Grants homing tears with a damaging halo. +0.5 damage, -0.3 tears, +1.2 range, -0.3 shot speed, +0.8 tear height.
- +0.5 damage.
- -0.3 tears.
- +1.2 range.
- -0.3 shot speed.
- +0.8 tear height.
- Grants homing tears.
- Tears gain a damaging aura.
- Compound Fracture - Main tears and burst tears retain all effects.
- Cricket's Body - Main tears and burst tears retain all effects.
- The Parasite - Main tears and burst tears retain all effects.
- Explosivo - Causes damaging aura to grow once attached to an enemy.
- Mucormycosis - Causes damaging aura to grow once attached to an enemy.
- Euthanasia - When needles are fired, they retain homing and damaging aura.
- Glass Cannon - The huge tear gains the homing ability and fully scaled damaging aura, able to cover most of the screen with extreme damage.
- Lachryphagy - Fired tears and burst tears retain aura and homing effect.
- The Ludovico Technique - Tear increases in size and gains the damaging aura effect.
Tear also gains homing effect. May cause Tear to get stuck near enemies.
- A Lump of Coal - The size and damage of the aura increases as long as the tear is on screen.
- Angel Room
- Angel Room (Greed Mode)
- Treasure Room (Greed Mode)