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This article is about Isaac's primary weapon. For the attribute of the same name that governs the rate of fire, see Tears. For debuffs that can be inflicted on monsters, see Status Effects.

Tear Effects modify Isaac's primary weapon — tears. A few of the most common tear effects are listed below.

Effects[ | ]

Effect Appearance Description
Homing Spoon Bender Tears Completely diverts from their original path to seek nearby enemies. The distance homing tears can travel is determined by the range stat.
Piercing Cupid's Arrow Tears Can travel through enemies (but not obstacles) without breaking on impact. Once a single target or a segment of an enemy has been hit by a piercing tear, it can no longer take damage from that tear.
(except in Repentance) However, piercing effects also remove knockback.
Spectral Ouija Board Tears Can travel through obstacles (but not enemies) without breaking on impact. Spectral tears can be used to safely dispatch most types of monsters from behind obstacles, or over them in combination with flying.
Allows tears to pass through both enemies and obstacles if combined with Piercing.
Bouncing Boucing tear Makes tears bounce off walls, enemies and environmental objects. Tears that bounce off of enemies bounce in random directions, whereas tears that bounce off of walls and other objects bounce directly back. When tears bounce from enemies, they become able to hit the same enemy again should they bounce off of another enemy or obstacle.

Homing[ | ]

Activated Items that grant homing tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Telepathy for Dummies 5.100.192
Telepathy for Dummies
2 rooms
Temporary psychic shot Gives homing tears for the current room. (in Repentance) Also gives +3 range. 1

Passive Items that grant homing tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Godhead 5.100.331 Godhead God tears (except in Repentance) Grants homing tears with a damaging halo. +0.5 Damage, -0.3 Tears -0.3 Shot Speed, +0.8 Tear Falling Speed, and +1.2 Range.
(in Repentance) Grants homing tears with a damaging halo. +0.5 Damage, -0.3 Tears, and -0.3 Shot Speed.
4
Sacred Heart 5.100.182 Sacred Heart Homing shots + DMG up (except in Repentance) Adds a Red Heart Container. Grants homing tears, a x2.3 Damage multiplier, +1 flat Damage, -0.4 Tears, -0.25 Shot Speed, and +4.125 Range.
(in Repentance) Adds a Red Heart Container. Grants homing tears, a x2.3 Damage multiplier, +1 flat Damage, -0.4 Tears, and -0.25 Shot Speed.
4
Spoon Bender 5.100.3 Spoon Bender Homing shots Grants Isaac homing tears. 3
(in Afterbirth † and Repentance) Hallowed Ground 5.100.543 Hallowed Ground Portable sanctuary Spawns a white poop familiar, which turns into a White PoopWhite Poop when Isaac is hurt. White poop has an aura that increases tear fire rate and can block enemy shots. (in Repentance) The aura also increases damage by 20% and gives homing. 1
(in Repentance) C Section 5.100.678 C Section Fetus shots Replaces tears with fetuses that chase down enemies and deal contact damage. Each shot requires a brief charge up. 4
(in Repentance) Star of Bethlehem 5.100.651 Star of Bethlehem Follow the light Spawns a star familiar that slowly travels towards the Boss RoomBoss Room, giving an aura that increases damage and tears and grants homing tears. 3

Trinkets that grant homing tears[ | ]

Name ID Icon Quote Description
(in Afterbirth † and Repentance) Nose Goblin 5.350.98 Nose Goblin Seems magic... Chance to fire a homing booger that sticks to enemies and deals damage over time.
(in Afterbirth † and Repentance) Ouroboros Worm 5.350.96 Ouroboros Worm Foop foop! Tears travel in a large spiral pattern and gain spectral, with a small chance to gain homing. (in Repentance) Also adds +0.4 Tears.

Cards that grant homing tears[ | ]

Name ID Icon Message Description
I - The Magician 5.300.2 I - The Magician May you never miss your goal (except in Repentance) Grants homing tears for the current room.
(in Repentance) Grants homing tears and +3 Range for the current room.

Familiars that fire homing tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Little Steven 5.100.100 Little Steven Psychic friend Spawns a familiar who follows Isaac around and fires homing tears. 2
(except in Rebirth) Seraphim 5.100.390 Seraphim Sworn friend Spawns an angel familiar who follows Isaac and fires homing tears which deal 10 damage and have 75% shot speed. 3

Trinkets that grant Familiars homing tears[ | ]

Name ID Icon Quote Description
(in Afterbirth † and Repentance) Baby-Bender 5.350.127 Baby-Bender Feed them magic! Grants Isaac's familiars homing shots.

Piercing[ | ]

Passive Items that grant piercing tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Cupid's Arrow 5.100.48 Cupid's Arrow Piercing shots Grants Isaac piercing tears that travel through enemies (but not obstacles) instead of breaking on impact with them. 3
Dead Onion 5.100.336 Dead Onion Toxic aura tears Grants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed. 3
Death's Touch 5.100.237 Death's Touch Piercing shots + DMG up +1.5 damage, -0.3 tears. Tears are replaced with large piercing scythes. 3
Sagittarius 5.100.306 Sagittarius Piercing shots + speed up Increases speed by +0.2 and grants piercing tears. 3
Technology 5.100.68 Technology Laser tears Replaces tears with a piercing laser with unlimited range. 3
(in Afterbirth † and Repentance) Eye of Belial 5.100.462 Eye of Belial Possessed tears! Grants piercing tears. After piercing one enemy, tears start homing and deal double damage. 3
(in Afterbirth † and Repentance) Trisagion 5.100.533 Trisagion Smite thy enemy Tears are replaced with piercing white blasts of light that deal less damage but can damage the same enemy multiple times. 3
(in Repentance) C Section 5.100.678 C Section Fetus shots Replaces tears with fetuses that chase down enemies and deal contact damage. Each shot requires a brief charge up. 4

Familiars that fire piercing tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Robo-Baby 5.100.95 Robo-Baby Friends 'till the bbbbzzzt Spawns a familiar that shoots Collectible Technology iconTechnology lasers. 1
Robo-Baby 2.0 5.100.267 Robo-Baby 2 We worked out all the kinks Spawns a familiar that fires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears. 1

Trinkets that grant piercing tears[ | ]

Name ID Icon Quote Description
Push Pin 5.350.31 Push Pin Piercing shots Adds a 10% chance to shoot a piercing and spectral tear.

Spectral[ | ]

Passive Items that grant spectral tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Dead Dove 5.100.185 Dead Dove Flight + spectral tears Grants spectral tears and flight. 3
Dead Onion 5.100.336 Dead Onion Toxic aura tears Grants piercing and spectral tears. Increases tear size (without increasing damage) while greatly reducing range and shot speed. 3
Ouija Board 5.100.115 Ouija Board Spectral tears + tears up Grants spectral tears that travel through obstacles (but not enemies). (in Repentance) +0.5 tears. 2
Spirit of the Night 5.100.159 Spirit of the Night Scary Grants spectral tears and flight. 3
Tiny Planet 5.100.233 Tiny Planet Orbiting tears + range up Massively increases Range and grants spectral tears. Tears orbit around Isaac at a fixed distance until they hit the ground. 0
(except in Rebirth) Continuum 5.100.369 Continuum Transcendent tears Grants spectral tears and increases range. Tears travel through walls and appear at the opposite side of the room. 2
(except in Rebirth) Pupula Duplex 5.100.379 Pupula Duplex Wide shot Gives Isaac spectral tears and gives his tears a wide arc shape, increasing their size. 2
(except in Rebirth) The Wiz 5.100.358 The Wiz Double wiz shot! Grants spectral tears. Tears simultaneously fire out of both eyes diagonally, similar to the effect of the R U a Wizard? pill. 0
(in Repentance) C Section 5.100.678 C Section Fetus shots Replaces tears with fetuses that chase down enemies and deal contact damage. Each shot requires a brief charge up. 4

Familiars that fire spectral tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Ghost Baby 5.100.163 Ghost Baby Spectral buddy Spawns a familiar that follows Isaac around and fires spectral tears. 1
Robo-Baby 5.100.95 Robo-Baby Friends 'till the bbbbzzzt Spawns a familiar that shoots Collectible Technology iconTechnology lasers. 1

Trinkets that grant spectral tears[ | ]

Name ID Icon Quote Description
Push Pin 5.350.31 Push Pin Piercing shots Adds a 10% chance to shoot a piercing and spectral tear.
Ring Worm 5.350.11 Ring Worm Woop woop! Isaac fires in a fast spiraling pattern. (in Repentance) Also grants +0.4 Tears and spectral tears.
Wiggle Worm 5.350.10 Wiggle Worm Wiggle waggle! Isaac's tears travel in a wave-like pattern. +0.4 Tears up. (in Repentance) Also grants spectral tears.
(in Afterbirth † and Repentance) Ouroboros Worm 5.350.96 Ouroboros Worm Foop foop! Tears travel in a large spiral pattern and gain spectral, with a small chance to gain homing. (in Repentance) Also adds +0.4 Tears.

Bouncing[ | ]

Passive Items that grant bouncing tears[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Rubber Cement 5.100.221 Rubber Cement Bouncing tears Tears bounce off walls, enemies, and environmental objects. 3

Trinkets that grant bouncing tears[ | ]

Name ID Icon Quote Description
(in Afterbirth † and Repentance) Super Ball 5.350.99 Super Ball Boing! Makes tears have a chance to bounce off enemies and obstacles.


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