SamaelSpirit of Depression"Lament fate"Passive item
+0.7 fire rate.

After taking damage, Isaac will lie on the floor and shoot barrages of tears in all cardinal and diagonal directions (much like the Isaac boss) for 4 seconds.

Isaac is invulnerable during the animation and a short while after.
Unlock: Defeat Hush as Samael.
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Samael

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Download the Samael mod for The Binding of Isaac