- Item ID: 500
- Icon: Sack of Sacks
- Description: Spawns a sack familiar that has a chance to drop a sack upon clearing a room.
|Description||Isaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.|
|Quote||Stab stab stab|