Psalm 109 is a consumable in Hex Cards, a mod for The Binding of Isaac.

Repeats the following 4 times:
• Rerolls item pedestals into glitched items.
• Rerolls all enemies in the room.
• Randomly shifts stats and corrupts all sprites.
• Adds random tear modifiers for the duration of the current room.

The following special synergies and interactions for Psalm 109 have been documented.

* Note that not all possible synergies and interactions are listed here.

• Download Hex Cards from the Steam Workshop.