Epic Fetus

Isaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.

"On-demand air strike"

• Isaac's tears are replaced with guided missiles.
  • Missiles deal 20 times Isaac's damage.

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  20/20 - Fires a barrage of missiles.
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  Mutant Spider - Fires a barrage of missiles.
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  The Inner Eye - Fires a barrage of missiles.
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  Blood Clot - Each missile has a 50% chance to deal 20 or 40 points more damage, respectively.
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  Chemical Peel - Each missile has a 50% chance to deal 20 or 40 points more damage, respectively.
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  Bob's Curse - Missiles gain a poison effect.
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  Scorpio - Missiles gain a poison effect.
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  Brimstone - Missile explosions shoot ten blood lasers in all directions.
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  Butt Bombs - Missile explosions will cloud up the screen, briefly confusing and dealing 10 damage to all enemies in the room.
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  Fire Mind - Missile explosions leave behind a fire that damage enemies on contact. Fire Mind's burn effect is overriden.
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  Hot Bombs - Missile explosions leave behind a fire that damage enemies on contact. Fire Mind's burn effect is overriden.
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  Glitter Bombs - Missile explosions have a small chance of spawning pickups.
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  Host Hat - Isaac becomes immune to his own airstrikes.
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  Pyromaniac - Isaac becomes immune to his own airstrikes.
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  Ipecac - Missiles have a poison effect, have a larger blast radius and deal drastically increased damage, as the +40 damage from Ipecac is run through the damage multiplier of Epic Fetus.
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  Mom's Knife - Missile explosions shoot a ring of ten knives.
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  Monstro's Lung - 2 to 4 additional crosshairs orbit the main crosshair, and missiles are fired onto each crosshair.
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  Mysterious Liquid - Every missile explosion leaves a small, lasting pool of creep. The pool of creep left by the explosion is larger.
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  Polyphemus - Increased tear delay, but massively increases the missiles' blast radius and damage, as Polyphemus' damage multiplier is run through the damage multiplier of Epic Fetus.
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  Sad Bombs - Missile explosions fire ten tears in all directions. The shrapnel's damage is not run through the damage multiplier of Epic Fetus.
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  Strange Attractor - Enemies get drawn towards the crosshair.
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  Technology - Both fire normally. Missile explosions shoot ten Technology beams in all directions.
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  Tech X - Missile explosions shoot ten Technology beams in all directions.

• Treasure Room
• Secret Room
• Treasure Room (Greed Mode)