21 April, 2024: Console commands have been officially added to the website, as well as transformations as separate entires in list below.
#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 infinityDogmaJar of WispsFlipEverything JarFiddle CubeDogboardGhastly Flame

▾TRINKETS ()▾

Extra VesselVessel RockDogrock RockSand CastleFractal Geode

▾PICKUPS ()▾

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 BatteryHalf Black HeartBlended Black HeartHalf Immoral HeartImmoral HeartBlended Immoral HeartMorbid HeartTwo-Thirds Morbid HeartThird Morbid HeartFull Eternal HeartDouble Full Eternal HeartCursed PennyGolden Cursed PennyHaunted PennyHoney PennyLego StudTokenCharged Spicy KeySuper Charged Spicy KeyFirework BatteryVirtuous BatteryBlood SackDire Chest

▾CONSUMABLES ()▾

HagalazJeraEhwazDagazAnsuzPerthroBerkanoAlgizGolden PillGolden Horse PillStorage BatteryCorroded Battery

▾MACHINES/BEGGARS ()▾

Slot MachineBlood Donation MachineFortune Telling MachineBeggarDevil BeggarShell GameKey MasterDonation MachineBomb BumShop Restock MachineGreed Donation MachineMom's Dressing TableBattery BumHell GameCrane GameConfessionalRotten BeggarMining MachineBismuth BeggarSourpussUnfinished GolemGeode GolemBabiMidarizerSweetpussBlacksmithZodiac BeggarRobot TellerEvil BeggarFake BeggarDealerCell GameHug BeggarCosplay BeggarPhone BoothGolden Slot MachineJukeboxVending MachinePoker TableGrid Restock MachineRevending MachineVanity StatwheelSewing Machine

▾CHARACTERS ()▾

MagdaleneSamsonAzazelLilithBethanyTainted MagdaleneTainted EveTainted LilithTainted Bethany

▾TRANSFORMATIONS ()▾

Fun GuyConjoinedLeviathan

▾CURSES ()▾

▾OTHER ()▾

Pact of ChampionsPact of FragilityPact of FrostPact of GroundingPact of HemorrhagePact of Ice WraithPact of MasochismPact of MischiefPact of MitosisPact of ParanoiaPact of PerilPact of PunishmentPact of PurgatoryPact of RevivalPact of Scarcity