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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.

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▾ITEMS ()▾

D infinityDogmaJar of WispsFlipEverything Jar

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HeartHeart (half)Heart (soul)Heart (eternal)Heart (double)Black HeartGold HeartHeart (half soul)Scared HeartBlended HeartBone HeartRotten HeartPennyNickelDimeDouble PennyLucky PennySticky NickelGolden PennyKeyGolden KeyKey RingCharged KeyGolden BombGolden Troll BombGiga BombMega ChestMom's ChestMega BatteryGolden Battery

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HagalazJeraEhwazDagazAnsuzPerthroBerkanoAlgizGolden PillGolden Horse Pill

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Slot MachineBlood Donation MachineFortune Telling MachineBeggarDevil BeggarShell GameKey MasterDonation MachineBomb BumShop Restock MachineGreed Donation MachineMom's Dressing TableBattery BumHell GameCrane GameConfessionalRotten Beggar

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MagdaleneSamsonAzazelLilithBethanyTainted MagdaleneTainted EveTainted LilithTainted Bethany

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▾OTHER ()▾