Every 20 tears, Isaac loses 1 coin and shoots an additional gold tear that petrifies enemies and turns them into gold. Any enemy killed while in this state will drop coins.
Quote
"Gold tears!"
Effects
Adds a golden tear every 20 tears fired, which causes enemies to turn gold and petrifies them for a few seconds (similar to Midas' Touch) at the cost of one coin. Golden tears can still be fired if Isaac has no money.
Unlike other tear effects, golden tears are fired alongside regular tears rather than replacing a regular tear.
With multi-shot abilities, whichever tear is the 20th since previous will produce the additional golden tear.
The golden tear does 2x normal damage.
Enemies killed while golden will drop 1-4 coins.
Synergies
Chocolate Milk - How much the 20th tear was charged determines the size and damage of the golden tear.
Compound Fracture - Golden tears will still look like coins and will still split into other golden coins when hitting obstacles.
The Parasite - Golden tears will still look like coins and will still split into other golden coins when hitting obstacles.
Cricket's Body - Golden tears will still look like coins and will still split into other golden coins when hitting obstacles.
Lachryphagy - Golden tears can also be fed and will burst into split tears. Burst tears are not golden.