#641Akeldama"Spill your guts"Passive item
Creates a trail of tears while in a room with enemies that Isaac drags behind him.

Each tear in the trail deals 3.5 damage.

The shorter the trail is, the faster it grows. The trail consists of 20 tears at its maximum length.

Clearing the room will stop the trail for regenerating.

Another trail of tears may appear if the trail is cut in the middle.

Has a 1% chance of being dropped upon defeating The Shell.
Unlock: Defeat Mother as Judas.
- Tags -- Links - - Costume -
ANNOUNCEMENT The new v1.9.7.11 and v1.9.7.12 updates are here, and with them the website information has been updated! Check out this video to see what's new! [dismiss]
Search filters
Item type
Item quality Item pools (any)
Item tags (any)
Transformations (any)
Stat changes (any)
Added in DLC
Unlockable Grants costume Has YouTube video Animated icon Favorite (?)

This page shows updated information about all items in the new Repentance+ (Online Co-op) DLC.
To see information about items in the previous Repentance version, check this page instead.


▾ITEMS ()▾


▾TRINKETS ()▾


▾PICKUPS ()▾


▾CONSUMABLES ()▾


▾MACHINES/BEGGARS ()▾


▾CHARACTERS ()▾


▾TRANSFORMATIONS ()▾


▾CURSES ()▾