Stitches

Stitches is an activated item added in The Binding of Isaac: Repentance.

Effects

 * While held, spawns a familiar that moves in the direction Isaac shoots. Activating the item causes Isaac to swap places with Stitches. Isaac is briefly immune to damage after teleporting.
 * Stitches deals 1.5 contact damage to enemies per tick (3.0 damage per second).
 * If Isaac teleports onto an enemy, they will take 40 + 3x Isaac's damage.
 * Teleporting next to a Fire Place will put it out, including blue fires.
 * Teleporting on top of a Shopkeeper will destroy them.
 * Teleporting on top of an angel statue in an Angel Room will not break it.

Synergies

 * On teleport, fires 8 tears outwards at Isaac's original location. The tears synergize with Isaac's tear effects.

Interactions

 * Swaps places with Isaac twice in quick succession, rendering Stitches useless for collecting pickups & items beyond pits, rocks etc. It will deal telefrag damage in both places (where Stitches is and where Isaac was).
 * Enemies that survive being teleported onto will immediately turn into gold due to contact with Isaac. Thanks to the brief immunity, Isaac will not be harmed by this.
 * Panic Button: As long as Stitches is charged, Isaac will teleport right before getting hit, negating damage. This can effectively be used as a 3-second-recharge.
 * Halves Stitches charge time.

Trivia

 * In Antibirth, Stitches used to slowly move diagonally, same as.

Seeds
P0J3 YNW0 (Basement II treasure room) R4LD 332J (Basement I treasure room)