without consuming it.","Doesn't work with pills.","Allows game breaking combinations with the Jera rune by chaining batteries and pickups and using it multiple times.","An item that often appears in the shop.","Using this with the ? card will teleport you to the I AM ERROR room."],"UNLOCK: Unlock this item by beating the Isaac boss with Eden.","4 rooms.",null,"item"],["??????",["When used, you have a chance of getting one of the three following effects: Treasure Map (floor layout), Compass (map icons) or Blue Map (secret room locations)","Counts as 1 of 3 book items needed towards the Bookworm transformation."],"UNLOCK: Unlock this item by beating Satan with Eden.","6 rooms",null,"item"],["It's a box of spiders",["When used, spawns 1-4 friendly blue spiders on the floor.","Blue Spiders do 2.5x of Isaac's damage.","Counts as 1 of 3 spider items needed towards the Spider Baby transformation."],null,"2 rooms",null,"item"],["Flame on",["Allows you to fire a red flame infront of you, similar to the Blue Candle item, however the flame will stay for the current room.","Each flame deals 125 total damagebefore it disappears.","The flame will shrink in size when deals damage to something and eventually disappear."],"UNLOCK: Unlock this item by donating 400 pennies to the Shop.","Timed (A few seconds)",null,"item"],["Save your life",["Isaac can now pick up hearts while at full health, which will be stored in the Jar and can be spawned again using the spacebar.","Up to 4 hearts can be stored in The Jar.","Soul hearts and black hearts cannot be stored.","If used in a Black heart or Eternal heart super secret room, it will spawn the relevant heart."],null,"Instant",null,"item"],["...",["When used, turns every normal enemy in the room into poop!","Does not work on mini-bosses and bosses.","Kills poop bosses when used - Dingle, Dangle and Brownie.","Counts as 1 of 3 poop items needed towards the Oh Crap transformation."],null,"6 rooms",null,"item"],["Reusable evil",["When used, gives Isaac +1 Black Heart.","When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect.","Counts as 1 of 3 book items needed towards the Bookworm transformation."],"UNLOCK: Unlock this item by beating the Isaac boss with Azazel.","6 rooms",null,"item"],["Krampus rage",["When used, fires a 4 way brimstone laser in all cardinal directions, dealing a lot of damage to any enemies.","If playing with Afterbirth+, it has a 50% chance for the beams to rotate 90 degrees around you when used.","Maximum potential damage is 462 (20-21 ticks of 22 damage if the laser makes contact the whole duration)","Laser damage does not scale with your damage stat.","Has a chance to drop after you beat Krampus.","If you get close enough to an enemy that has a large hitbox, you can hit it with 2 of the laser beams, allowing you to deal a lot more damage."],"UNLOCK: Unlock this item by beating Krampus (Krampus is unlocked by taking 20 devil deal items).","6 rooms",null,"item"],["Reusable knockback",["When used, farts on nearby enemies and knocks them backwards away from Isaac.","Allows you to reflect projectiles away from Isaac (Afterbirth only feature)","Every time you swap Butter Bean for a different active item, it has a 10% chance to transform into the 'Wait What?' item when picked up again."],"UNLOCK: Unlock this item by destroying 100 poops.","Timed (A few seconds)",null,"item"],["Pay to play",["Upon use, consumes a coin and deals damage to everything in the room.","Damage dealt is equal to your tear damage * 2."],null,"Instant",null,"item"],["Convert your soul",["When used, converts 2 soul or black hearts into 1 red heart container.","This item will take from your soul hearts first."],null,"Instant",null,"item"],["? ?",["When used, this item will spawn a set of items or consumables based on which chapter you are currently on.","Basement 1: 2 Soul hearts. Basement 2: 2 Bombs + 2 Keys.","Caves 1: 1 Boss Item. Caves 2: 1 Boss Item + 2 Soul Hearts.","Depths 1: 4 Soul hearts. Depths 2: 20 coins.","Womb 1: 2 Boss Items. Womb 2: Bible.","Blue Womb: Nothing!. The Void: Nothing!","Sheol: 1 Devil Room Item + 1 Black Heart. Cathedral: 1 Angel Room Item + 1 Eternal Heart.","Chest: 1 coin. Dark Room: Nothing!","Pandora's Box considers XL floors to always be the first floor of a chapter."],"UNLOCK: Unlock this item by beating the Dark Room with Lazarus.","One time use",null,"item"],["You feel stumped",["When used, turns Isaac invincible and gains +0.28 speed for a 5 seconds.","You cannot fire tears while the stump is active.","Very similar to the My Little Unicorn item but does not deal contact damage.","When used with Mom's Knife, you can still deal contact damage but will be unable to change the way the knife faces while the effect is active."],null,"1 room",null,"item"],["Speed down + rage is building",["-0.3 Speed Down.","While in a hostile room your speed raises at a rate of +0.065 per game tick.","When you hit a speed stat of 2.0, Isaac will gain an invincibility effect for 5 seconds, increasing speed and allowing him to run into enemies to deal 40 contact damage per hit.","The time it takes for the effect to activate becomes shorter with a higher base Speed stat.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Ramming speed",["+0.25 Speed up.","Gives huge horns which stick out, allowing you to deal 18 contact damage if you hit something with enough speed.","Will not deal contact damage unless you are moving fast enough (at least 0.8 speed), but does not prevent you from taking damage yourself.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["HP up + you feel protected",["+3 Soul Hearts","After getting hit once, you gain a damage reduction for the rest of the room similar to The Wafer item (-50% damage taken).","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Stompy",["Isaac increases in size, gets a lion's mane and now has the ability to crush rocks by walking over them.","Crushed rocks and poop can fill holes if you walk in their direction.","Allows you to crush Red Poops and sometimes not take damage. However, If you also have flying you will always take damage.","One of the twelve zodiac items available in the game.","Counts as 1 of 3 size-increasing items needed towards the Stompy transformation."],null,null,null,"item"],["You feel refreshed and protected",["A random chance when you take damage to get an invincibility shield for 7 seconds.","The chance to get an invincibility shield is affected by your luck stat and at +10 Luck it will activate every time you get hit.","Converts all negative pills into their positive counterparts e.g. Stat Down becomes Stat Up, 'Bad Trip' turns into 'Balls of Steel' and 'Amnesia' turns into 'I can see forever'.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["You feel balanced",["Gives you 6 keys, 6 bombs and 6 coins.","Balances out your main stats to bring the high and low stats closer to an average value.","All future stat upgrading items will now instead spread out across all other stats. For example, an item which usually gives +1 Damage would instead give a small 'all stats up'.","Stats effected by this item are: Damage, Tears, Range, Speed.","When taken with another item which gives an extreme value in a certain stat (e.g. Soy Milk) can lead to interesting synergies.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Poison tears",["Isaac's tears turn bright green and always apply a poison effect to enemies which deals a total of double your tear damage.","This is essentially a superior version of The Common Cold item.","Pre-Afterbirth this dealt 4 or 6 damage, instead of scaling with your tear damage.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Penetrative shot + speed up",["+0.2 Speed Up.","Grants piercing tears.","Tears do not travel through rocks with this item.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["All stats up",["+1 Health Up.","+0.5 Damage Up.","-1 Tear Delay (Tears Up).","+0.1 Speed Up.","+1.5 Range Up.","+1 Key, +1 Bomb, +1 Coin.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["A trail of tears",["Leaves a trail of tears on the floor behind Isaac which damages enemies that walk over it for 2 damage per tick.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Tears up + knockback shot",["-1 Tear Delay (Tears Up).","x1.25 Tear Size Up.","Tears now have a bigger knockback effect, which pushes enemies backwards.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Shot speed down + DMG up",["x2 Damage Multiplier.","Tears Down by exactly half (Tear delay * 2)","-0.5 Shot Speed Down.","The tears down from this item is a x2.0 multiplier after the formula, meaning it will always halve your tear rate (Unless you have Monstro's Lung or Soy Milk)."],"UNLOCK: Unlock this item by beating Boss Rush with Eve.",null,null,"item"],["Sweet revenge",["When you die with this item, you respawn in the previous room as Black Judas with 2 black hearts for health.","Black Judas has a damage multiplier of 2.00 (double Isaac's damage) and an additional +0.1 Speed.","Black Judas is considered a separate character by the game, however he can be used to unlock Judas' secrets/achievements."],"UNLOCK: Unlock this item by beating Boss Rush with Judas.",null,null,"item"],["HP up + you feel healthy",["+1 Health Up.","All future red hearts now heal for double. Half hearts heal a whole heart and full hearts heal 2 red hearts."],"UNLOCK: Unlock this item by beating Boss Rush with Maggy.",null,null,"item"],["Holy shield",["Each time you enter a new room, damage is negated for the first time you get hit.","Can be used to go in and out of a Curse Room without taking damage.","Counts as 1 of 3 angel items needed towards the Seraphim transformation.","In Afterbirth The Lost starts with this item after donating 879 coins to the Greed Donation Machine."],null,null,null,"item"],["HP + speed down + you feel strong",["+1 Health Up.","-0.4 Speed Down.","You can now break obstacles by walking over them.","Holes in the ground can be filled by crushing adjacent rocks, similar to how this can be done with bombs.","Allows you to crush Red Poops and sometimes not take damage. However, If you also have flying you will always take damage."],null,null,null,"item"],["Magnetic tears",["Enemies and pickups (keys, bombs etc.) are now magnetically attracted to Isaac's tears.","Can cause some enemies to have unpredictable movement."],null,null,null,"item"],["Cursed charged shot",["Tears are now charged up and fired rapidly in a burst of up to 4 shots at once.","The amount of tears fired in the charge depends on how long you charge for.","The eye has three states, white (not firing), black (first second of charging) and blinking between black and white. If you get hit while Cursed eye is a solid black colour you are guaranteed to be teleported to another random room on the floor. If you get hit in either of the other 2 states you will not be teleported.","The Black Candle item will remove the Cursed Eye's teleportation effect"],null,null,null,"item"],["Toxic splash damage",["When Isaac's tears hit anything, they leave a green toxic creep on the floor that damages enemies for 1 damage per tick."],null,null,null,"item"],["Conjoined friend",["A familar that is attached to Isaac, which will seek out and damage any enemies close by for 3 contact damage.","One of the twelve zodiac items available in the game."],null,null,null,"item"],["Near sighted friend",["A familiar eye that bounces around the room slowly and fires tears in the same direction as Isaac.","Cain's Other Eye deals scaling damage equal to Isaac's tear damage."],"UNLOCK: Unlock this item by beating Boss Rush with Cain.",null,null,"item"],["Controlled friend",["A familiar fly that can be moved around via use of the arrow keys dealing 2.5 contact damage per tick, similar to the Ludovico Technique's mechanic.","Counts as 1 of 3 fly items needed towards the Beelzebub transformation."],"UNLOCK: Unlock this item by beating Boss Rush with Blue Baby.",null,null,"item"],["The ol' ball and chain",["An iron ball and chain attached to Isaac, similar to Guppy's Hairball that you can fling around to deal 5 damage per tick.","The ball will block enemy shots and can also destroy environmental objects such as rocks, mushrooms and skulls.","Does not decrease your movement speed stat at all however the ball has to be dragged around causing Isaac to slow down slightly when the chain is fully extended."],"UNLOCK: Unlock this item by beating Boss Rush with Samson.",null,null,"item"],["Mongo friend",["A familiar that will follow Isaac and copy the effect of one of your other familiars.","Deals double the damage as normal familiars.","If you don't have any other familiars, he will just shoot normal tears.","Counts as 1 of 3 familiar items needed towards the Conjoined transformation."],null,null,null,"item"],["Collected tears",["A spacebar item that fires 8 of Isaac's tears in a circle around him.","Tears spawned from this item keep most effect that Isaac currently has applied to his tears."],"UNLOCK: Unlock this item by beating the Isaac boss with Isaac.","1 bar per tear fired",null,"item"],["Undefined",["Upon use, teleports you to one of the following rooms at random: Item room, Secret room, Super secret room, the I AM ERROR room or the Black Market (very low chance).","In Afterbirth I AM ERROR rooms were removed from the final floors, however before this you were able to loop infinitely assuming you could use Undefined to get there."],"UNLOCK: Unlock this item by beating Boss Rush with Eden.","6 rooms",null,"item"],["Lose your head",["When used will cut your head from your body. Isaac's head will remain stationary and fire tears. His body can be controlled and spews blood nearby.","Tears fired by the head do a flat 3.5 damage and don't scale."],"UNLOCK: Unlock this item by dying 100 times.","2 rooms",null,"item"],["Invincibility at a cost",["While you hold the spacebar down with this item, it will empty the charge bar gradually. When the charge bar gets to zero it will grant you a brief period of invincibility.","If the spacebar is held for too long (about 1 second) when it has no charge, you will take damage.","The invincibility effect is shown via a rapid flashing animation."],null,"Timed (1 bar per second)",null,"item"],["Fate chosen",["After taking damage, if you have half a red heart or less, The Polaroid will give you an invincibility shield for 5 seconds.","Grants access to the Chest floor.","When unlocked, is guaranteed to drop after the Mom's Foot boss fight."],"UNLOCK: Unlock this item by beating Isaac in the Cathedral 5 times.",null,null,"item"],["Fate chosen",["After taking damage, if you have half a red heart or less, The Negative will deal 40 damage to all enemies in the room.","Gives you access to the Dark Room floor.","When unlocked, is guaranteed to drop after the Mom's Foot boss fight."],"UNLOCK: Unlock this item by beating Satan in Sheol 5 times.",null,null,"item"],["Controlled tears",["Special item","You no longer shoot tears and instead now control a single large tear with the arrow keys.","Items which increase your tears stat will cause the tear to deal damage at a faster rate.","Items which increase your shot speed cause the tear to travel faster across the screen.","Ludo and Brimstone create a large controllable red ring of death that does massive damage to anything in its path.","Taking this with Mom's Knife allows you to remote control the knife around the room, dealing huge damage."],null,null,null,"item"],["DMG down + tears way up",["Very high Tears Up: (delay /4) - 2","-80% Damage Down.","x0.5 Tear Size.","Was a special item prior to Afterbirth."],null,null,null,"item"],["God tears",["Special item","Isaac's tears become homing and have a large aura around them, which will deal damage to anything inside its radius.","+0.5 Damage Up.","+1.2 Range Up.","-0.3 Tears Down.","-0.3 Shot Speed Down","+0.8 Tear Height."],"UNLOCK: Unlock this item by beating all bosses and completing all post-it note marks in hard mode with The Lost character.",null,null,"item"],["Eternal life?",["Gives Isaac an extra life on death, exactly the same as Lazarus' default respawn effect.","When you die with this item, you respawn in the same room with 1 heart and the Anemic item.","The game considers you to be a different character (Lazarus II) when this effect activates."],"UNLOCK: Unlock this item by beating the Isaac boss with Lazarus.",null,null,"item"],["I know all",["Gives Isaac a full mapping effect, revealing the entire floor and locations of all secret rooms."],"UNLOCK: Unlock this item by beating Satan with The Lost.",null,null,"item"],["I feel all",["+3 Health Up.","The three heart containers are pre-filled with red hearts."],"UNLOCK: Unlock this item by beating the Chest with The Lost.",null,null,"item"],["I am all",["+2 Soul Hearts.","Enemy projectiles will now slowly curve away from Isaac and avoid hitting him."],"UNLOCK: Unlock this item by beating Dark Room with The Lost.",null,null,"item"],["Toxic aura tears",["Isaac's tears become large, brown and will penetrate all objects and enemies (piercing + spectral).","-0.25 Range Down.","-0.4 Shot Speed Down.","-0.5 Tear Height.","x1.5 Tear Size.","Despite the increase in tear size, Dead Onion does NOT increase your damage stat. It also doesn't do poison damage despite having the tagline 'toxic aura tears'."],null,null,null,"item"],["I think its broken",["Upon entering every 4th unexplored room, the Broken Watch will either slow down or speed up all enemies in the room.","The slow effect is much more common than the speed up.","An item only found in the Shop item pool."],null,null,null,"item"],["It will never leave you",["A blue boomerang which can be thrown in a similar fashion to Mom's Knife, to stun any enemies it hits and deal damage.","The damage dealt by the Boomerang is equal to double your tear damage.","The boomerang can also be used to grab pickups and consumables from a distance, similar to the legend of zelda boomerang.","The range of the boomerang is affected by range, with number one the distance is very short and makes the item a lot less effective.","The Boomerang can be used to kill shopkeeper corpses, allowing you to farm their drops for coins, items, Steam Sale etc."],null,"Timed (A few seconds)",null,"item"],["Evil up + range + shot speed",["+5.25 Range Up.","+0.16 Shot Speed Up.","+1 Black Heart.","+0.5 Tear Height.","When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect."],null,null,null,"item"],["Speed up + size down",["+0.3 Speed Up.","Decreases the size of Isaac, and your player hitbox, making you less likely to be hit.","Gives you a random pill when picked up.","An item only found in the boss room pool."],null,null,null,"item"],["Tears + shot speed up",["+0.7 Tears Up.","+0.16 Shot Speed Up."],null,null,null,"item"],["HP + tears + shot speed down",["+1 Health Up.","+0.7 Tears Up.","-0.16 Shot Speed Down.","An item only found in the Boss Room pool.","Counts as 1 of 3 mushroom items needed towards the Fun Guy transformation."],null,null,null,"item"],["Luck up",["+1 Luck Up.","+1 Soul Heart.","Spawns 2 keys on the ground."],null,null,null,"item"],["Evil up",["+1 Black Heart","+3 Bombs","When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect."],null,null,null,"item"],["DMG up + range",["+1.0 Damage Up.","+5.25 Range Up.","+0.5 Tear Height.","Counts as 1 of 3 syringe items needed towards the Spun transformation."],null,null,null,"item"],["HP up",["+1 Health Up."],null,null,null,"item"],["Don't chew on it",["Tears have a chance to become a tooth, dealing more than triple damage."],null,null,null,null],["It's leaking...",["Tears have a chance to slow enemies."],null,null,null,null],["Wealth of purity",["Chance to spawn half a soul heart when picking up a coin.","Picking up nickels and dimes can spawn multiple half soul hearts."],"UNLOCK: Unlock this trinket by defeating ??? as Bethany.",null,null,null],["Mystery medicine",["Gives you a random syringe effect every room.","The effect can be The Virus, Roid Rage, Speed Ball, Experimental Treatment, Synthoil or Growth Hormones"],null,null,null,null],["Short fuse",["Placed bombs explode almost instantly."],null,null,null,null],["Mega farts",["Farts produced by Isaac or familiars will be twice as large."],null,null,null,null],["Watch the world burn",["Chance for enemies to burn when entering a room","The chance for this effect to activate is effected by your Luck stat"],null,null,null,null],["Bombs are key",["Explosions can open locked doors","This includes the doors to the Antibirth floors: Downpour, Mines and Mausoleum, but not the Corpse floor"],null,null,null,null],["Forget me not...",["Pickups left on current floor will appear in the starting room of the next floor, up to a maximum of 8 pickups"],null,null,null,null],["t's broken9Reroll your dest ",["Active items will be rerolled upon using them.","Breath of Life is not rerolled by this trinket."],"UNLOCK: Unlock this trinket by defeating The Witness as Eden.",null,null,null],["It feels lucky",["Tear-based effects have an extra chance of occurring."],null,null,null,null],["Sing for your friends",["Gives your familiars improved rate of fire while held."],"UNLOCK: Unlock this trinket by bombing the skull left by The Siren boss after her death.",null,null,null],["My faith protects me",["While held at the start of each floor, this trinket spawns four wisp familiar orbitals around Isaac","These wisps are the same as the ones created by the Book of Virtues item"],"UNLOCK: Unlock this item by beating the Boss Rush as Bethany.",null,null,null],["Voltage starving",["Your active item no longer gains charges, but battery drops become much more common"],"UNLOCK: Unlock this item by blowing up 10 Charge Machines.",null,null,null],["Ding!",["Missed tears will redirect themselves and travel sideways towards enemies."],null,null,null,null],["Luck way up. Don't lose it!",["+10 Luck while held, trinket is destroyed when damage is taken","Can be dropped in order to avoid breaking it"],null,null,null,null],["His special customer",["Treasure Rooms are replaced with Red Treasure Rooms, which contain a deal with the devil in place of a regular item pedestal.","If an item room as not yet been entered, it can be transformed to either a regular or Red Treasure Room by picking up or dropping this trinket before entering"],"UNLOCK: Unlock this item by defeating The Witness as Azazel.",null,null,null],["Wealth of power",["Every time you pick up a coin, you have a small chance to gain 1 bar of charge on your active item."],null,null,null,null],[null,["These are white hearts which will refill themselves upon completing a room if it is half depleated.","Attacks that deal a full heart of damage can only take away half of an Immortal Heart."],null,null,null,null],[null,["Rotten Hearts act as normal red hearts, filling up any empty heart containers.","If you are in possession of a Rotten Heart, a blue fly will spawn upon clearing the room","If at full health, any Rotten Hearts picked up will replace the rightmost red heart."],"UNLOCK: Unlock this item by entering the Corpse floor for the first time.",null,null,null],[null,["Three new pills were added to Antibirth:","Shot Speed Up - Increases your tear projectile speed","Shot Speed Down - Reduces your tear projectile speed by -0.15","Experimental Pill - Increases one random stat and reduces one random stat by a small amount (PhD keeps this pill in the pool but causes it to only increase one random stat)"],null,null,null,null],["Charity",["Rune of Gebo - Donates money to a machine"],"UNLOCK: Unlock this card by beating Challenge 4x (Bloody Mary).",null,null,null],["Pestilence",["Poisons all enemies in the room"],"UNLOCK: Unlock this card by beating Challenge 2x (Scat Man).",null,null,null],["Wealth",["Turns all the pickups in the room into coins"],"UNLOCK: Unlock this card by beating Challenge 3x (Turbo!).",null,null,null],["Legacy",["Spawns another copy of a random item that Isaac already has"],"UNLOCK: Unlock this card by beating Challenge 9x (Seeing Double).",null,null,null],["Gulp!",["Each time you get hit, you drop a coin or two."],"UNLOCK: Unlock this item by beating Challenge #15 (Slow Roll).",null,null,"trinket"],["It feels lucky?",["While held, Isaac has a significantly higher chance to find drops when breaking poops."],null,null,null,"trinket"],["Trickle charge",["Lowers your spacebar item charge rate by 1.","Cannot lower the charge of your spacebar item below 1 room.","For example, you will now be able to use a 3 room charge item after 2 rooms instead."],null,null,null,"trinket"],["It's broken",["Does the teleport effect every time you use your current spacebar item.","Can be used infinitely every room if you have Guppy's Paw and no red heart containers (Can be exploited to get to the boss room without clearing any other rooms)."],null,null,null,"trinket"],["Challenge up",["Higher chance for champion enemies while held."],null,null,null,"trinket"],["It kinda works",["Has a partial Magneto effect and will attract coins, pulling them into Isaac from a distance.","Does not attract other pickups like the full Magneto item does."],null,null,null,"trinket"],["Faith up",["Increases your chances to find an Angel Room instead of a Devil Room.","Normally there is a 50%/50% chance of a Angel or Devil room with if a door spawns after the boss. The Rosary Bead changes this to a 75%/25% chance of an angel or devil room (respectively)."],null,null,null,"trinket"],["I remember these",["When Isaac takes damage, there is a chance he will gain the Gamekid effect, turning him invincible and dealing contact damage to any enemies he touches.","The chance to activate the invincibility effect is affected by your luck stat and at +38 Luck it will activate every time you get hit."],null,null,null,"trinket"],["Wub wub!",["Tears shrink and grow in size as they go across the room.","Does not appear to affect your damage and only the hitbox size of tears."],null,null,null,"trinket"],["Wiggle wiggle!",["Tears now move in a wave fashion across the room.","Tears up (not applied until the next time your tears stat is updated)."],null,null,null,"trinket"],["Woop woop!",["While held, tears move in a spiral pattern across the screen at high speed.","Effectively increases your range due to the tear pattern."],null,null,null,"trinket"],["Blub blub!",["Tears become flat and disc shaped giving them a larger hitbox.","Higher knockback effect with your tears."],null,null,null,"trinket"],["YES!",["While this trinket is held, all items in the Shop cost 0 coins.","After buying any 0 cent item in the Shop, the trinket disappears."],"UNLOCK: Unlock this item by beating the Chest with Lazarus.",null,null,"trinket"],["Your feet feel stronger",["Isaac no longer takes damage from walking over spikes and blood creep while this trinket is held."],null,null,null,"trinket"],["There's something inside",["Rocks now drop money when broken."],"UNLOCK: Unlock this item by destroying 100 rocks.",null,null,"trinket"],["???",["Mom's Leg will now appear every 60 seconds and stomp down randomly in the room dealing 300 damage to enemies, similar to how Daddy Longlegs works but less frequent.","Be warned though, Mom's leg can also stomp and hurt Isaac too!"],null,null,null,"trinket"],["Evil up",["Increases the chance for Black hearts to spawn."],"UNLOCK: Unlock this item by beating the Dark Room with Eve.",null,null,"trinket"],["Faith up",["Gives you a higher chance of eternal hearts.","Contrary to popular belief, the Bible Tract doesn't allow Angel Rooms to appear after paying for a Devil Deal."],null,null,null,"trinket"],["Master of lockpicking",["Allows you to unlock golden chests without needing a key.","Does not work on locked rooms.","In Afterbirth Cain starts with this trinket after donating 68 coins to the Greed Donation Machine."],null,null,null,"trinket"],["Wish granted",["When you reach half a heart of life remaining, a black heart will spawn.","After three black hearts have spawned, the trinket dissapears."],null,null,null,"trinket"],["???",["Imitates the behaviours of some of the other 'paper' items/trinkets.","A Missing Page: When taking damage, Isaac has a chance to deal damage to the entire room in a Necronomicon style effect.","Has a chance to trigger the Polaroid or Negative effect every time you take damage with half a red heart or less.","Missing Poster: Dying in a sacrifice room while holding this trinket will reveal a puzzle piece on the death screen. Finding all the puzzle pieces will help you to reveal the final secret, unlocking the hidden character 'The Lost'.","If held when you touch the chest after the Satan or Isaac fight and you don't have the relevant item to go to the next floor (Polaroid or Negative), you have a small chance to be taken there anyway."],"UNLOCK: Unlock this item by beating the Chest with Eden.",null,null,"trinket"],["Evil up",["When Daemon's Tail is held, most future Heart drop will be rerolled into something else, with a certain chance to be rerolled into a Black Heart.","Every type of heart will be affected (except for hearts spawned in Super Secret Rooms) and causes Mitre, Bible Tract, Mom's Pearl to become useless.","Upon entering a new room that already has hearts on the ground, they will all be converted into Black Hearts.","Hearts that spawn after clearing a room, opening a chest or playing a slot machine/beggar will be re-rolled into another possible pickup that could appear. This essentially means you are sacrificing your heart drops for a higher chance of all other pickups"],"UNLOCK: Unlock this item by beating Satan with Azazel.",null,null,"trinket"],["???",["Dying in a sacrifice room while holding this trinket will reveal a puzzle piece on the death screen. Finding all the puzzle pieces will help you to reveal the final secret, unlocking the hidden character 'The Lost'.","In Afterbirth dying with this trinket causes you to respawn as The Lost character and dying in a sacrifice room while holding this trinket will now unlock the Lost character."],"UNLOCK: Unlock this item by beating Dark Room with Isaac.",null,null,"trinket"],["Wealth of gas",["Everytime you pick up a coin, you fart."],null,null,null,"trinket"],["Uh-oh!",["Causes Isaac to create poops randomly."],null,null,null,"trinket"],["Zip zoop!",["Tears now move forwards at right angles, shifting left and right across the room.","Increases your range stat by +10.0 while held but due to the fire pattern, your tears travel a similar distance to normal."],null,null,null,"trinket"],["Wooosh!",["+0.5 Shot Speed Up.","Your tears now whip across the room at a very high shot speed.","Shot speed gives your tears more effective range, but doesn't increase your range stat directly."],null,null,null,"trinket"],["Eternal life?",["Has a 22.22% chance to respawn with 3 Soul hearts as Blue Baby when you die."],"UNLOCK: Unlock this item by beating Satan with Lazarus.",null,null,"trinket"],["It stinks",["Everytime Isaac takes damage, one blue fly will spawn."],null,null,null,"trinket"],["Poison shots",["Isaac's tears have a chance to poison enemies.","The poison effect leaves a damage over time, which deals 4 or 6 damage per tick.","The chance to poison enemies is affected by your luck stat and at +18 Luck it will activate every time."],null,null,null,"trinket"],["Piercing shots",["Isaac now has a chance to make a spectral and piercing tear.","The chance to fire a piercing tear is affected by your luck stat and at +18 Luck it will activate every time."],null,null,null,"trinket"],["Touch fuzzy, get dizzy!",["While held, this trinket gives a random mushroom effect each room","Possible mushrooms include: Mini Mush, Odd Mushroom (Thin), Odd Mushroom (Thick), The Compass."],null,null,null,"trinket"],["Fetal protection",["If you take damage which leaves you at 1/2 a heart, you gain a Little Steve familiar that follows you and shoots homing tears."],null,null,null,"trinket"],["It calls out to its brothers",["Gives Isaac a higher chance to find hearts from drops after clearing a room and from chests."],null,null,null,"trinket"],["DMG up",["+2 Damage Up"],"UNLOCK: Unlock this item by beating the Dark Room with Judas.",null,null,"trinket"],["It feels lucky?",["Gives Isaac a higher chance to find keys and chests."],null,null,null,"trinket"],["Speed up",["+0.15 Speed Up."],null,null,null,"trinket"],["It emanates purity",["Grants a secondary chance of any non-specific heart drop turning into a soul heart."],null,null,null,"trinket"],["Yay, cancer!",["-2 Tear Delay (Tears Up).","The fire rate increase is applied in such a way that the higher your tear stat is, the more effective Cancer is.","Breaks the normal fire rate cap, allowing you to fire faster than the normal maximum."],null,null,null,"trinket"],["Your rage grows",["You have a chance when taking damage to gain +1.8 Damage Up for the rest of the room."],null,null,null,"trinket"],["Tastes like burning",["Gives Isaac a higher chance to find bombs.","Picking up the Match Stick is the only way to remove the Tick trinket."],null,null,null,"trinket"],["Luck up!",["+1 Luck Up while held."],"UNLOCK: Unlock this item by blowing up 20 shop keepers (this includes the ones in the secret room).",null,null,"trinket"],["Cursed?",["When you take damage while on 1/2 a heart, you are teleported back to the previous room."],null,null,null,"trinket"],["Don't swallow it",["Gives Isaac a higher chance to find pills."],null,null,null,"trinket"],["Luck of the draw",["Gives Isaac a higher chance to find Tarot cards after clearing a room or from chests."],null,null,null,"trinket"],["Consume thy enemy",["After clearing a room, you have a chance to heal for half a red heart."],null,null,null,"trinket"],["It glows with power",["When taking damage, Isaac has a chance to deal damage to the entire room in a Necronomicon style effect.","The chance to damage enemies is affected by your luck stat and at +50 or more Luck it will activate 50% of the time."],null,null,null,"trinket"],["Wealth of health",["Everytime you pick up a penny, you have a chance to spawn a red heart on the floor."],"UNLOCK: Unlock this item by beating the Chest with Samson.",null,null,"trinket"],["Wealth of chaos",["Everytime you pick up a coin, you have a chance to spawn a bomb on the floor."],"UNLOCK: Unlock this item by beating Challenge #13 (Beans!).",null,null,"trinket"],["Wealth of answers",["Everytime you pick up a coin, you have a chance to spawn a key."],null,null,null,"trinket"],["Wealth of wealth",["When picking up a coin, you have a chance to automatically gain one more coin."],"UNLOCK: Unlock this item by playing the shell game in the arcade 100 times.",null,null,"trinket"],["Well, that's not coming off",["When you enter a boss room, immediately remove 15% health from the boss and restore 1 red heart.","This trinket can only be removed by using the Smelter item (Afterbirth+ DLC only) or picking up the Match Stick trinket, meaning you are otherwise unable to take any more trinkets unless you get another item which allows you to hold a second trinket (e.g. Mom's Purse)."],null,null,null,"trinket"],["Dead friend",["While held, this trinket gives Isaac a familiar that shoots piercing tears that deal 3.5 damage."],"UNLOCK: Unlock this item by beating the Boss Rush with Isaac.",null,null,"trinket"],["Faith's reward",["At the start of a new floor, you get an eternal heart."],"UNLOCK: Unlock this item by beating the Dark Room with Maggy.",null,null,"trinket"],["Payment received",["Items which cost 2 heart containers in a deal with the devil are reduced to only cost 1 heart."],"UNLOCK: Unlock this item by beating Satan with Judas.",null,null,"trinket"],["Imaginary friend",["Creates a familiar which moves around the room in a similar fashion to The Peeper, shooting tears in the same direction as Isaac."],"UNLOCK: Unlock this item by beating the Dark Room with Blue Baby.",null,null,"trinket"],["Your rage grows",["When you kill an enemy, you have a chance to get +0.5 damage up for the current room."],"UNLOCK: Unlock this item by beating the Dark Room with Samson.",null,null,"trinket"],["May you see your destination",["Gives a 25% chance to reveal map icons at the start of a new floor (The same effect as the Compass)."],"UNLOCK: Unlock this item by beating the Chest with Cain.",null,null,"trinket"],["Revenge from beyond",["When you kill an enemy, you have a chance to spawn a transparent Dead Bird familiar.","The Dead Bird familiar deals 2 damage per tick to enemies while in contact with them."],"UNLOCK: Unlock this item by beating the Isaac boss with Eve.",null,null,"trinket"],["The left hand path reaps dark rewards",["Replaces chest spawns with red chests."],"UNLOCK: Unlock this item by beating Ultra Pride.",null,null,"trinket"],["Where your journey begins",["Teleports the player to the first room of the current floor."],null,null,null,null],["May you never miss your goal",["For the current room, tears now have the Spoon Bender effect, which allows them to curve towards enemies and gives them a purрle appearance."],null,null,null,null],["Mother is watching you",["Summons Mom's foot which will stomp on a random enemy in the current room, dealing 300 damage.","If no enemies are in the current room, the foot will target Isaac (and do damage if it hits), however it can be used to break rocks."],null,null,null,null],["May your rage bring power",["Gives the player the Whore of Babylon effect for the current room, increasing damage and speed."],null,null,null,null],["Challenge me!",["Teleports the player to the Boss room on the current floor."],null,null,null,null],["Two prayers for the lost",["Spawns 2 Soul hearts on the floor."],null,null,null,null],["May you prosper and be in good health",["Spawns 2 red hearts on the floor."],null,null,null,null],["May nothing stand before you",["Grants the same effect as 'My Little Unicorn', which makes Isaac invincible and deal 40 contact damage to enemies per hit."],null,null,null,null],["May your future become balanced",["Spawns 1 bomb, 1 key, 1 coin, 1 heart, which can be random variants of each."],null,null,null,null],["May you see what life has to offer",["Teleports the player to the Shop.","On or below the Womb, this acts as a random teleport, since there are no shops on those floors."],null,null,null,null],["Spin the wheel of destiny",["Spawns a Slot Machine or a Fortune Machine."],null,null,null,null],["May your power bring rage",["Gives the player the Magic Mushroom effect, which increasing size and all stats by 1 for the current room.","If you use the Strength card with 12 heart containers, it will take you down to 11 when you leave the room."],null,null,null,null],["May you find enlightenment",["Gives the player the flying effect for the current room, allowing the player to fly over obstacles in the room.","This card is useless if you have any item which allows you to permanently fly."],null,null,null,null],["Lay waste to all that oppose you",["Deals 40 damage to all enemies in the room in a similar style to the Necronomicon."],null,null,null,null],["May you be pure in heart",["Spawns a Blood Donation Machine."],null,null,null,null],["Revel in the power of your darkness",["Gives the Book of Belial effect for the current room, increasing damage."],null,null,null,null],["Destruction brings creation",["Spawns some troll bombs at random locations in the current room.","Each bomb deals 60 damage (normal bomb damage."],null,null,null,null],["May you find what you desire",["Teleports the player to the Item Room.","On or below the Womb, this acts as a random teleport, since there are no item rooms on those floors."],null,null,null,null],["May you find all you have lost",["Teleports the player to the Secret Room."],null,null,null,null],["May the light heal and enlighten you",["A card with three uses: A full heal, deals 100 damage to all enemies in the current room and reveals the entire map for the current floor (Treasure Map + The Compass)."],null,null,null,null],["Judge lest ye be judged",["Spawns a beggar.","Has a chance to be a demon beggar.","Killing a Devil Beggar, Key Master, or Shell Game Beggar gives you an increased chance of finding Angel rooms instead of Devil rooms. See the dedicated Devil room page for more details."],null,null,null,null],["Open your eyes and see",["Reveals the entire map and shows the icons for every room which has one.","This is completely useless if you currently have both the Treasure Map and The Compass."],null,null,null,null],["Item multiplier",["Doubles the number of keys you have.","If you have no keys, it gives you two."],null,null,null,null],["Item multiplier",["Doubles the number of Bombs you have.","If you have no bombs, it gives you two."],null,null,null,null],["Item multiplier",["Doubles your current red hearts up to full health.","This card is useless for the Bluе Baby."],null,null,null,null],["Item multiplier",["Doubles the number of coins you have.","If you have no coins, it gives you two."],null,null,null,null],["???",["Teleports you to the Devil Deal Room on the current floor."],null,null,null,null],["???",["A card which can be thrown as a projectile directly infront of Isaac, instantly killing anything it hits, including most bosses.","If thrown at a multi-phase boss with multiple forms such Satan, Mega Satan or Hush it will only kill that particular phase of the boss.","If thrown at a multi-phase boss that works from a single health bar such as Isaac, ??? or The Lamb, it will die instantly.","Will destroy rocks and poop in its path.","Can also be thrown against a door to open it (Doesn't work against Mega Satan's door).","In Afterbirth+ this card does not work on the Delirium boss"],"UNLOCK: Unlock this card by beating Challenge #9 (Demo Man).",null,null,null],["Charge it!",["When used, removes the price tag from all items in the current shop or devil deal, making everything free.","The effect of the Credit Card only lasts for the current room."],"UNLOCK: Unlock this card by beating Challenge #10 (Cursed!).",null,null,null],["???",["Displays a random cryptic message on the screen similar to the fortune machine ones. One of the following messages may show:","\"Rooms may yield more than you expect\"","\"Some doors require a blessing. Carry them with you\"","\"The walls will harden over time. Time is the essence\"","\"Sleeping gatekeepers will need to be awoken with a loud sound\"","\"A piece of paper is your guide\"","\"Deny his gifts to attain your reward\"","\"A dark market lies under your feet","\"Chub dislikes smoke!"],"UNLOCK: Unlock this card by beating Challenge #11 (Glass Cannon).",null,null,null],["Something stinks...",["When used, fills the entire room with poop!"],"UNLOCK: Unlock this card by beating Challenge #12 (When Life Gives You Lemons).",null,null,null],["A true ending?",["When used, instantly kills you and spawns 10 pickup on the floor.","Each of the 10 things spawned can be any type of consumable or sometimes a pedestal item (up to a maximum of 3 pedestal items).","Any pedestal item created by Suicide King will be related to the room where it was used, meaning that using it in the Angel room will spawn Angel room items."],"UNLOCK: Unlock this card by beating Challenge #7 (Suicide King).",null,null,null],["Resistance",["When used, gives you an invincibility effect which lasts for 30 seconds (much longer than normal invincibility effects)."],"UNLOCK: Unlock this card by beating Challenge #8 (Cat Got Your Tongue).",null,null,null],["Vision",["When used, reveals the entire map including all the secret room locations and other icon rooms."],"UNLOCK: Unlock this card by beating Challenge #5 (The Tank).",null,null,null],["Companionship",["Summons 3 blue friendly spiders and 3 blue flies."],"UNLOCK: Unlock this card by beating Challenge #20 (Purist).",null,null,null],["Purity",["Removes the curse which is in effect on the current floor.","Can also cure the effect of the Amnesia pill.","+1 Soul Heart."],"UNLOCK: Unlock this card by beating Challenge #4 (Darkness Falls).",null,null,null],["Passage",["Creates a trapdoor on the floor (Same effect as We Need To Go Deeper)."],"UNLOCK: Unlock this card by beating Challenge #3 (Head Trauma).",null,null,null],["Destruction",["When used, this rune will destroy all breakable objects in the current room, such as poop, rocks, secret room entrances."],"UNLOCK: Unlock this card by beating Challenge #1 (Pitch Black).",null,null,null],["Abundance",["When used this rune will double all pickups on the floor in the room.","Creates copies of pickups, even if you haven't purchased them yet.","Can be used to double the number of golden item chests in the first room of the final Chest floor."],"UNLOCK: Unlock this card by beating Challenge #2 (High Brow).",null,null,null],["Change",["Rerolls all pedestal items in the current room (One time use of the D6)."],"UNLOCK: Unlock this card by beating Challenge #6 (Solar System).",null,null,null],[null,["1 Dot - Rerolls all of your items. (Does not change your trinkets, pills or cards)","2 Dot - Rerolls all pickups in the room. (D20 effect)","3 Dot - Rerolls all pickups on the entire floor.","4 Dot - Rerolls all pedestal items on the floor. (Does not roll your devil deal items)","5 Dot - Reroll and restart the current floor (Forget Me Now effect).","6 Dot - Reroll all of your items and all the pickups on the entire floor (Combined 1 + 3 + 4 rooms)."],null,null,null,null],["???",["When used, gives a random Mystic rune effect.","Possible effects include: Algiz, Ansuz, Berkano, Dagaz, Ehwaz, Hagalaz, Jera, Perthro.","Also has a 25% chance to spawn another Blank Rune upon use."],"UNLOCK: Unlock this card by beating Challenge #30 (Guardian).",null,null,null],[null,["Gives a one-time use of the D6 and D20 effects at the same time."],null,null,null,null],["Open sesame",["When used, will open all doors in the current room, similar to a one-time use of Dad's Key."],"UNLOCK: Unlock this card by beating Challenge #22 (Speed).",null,null,null],["Double active",["When used this card will activate a use of your spacebar item for free."],null,null,null,null],["Help from above",["When used will cause two of Mom's Hand to come down and grab a random enemy."],null,null,null,null],[null,["Once picked up, you gain unlimited key use for the rest of the floor."],null,null,null,null],[null,["Once picked up, the gold heart will drop money on the floor the next time Isaac loses a heart."],"UNLOCK: Unlock this item by beating challenge #21 (XXXXXXXXL).",null,null,null],[null,["Takes three hits to deplete and can be refilled with red hearts, but disappears forever when depleted"],"UNLOCK: Unlock this item by unlocking the Forgotten character. See the Broken Shovel / Mom's Shovel items for more information on how to unlock.",null,null,null],[null,["Once picked up, you gain unlimited bomb use for the rest of the floor."],"UNLOCK: Unlock this item by beating challenge #23 (Blue Bomber).",null,null,null],["Convert all",["When used, turns all pickups and chests in the room into Hearts."],"UNLOCK: Unlock this item by defeating any floor after Basement I with only half a heart of health (works as The Lost).",null,null,null],["Convert all",["When used, turns all pickups and chests in the room into Keys."],"UNLOCK: Unlock this item by defeating The Lamb without taking hearts, coins and bombs.",null,null,null],["Convert all",["When used, turns all pickups and chests in the room into Bombs."],"UNLOCK: Unlock this item by getting a 3 win streak.",null,null,null],["Convert all",["When used, turns all pickups and chests in the room into Coins."],"UNLOCK: Unlock this item by defeating The Lamb in under 20 minutes.",null,null,null],["You feel protected",["Grants the Holy Mantle effect for one room, which will negate your next hit of damage"],"UNLOCK: Unlock this item by defeating Delirium in The Void floor with The Lost.",null,null,null],["Void",["When used, this rune deals 40 damage to all enemies in the room and consumes all pedestal items in the room, giving you a random stat increase for each item consumed.","Also consumes all pickups in the room and turns them into blue flies and spiders."],"UNLOCK: Unlock this item by beating Greedier mode as Apollyon.",null,null,null],["Become immense!",["Temporarily makes Isaac huge, giving him +7 Damage Up and +30 Range Up for the rest of the current room","Added as part of the Afterbirth+ Booster Pack #1 and based on the Steam Workshop mod created by Coper140"],"UNLOCK: Unlock this item by getting 5 items or consumables that increase your size, e.g. 'One Makes you Larger' pills, Magic Mushroom etc.",null,null,null],["Draw 3 cards",["Spawns 3 random cards on the floor when used","Added as part of the Afterbirth+ Booster Pack #1 and based on the Steam Workshop mod created by Coper140"],null,null,null,null],["Savor the moment",["When used, this card will slow down enemies, Isaac's tears by -1 Shot Speed, but speed up Isaac's movement speed by +0.50 for the rest of the current room","Added as part of the Afterbirth+ Booster Pack #1 and based on the Steam Workshop mod created by Coper140"],"UNLOCK: Unlock this item by getting both the Broken Watch and the Stop Watch in your collection",null,null,null],[null,["48 Hour Energy - Fully recharges your active item and drops 1-2 battery pickups. Can be used with Placebo to generate infinite batteries","Amnesia - Hides the floor map for the rest of the current floor (same as curse of the lost). Can be negated with Black Candle","Bad Gas - Isaac farts, poisoning enemies around him","Bad Trip - Deals damage to yourself","Balls of Steel - +2 Soul Hearts","Bombs are key - Switches number of bombs and keys","Explosive Diarrhea - Spawns five live troll bombs behind Isaac, one per second","Full Health - Restores all your empty red heart containers","Health Down - -1 HP. If you have 1 or less heart containers, this pill becomes Health Up","Health Up - +1 HP","Hematemesis - Empties all but one red heart container and spawns 1-4 red hearts on the floor","I can see forever - Opens secret room and super secret room entrances on the current floor","I found pills - Changes the appearance of Isaac's face for the current room (Cosmetic change only)","Lemon Party - Spawns a large yellow pool on the floor around you, damaging enemies which walk in it","Luck Down - Reduces your luck stat by -1","Luck Up - Increases your luck stat by +1"],null,null,null,null],[null,["Paralysis - Prevents you from moving for a short while","Pheromones - Applies the charm effect to all enemies in the room for a short while","Puberty - Causes Isaac to grow hair for the rest of the run. Cosmetic change only. In Afterbirth+, taking 3 of this pill gives the Adult transformation","Pretty Fly - Gives Isaac +1 fly orbital, which blocks enemy projectiles and damages fly-type enemies on touch","Range Down - Reduces your range stat by -2","Range Up - Increases your range stat by +2.5","R U a wizard? - Tears will shoot diagonally for about 60 seconds. Effect persists between rooms while the time period is active","Speed Down - Reduces your speed stat by -0.12","Speed Up - Increases your speed stat by +0.15","Tears Down - Reduces your tears stat by -0.28","Tears Up - Increases your tears stat by 0.35","Telepills - Teleports you to a random room when used. Has a small chance to take you to the I AM ERROR room, and a smaller chance to teleport to a Black Market"],null,null,null,null],[null,["Addicted - Causes you to take a full heart of damage for all sources for the current room. Unlocked from Challenge #24 - PAY TO PLAY","Friends till the end - Spawns three friendly blue attack flies","Infested! - Destroys all poops in the room and spawns a blue attack spider on every destroyed poop","Infested? - Spawns one blue attack spider for every enemy in the room. If there are no enemies this pill spawns 1-3 blue spiders instead","One makes you smaller - Reduces Isaac's size and hitbox size","One makes you larger - Increases Isaac's size, but does not affect the size of his hitbox","Percs - Causes Isaac to only take half a heart of damage from all sources for the current room (The Wafer effect). Unlocked from Challenge #24 - PAY TO PLAY","Power Pill - Gives you invulnerability and the ability to damage enemies for a short while (similar to The Gamekid effect)","Re-Lax - Causes Isaac to spawn poops behind him while he walks for a few seconds. Similar to Explosive Diarrhea but with poop","Retro Vision - Pixelates the screen for a few seconds, obscuring your vision. Happens a total of 3 times over 30 seconds","??? - Gives the curse of the maze effect for the current floor. Unlocked from Challenge #25 - Have a Heart"],null,null,null,null],[null,["Feels like I'm walking on sunshine! - Turns Isaac invincible for a few seconds (similar to Unicorn Stump). Unlocked from the 'Sin Collector' achievement (collect every Bestiary entry)","Gulp! - When used will consume your current trinket, destroying it and giving you its effect permanently. Unlocked from the 'Once more with the feeling!' achievement (complete a victory lap, defeating the lamb boss)","Horf! - When used, shoots an Ipecac explosive shot. Unlocked from the 'Dedication' achievement (participate in 31 dailies in a row)","I'm Drowsy... - Slows all enemies for the rest of the current room","I'm excited!!! - Speeds up all enemies for the rest of the room. The effect triggers again 30 seconds after use and again 60 seconds after use","Something's wrong... - Spawns a pool of black creep beneath Isaac","Vurp! - Spawns the last pill you used. Spawns another Vurp! pill if no other pills were used yet. Unlocked from the 'U broke it!' achievement (collect 50 items in a single run)","X-Lax - Spawns a pool of slippery brown creep beneath Isaac"],null,null,null,null]]