• 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. Tears that pass through the baby will double up and increase in damage while flashing black & white.Item Pool: Item Room, Greed Mode Item Room, Devil Room, Greed Mode Devil Room• Isaac's normal bombs become pink and causes them to drop random pickups when they explode (e.g. 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.• Shots will damage Isaac if he is in the blast radius when they explode.UNLOCK: Unlock this item by beating Mom's Heart 6 times.
* item room, treasure room, item room pool, golden chest pool, gold chest pool, cat, dead, brown, pink* item room, treasure room, item room pool, broken, mirror, cracked, grey, gray, silver• Gives you a very high tear rate in exchange for a big range down. 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. * curse room pool, red chest pool, red chest item pool, devil pool, devil room pool, devil deal, normal beggar pool, normal judgement pool, coin beggar pool, coin Finding all the puzzle pieces will help you to reveal the final secret, unlocking the hidden character 'The Lost'.UNLOCK: Unlock this item by beating Dark Room with Isaac.• 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.• 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.• 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.• Everytime Isaac takes damage, one blue fly will spawn.• 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.• 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.• While held, this trinket gives a random mushroom effect each room• Possible mushrooms include: Mini Mush, Odd Mushroom (Thin), Odd Mushroom (Thick), The Compass.• 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. Technique's mechanic.• Picking up this item as well as 2 other fly-type items will allow you to transform into Lord of the Flies.UNLOCK: Unlock this item by beating Boss Rush with Blue Baby. an item room item) will be re-rolled into another item.• Isaac starts with this item after it is unlocked.UNLOCK: Unlock this item by defeating the Isaac boss with Blue Baby. the lost item pool, purple, cross* curse room pool, devil pool, devil room pool, devil deal, red, 666* curse room pool, devil pool, devil room pool, devil deal, piece of paper, bloody paper, contract, • 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.• Gives the player the Whore of Babylon effect for the current room, increasing damage and speed.• Teleports the player to the Boss room on the current floor.• Grants the same effect as 'My Little Unicorn', which makes Isaac invincible and deal 40 contact damage to enemies per hit.• Spawns 1 bomb, 1 key, 1 coin, 1 heart, which can be random variants of each.• On or below the Womb, this acts as a random teleport, since there are no shops on those floors.• 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.• 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.• Deals 40 damage to all enemies in the room in a similar style to the Necronomicon.• Gives the Book of Belial effect for the current room, increasing damage.• Spawns some troll bombs at random locations in the current room.• On or below the Womb, this acts as a random teleport, since there are no item rooms on those floors.• 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).• Killing a Devil Beggar, Key Master, or Shell Game Beggar gives you an increased chance of finding Angel rooms instead of Devil rooms.