Binding of Isaac: Rebirth Wiki
This article is about the attribute. For Isaac's primary weapon, see effects.

Tears Stat Icon The Tears attribute affects the rate of fire of the character and is represented by 3 arrows. This attribute is related to tear delay (the delay between successive shots, as opposed to the inverse 'tears per second'); a higher tears stat means a shorter delay and a higher fire rate. The tear stat is a measurement of tear frequency, as opposed to Shot Speed, which measures how fast those shots move.

Tear Delay Calculation[ | ]

The formula for tear delay is:

"T" in the above formula is equal to the normal tears stat, with all adjustments added together. (except in Repentance) Tear Delay is always rounded down to next whole number. For example, picking up Collectible The Sad Onion iconThe Sad Onion would grant 0.7 tears, making Isaac's tear delay 7.7, which is rounded down to 7.

The minimum tear delay that can be reached with regular tears up items is 5, giving Isaac a soft cap of 5 tears fired per second. (except in Repentance) With items that directly reduce tear delay, tear delay can be reduced further, down to a hard minimum of 1 tear delay (15 tears fired per second).

The number of tears per second that Isaac fires is found by the formula: .

Conversely, Tear Delay can be calculated from the fire rate given ingame with the formula . Note that the fire rate given by the ingame HUD is rounded.

(in Repentance) Tear delay as a mechanic is no longer as significant in Repentance, and instead items that used to affect the tear delay now instead affect the fire rate directly. Effectively, this means tear delay can be less than 1.

  • The absolute maximum fire rate achievable is 120, corresponding to -0.75 tear delay.

Characters[ | ]

Different characters start with different initial tears:

Direct modifiers to Tear Delay/(in Repentance)Tears Fired per Second[ | ]

Several items directly modify tear delay after the main calculation:

  • (in Repentance) Many items that used to modify tear delay now modify tears fired per second instead. They still allow the soft cap of 5 tears per second to be broken, but now have a greater impact on runs that have a lower fire rate compared to those with a higher one; this is in contrast to Afterbirth+, where the opposite was true. Generally, for these items, each unit of tear delay in Afterbirth+ and before converts to +0.5 tears per second in Repentance.
Item (except in Repentance) Tear delay adjustment (in Repentance) Fire rate adjustment
Collectible Anti-Gravity iconAnti-Gravity -2 +1
Collectible Brimstone iconBrimstone x3 x1/3
CancerCancer -2 +1
Collectible Capricorn iconCapricorn -1 +0.5
Collectible Chocolate Milk iconChocolate Milk x2.5 (for maximum charge) No change, displayed value = maximum charge time
(in Afterbirth † and Repentance)Cracked CrownCracked Crown x0.8 Fire rate over base value x1.2
Collectible Cricket's Body iconCricket's Body -1 +0.5
(in Afterbirth † and Repentance)Collectible Dataminer iconDataminer N/A ±0.5
Collectible Dr. Fetus iconDr. Fetus x2.5 x0.4
(except in Rebirth)Collectible Epiphora iconEpiphora x0.5 (while at maximum "charge") x2 (while at maximum "charge")
Collectible Eve's Mascara iconEve's Mascara x2 x0.66
Collectible Experimental Treatment iconExperimental Treatment N/A ±0.5
Collectible Guillotine iconGuillotine -1 +0.5
(in Afterbirth † and Repentance)Collectible Haemolacria iconHaemolacria x2, then +10 Tear delay adjustment, not fire rate
(in Afterbirth † and Repentance)Collectible Hallowed Ground iconHallowed Ground x0.5 x2.5
Collectible Ipecac iconIpecac x2, then +10 x1/3
(except in Rebirth)Collectible Milk! iconMilk! -2 +1
Collectible Missing No. iconMissing No. N/A ±0.5
Collectible Mom's Perfume iconMom's Perfume -1 +0.5
Collectible Monstro's Lung iconMonstro's Lung x4.3 x1/4.3
Collectible Mutant Spider iconMutant Spider x2.1, then +3 x0.42
Collectible Pisces iconPisces -1 +0.5
Collectible Polyphemus iconPolyphemus x2.1, then +3 x0.42
(except in Rebirth)Collectible Purity iconPurity -4 +2
Collectible Soy Milk iconSoy Milk x0.25, then -2 x5.5
Collectible Technology 2 iconTechnology 2 N/A x0.66
Collectible The Inner Eye iconThe Inner Eye/(in Repentance)XII - The Hanged Man?XII - The Hanged Man? x2.1, then +3 x0.51
(except in Rebirth)Collectible Tractor Beam iconTractor Beam N/A +1
(in Afterbirth † and Repentance)Collectible Brittle Bones iconBrittle Bones N/A +0.4 per bone heart lost
(in Afterbirth † and Repentance)Collectible Dark Prince's Crown iconDark Prince's Crown N/A +2
(in Afterbirth † and Repentance)Collectible Death's List iconDeath's List/(in Afterbirth † and Repentance)Collectible Void iconVoid/(in Afterbirth † and Repentance)Black RuneBlack Rune N/A +0.5
(in Repentance)Collectible Almond Milk iconAlmond Milk N/A x4
(in Repentance)Collectible Berserk! iconBerserk!/(in Repentance)Soul of SamsonSoul of Samson N/A x0.5, then +2
(in Repentance)Collectible Bloody Gust iconBloody Gust N/A Up to +3 after taking damage 6 times
(in Repentance)VII - The Chariot?VII - The Chariot? N/A x4
(in Repentance)Collectible Consolation Prize iconConsolation Prize N/A +0.5
(in Repentance)III - The Empress?III - The Empress? N/A +1.5
(in Repentance)Collectible Eye Drops iconEye Drops N/A x1.2
(in Repentance)Collectible IBS iconIBS/(in Repentance)Soul of ???Soul of ???/(in Repentance) Character Tainted ??? iconTainted ??? N/A +1.5 while on unique creep
Additional x3 if the creep is in contact with white poop
(in Repentance)Collectible It Hurts iconIt Hurts N/A +1.2 on the first hit, then +0.4 on subsequent hits
(in Repentance)Collectible Luna iconLuna N/A +1 for the first beam of light, then +0.5 for subsequent beams
(in Repentance)Collectible Paschal Candle iconPaschal Candle N/A +0.4 for every room cleared without taking non-self damage, up to +2 total
(in Repentance)Collectible Wavy Cap iconWavy Cap N/A +0.75 (halved if Isaac leaves the room, and wears off at the rate of one room clear per use)

Notes[ | ]

  • Assuming no other modifications to the tears stat, +1.4 tears up is enough to bring you to the normal delay cap. In this case, it would reduce the delay to 5.92, which rounds down to 5.
  • With a tear delay of 1, the maximum achievable rate of fire is 15 tears per second (every 2 frames).
  • Polyphemus, Mutant Spider, and Inner Eye's tear delay formulas do not stack with each other, meaning that there is no downside to taking another after you have already taken one.
  • (except in Repentance) Charge-bar items like Monstro's Lung or Brimstone stop working at 30 tears per second.

Items that affect tears[ | ]

Activated Items[ | ]

Name ID Icon Quote Description (in Repentance) Quality
(except in Rebirth) D8 5.100.406
4 rooms
Reroll stats Re-rolls Isaac's damage, tears, range, and speed. 2
(in Afterbirth † and Repentance) Dataminer 5.100.481
4 rooms
109 Displaces enemy sprites for the current room, randomly increases one stat and decreases another. 0
(in Repentance) Berserk! 5.100.704
With damage dealt
Rip and tear Causes Isaac to go berserk for 5 seconds, greatly increasing his speed, tears, and damage, but restricting him to using a melee weapon instead of his tears. This item charges by dealing damage to enemies instead of clearing rooms. 2
(in Repentance) Mega Mush 5.100.625
Mega Mush
12 rooms
I'm a big boy now! Gigantifies Isaac for 30 seconds, increasing damage and range while lowering tears, granting invulnerability, and allowing Isaac to crush enemies and obstacles he walks on. The effect persists between rooms. 4
(in Repentance) Wavy Cap 5.100.582
Wavy Cap
Tears up. A mind changing experience! Increases fire rate, decreases speed, and distorts the screen. All effects become more pronounced with repeated use, and wear off by clearing rooms. 1

Passive Items[ | ]

Name ID Icon Quote Description (in Repentance) Quality
Anti-Gravity 5.100.222 Anti-Gravity Anti-gravity tears + tears up Tears float in position until firing ceases, after which they will fly off in the direction they were shot in. (except in Repentance) -2 Tear Delay. (in Repentance) +1 Fire Rate. 2
Blue Cap 5.100.342 Blue Cap HP + tears up + shot speed down Gives one full Red Heart container, +0.7 tears, and -0.16 shot speed. (in Repentance) Heals 1 additional Red HeartRed Heart. 3
Capricorn 5.100.307 Capricorn All stats up (except in Repentance) Adds 1 Red Heart Container, gives +0.5 Damage, +0.1 Speed, +1.5 Range, and -1.0 Tear Delay, and gives 1 BombBomb, PennyPenny, and KeyKey.
(in Repentance) Adds 1 Red Heart Container, gives +0.5 Damage, +0.1 Speed, +0.75 Range, and +0.5 Fire Rate, and gives 1 BombBomb, PennyPenny, and KeyKey.
Chocolate Milk 5.100.69 Chocolate Milk Charge shots Grants charged tears that deal greater damage when fully charged. 3
Cricket's Body 5.100.224 Cricket's Body Bursting shots + tears up When tears hit an object or deplete their range, they spawn 4 smaller tears, whose range and damage scale with Isaac's. (except in Repentance) Grants -1 tear delay and reduces range. (in Repentance) Grants +0.5 fire rate and reduces range. 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
Dr. Fetus 5.100.52 Dr ??? Tears are replaced by BombBombs that benefit from bomb-enhancing effects and slide for a fixed time after being fired. 4
Eve's Mascara 5.100.310 Eve's Mascara DMG up, tears + shot speed down (except in Repentance) Doubles damage, halves tears stat, and greatly reduces shot speed.
(in Repentance) Doubles damage, 0.66x tears multiplier, and greatly reduces shot speed.
Experimental Treatment 5.100.240 Experimental Treatment Some stats up, some stats down (in Rebirth and Afterbirth) Randomly increases and decreases some of Isaac's stats.
(in Afterbirth † and Repentance) Increases four random stats and decreases the other two.
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.
Guillotine 5.100.206 Guillotine DMG + tears up. An out-of-body experience! Isaac's head is removed from his body and floats around him as an orbital. (except in Repentance) Gives +1 damage and grants -1 tear delay. (in Repentance) Gives +1 damage and grants +0.5 fire rate. 2
Ipecac 5.100.149 Ipecac Explosive shots Replaces tears with explosive and poisoning projectiles fired in an arc from the mouth. 4
Libra 5.100.304 Libra You feel balanced Gives 6 PennyCoins, 6 BombBombs, and 6 KeyKeys and balances out all attributes. 1
Missing No. 5.100.258 Missing No. Syntax error Randomizes all passive items and stats upon pickup and at the start of each succeeding floor. 0
Mom's Perfume 5.100.228 Mom's Perfume Fear shot + tears up Adds a chance to shoot fear tears. (except in Repentance) Decreases tear delay by 1. (in Repentance) +0.5 fire rate. 2
Monstro's Lung 5.100.229 Monstro's Lung Charged burst attack Replaces normal tears with a charged shot that fires 14 tears in the same fashion as Boss Monstro ingameMonstro. 2
Mutant Spider 5.100.153 Mutant Spider Quad shot Grants quadruple shot but decreases Tears. 3
Number One 5.100.6 Number One Tears up + range down Grants +1.5 tears, but severely reduces range. 2
Odd Mushroom 5.100.120 Odd Mushroom Tears + speed up, DMG down +1.7 tears, +0.3 speed, slightly reduces damage. 2
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
Pisces 5.100.309 Pisces Tears up + knock-back shots (except in Repentance) -1 Tear Delay, adds knock-back shots and increases tear size.
(in Repentance) +0.5 Fire Rate, adds knock-back shots and increases tear size.
Polyphemus 5.100.169 Polyphemus Mega tears Isaac fires huge tears that deal massive damage, but fire rate is greatly decreased. If a tear kills an enemy, it travels on with any leftover damage. 4
Rosary 5.100.72 Rosary Tears + faith up Grants 3 Soul HeartSoul Hearts. Causes Collectible The Bible iconThe Bible to appear in any item pool. (in Repentance) +0.5 tears. 2
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.
Screw 5.100.255 Screw Tears + shot speed up +0.5 tears, +0.2 shot speed. 3
SMB Super Fan 5.100.189 SMB Super Fan All stats up (except in Repentance) +1 Red Heart container, +0.3 damage, +0.2 tears, +0.2 speed, +0.5 range, +1 tear falling speed. Fully restores all red hearts.
(in Repentance) +1 Red Heart container, +0.3 damage, +0.2 tears, +0.2 speed, +2.5 range. Fully restores all red hearts.
Soy Milk 5.100.330 Soy Milk DMG down + tears way up Tears are smaller and do much less damage, but fire in very rapid succession. 2
Squeezy 5.100.196 Squeezy Tears up +0.4 tears, spawns 2 Soul HeartSoul Hearts. 3
Technology 2 5.100.152 Technology 2 Extra laser Replaces the tears fired from Isaac's right eye with a rapid-firing low damage piercing laser. (except in Repentance) Damage down. 2
The Halo 5.100.101 The Halo All stats up (except in Repentance) Grants one full Red Heart container, +0.3 damage, +0.2 tears, +0.25 range, +0.3 speed, and +0.5 tear falling speed.
(in Repentance) Grants one full Red Heart container, +0.3 damage, +0.2 tears, +1.5 range, and +0.3 speed. Heals 1 additional Red HeartRed Heart.
The Inner Eye 5.100.2 The Inner Eye Triple shot Grants triple shot but decreases tears. 2
The Pact 5.100.80 The Pact DMG + tears up (except in Repentance) Grants two Soul HeartSoul Hearts, +0.5 damage, and +0.7 tears.
(in Repentance) Grants two Black HeartBlack Hearts, +0.5 damage, and +0.7 tears.
The Sad Onion 5.100.1 The Sad Onion Tears up +0.7 tears. 3
The Small Rock 5.100.90 The Small Rock DMG up + speed down +1 damage, +0.2 tears, -0.2 speed. 3
Tooth Picks 5.100.183 Tooth Picks Tears + shot speed up +0.7 tears, +0.16 shot speed. 3
Torn Photo 5.100.341 Torn Photo Tears + shot speed up +0.7 tears, +0.16 shot speed. 3
Wire Coat Hanger 5.100.32 Wire Coat Hanger Tears up +0.7 tears. 3
(except in Rebirth) Binky 5.100.438 Binky Tears up Grants one Soul HeartSoul Heart, +0.75 tears and decreases Isaac's size. 3
(except in Rebirth) Eden's Blessing 5.100.381 Eden's Blessing Tears up + your future shines brighter +0.7 tears up. Grants a random item at the start of the next run. 3
(except in Rebirth) Epiphora 5.100.368 Epiphora Intensifying tears Shooting in one direction increases Isaac's rate of fire until the cap is reached. As soon as Isaac changes direction or stops shooting, rate of fire is reset to its normal amount. 2
(except in Rebirth) Kidney Stone 5.100.440 Kidney Stone Matt's kidney stone Randomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. The burst of tears also includes a kidney stone, which deals a lot of damage. 2
(except in Rebirth) Marked 5.100.394 Marked Directed tears Isaac will automatically fire tears directed at a red target on the ground. The target can be moved with tear controls. +0.7 tears, increases range. 1
(except in Rebirth) Milk! 5.100.436 Milk! Don't cry over it... Spawns a glass familiar that spills on the floor upon taking damage. (except in Repentance) After the milk spills, Isaac's tear delay is decreased by 2 for the current room. (in Repentance) After the milk spills, Isaac's fire rate is increased by 1 for the current room. 1
(except in Rebirth) Mr. Dolly 5.100.370 Mr Range + tears up (except in Repentance) +0.7 tears, +5.25 range, +0.5 tear falling speed, Spawns a combination of 3 Red HeartRed Hearts, Soul HeartSoul Hearts or Black HeartBlack Hearts on the floor when picked up.
(in Repentance) +0.7 tears, +2.5 range, spawns 3 random types of Red HeartHearts on the floor when picked up.
(except in Rebirth) Purity 5.100.407 Purity Aura stat boost Boosts one of Isaac's stats depending on the color of the aura around him. The aura disappears upon taking damage and reappears with a random color upon entering a new room. Red boosts damage, blue boosts tears, yellow boosts speed, and orange boosts range. 3
(except in Rebirth) Tractor Beam 5.100.397 Tractor Beam Controlled tears Isaac's tears are bound to a beam emitting in the direction he's firing. (except in Repentance) +0.5 Tears, +5.25 Range, +0.16 Shot Speed. (in Repentance) +1 Fire Rate, +2.5 Range, +0.16 Shot Speed. 3
(except in Rebirth) Zodiac 5.100.392 Zodiac The heavens will change you Gives Isaac a random zodiac item effect that changes every floor. 1
(in Afterbirth † and Repentance) Analog Stick 5.100.465 Analog Stick 360 tears! +0.35 tears up. Allows Isaac to fire tears diagonally. 2
(in Afterbirth † and Repentance) Apple! 5.100.443 Apple! Trick or treat? +0.3 tears. Adds a chance to fire a razor blade that deals 4x Isaac's damage. 3
(in Afterbirth † and Repentance) Brittle Bones 5.100.549 Brittle Bones Everything hurts Replaces all Red HeartRed Heart Containers with 6 empty Bone HeartBone Hearts. (except in Repentance) Upon losing a Bone Heart, Isaac fires bones in 8 directions and permanently gains a tears up. (in Repentance) Upon losing a Bone Heart, Isaac fires bones in 8 directions and permanently gains a fire rate up. 3
(in Afterbirth † and Repentance) Camo Undies 5.100.497 Camo Undies Camo kid Isaac becomes camouflaged at the beginning of each room. Until he shoots, all non-boss enemies will be confused. (in Repentance) Isaac gains +0.5 Speed while camouflaged, and gains Tears and Damage upon breaking it. 3
(in Afterbirth † and Repentance) Dark Prince's Crown 5.100.442 Dark Prince's Crown Loss is power (except in Repentance) When at exactly one Red HeartRed Heart, +0.75 tears, +1.5 range, and +0.2 shot speed.
(in Repentance) When at exactly one Red HeartRed Heart, +2 fire rate, +1.5 range, and +0.2 shot speed.
(in Afterbirth † and Repentance) Divorce Papers 5.100.547 Divorce Papers Tears up + you feel empty Grants one Bone HeartBone Heart, +0.7 tears, spawns a Mysterious PaperMysterious Paper. 3
(in Afterbirth † and Repentance) Haemolacria 5.100.531 Haemolacria I'm seeing red... Tears are now fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay. 4
(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) A Bar of Soap 5.100.564 A Bar of Soap Tears + shot speed up +0.5 Tears, +0.2 Shot Speed. 3
(in Repentance) Act of Contrition 5.100.601 Act of Contrition Tears up, you feel forgiven +0.7 tears, grants an Eternal HeartEternal Heart. Allows Angel RoomAngel Rooms to appear even if a Devil Deal has been taken before. Reduces the Devil/Angel room chance penalty for taking Red heart damage. 3
(in Repentance) Almond Milk 5.100.561 Almond Milk DMG down + tears up + you feel nutty Quadruples fire rate, with x0.3 damage multiplier. Each tear is a given random effect that alters its movement. 1
(in Repentance) Binge Eater 5.100.664 Binge Eater All you can eat +1 Red Heart Container and fully heals Isaac. Item pedestals also offer a random food item. Picking up a food item temporarily grants +3.6 damage and permanently boosts 2 stats. 4
(in Repentance) Bloody Gust 5.100.695 Bloody Gust May your rage bring haste The first 6 times Isaac takes damage on a given floor, he gains Speed and Fire Rate for the rest of the floor, up to a maximum of +1.02 and +3.00, respectively. 2
(in Repentance) Candy Heart 5.100.671 Candy Heart Power of love Gives Isaac a permanent stat boost whenever he heals with Red HeartRed Heart pickups. 1
(in Repentance) Consolation Prize 5.100.644 Consolation Prize +1 to lowest stat Increases Isaac's lowest stat and drops either 3 PennyCoins, 1 BombBomb, or 1 KeyKey depending on what Isaac has the least of. 1
(in Repentance) Eye Drops 5.100.600 Eye Drops Tears up Increases the fire rate in Isaac's left eye, causing his eyes to fire at different rates. 3
(in Repentance) It Hurts 5.100.560 It Hurts No it doesn't... Releases a ring of tears and increases fire rate for the current room when Isaac takes damage. 1
(in Repentance) Luna 5.100.589 Luna The moon's blessing shines upon you Adds an extra Secret RoomSecret Room and Super Secret RoomSuper Secret Room to each floor. Secret Rooms contain a beam of light that increases Fire Rate for the current floor and gives a Half Soul HeartHalf Soul Heart. 2
(in Repentance) Paschal Candle 5.100.567 Paschal Candle Keep the flame burning Gives Isaac a familiar that grants +0.4 Fire Rate for each consecutive room he's cleared without taking damage. The bonus stacks up to five times. 3
(in Repentance) Pluto 5.100.598 Pluto Size down +0.7 tears. Significantly shrinks Isaac, allowing him to squeeze between objects and makes some enemy shots pass over him. 3
(in Repentance) Sausage 5.100.669 Sausage All stats up Adds a Red Heart Container, fully heals Isaac, and gives +0.2 Speed, +0.5 Damage, +0.5 Tears, +2.5 Range, +0.2 Shot Speed, and +1.0 Luck. Increases the chance of encountering a Devil RoomDevil Room, Angel RoomAngel Room, and/or PlanetariumPlanetarium each by 6.9%. 3
(in Repentance) Soul Locket 5.100.686 Soul Locket Power of faith Gives Isaac a permanent stat boost whenever he picks up a Soul HeartSoul Heart. 1

Trinkets[ | ]

Name ID Icon Quote Description
Cancer 5.350.39 Cancer Yay, cancer! (except in Repentance) -2 tear delay (effectively increases fire rate of tears).
(in Repentance) +1.0 fire rate.
Hook Worm 5.350.26 Hook Worm Zip zoop! (except in Repentance) Tears move shifting left to right on a square-wave-like path. +10 Range (effective Range remains about the same).
(in Repentance) Tears move shifting left to right on a square-wave-like path. +0.4 Tears, +1.5 Range (effective Range is slightly lower).
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) Cracked Crown 5.350.92 Cracked Crown Stat booster (except in Repentance) Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by 33%.
(in Repentance) Improves the effectiveness of stat upgrades by 20%.
(in Afterbirth † and Repentance) Dim Bulb 5.350.101 Dim Bulb I think it's broken Provides a boost to all stats when Isaac's active item is completely uncharged.
(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.
(in Afterbirth † and Repentance) Vibrant Bulb 5.350.100 Vibrant Bulb It needs power Provides a boost to all stats when Isaac's active item is fully charged.

Other[ | ]

  • Tears up pills increase tears by 0.35 and tears down pills decrease tears by 0.28.
  • The Conjoined transformation decreases tears by 0.3.
  • (except in Rebirth) In co-op, Cry Baby will occasionally briefly increase tears. Dark Baby will occasionally briefly increase all stats, including tears. Buddy Baby will occasionally briefly grant the Collectible Guillotine iconGuillotine effect, which increases tears.