Haemolacria is an unlockable passive item in The Binding of Isaac, added in the Afterbirth+ DLC.

+1 damage.
×1.5 damage multiplier.
x1.71 tear size multiplier.
x2 tear delay + 10.
x0.8 range multiplier.

Makes Isaac's tears fire in an arc, and burst into 6-11 smaller tears in all directions upon hitting something or falling to the ground.

The burst tears' damage varies from 50-83.33% of the main tear, averaging at ~67% damage.

Shot speed affects the arc oppositely. Higher shot speed lowers the arc, while lower shot speed heightens it.

This page shows the latest information as of the new Repentance+ (Online Co-op) DLC.
To see information about this item for the previous Repentance version, check this page instead.

Acquire Blood Clot 10 times.

Haemolacria can be found in the following item pools:

The following tags are applied to this item:

Below is the Internal Item Description as shown in-game.
Note that some stat changes are not displayed here. Please see the main description for the full effects.

Haemolacria

• Replaces tears with large arcing blood shots that burst into a spray of smaller blood shots on impact
• The large shots deal increased damage but have a reduced fire rate
• Abyss: x1 locust 2x Isaac's damage

• Check out the item description on the external Isaac Wiki.