Pupula Duplex

"Wide shot"

Item ID
5.100.379
Character Appearance
Tear Appearance


Collection Grid
(page 4, column 14, row 1)
(page 4, column 14, row 1)
(page 4, column 15, row 1)




Pupula Duplex is a passive item added in The Binding of Isaac: Afterbirth.
Effects[edit | edit source]
- Grants spectral tears.
- Tear size multiplier: 2x.
- Despite their crescent shape, the tears are still considered round hitbox-wise.
Synergies[edit | edit source]
Godhead: The damaging aura benefits from the increased size significantly.
Interactions[edit | edit source]
Brimstone: No effect on Brimstone.
The Ludovico Technique: Only tear appearance changes, no tear size up.
Mom's Knife: No effect on Mom's Knife.
Tech X: No effect on Tech X.
Technology: No effect on Technology or its variants.
In-game Footage[edit | edit source]
Trivia[edit | edit source]
- "Pupula Duplex" is said to be a condition in which a person has two irises and two pupils in one eye, without any actual recorded cases. An actual rare medical condition similar to it exists, called polycoria.
- This item's icon is similar to Diplopia.
Seeds[edit | edit source]
PC HN4T QMN7 (First floor Treasure Room)
PC HLTD B7WD (Treasure Room adjacent to spawn)
PC XVA6 BQFC (First floor Treasure Room)
Switch C6VD 4WXP (First Golden Treasure Room)
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