Larynx is an activated item added in The Binding of Isaac: Repentance.
Effects
- Isaac shouts, damaging and pushing away nearby enemies.
- The item can be used when not fully charged, but deals more damage and has increased range the more charges it has when used.
- The damage the shout deals is 20 + 28 per charge used.
- The shout also deals extra ticks of damage to enemies that are close enough. These extra ticks deal damage equal to 2.5 + 3.5 per charge used, and can tick a number of times up to half the charges used (rounding up).
- The range of the extra ticks also varies depending on the charges used: enemies that are closer to Isaac will receive more ticks of damage.
- The shout also deals extra ticks of damage to enemies that are close enough. These extra ticks deal damage equal to 2.5 + 3.5 per charge used, and can tick a number of times up to half the charges used (rounding up).
- The shout is able to destroy Poops and Fireplaces and open bombable doors, including Bedroom and Secret Room doors.
- Larynx gains 1 charge whenever Isaac takes damage, as well as through normal means.
Synergies
Habit: Larynx gains 2 charges instead of 1 when Isaac takes damage.- The Battery: Larynx can hold up to two full charges. However, only 12 charges can be used at a time.
- Hairpin: Larynx will be fully charged upon entering a boss room, allowing for the instant destruction (or at the very least heavy damaging) of most bosses.
In-game Footage
Trivia
- Larynx is the medical term for the voice box, the organ that holds the vocal cords in mammals.
Seeds
PC SY1W 8E2L Crafting recipe can be made on the first floor with Cain 
PC 2SG7 BLQX Crafting recipe can be made on the first floor with Cain
PC 
GHEL 4AWW Treasure room in first floor
 Tainted Samson Unlocks
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 The Binding of Isaac: Rebirth
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