Isaac's head is removed from his body and floats around him as an orbital. Gives +1 damage and grants -1 tear delay.
Quote
"An out-of-body experience"
Effects
Isaac's head rotates around his body and can be used to inflict contact damage similar to a Cube of Meat. Blocking tears with Isaac's head does not damage Isaac. His tears still originate from his head, so the line of fire is no longer constant while standing still.
+1 damage.
-1 tear delay (increased rate of fire)
Since this directly affects tear delay instead of changing the tears stat, it allows Isaac's rate of fire to go over the normal maximum rate.
Tear delay decreases are more noticeable and are a greater increase to DPS when the tears stat is high.
The head orbital deals 7 damage per tick or 105 damage per second.
Synergies
BFFS! - Head orbital does not increase in size but it does in damage.
Box of Friends - Adds another rotating head on each use. Each head increases damage and blocks projectiles but does not affect tear delay. With more heads, it is easier to locate the position of the body, and Box of Friends can be used multiple times in the same room to continue gaining heads.