Bookworm

Upon picking up 3 items from the following list, Isaac will fire tears out of both eyes simultaneously 25% of the time. This effect stacks with items such as, and , multiplying the number of tears.

The chance of firing double tears is not affected by luck.

Trivia

 * A bookworm is a person who's devoted to reading, especially books.
 * is the only passive item to contribute to the transformation.