The Ludovico Technique

The Ludovico Technique is a passive item.

Effects

 * Instead of firing tears, Isaac controls one floating tear that hovers over obstacles. This tear deals constant damage when held in place over an enemy.

Synergies

 * //: Smaller tears orbits the main tear.
 * : Tear takes the shape of a very large laser ring. The shot speed is ignored. The Tears stat is ignored and the damage is dealt very rapidly at a rate equivalent to 1 tear delay. This ring will always be present and doesn't need charging up like normal Brimstone would.
 * Brimstone + : Incubus' Brimstone laser is not affected by Ludovico Technique.
 * Brimstone + : +2 damage, beam explodes when colliding with enemies and obstacles
 * Brimstone + : The ring increases in diameter, but not the damage, the farther away it gets from Isaac.
 * Brimstone + : The ring reaches out to attack enemies near it, reforming into a ring when no enemies are present.
 * Brimstone + : The ring is visually identical to a normal Brimstone ring, but the 1.5x damage multiplier applies.
 * Brimstone + //: no effect.
 * The same effect as with Brimstone, but the damage is halved.
 * Azazel + : Full damage of the laser ring is regained.
 * : The same effect as Brimstone, dealing full damage (Tainted Azazel's default laser damage is halved unless is used first). Tainted Azazel can no longer use Hemoptysis.
 * While the tear is in contact with the prism, it will fire 4 additional tears in cardinal directions at Isaac's tear rate.
 * Bookworm: Causes an additional smaller tear to constantly appear and disappear, teleporting from Isaac's location to the main Ludovico tear in a glitchy manner.
 * Turns tear into a large bone, which shoots out smaller tears when attacking/touching an enemy. Scattered tears are spectral and piercing.
 * Damage bonus increases until it hits the max of 2x. Since the controllable tear never hits the ground or wall, the bonus cannot be lost.
 * A bomb is shot out at high speed and can be controlled, another bomb cannot be shot until the previously shot bomb has detonated.
 * While holding a direction key, the Ludovico tear will constantly shoot out controllable tears in random directions. The air time of these tears scales with the range stat.
 * The familiar gains spectral and piercing tears.
 * The tear starts bouncing at a rate somewhat below Isaac's fire rate, each bounce dealing splash damage.
 * Flat Stone + : Causes a poisonous explosion when it bounces instead of plain splash damage, as per normal Ipecac. The first bounce when entering a room does not explode, allowing moving the tear with less risk of self-damage.
 * : The tear follows the Forgotten when in its skeleton form. It can be hit with its melee attack to propel it, making it do more damage. When switching to the Soul, the tear behaves as normal.
 * The Forgotten + : The second tear acts exactly like the first and can also be hit to propel it.
 * The Forgotten + Multi-shot: Switching back from the Soul to the Forgotten will only remove the main tear, thus creating infinitely persisting tears on the screen. Repeating this process allows suspending arbitrarily high amount of tears.
 * The tear homes towards nearby enemies and gains a large damaging aura. However, the aura cannot damage an enemy that is in contact with the actual tear; barring a high tear rate, it may be better to keep the aura on the enemies instead of the tear.
 * Guppy transformation: A large number of flies is rapidly deployed whilst controlling the Ludovico tear.
 * The Ludovico tear will release holy beams on itself periodically while touching an enemy.
 * Isaac gains a controlled tear while also being able to shoot normally with Incubus. Incubus's tears gain piercing and spectral properties.
 * Incubus creates a second smaller Ludovico Technique tear instead, which can both be controlled by Isaac. The second tear is slightly delayed/ outside of the main tear. This may cause it to not hit enemies sometimes.
 * : Lilith's incubus will fire a smaller Ludovico Technique tear. For each doubled incubus caused by, there will be an additional Ludovico Technique tear that spawns on Lilith's location.
 * The Ludovico tear will sometimes shoot 4 smaller tears in each direction.
 * Tear will block enemy tears without disappearing.
 * The tear becomes larger the further away it is from Isaac, increasing in damage.
 * The Ludovico tear will sometimes shoot a smaller tear in a random direction.
 * : The item causes spiders to spawn rapidly when moving the tear.
 * Causes Spiders to rapidly spawn until the cap of 5 is reached.
 * Tear turns red and does more damage.
 * Tear becomes a cluster of variously sized tears spread over a small area. The tears move at the same speed when controlled but constantly move around each other.
 * Mysterious Liquid Leaves creep trail underneath where tear is
 * Shoots out smaller tears when attacking an enemy. Scattered tears are spectral and piercing.
 * The tear deals damage, even if the enemies are stopped. Moving the tear unpauses the enemies.
 * Enemies, items and even most bosses will be sucked to the single floating tear, dealing constant damage while keeping Isaac well away from harm, making this combination extremely effective in almost all scenarios.
 * The single floating tear will flash grey to indicate that the magnetism might apply on hit. Like Strange Attractor, enemies tagged with magnetism will also draw the floating tear towards said enemy.
 * The tear explodes into six smaller tears, then reappears next to the player.
 * The tear becomes a large laser ring, which visually looks like a shot fired by . Shot speed is ignored. The Tears stat is ignored and the damage is dealt very rapidly at a rate equivalent to 1 tear delay.
 * The tear controls as usual, and Isaac fires the laser towards the tear relative to his position, rather than in the direction the player is moving the tear.
 * The tear blinks red, but the effect is entirely cosmetic.
 * Isaac's body will fire the lead pencil shot toward where the controlled tear is located at a regular time interval
 * Isaac's body will fire the lead pencil shot toward where the controlled tear is located at a regular time interval

Interactions

 * /: The tear and familiar(s) travel together, as they are controlled in the same way. Because the familiars' travel speeds are not affected by Isaac's shot speed, they only travel in the same spot when Isaac has exactly the amount of shot speed to sync them up.
 * Only tear delay down applies.
 * /: The tear steadily cycles between red and "normal," dealing more damage when red.
 * The tear can't be charged, but reduces Isaac's tear delay by 20%.
 * The tear pulses green, poisoning enemies.
 * Only tear delay down applies.
 * Overridden by The Ludovico Technique.
 * Overrides The Ludovico Technique.
 * Tear will alternate between "normal" and black. If it touches an enemy, it will stick to it, grow in size, then explode. The tear can not damage anything or be controlled when stuck to an enemy.
 * The tear will grow very quickly when stuck to an enemy and pop without dealing damage, instead of the normal Explosivo delay and explosion.
 * The Ludovico Tear will not get stuck on an enemy, instead a duplicate Tear gets stuck on the enemy, grows and explodes.
 * Tears retain the ability to ignite enemies and explode. Tears respawn at Isaac's location after exploding.
 * Tears do not explode on contact with an enemy.
 * /: Fires created from Ghost Pepper will destroy the tear and cause it to respawn on Isaac.
 * Fires spawned by both items do not interact with the Ludovico tear. However Ghost Pepper will spawn fires quickly when the Tear is moved.
 * Overrides The Ludovico Technique.
 * Overridden by The Ludovico Technique. (No damage increase or explosion.)
 * +4 damage bonus, no explosion.
 * +2 damage, no explosion
 * The tear becomes a controllable knife that deals double Isaac's damage. Effective shot speed is lowered. Tears stat is ignored and the damage is dealt at a rate equivalent to 4 tear delay.
 * Mom's Knife + : Flat Stone is overridden completely.
 * Mom's Knife + : Monstro's Lung is overridden completely.
 * Mom's Knife + : Brimstone is overridden completely.
 * No effect.
 * An additional Ludovico tear is spawned when it passes through Multidimensional Baby, at the start of every room, and persists like the Ludovico tear itself. However, it cannot be controlled; it instead slowly follows Isaac.
 * An additional Ludovico tear is spawned when it passes through Multidimensional Baby, at the start of every room, and persists like the Ludovico tear itself. It cannot be controlled and it will not follow isaac, as this function was removed from The Ludovico Technique in Repentance. Instead it stays completely still where it spawned. Subsequent passes trough the baby have no effect.
 * The Ludovico tear cannot be moved while Notched Axe is held up.
 * The closer the tear floats to Isaac, the larger it is. The farther away, the smaller.
 * Decreases the tear size by taking the form of a Pupula Duplex tear; however, it travels faster.
 * / Nose Goblin: The tear can occasionally stick to an enemy. If the enemy does not die quickly, the tear pops and a new one spawns.
 * Like Explosivo no longer sticks the Original Tear to the enemy, instead places a replacement booger, which deals the same damage.
 * / : The Ludovico tear will slowly move towards an enemy. This can make it harder to control towards a different enemy or for enemies that hide underground.
 * Overrides The Ludovico Technique.
 * The tear controls as usual, and Isaac fires the laser towards the tear relative to his position, rather than in the direction the player is moving the tear. Technology 2's damage penalty still applies. The laser becomes spectral.
 * Technology 2 + : Laser is fired directly at the tear while it is being moved, instead of being limited to cardinal directions.
 * No effect without additional items. Extra tears orbiting the main one or familiar tears will generate arcs to the controlled tear.
 * Tear orbits around Isaac, however, the orbit can be grown or shrunken, sped up or slowed down by using the firing keys.
 * Only tears and shot speed bonuses apply.
 * The controls of the tear and the shield overlap, making it impossible to consistently control both.
 * A smaller Ludovico tear will spawn and revolve around the main one. Also, the Ludovico tear moves diagonally, up is up-right, down is down-left, left is left-up, right is right-down. This can be counteracted by holding the keys or d-pad in its associated path (up-right to make it go up and so forth with the other keys).
 * Gello shoots a smaller Ludovico tear which disappears if he retreats back into Lilith.

Trivia

 * The Ludovico Technique is a reference to Anthony Burgess' novel A Clockwork Orange and Stanley Kubrick's film adaptation, where it was referred to as "Ludovico's Technique." The technique involved headgear which forced the patient's eyelids open (hence "Controlled Tears") while watching violent films under nausea-inducing drugs, conditioning them against violence.
 * It is possible to control the tear with the mouse, just open the  file in   and change   to.
 * The sound of firing a tear with The Ludovico Technique can be heard in the splash screen of a boss room, before it is possible to control your character.

Seeds
KPRZ M83V (First floor Treasure Room) ZYS1 ONMS (Treasure Room adjacent to spawn) VLZW 7CJ8 (Treasure Room adjacent to spawn) MX26 V47J (Treasure Room adjacent to spawn) KYSL MRKZ (Treasure Room adjacent to spawn) S11S E632 (First floor Treasure Room) 0H0T MKNS (First floor Treasure Room) DQBE T9RH (First floor Treasure Room) GEYN TXS7 (First floor Treasure Room) KK92 7DTD (First floor Treasure Room) 191Z NVJA (Treasure Room adjacent to spawn) PNWHFSMH (First floor Treasure Room)