Epiphora

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Epiphora
Item icon
Item altar
"Intensifying tears"
Table dividing line 1.png
Item ID
5.100.368
Character Appearance
Character appearance
Table dividing line 2.png
Table dividing line 3.png
Collection Grid
Added in Afterbirth † / Removed in Repentance(page 4, column 3, row 1)
Removed in Afterbirth †(page 4, column 3, row 1)
Added in Repentance(page 4, column 4, row 1)
Added in Afterbirth

Epiphora is a passive item added in The Binding of Isaac: Afterbirth.

Effects[edit | edit source]

  • Tear delay gradually decreases as the player shoots in one direction. Accuracy also decreases as the fire rate increases.
    • At max "charge", it will reduce tear delay by half, rounding down.
  • Rate of fire returns to its original value if Isaac stops firing, changes firing directions, uses an active item, or is hit.
    • Added in Afterbirth † Being hit, changing rooms, and using items no longer reset the Epiphora bonus.
      • During the delay when transitioning between rooms, picking up an item, or using an active item, it's possible to change the firing direction without resetting the bonus.

Notes[edit | edit source]

  • Epiphora technically works with items that require a charge (such as 15►Monstro's Lung Monstro's Lung) but requires releasing the key or button, causing players to lose the effect.

Synergies[edit | edit source]

  • 15►Continuum Continuum: Reduces the need to change firing direction allowing Isaac to maintain the increased rate of fire.
  • 15►Dr. Fetus Dr. Fetus / 15►Ipecac Ipecac: Firing bombs continually will decrease tear delay, although doing so is not recommended since it increases the risk of self-damage.
  • The Forgotten: When tapping the attack button in a single direction repeatedly, the Ephiphora effect will cause the bone swings to speed up.
  • 15►How to Jump How to Jump: Changing firing direction while jumping does not reset the bonus, similar to when changing rooms.
  • 15►Incubus Incubus: Incubus's fire rate will match Isaac's.
  • 15►The Ludovico Technique The Ludovico Technique: Fire rate increases while moving the tear in one direction; it has a negligible effect during normal gameplay.
  • 15►Marked Marked: Rate of fire only increases so long as the mark is continuously moved in one direction.
  • 15►Rubber Cement Rubber Cement: Reduces the need to change firing direction allowing Isaac to maintain the increased rate of fire.
  • Added in Repentance15►Rock Bottom Rock Bottom: Isaac will never lose the benefits of Epiphora, even after he stops firing. This effectively makes Epiphora substantial tears up.
  • 15►Tractor Beam Tractor Beam: Fire rate still increases when shooting in one direction, but will stay on the line (i.e. no loss in accuracy).
  • 15►Loki's Horns Loki's Horns / 15►Mom's Eye Mom's Eye: Allows for firing in multiple directions at once, decreasing need to change firing direction.

Interactions[edit | edit source]

  • 15►Brimstone Brimstone: Effect only activates when holding charge in a specific direction, and deactivates when the charge is released, effectively making Epiphora useless unless Isaac has exceedingly high tear delay.
  • 15►Chocolate Milk Chocolate Milk: Overrides Epiphora.
  • 15►Epic Fetus Epic Fetus: Overrides Epiphora.
  • Lilith: Lilith and her Incubus cannot gain extra fire rate from Epiphora.
  • 15►Mom's Knife Mom's Knife: Overrides Epiphora.
  • 15►Monstro's Lung Monstro's Lung: Overrides Epiphora.
  • 15►Tech X Tech X: Overrides Epiphora.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • Epiphora is an overflow of tears onto the face.

Seeds[edit | edit source]

PC Normal and hard modes only 0RK6 FCRZ (Treasure room adjacent to spawn)


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