"Double shot"
Item ID
Character Appearance
Tear Appearance
Collection Grid
Dlc na indicator.png(page 3, column 1, row 5)
Dlc a indicator.png(page 3, column 1, row 1)

20/20 is a passive item.


  • Isaac fires two tears at once, one from each eye.
  • Dlc r indicator.png 0.75x damage multiplier.




In-game Footage


  • 20/20 is an idiom that refers to someone with near-perfect vision.
  • Despite only having one eye, Cain shoots two tears at once with this item.
  • Dlc r indicator.png This item is used in Seeing Double (challenge #40).


PC Dlc a indicator.png 77H1 T20K (Treasure Room adjacent to spawn)

PC STDX QSC8 (Treasure Room adjacent to spawn)

PC NYJK 3QDN (Treasure Room adjacent to spawn)

PC AFJE 9RXX (Treasure Room adjacent to spawn)

PC Y6FY DZH6 (Treasure Room next to spawn)

PS4 GD7V 66ZX (Treasure Room adjacent to spawn)

Vita 92SM AXWG (Treasure Room next to spawn)

3DS H3Y3 X22S (First floor Treasure Room)

XboxOne 228H QN22 (First floor Treasure Room above spawn)

Switch GBDPZXGJ (Eden starts with it)

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