Akeldama

Creates a chain of tears behind Isaac while in combat.

"Spill your guts"

• While in a room with enemies, creates a chain of tears that Isaac drags behind him.
  • Each tear deals 3.5 damage, regardless of Isaac's damage.
  • The shorter the chain of tears is, the faster it grows.

• 
  Lodestone - Magnetised enemies will attract the tears from Akeldama's chain, making it easier to use.

• Treasure Room
• Treasure Room (Greed Mode)