Isaac's Tears - Item Cheat Sheet, ID, & Description

Description	Shoots 8 tears around Isaac, which retain the damage, shot speed, and special effects of his tears. Each tear shot by Isaac increases item charge by one.
Quote	Collected tears
Item ID	323
Icon	Isaac's Tears
Use	6 rooms
Category	Activated Collectible
DLC Required	None

Item ID: 325
Icon: Scissors
Description: Upon use, turns Isaac's head into a stationary familiar for the current room which fires normal tears that deal 3.5 damage.

Scissors

Item ID: 192
Icon: Telepathy for Dummies
Description: Upon activation, grants homing tears for the current room.

Telepathy for Dummies

Item ID: 93
Icon: The Gamekid
Description: Upon use, turns the character into a into a Pac-Man-like creature for 5 seconds, granting invulnerability, inflicting fear on all enemies, and replenishing half a red heart container for every two enemies killed.

The Gamekid

Item ID: 58
Icon: Book of Shadows
Description: Upon use, creates a protective shield nullifying all types of damage for 10 seconds.

Book of Shadows

Item ID: 297
Icon: Pandora's Box
Description: Upon use, spawns certain pickups or itemsdepending on the floor it is used on. Single-use.

Pandora's Box

Item ID: 40
Icon: Kamikaze!
Description: Creates an explosion in the same area as Isaac, dealing half a heart of damage to him and also damaging all enemies caught in the blast radius.

Kamikaze!

Item ID: 294
Icon: Butter Bean
Description: Isaac farts and pushes back nearby enemies.

Butter Bean

Item ID: 521
Icon: Coupon
Description: Upon use, makes a random item from a shop, devil deal, or black market free.

Coupon

Item ID: 382
Icon: Friendly Ball
Description: Throwing the ball at an enemy instantly kills it and captures it. The captured enemy can later be released and will be charmed until it dies, persisting between floors.

Friendly Ball

Item ID: 175
Icon: Dad's Key
Description: Opens all doors in the current room when activated, including doors which require a key to open and entrances to secret rooms. Opens the big doors in the first room of both The Chest and the Dark Room.

Dad's Key

Item ID: 536
Icon: Sacrificial Altar
Description: Upon use, sacrifices up to 2 familiars and spawns an item from the Devil Room Pool for each familiar sacrificed.

Sacrificial Altar

Item ID: 284
Icon: D4
Description: Rerolls all of Isaac's items.

Item ID: 510
Icon: Delirious
Description: Spawns a random charmed boss.

Delirious

Item ID: 296
Icon: Converter
Description: When used, converts two soul hearts into a heart container.

Converter

Item ID: 147
Icon: Notched Axe
Description: Isaac holds the axe above his head for as long as the spacebar button is held (or until he leaves the room). While holding the axe, Isaac can break any rock he touches, but cannot attack or pick up other items.

Notched Axe

Item ID: 133
Icon: Guppy's Paw
Description: Removes one red heart container in exchange for gaining 3 Soul Hearts.

Guppy's Paw

Item ID: 479
Icon: Smelter
Description: Consumes Isaac's currently held trinket and applies its effect permanently.

Smelter

Item ID: 488
Icon: Metronome
Description: Grants a random item effect for the current room.

Metronome

Item ID: 137
Icon: Remote Detonator
Description: Bombs you place explode only when you use this item. Gives 5 bombs.

Remote Detonator

Item ID: 545
Icon: Book of the Dead
Description: Upon use, spawns a charmed Bony or an orbital bone for each enemy killed in the current room.

Book of the Dead

Item ID: 136
Icon: Best Friend
Description: Deploys a decoy Isaac that eventually explodes with an increased blast radius.

Best Friend

Item ID: 512
Icon: Black Hole
Description: Throws a black hole on the ground which sucks in and damages enemies.

Black Hole

Item ID: 406
Icon: D8
Description: Re-rolls Isaac's speed, range, tears, and damage.

Item ID: 127
Icon: Forget Me Now
Description: When activated, the level ends and is freshly regenerated with new rooms, monsters, and items. Disappears after use.

Forget Me Now

Item ID: 84
Icon: We Need to Go Deeper!
Description: Creates a trapdoor to go to the next floor. If used in The Womb, it will create a trapdoor to Sheol, even if the player hasn't unlocked it.

We Need to Go Deeper!

Item ID: 550
Icon: Broken Shovel
Description: While held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel.

Broken Shovel

Item ID: 124
Icon: Dead Sea Scrolls
Description: Triggers the effect of a random activated item from a list of possible options (not every activated item is included).

Dead Sea Scrolls

Item ID: 522
Icon: Telekinesis
Description: Upon use, for the next two seconds, any enemy shots that come near Isaac are held in place. After the charge is depleted, they are fired back as tears.

Telekinesis

Item ID: 45
Icon: Yum Heart
Description: Restores 1 whole red heart.

Yum Heart

Item ID: 49
Icon: Shoop Da Whoop!
Description: Fires a laser from Isaac's mouth.

Shoop Da Whoop!

Item: Isaac's Tears

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