Tier
A-tier
Isaac fires two tears at once, one from each eye.
Quote
"Double shot"
Effects
- Isaac fires two tears at once, one from each eye.
- -25% damage multiplier.
Synergies
- Blood Clot - Every second row of tears has increased damage.
- Chemical Peel - Every second row of tears has increased damage.
- Brimstone - Two Brimstone shots are fired, without an increase in charge time.
- Diplopia - Every additional 20/20 adds 2 more tears in a tight pattern.
- Doctor's Remote - Replaces the single missile strike with a barrage of two consecutive missiles.
- Epic Fetus - Replaces the single missile strike with a barrage of two consecutive missiles.
- The Inner Eye - Adds two/three tears to each shot, with no extra fire rate decrease.
- Mutant Spider - Adds two/three tears to each shot, with no extra fire rate decrease.
- The Ludovico Technique - The Ludovico tear gains one smaller tear orbiting the main one, each dealing the same amount of damage.
- Monstro's Lung - Adds two tears to the tear barrage, for a total of 16.
- Sprinkler - Fires two tears at once that almost completely overlap each other.
- Technology - Fires two technology shots simultaneously.
- Tractor Beam - Both tears are fired along the beam. Only one tear can be seen, as they overlap each other.
- The Wiz - Two tears are fired in each direction.
Found in
- Treasure Room
- Treasure Room (Greed Mode)