Tier
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Makes Isaac shout, damaging and pushing nearby enemies. The shout gets stronger the more charges the item has. Can also be charged by taking damage.
Quote
"Hear my pain"
Effects
- Makes Isaac shout, damaging and pushing away nearby enemies.
- The item can be used when not fully charged, but deals more damage and has increased range the more charges it has when used.
- Damage applied on an enemy also depends on distance between the enemy and Isaac
- The shout is able to destroy Poops and Fireplaces.
Found in
- Treasure Room
- Treasure Room (Greed Mode)