Haemolacria

Haemolacria is an unlockable passive item added in The Binding of Isaac: Afterbirth †.

Effects

 * Tears are fired in an arc. Upon hitting the floor, an obstacle, or an enemy they burst into many smaller tears in all directions.
 * Tears down - (Delay * 2) + 10
 * Increases damage by about 31%.
 * The scattered tears deal random damage that is around 50-80% of the main tear.
 * +1 damage up and 1.5x damage multiplier.

Synergies

 * : Significantly increased tear delay. Isaac fires a large arcing tear that fires several Brimstone beams in random directions upon bursting.
 * Increased tear delay. Completely charged shots and their burst tears are larger and deal higher damage than normal. Chocolate Milk also allows low-damage Haemolacria shots to be fired rapidly.
 * /: Similar to Cricket's Body, tears will split, scattering massive amounts of smaller tears across the room. Hits on walls or the floor absorb most of the extra tears.
 * : A single tear can scatter massive amounts of smaller tears in a wide area regardless of what it hits.
 * : Both the main tear and the burst tears can increase the damage bonus, but missing the burst tears won't reset it.
 * : Significantly increased tear delay. Isaac fires a large arcing tear reminiscent of a bomb that scatters into 3-5 bombs that explode simultaneously.
 * Several blood tears are scattered upon the bone club hitting an enemy. It also increases the size of the club, similar to . The throw is unaffected and does not scatter blood tears.
 * : The main tear has the damaging aura as well as the burst tears.
 * : Tear delay is increased by 1/3 compared to either of the items on their own, but Isaac now fires Ipecac shots that releases poisonous, high-damage but non-explosive split tears on impact.
 * : Tears look like Haemolacria. They can be fed and will burst into 8 tears that have Haemolacria's burst effect upon hitting obstacles or enemies.
 * /: Fires a barrage of Haemolacria tears, all of which will burst.
 * : Haemolacria tears fire while Mom's Knife is charging.
 * Mom's Knife + : Mom's Knife overrides Haemolacria.
 * : The tears burst into 3-5 Tech X rings on impact.
 * : Fires arcing tears that release Technology lasers upon bursting.
 * : Haemolacria tears have increased knockback and can destroy obstacles.
 * : Both Trisagion and Haemolacria fire at the same time, Haemolacria does not keep spectral tears despite its tears sprite change but the arced tear keeps piercing.
 * : Range becomes extremely high, making Haemolacria tears follow Isaac for a long time before hitting the ground. Burst tears do not have a boomerang effect.

Interactions

 * Dr. Fetus + : Bomb explodes into 4 sad bombs which then explode into burst tears.
 * The burst tears themselves create more sad bombs, which leads to an indefinite cascade of explosions. Not recommended unless Isaac has or, as the bombs can damage Isaac.
 * : Haemolacria overrides Azazel's Brimstone.
 * : Overrides Haemolacria, with increased damage and tear delay.
 * : At the base range, the main tear bounces once, releasing burst tears which do not bounce, then bursts normally. At a high range, the main tear can bounce multiple times.
 * Godhead + The Forgotten: The blood tears from the bone club have the damaging aura.
 * : The main tear can be a holy tear and bursts normally in addition to the light beam. Split tears have an independent chance of being holy tears.
 * : Overridden by Haemolacria. Only stat changes apply.
 * : Overridden by Haemolacria, provides piercing.
 * Only the main tear will leave creep.
 * Piercing tears / Spectral tears: The main tear gains these effects, but the burst tears don't inherit them.
 * : The main tear gains the semi-piercing ability and may not burst when hitting a weaker enemy. Split tears do not semi-pierce.
 * : Tears no longer arc, but will still burst when hitting an obstacle or stopping and falling to the ground.
 * : If the main tear is a booger, it will get stuck and not burst on hitting an enemy, dealing its heightened damage. Split tears have an independent chance of being booger tears.
 * : The main tear follows the beam, but the burst spreads normally.

Trivia

 * Haemolacria was added in Booster Pack, after the initial release of the DLC.
 * Haemolacria is based on this Steam Workshop item by HiHowAreYou, originally known as Water Balloon.
 * Haemolacria is a rare condition that causes people to produce tears that are composed of blood.

Seeds
7RQR CJAB (First floor Golden Treasure Room) JGW6 YMVT WMAP AJ87 (First floor Treasure Room) L2DY 29AC (Treasure Room adjacent to spawn)