Binding of Isaac: Rebirth Wiki
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Tammy's Head is an activated item.

Effects[ | ]

  • Shoots 10 tears in a circle around Isaac.
  • The tears retain the range, shot speed, and special effects (such as poison) of Isaac's tears.
  • Each tear will do Isaac's current damage and a flat +25 damage bonus on top.

Synergies[ | ]

  • Character Azazel iconAzazel / Collectible Brimstone iconBrimstone: Isaac will fire Brimstone lasers in all directions. (except in Repentance) Each laser is given bonus damage.
    • This will deal a substantial amount of damage near the center of the effect due to how lasers overlap the closer you get to Isaac.
  • (in Repentance)Collectible Book of Virtues iconBook of Virtues: Spawns pale wisps in the outer ring. The wisps' tears deal 1.5 damage, but fire twice as fast as standard wisps. Tears are inaccurate and fire in a spread.
  • (except in Rebirth)Collectible Car Battery iconCar Battery: Shoots 20 tears in a circle around Isaac.
  • (except in Repentance)Collectible Chocolate Milk iconChocolate Milk: The size and damage of tears shot depends on how far Chocolate Milk is charged.
  • Character Tainted Azazel iconTainted Azazel: Although Tainted Azazel's Brimstone beams do not have a damage bonus, they also do not have the normal damage penalty and still deal double damage to enemies that have been sneezed on.

Interactions[ | ]

  • Collectible Dr. Fetus iconDr. Fetus / Collectible Ipecac iconIpecac: Tears are replaced by bombs or exploding shots, which may result in self-damage.
  • Collectible Epic Fetus iconEpic Fetus: Fires only normal tears.
  • (in Repentance)Collectible Eye of the Occult iconEye of the Occult: The tears quickly lose their outward momentum and can now be controlled all at once, making it easy to make the tears hit enemies.
  • Collectible Mom's Knife iconMom's Knife: The tears are replaced with knives that deal double Isaac's damage, but move very quickly, have a small hitbox, and don't return to Isaac.
  • (in Afterbirth † and Repentance)Collectible Trisagion iconTrisagion: Shoots Trisagion blasts without any increase to their damage.

In-game Footage[ | ]

Unlockable Achievements[ | ]

Gallery[ | ]

Trivia[ | ]

  • Tammy's Head is named after one of Edmund McMillen's cats.
  • When Repentance released, this item was removed from Golden Chests, but it wasn't added into any other item pool besides the (in Repentance) Crane GameCrane Game, effectively making it impossible to find normally. This was later rectified.

Bugs[ | ]

Bug Bug! (except in Repentance) With the Collectible Mom's Knife iconMom's Knife synergy, the Blindfolded condition prevents Tammy's Head from shooting knives and makes the item useless.


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