Paranoia is an unlockable passive item in Fiend Folio: RELOADED, a mod for The Binding of Isaac.

Grants a 20% chance to shoot tears that, when they hit an enemy, split into 8 piercing tears that travel a short distance, reflect back to the enemy, and are then fired outward.

These tears deal 50% of Isaac's damage and inherit Isaac's tear effects.

The chance goes up to 100% with 8 luck.

Has a 1% chance of being dropped upon defeating Cacophobia.

Defeat Satan as Inaba.

Paranoia can be found in the following item pools:

The following tags are applied to this item:

• Check out the item description on the mod's external Wiki.
• Download Fiend Folio: RELOADED from the Steam Workshop.