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Replaces all Red Hearts with 6 empty Bone Hearts. Upon losing a Bone Heart, Isaac fires bones in 8 directions and permanently gains a tears up.
Quote
"Everything hurts"
Effects
- Grants 6 empty Bone Hearts.
- Removes all Red Heart containers. Does not remove existing Bone Hearts, but does empty them.
- Upon losing a Bone Heart, including ones acquired from other sources, Isaac fires a ring of 8 bones that split into more bones and permanently gains a +0.5 tears up.
- Each bone does twice Isaac's damage plus a flat 22 damage; split bones do half this amount.
Synergies
- Empty Vessel - The empty Bone Hearts will trigger Empty Vessel's effects.
Found in
- Treasure Room
- Treasure Room (Greed Mode)