![]() Upon blocking a shot, it has a chance of triggering The Necronomicon effect. Spawns a familiar that follows Isaac around and blocks enemy projectiles. ![]() Spawns a familiar that follows Isaac and automatically fires at enemies in its reach. It slows and deals contact damage, freezing monsters it kills. Spawns an ice cube familiar that slides around when walked into. The familiar is randomized at the start of each floor. Spawns a familiar with a random tear effect. Gives Isaac a familiar that fires chaotic bursts of tears in all directions. Upon using a pill, all enemies in the room are poisoned. Spawns a familiar that drops a random pill every 3 rooms. Spawns a familiar that mirrors Isaac's movements and shoots in the opposite direction. Spawns a familiar that spawns a Blue Fly when Isaac shoots. Spawns a familiar that copies the tears of Isaac's other familiars. Spawns a familiar who follows Isaac around and fires homing tears. Spawns a familiar that follows Isaac, leaving blood creep on the ground. Spawns a familiar that follows Isaac around and fires two tears at once in a V-pattern. ![]() Decreases Isaac's damage by 0.3 and slightly decreases Isaac's tears.Ī familiar that follows Isaac around shooting normal tears. After picking up three baby familiar items from the following list ( 3 items with the baby item tag), Isaac grows two tumor faces from his cheeks, which fire simultaneously and diagonally similar to the effect of The Wiz.
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