Binding of Isaac: Rebirth Wiki
Binding of Isaac: Rebirth Wiki
Health Damage Range Shot Speed Speed Luck Hidden Attributes
Disambig.png This article is about the attribute. For Isaac's primary weapon, see effects.

Tears Stat Icon.png 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. For example, picking up The Sad Onion The 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. Removed 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.

Added 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.


Different characters start with different initial tears:

Direct modifiers to Tear Delay/Added in RepentanceTears Fired per Second[]

Several items directly modify tear delay after the main calculation:

  • Added 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 Removed in Repentance Tear delay adjustment Added in Repentance Fire rate adjustment
Anti-Gravity Anti-Gravity -2 +1
Brimstone Brimstone x3 x1/3
Cancer Cancer -2 +1
Capricorn Capricorn -1 +0.5
Chocolate Milk Chocolate Milk x2.5 (for maximum charge) No change, displayed value = maximum charge time
Added in Afterbirth †Cracked Crown Cracked Crown x0.8 Fire rate over base value x1.2
Cricket's Body Cricket's Body -1 +0.5
Dr. Fetus Dr. Fetus x2.5 x0.4
Added in AfterbirthEpiphora Epiphora x0.5 (while at maximum "charge") x2 (while at maximum "charge")
Eve's Mascara Eve's Mascara x2 x0.66
Guillotine Guillotine -1 +0.5
Added in Afterbirth †Haemolacria Haemolacria Removed in Repentancex2, then +10
Added in Repentancex2, then +11
Tear delay adjustment, not fire rate
Added in Afterbirth †Hallowed Ground Hallowed Ground x0.5 x2.5
Ipecac Ipecac x2, then +10 x1/3
Added in AfterbirthMilk! Milk! -2 +1
Mom's Perfume Mom's Perfume -1 +0.5
Monstro's Lung Monstro's Lung x4.3 x1/4.3
Mutant Spider Mutant Spider x2.1, then +3 x0.42
Pisces Pisces -1 +0.5
Polyphemus Polyphemus x2.1, then +3 x0.42
Added in AfterbirthPurity Purity -4 +2
Soy Milk Soy Milk x0.25, then -2 x5.5
Technology 2 Technology 2 N/A x1.5
The Inner Eye The Inner Eye x2.1, then +3 x0.51
Added in Afterbirth †Brittle Bones Brittle Bones N/A +0.4 per bone heart lost
Added in Afterbirth †Dark Prince's Crown Dark Prince's Crown N/A +2
Added in Afterbirth †Death's List Death's List/Added in Afterbirth †Void Void/Added in Afterbirth †Black Rune Black Rune N/A +0.5
Added in RepentanceAlmond Milk Almond Milk N/A x4
Added in RepentanceBerserk! Berserk! N/A x0.5, then +2
Added in RepentanceConsolation Prize Consolation Prize N/A +0.5
Added in RepentanceBloody Gust Bloody Gust N/A Up to +3 after taking damage 6 times
Tainted ??? Tainted ???/Added in RepentanceIBS IBS/Added in RepentanceSoul of ??? Soul of ??? N/A +1.5 while on unique creep
Additional x3 if the creep is in contact with white poop
Added in RepentanceIt Hurts It Hurts N/A +1.2 on the first hit, then +0.4 on subsequent hits
Added in RepentanceLuna Luna N/A +1 for the first beam of light, then +0.5 for subsequent beams
Added in RepentancePaschal Candle Paschal Candle N/A +0.4 for every room cleared without taking non-self damage, up to +2 total
Added in RepentanceWavy Cap Wavy Cap N/A +0.75 (halved if Isaac leaves the room, and wears off at the rate of one room clear per use)


  • 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 4 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.
  • Charge-bar items like Monstro's Lung or Brimstone stop working at 30 tears per second. Spirit Sword instead constantly activates the spin attack.

Items that affect tears[]

Activated Items[]

Name ID Icon Quote Description Added in Repentance Quality
Added in Afterbirth D8 5.100.406
4 rooms
Reroll stats Re-rolls Isaac's damage, tears, range, and speed. 2
Added in Afterbirth † Dataminer 5.100.481
4 rooms
109 Displaces enemy sprites for the current room, randomly increases one stat and decreases another. 0
Added in Repentance Wavy Cap 5.100.582
Wavy Cap
0.5 seconds
Tears up. A mind changing experience! Increases tears, 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 Added in Repentance Quality
Anti-Gravity 5.100.222 Anti-Gravity Anti-gravity tears + tears up -2 Tear Delay. Tears float in position until firing ceases, after which they will fly off in the direction they were shot in. 3
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. Added in Repentance Heals 2 additional hearts of health. 3
Capricorn 5.100.307 Capricorn All stats up Adds 1 Red Heart Container, gives +0.5 Damage, +0.1 Speed, Removed in Repentance +1.5 / Added in Repentance +0.75 Range, and -1.0 Tear Delay, and gives 1 Bomb, Coin, and Key. 3
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 Grants -1 tear delay and reduces range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose range and damage scale with Isaac's. 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. Fetus ??? Tears are replaced by bombs 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 Doubles damage, halves tears stat, and greatly reduces shot speed. 1
Experimental Treatment 5.100.240 Experimental Treatment Some stats up, some stats down Removed in Afterbirth † Randomly increases and decreases some of Isaac's stats.
Added in Afterbirth † Increases four random stats and decreases the other two.
Godhead 5.100.331 Godhead God tears Grants homing tears with a damaging halo. +0.5 damage, -0.3 tears, +1.2 range, -0.3 shot speed, +0.8 tear height. 4
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. Gives +1 damage and grants -1 tear delay. 3
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 coins, 6 bombs, and 6 keys 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. 2
Mom's Perfume 5.100.228 Mom's Perfume Fear shot + tears up Adds a chance to shoot fear tears and decreases tear delay by 1. 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 Monstro. 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. 3
Pisces 5.100.309 Pisces Tears up + knock-back shots -1 Tear Delay, adds knock-back shots and increases tear size. 2
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 Adds 3 Soul Hearts. The Bible will appear in any item pool.
Added in RepentanceAlso a +0.5 tears up.
Sacred Heart 5.100.182 Sacred Heart Homing shots + DMG up Grants homing tears, x2.3 damage multiplier, +1 flat damage, +4.125 range, +0.75 tear height, -0.4 tears, -0.25 shot speed, a red Heart Container and replenishes all Red Hearts. 4
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 +1 Red Heart container, +0.3 damage, +0.2 tears, +0.2 speed, +0.5 range, +1 tear height. Fully restores all red hearts. 3
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 Increases tears by 0.4, spawns 2 Soul Hearts. 3
The Halo 5.100.101 The Halo All stats up Grants one full Red Heart container, +0.3 damage, +0.2 tears, +0.25 range, +0.3 speed, and +0.5 tear height. 2
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 Removed in Repentance Grants two Soul Hearts, +0.5 damage, and +0.7 tears.
Added in Repentance Grants two Black Hearts, +0.5 damage, and +0.7 tears.
The Sad Onion 5.100.1 The Sad Onion Tears up Increases tears by 0.7. 3
The Small Rock 5.100.90 The Small Rock DMG up Increases damage by 1, increases tears by 0.2, and decreases speed by 0.2. 3
Toothpicks 5.100.183 Toothpicks 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 Increases tears by 0.7. 3
Added in Afterbirth Binky 5.100.438 Binky Tears up Grants one Soul Heart, +0.75 tears and decreases Isaac's size. 3
Added in Afterbirth 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
Added in Afterbirth 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. 1
Added in Afterbirth 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, +3.15 range. 0
Added in Afterbirth Milk! 5.100.436 Milk! Don't cry over it... Spawns a glass familiar that spills on the floor upon taking damage. After the milk spills, Isaac's tear delay is decreased by 2 for the current room. 1
Added in Afterbirth Mr. Dolly 5.100.370 Mr. Dolly Range + tears up +0.7 tears, +5.25 range, +0.5 tear height, spawns 3 random types of Hearts on the floor when picked up. 3
Added in Afterbirth 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. 2
Added in Afterbirth Tractor Beam 5.100.397 Tractor Beam Controlled tears Increases Tears, Range, and Shot Speed. Isaac emits a beam from his face that his tears are bound to. 2
Added in Afterbirth Zodiac 5.100.392 Zodiac The heavens will change you Gives Isaac a random zodiac item effect that changes every floor. 1
Added in Afterbirth † Analog Stick 5.100.465 Analog Stick 360 tears! +0.35 tears up. Allows Isaac to fire tears diagonally. 2
Added in Afterbirth † Apple! 5.100.443 Apple! Trick or treat? Increases tears. Adds a chance to fire a high-damage razor blade. 3
Added in Afterbirth † Brittle Bones 5.100.549 Brittle Bones Everything hurts Replaces all Red Hearts with 6 empty Bone Hearts. Upon losing a Bone Heart, Isaac fires bones in 8 directions and permanently gains a tears up. 3
Added in Afterbirth † Dark Prince's Crown 5.100.442 Dark Prince's Crown Loss is power When at exactly one Red Heart, increases tears, range, tear height, and shot speed. 1
Added in Afterbirth † Divorce Papers 5.100.547 Divorce Papers Tears up + you feel empty Grants one Bone Heart, +0.7 tears, spawns a Mysterious Paper. 2
Added in Afterbirth † 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. 2
Added in Afterbirth † Hallowed Ground 5.100.543 Hallowed Ground Portable sanctuary Spawns a white poop familiar, which turns into a white poop when Isaac is hurt. White poop has an aura that increases tear fire rate and can block enemy shots. 1
Added in Repentance A Bar of Soap 5.100.564 A Bar of Soap Tears + shot speed up Gives Isaac +0.5 Tears and +0.2 Shot Speed. 3
Added in Repentance Act of Contrition 5.100.601 Act of Contrition Tears up, you feel forgiven Increases tears and grants an Eternal Heart. Allows Angel Rooms to appear even if a Devil deal has been taken before. Greatly boosts Devil/Angel Deal chance if Isaac has taken Red Heart damage. 3
Added in Repentance Almond Milk 5.100.561 Almond Milk DMG down + tears up + you feel nutty Quadruples fire rate, with x0.3 damage multiplier. Tears are given random worm trinket effects. 1
Added in Repentance Bloody Gust 5.100.695 Bloody Gust May your rage bring haste When Isaac takes damage, he gains speed and tears for the rest of the floor. 3
Added in Repentance Consolation Prize 5.100.644 Consolation Prize +1 to lowest stat Increases Isaac's lowest stat and drops either 3 coins, 1 bomb, or 1 key depending on what Isaac has the least of. 1
Added in Repentance Eye Drops 5.100.600 Eye Drops Tears up Lowers the tear delay in Isaac's left eye, causing his eyes to fire at different rates. 3
Added in Repentance It Hurts 5.100.560 It Hurts No it doesn't... Releases a ring of tears and increases tears for the current room when Isaac takes damage. 1
Added in Repentance Luna 5.100.589 Luna The moon's blessing shines upon you Adds an extra Secret Room and Super Secret Room to each floor. Secret Rooms contain a beam of light that increases tears for the current floor and gives half a soul heart. 2
Added in Repentance Neptunus 5.100.597 Neptunus Open the floodgates Isaac's mouth fills with tears over time while not firing, up to a cap. Holding the fire button will release all stored tears in rapid succession. 3
Added in Repentance Paschal Candle 5.100.567 Paschal Candle Keep the flame burning Gives Isaac a candle familiar that grants a Tears bonus of +0.4 for each room cleared in a row without taking damage, which stacks up to 5 times, represented by how brightly the flame burns. Starts at 1 stack, and resets to zero if damage is taken. 3
Added in Repentance Pluto 5.100.598 Pluto Size down Significantly shrinks Isaac, allowing him to squeeze between objects and makes some enemy shots pass over him. Also gives +0.7 tears. 3
Added 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, +1.5 Range, +0.2 Shot Speed, and +1.0 Luck. 3
Added in Repentance Soul Locket 5.100.686 Soul Locket Power of faith Gives Isaac a permanent stat boost whenever he picks up a soul heart. 2


Name ID Icon Quote Description
Cancer 5.350.39 Cancer Yay, cancer! -2 tear delay (effectively increases fire rate of tears).
Wiggle Worm 5.350.10 Wiggle Worm Wiggle waggle! Isaac's tears travel in a wave-like pattern. +0.4 Tears up. Added in Repentance Also grants spectral tears.
Added in Afterbirth † Cracked Crown 5.350.92 Cracked Crown Stat booster Removed in Repentance Decreases Isaac's tear delay by 20%, and improves the effectiveness of his other stat upgrades by ~33%.
Added in Repentance Improves the effectiveness of other stat upgrades by ~20%.


  • Tears up pills increase tears by 0.35 and tears down pills decrease tears by 0.28.
  • Added in Afterbirth 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 Guillotine Guillotine effect, which increases tears.