Immaculate Heart

Immaculate Heart is a passive item added in The Binding of Isaac: Repentance.

Effects

 * Isaac will frequently fire extra spectral tears that orbit around him until they hit the ground, similar to.
 * x1.2 damage multiplier. This multiplier does not stack with multiple Immaculate Hearts.
 * Adds one red heart container and fully restores Isaac's health.

Synergies

 * : The orbiting tears will become nails, also granting them extra knockback on hit.
 * : The extra tears share the same orbit as Angelic Prism, making them very easy to split.
 * : The orbiting tears will turn into bones, which upon hit create 1-3 bone fragments which also orbit around Isaac.
 * : Some of the orbiting tears will gain Chemical Peel's 2 flat damage bonus.
 * : The orbiting tears will split on hit, with the split shots also orbiting until they hit.
 * : Death's Touch tear modification will also affect the orbiting tears.
 * : The orbiting tears will be affected by Haemolacria but the tears created upon hit will not orbit.
 * : Lachryphagy will affect the orbiting tears and become bigger when in contact with other tears. The Lachryphagy tears will split upon hit and the split shots will orbit around the point where the original tear had split.
 * Orbiting tears gain the shield from Lost Contact, forming a defensive barrier around Isaac.
 * : The orbiting tears will gain every modification from Sacred Heart, including homing.
 * : Immaculate Heart will shoot orbiting tears at all times.
 * : Orbiting tears will split on hit, generating a large number of split shots.
 * : The orbiting tears will become trisagion lasers.
 * : Each individual flame shot from the Urn has a chance to spawn an orbiting tear.

Interactions

 * : This item shoots regular tears instead of a brimstone laser.
 * : The orbiting tears will not scale with the charge of the tears.
 * : This item shoots regular tears instead of bombs.
 * : This item shoots regular tears instead of falling rockets.
 * : This item shoots regular tears instead of knives.
 * : This item shoots regular tears instead of circular lasers.