- Item ID: 537
- Icon: Lil Spewer
- Description: Spawns a random pill, and grants a small Spewer familiar that charges up and fires different types of creep.
|Description||Continuously firing tears for several seconds causes Isaac to drop a Butt Bomb. Butt Bombs explode for 50 damage like normal bombs, but also deal 10 damage to all enemies in the room and daze them for a short period of time.|