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~Black Swarm
@I:Black Swarm:Kills have a chance to spawn black locusts.:
~Golden Stopwatch
@I:Golden Stopwatch:Slow all enemies permanently +speed.:
~Heartbreak
@I:Heartbreak:Lose all but one heart.#Start floors with +2 soul hearts.:
~Insectophobia
@I:Insectophobia:Flies increase tear rate.:
~Isaac's Isaacs
@I:Isaac's Isaacs:Tear impacts trigger on-damage effects.:
~Limitless
@I:Limitless:+1 Luck & free pill.#Get coins when you eat pills.:
~Lost Plushie
@I:Lost Plushie:Absorbs familiars into itself.:
~Lottery Ticket
@I:Lottery Winner:Stat bonus scales with Luck.#Cash in to beggar--#* First Place - 20%#Quarter & Steam Sale & Silver Dollar#One of- Sack Head, Coupon, Contract, Eye of Greed#* Second Place - 30%#15c & Store Credit#One of- Humbling Bundle, Head of Keeper, More Options, Mystery Gift#* Third Place 40%#15c, Swallowed Penny#One of- Midas Touch, Bum Friend, Pay to Play#* Consolation 9%#15c#* Mystery Prize 1%:
~Lucky Key
@I:Lucky Key:+0.1 Luck per key, +1 Luck w/ golden key.#+3 keys.:
~Max's Head
@I:Max's Head:+0.5 damage.#x1.5 damage.:
~Nearsighted
@I:Nearsighted:When you hit one enemy do half damage to all other enemies of that type.:
~Olive Branch
@T:Olive Branch:Carry three floors for an angel item.:
~Paintball
@I:Pica Paint:Tears up.#Damage puddles.:
@I:Paint Bombs:+5 puddle bombs.:
~Passive Aggressive
@I:Passive Aggressive:Deal passive damage when not firing.#+1 soul heart.:
~Patrimony
@I:Patrimony:Isaac- Options & More Options.#Maggie- Placenta & Eucharist.#Cain- Skeleton Key & lucky pennies.#Judas- Purity & Crown of Light.#Eve- Abaddon & Dark Crown & life up.#Samson- Fanny Pack & Piggy Bank.#Eden- Eden's Blessing & Mystery Sack.#???- Mitre & Relic.#Lazarus- 1up & Varicose Veins.#Azazel- Brimstone.#Lost- Sagittarius & 9 Lives.#Keeper- Greed's Gullet & Money = Power.#Lilith- BFFs & Car Battery.#Apollyon- The Battery & Smelter & battery pickup.:
~Perilous Late Note
@I:Perilous Late Note:+1 damage.#+0.15 shot speed.#Freezing tears.#Ignore time limits.:
~Plagues of Egypt
@I:The First Plague:+3 heart containers.#No more soul hearts.:
@I:The Second Plague:Kill flies to regain health.:
@I:The Third Plague:Spawn blue spiders near enemies.:
@I:The Fourth Plague:Spawn blue flies near enemies.:
@I:The Fifth Plague:Poison nearby enemies.:
@I:The Sixth Plague:Explode when damaged:
@I:The Seventh Plague:Random holy lightning.:
@I:The Eighth Plague:Spawn locusts near enemies.:
@I:The Ninth Plague:Curse of darkness.#Nearby enemies suffer fear & damage:
@I:The Tenth Plague:Kills the nearest enemy whenever you enter a room.:
~Psychotic
@I:Psychopathic:+0.30 damage per 30 kills.:
~Sad Heart
@I:Sad Heart:+0.25 damage per heart container.:
~Salt
@I:Salt:Damage increases for consecutive misses.:
~Split Worm
@T:Split Worm:Double shots at half damage.:
~Tea Party
@I:Tea Party:Two free trinkets and a Gulp! pill.:
~Tech Arrow
@I:Tech Arrow:Tears fire 15% damage lasers.:
~The Seven Virtues
@I:Faith:Shield every other hit of damage.:
@I:Hope:Beating a boss charges active item and refills red health or gives +2 soul hearts.:
@I:Charity:High chance to spawn a beggar when clearing a room.:
@I:Fortitude:At half a red heart, gain Strength and Wafer effects.:
@I:Justice:Picking up a coin, key or bomb also adds to whichever is lowest.:
@I:Prudence:Counterfeit Penny effect.#Clearing a floor without losing money increases nickel & dime rates.:
@I:Temperance:Damage defaults to red health without reducing devil odds.:
@T:Humility:Bonus damage inversely tied to current damage.:
@T:Kindness:Doors don't close until you fire or take damage.:
@T:Abstinence:Damage up for each floor cleared w/out taking pickups.:
@T:Chastity:Familiars less likely in item pools:
@T:Patience:Refill red health or +1 soul heart when you enter a boss room without picking up health this floor:
@T:Generosity:Chance to spawn coins when spending money.:
@T:Diligence:Luck up for each floor cleared carrying Diligence.:
~Wet Card
@C:Wet Card:Visit a bonus angel room.:
@I:Portrait of Markov:Triple + Homing Tears.#Resets after exiting room.:
@I:Cute Cupcake:Heals 1 heart container.#+1.5 Damage #Resets after exiting room.:
~Robot Hat
@I:Robot Hat: Enemies now drop EXP when they are killed, the EXP grants you shot speed and tears up for the rest of the floor. EXP is lost when you get hit which causes shot speed and tears to lower. If you get through a floor without getting hit then you get a permanent +1 tears increase.
~Blue Bandana
@I:Blue Bandana: If you pause while moving, then Isaac will slide over spikes and gaps without harm.
~Brimstone Bombs
@I:Brimstone Bombs: Bombs now shoot a brimstone spiral around them.
~Telefragger
@I:Telefragger: Usable item that allows to you teleport in the direction Isaac is moving. Teleporting into an enemy does damage to them and upon killing them you get your charge back, you also get a few invincibility frames when teleporting.
~Revelations
@I:Lil Frost Rider:Attacks enemies by shooting an Ice Pooter at them#When it breaks, it turns into a friendly Pooter enemy:
~The Ritual
@I:PeePee Skull:Spawns PeePeeDie to help fight at the start of boss rooms#+1 empty red heart:
@I:Moira's Heart:Spawns Moira to help fight at the start of boss rooms#+1 red heart#Full health:
~Adventure Sheet
@I:Trash Can:Allows you to delete items from your inventory:
@I:Bone Charm:+0.5 damage up#+1 luck#+1 black heart:
Stirring Spoon
@T:Stirring Spoon:Replaces all full red hearts with half soul, half red hearts:
Ocular Orbitals
@I:Ocular Orbitals:Gives two eye orbitals that block shots#Fires shots with same tear effects as player when shot:
Soda Mod
@I:Fanta:+3.5 damage up:
@I:Lightning Mountain Dew:+0.20 shot speed up:
@I:Pineapple Fanta:-3 tear delay:
@I:Mountain Dew:+3 luck up:
@I:Strawberry Fanta:+4.5 range up:
@I:Grape Fanta:+0.25 speed up:
@I:Helium:Grants flying:
@I:Pepsi:Tears gain damage as they travels#Spectral tears:
@I:Coca Cola:Tears gain damage as they travels#Spectral tears:
@I:Sprite:Freezing tears:
@I:Golden Fanta:Godtear effect#Tears turn enemies to gold and drop coins when killed:
Omamori (Lucky Charm)
@I:Omamori:+1 luck up#+1 soul heart#Spawns 1 Dagaz rune:
Big Boss' Eyepatch
@I:Big Boss' Eyepatch:+1.5 damage up:
Lil Vis (New Familiar)
@I:Lil Vis:Shoots a brimstone laser when aligned with an enemy#Getting multiple Lil Vis's will upgrade it:
Bombby
@I:Bombby:Poops 3 bombs when startled by an enemy#Will occasionally chase after and explode on a enemy#Becomes confused after doing either of these actions:
Little friends
@I:Red Puppet:Flies around room and sometimes fires tears in a circle#Tears copy whatever Isaac currently has:
@I:Little Peep:Flies around room dropping creep and firing yellow tears:
@:Hush Avatar:Flies around room spawning blue flies#Fires continuum tears in a + pattern from time to time:
More Milk
@I:Almond Milk:+0.50 shot speed up:
@I:Banana Milk:+0.30 speed up:
@I:Coconut Milk:+2 damage up:
@I:Strawberry Milk:-1 tear delay#1+ red heart:
@I:Vanilla Milk:-2 tear delay:
@I:Blueberry Milk:+1 soul heart#15% chance for confusion tears:
@I:Silky Milk:Tears have a chance to slow#Isaac leaves behind slowing creep:
@I:Ice-Cream Milkshake:-1 tear delay#+1 luck up#Eternal heart:
Orange Juice
@I:Orange Juice:+5.25 range up#+0.40 shot speed up:
Mr. Poopy
@I:Mr. Poopy:Fires poop tears#Can spawn poop, charmed Dip, charmed Squirt, rainbow poop, or golden poop after a room clear:
Dark Plushie
@I:Dark Plushie:Teleports you to the devil deal room at the cost of 1 red heart container:
Gemstones
@I:Ruby:Gives charming and fire tears:
@I:Agate:Gives homing and strange attractor effect to tears:
@I:Citrine:Tears turn enemies into gold and drop coins when killed:
@I:Jade:Gives spectral and holy tears:
@I:Sapphire:Gives piercing and confusion tears:
@I:Amethyst:Gives poison, fear, and slowing tears:
The harvest of death
@I:The harvest of death:+1.5 damage up#Upon entering a room have a small chance to instantly kill all enemies#Does massive damage to bosses#Scales with luck up to 19 - 1/3#If Death's Touch is picked up with this item gain a +1.5 damage up:
Syringes+
@I:Used Needle:-2 tear delay:
@I:Morphine:-0.08 speed#+2 soul hearts:
@I:Booster Shot:+0.04 speed up#Damage up:
@I:Allergy Shot:+0.30 shot speed up:
@I:Lucky Shot:+3 luck up:
@I:Lethal Injection:+1.50 damage up:
@I:Little Helper:Random stat increase for one room:
@P:Sleeping Pill:Adds a spirit heart:
@P:I've been bad:Adds a black heart:
@I:Pitcher's Mitt:Throw bombs away from Isaac:
Stim
@I:Stim:At the start of floors Isaac's speed is increased by 1#Every 12 seconds decreases his speed by 0.2 until it returns to normal:
Booster Pack
@I:Booster Pack:Spawns a random item and trinket from one of the booster packs:
Anti-Social
@T:Anti-Social:Turns orbitals into following familiars:
Frayed Cord
@I:Frayed Cord:Fully charges Isaac's active item three times, allowing him to use it three times in a row#Extra charge can't be regained, one time use:
MoreBombs
@I:Fly Bombs:Spawns blue flies on explosion#Won't spawn flies if Isaac has too many:
@I:Spider Bombs:Spawns blue spiders on explosion#Won't spawn flies if Isaac has too many:
@I:Vacuum Bombs:Sucks enemies, projectiles, and pickups towards it:
@I:Shrapnel Bombs:Explode into a circle of nails and razors#Small chance to fire a chaos card along with the shrapnel:
@I:Chest Bombs:Low chance of spawning a random chest:
@I:Holy Bombs:Hits nearby enemies with holy light#Gives confusion to the rest of the enemies in the room:
Warden
@I:The Warden's Eye:Changes tears to keys that can unlock doors#Gives a +0.06 damage up for every key that is held#Key tears can't open golden chest's:
@I:The Panic Key:Chance to apply any random status effect to whole room, teleport player out of room, or kill the entire room:
@T:Escape Key:10% chance upon taking damage to open all doors in the current room:
AscalonSpear
@I:Ascalon:10x damage of your tears on wherever it lands#8x your damage once picked up and swung around#Are of effect scales with how ever big Isaac is#Tears up cause it to spawn more frequently#Lost Contact, Trinity Shield, or Infamy will cause Isaac to destroy projectiles as he swings Ascalon:
Vortex Orb
@I:Vortex Orb:Throws down a orb that shoots tears in a circle#Copies Isaac's tears#Scales with damage, range, and fire rate:
Model Rocket
@I:Model Rocket:Turns Isaac's tears into rocketships that accelerate from zero to double their regular shot speed#Rockets do more damage the faster they move:
Use & Care Guide
@I:Use & Care Guide:Rooms with enemies makes it spawn a microwave that pulls in enemies and cooks them to death#Rooms with bosses makes a fridge fall from above and deal huge damage#Rooms without any enemies spawns a vaccum cleaner that pulls in nearby small pickups:
~Transformer
@I:Transformer:Counts as 1 item in transformations.#3 Transformers gives all transformations.:
~Alphabirth Pack 2: All That Is Unholy
@C:Fehu:Every tile in the room has a 1/3 chance to spawn a penny.:
@C:Gebo:Spawns either a trinket, 1-6 consumables, or rarely an item.:
@C:Naudiz:Gives Isaac 10 of his lowest consumable.:
@C:Sowilo:Enemies are ignited for the next 3 rooms.:
Tested on only one run found 3-4 items and they seemed to display fine.
~Alotmorecontent 2
@I:Washing Powder:Tears apply random status effects:
@I:Energy Drink:Speed up + a battery:
@I:Spinny Gun:Extreme tears up#shooting slows you down#you need to reload:
@I:Gunnoculars:Shotspeed up:
@I:Mighty Clover:Luck up:
@I:5 Pound Weight:Damage up relative to shotspeed stat:
@I:Nitroglycerin Pills:Explode on hit:
@I:Happy Memories:Speed up#Gold Hearts:
@I:Sad Memories:Tears Up#Soul Hearts:
@I:Trauma:Damage Up#Black Hearts:
@I:Burning Bush:Damage#Tears apply burning to enemies they hit and others in close proximity:
@I:Hot Feet:Speed up and you sometimes leave fires on the ground:
@I:Curse Catcher:Damage up when there is a curse room on the current floor:
@I:Dog Tag:Luck Up and all shopkeepers have penny ears:
@I:Dog Carcass:HP up#Tinted rocks dig themselves up:
@I:Crow Head:Losing all Soulheart and Blackhearts heals all red hearts:
@I:The Shared Fish:Tear damage is spread between all enemies:
@I:Chastity Belt:Close enemies take damage relative to damage stat:
@I:The Final Plague:The last enemy in the room dies on its own:
@I:The first Day:Rooms alternate between dark and light rooms giving a flat damage up or a multiplier:
@I:The second Day:You gain flying and sometimes leave puddles:
@I:The third Day:All pits are filled:
@I:The fourth Day:A Sun, a Moon and a Stars card every floor:
@I:The fifth Day:2 flies and 2 spiders every room:
@I:The sixth Day:All stats up:
@I:The seventh Day:A bed every floor:
@I:Kipah:Half Soul and Black Hearts heal to full ones every room:
@I:Havoc:Enemies sometimes gain a counter and explode when it reaches 0:
@I:The Fig Leaf:Close enemies get charmed:
@I:Lion Heart:Damage Up and a Soul Heart in every boss room:
@I:Head of Medusa:Every room enemies start frozen:
@I:Curse of Rapunzel:Instead of losing HP containers you gain them:
@I:Spindle:Getting hit covers the room in red creep:
@I:Rose in a Glass Case:Every room a large damage up that goes down over time:
@I:Glass Slipper:Immunity to ground damage:
@I:Eclipse:Damage and speed build up everytime you enter a room, then reset:
@I:Last Supper:Damage up relative to HP:
@I:Red Hood:Speed up relative to how close enemies are:
@I:Offering Bag:Sometimes picking up pennies spawn a soul heart:
@I:Tallit:Tears hitting enemies spawn new tears aimed at the enemy (not repeating):
@I:Lottery Ticket:Random reward:
@I:Curse of Curses:Every floor an extra curse but curse rooms may hold a reward:
@I:Fart Tears:Tears hitting enemies spawn farts, poison or pheromones:
@I:Cat's Smile:Occasional invisibility:
@I:The Stitch:Damage is often negated but not forgotten. Getting hit may deal all "stored" damage at once:
@I:Wanted:Every room an enemy is "Wanted" and recieves extra damage. On its death a new enemy is picked:
@I:Meiosis:After a certain range tears split into two random directions:
@I:Some Actual Food:HP Up:
@I:Baloon:Flight#Getting hit removes flying for this room but spawns a poison cloud:
@I:Felix' Tail:Luck up, chests are sometimes replaced by Eternal Chests:
@I:Damocles' Dagger:Huge damage and luck up. You get 6 more hits:
@I:Cometus:OP homing haha:
@I:Clogged Artery:Every room you gain damage to a certain point where it resets after a tear explosion:
@I:Abel's Sacrifice:Shotspeed up#When you die you spawn an item:
@I:Oregon Vortex:Tears up#Tears float in the air after a certain range:
@I:Broken Calculator:All stats are always rounded up:
@I:Achilles' Tendon:ALL damage recieved and dealt by anything is doubled:
@I:Destiny Bond:Hitting an enemy sometimes "bonds" them. All bonded enemies die if one dies:
@I:Tennis Ball:Tears bounce after a certain range:
@I:Uvula:Sometimes using a pill uses it twice instead:
@I:Sol:Close enemies get burned:
@I:Robo Baby 3:Automated laser shooting familiar:
@I:Rib Cage:Damage to soulhearts is sometimes negated:
@I:Ground Beef:HP up!:
@I:Felix' Eye:Tears and shotspeed up#Random mapping effect every floor:
@I:Super Magnet:Upon entering a room all its pickups are teleported to you:
@T:Heart of the Keeper:Touching a heart you can't pick up turns it into friendly flies:
@T:Acedia:Killing an enemy slows another:
@T:Gula:Killing an enemy halfs another ones life:
@T:Avaritia:Killing an enemy turns one enemy to gold:
@T:Superbia:Killing an enemy shrinks another:
@T:Invidia:Killing an enemy poisons another:
@T:Ira:Killing an enemy burns another:
@T:Luxuria:Killing an enemy charms another:
@T:Dead Ant:Getting hit drops your last used pill:
@T:Matrix:Getting hit teleports you elsewhere in the room:
@T:Suicide Prevention Hot Line:Typing "991" drops the trinket but teleports you out of the room:
@T:Butane:Campfires turn to blue campfires:
@T:Tiny Remote:Getting hit switches your character but it breaks after a few times:
@T:Spider Leg:Friendly flies and spiders slow enemies:
@T:Keys are Bombs:Picking one gives the other instead:
@T:Gasoline:Hitting campfires explodes them:
@T:Ripped Tower:Lotsa bombs:
@T:Flickering Bulb:Switching between damage up and damage down:
@T:Felix' Hair:Picking up money may give luck but only as long as the trinket is kept:
@T:Arthropod Eye:1+1 pickups appear more often:
@T:DTime:10 Seconds into a room the D6 effect is triggered:
@T:Day Fly:When a friendly spider or fly die they may spawn a new one:
@T:Charged Penny:Picking up money may charge your active item:
@T:Bitten Wafer:Soul and blackhearts have the wafer effect:
@T:A Bible Page:Damage up in boss rooms:
@T:Alarm Clock:Clearing the room in time drops pickups:
@P:The Gold Pill:+5 coins:
@P:Morning After Pill:Kills a random enemy:
@P:Strange Pill:Triggers a random pill effect:
@P:Damage Up:-:
@P:Damage Down:-:
@P:Shotspeed Up:-:
@P:Shotspeed Down:-:
@P:Placebo:Prevent the next damage:
@P:Lunesta:Your active item gets decharged:
@P:Diurectic:Low range for a short while:
@P:Aspirin:Removes curses on this floor:
@P:Secret Tears:Tears are invisible for a short while:
@P:Chill Pill:Enemies get shortly frozen:
@P:Bill Pill:-3 coins:
@P:Grill Pill:Enemies get burned:
@P:Ill Pill:Enemies get poisoned:
@P:Kill Pill:You die in a short time unless you take a Heal Pill. Spawns a heal pill:
@P:Heal Pill:Take it or DIE!:
~Moonies
@I:Unification:Large boost to all stats, but all item pools only serve Breakfast afterwards.:
@I:Wish Paper:Costs a coin every time it's used.#Has a chance to be consumed and spawn an item pedestal from the room's item pool.:
@I:Indemnity:Luck up + one soul heart.:
@T:Promise Ring:If carried between three different floors, causes the player to spawn spiders when attacking with tears.:
@I:The Pledge:Attack way up. Speed way down.:
@I:Holy Salt:Health ups are worth an extra heart container.:
~Deal with the Old One
@I:Wings of Icarus:+0.1 speed and Flight.#Chance for tears to become flaming tears.#Fires and rocks may become hostile fires.#Affected by luck.:
@I:Sandals:+1.0 Speed stat.#Actual speed far exceeds cap.#Destroy obstacles by walking over them.#Ice physics.#Immunity to creep, spikes, and red poop.#GLITCHED; ICE PHYSICS DO NOT CLEAR!:
@I:Confusion:Chance for tears to move erratically and cause confusion, based on luck. Occasionally causes other status effects.:
@I:Rabbit's Paw:+2 luck. (+3 if luck is lower than -2.)#+0.025 speed.#Hearts, bombs, keys, and coins get rerolled into whatever the player needs least. (Chance decreases with luck.)#Chests (except Eternal Chests) have a higher chance to spawn as the type the player has the least ability to open.#Increased chance to spawn red or limbo chests when all collectibles are low.:
@I:Cursed Map:Reveals room layout (treasure map effect).#Once the player has visited either the treasure or boss room on the floor, reveals all special rooms (compass effect).#Once the player has visited either the secret or super secret room on the floor, reveals all secret and super secret rooms (blue map effect).#Very high chance of curses appearing on floors that wouldn't otherwise have them. (Goes down with luck.)#High chance for curse added to be "Curse of the Tomb".:
@I:Broken Mirror:-5 luck.#Adds "Curse of the Tomb" to curse pool.#Chance for Vanilla items to be re-rolled into better items.:
@I:Broken Compass:Greatly increases chance for Limbo rooms to spawn, and Limbo rooms never disappear until visited.:
@I:Leaking Battery:Double item activation (stacks with Car Battery).#Items retain one charge after use. (Doesn't stack with 9-Volt.)#1-room charge items activate three times, but don't charge faster.#Activating an item has a chance to damage the player, teleport them, summon Mom's foot, cause Retro Vision, or curse the floor (usually "Curse of Darkness").#GLITCHED; ALWAYS CAUSES MULTIPLE NEGATIVE EFFECTS!:
@I:Participation Award:+1 soul heart.#+1 luck and range.#+0.1 speed and shot speed.#-1 fire delay.#-1 damage.#Never removed from item pool. Effects stack.:
@I:Red Brush:+1 heart containers.#Walls periodically bleed, dealing ~15% player damage to all enemies and spreading enemy creep.#After walls bleed, spawns a health pickup if the player took no damage.:
@I:QMK>?:At the start of each floor, gives a random Limbo item, which is removed after 2 floors.#Spawns 2 limbo chests at the start of each floor.#Limbo chests have a much higher chance to contain golden bombs and golden keys.:
@I:Red Sea:+1.25 range, -0.1 shot speed.#Tear delay divided by 5.#Damage divided by 5.#Permanent wiggle-worm and piercing shots.:
@I:Contract with Ultra Greed:+15 coins and a Store Key trinket on pickup.#Increased chance for double-pennies.#High chance to drop coins when taking damage.:
@I:White Belt:+0.6 damage, and adds "Curse of Eternity" to every floor. (Can stack with other curses.):
@I:Empty Sack:Drops a Perthro rune after the first room clear of each floor and a random pickup every 6 rooms.#Fake pickups sometimes spawn, which look slightly different and damage the player on touch.#Whenever a fake pickup spawns, drops a real version of the same pickup on the next room clear.:
@I:Strange Kaleidoscope:Summons a bouncing familiar that fires on anything that shoots it (this includes the player).#Tears that pass through the familiar become spectral and have a chance to gain status effects.:
@I:Ancient's Head:Releases a burst of Godhead tears in 8 directions.:
@T:Dead Beetle:Adds "Curse of the Tomb" to curse pool.#"Curse of the Tomb" activates less frequently, but has a chance to drop extra rewards (max 3 times per floor).#Increases chance of Limbo doors appearing after boss fights by 50% when "Curse of the Tomb" is active, and by 10% when it is not.:
@T:Ancient Pebble:Replaces all chests with limbo chests. (50/50 chance of red chests with The Left Hand.):