- Item ID: 262
- Icon: Missing Page 2
- Description: Gives 1 black heart. Upon taking damage that reduces Isaac's health to one heart or less, activates The Necronomicon effect, dealing 40 damage to all enemies in the room.
|Description||The more distance tears travel, the more damage they will do.|
|Quote||My Xmas Present|
|Icon||A Lump of Coal|