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#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.
Unlock: Defeat Mother as Judas.
- Tags -- Links - - Costume -

▾ITEMS ()▾

D infinity Dogma Jar of Wisps Flip Everything Jar

▾TRINKETS ()▾


▾PICKUPS ()▾

Heart Heart (half) Heart (soul) Heart (eternal) Heart (double) Black Heart Gold Heart Heart (half soul) Scared Heart Blended Heart Bone Heart Rotten Heart Penny Nickel Dime Double Penny Lucky Penny Sticky Nickel Golden Penny Key Golden Key Key Ring Charged Key Golden Bomb Golden Troll Bomb Giga Bomb Mega Chest Mom's Chest Mega Battery Golden Battery

▾CONSUMABLES ()▾

Hagalaz Jera Ehwaz Dagaz Ansuz Perthro Berkano Algiz Golden Pill Golden Horse Pill


▾MACHINES/BEGGARS ()▾

Slot Machine Blood Donation Machine Fortune Telling Machine Beggar Devil Beggar Shell Game Key Master Donation Machine Bomb Bum Shop Restock Machine Greed Donation Machine Mom's Dressing Table Battery Bum Hell Game Crane Game Confessional Rotten Beggar

▾CHARACTERS ()▾

Magdalene Samson Azazel Lilith Bethany Tainted Magdalene Tainted Eve Tainted Lazarus Tainted Lilith Tainted Bethany

▾TRANSFORMATIONS ()▾

Fun Guy Conjoined Leviathan

▾CURSES ()▾




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Added in DLC
Unlockable Grants costume Has YouTube video Animated icon