Hemoptysis

Double-tapping a fire button causes Isaac to sneeze blood, dealing damage to enemies in front of him.

Quote

"Double tap sneeze"

Effects

• Double-tapping a fire button causes Isaac to sneeze blood, dealing damage to enemies in front of him. The sneeze deals damage equal to 1.5x Isaac's damage and pushes enemies back. If the enemy is pushed into a wall/obstacle, they take 10 damage and deal 10 damage to enemies they collide with.
• • The sneeze has a cooldown of 1 second.

Synergies

• Fire Mind - The sneeze will still set enemies on fire, but not cause explosions.
• Lost Contact - The sneeze reflects enemy shots.
• The Wiz - Shoots two sneezes diagonally instead of one straight forward.
• Loki's Horns - Chance to sneeze in all directions.

Found in

• Treasure Room
• Treasure Room (Greed Mode)