It Hurts is a passive item in The Binding of Isaac, added in the Repentance DLC.

Causes Isaac to release a ring of 10 tears upon taking damage, and gain a fire rate increase for the current room.

Each tear in the ring deals 10 damage and does not inherit Isaac's tear effects.

The first hit taken in a room grants +1.2 fire rate, while each subsequent hit grants +0.4 fire rate.

The tears also leave damaging red creep when they land that deals 2 damage per tick (20 per second), and lasts for 5 seconds.

The fire rate boost can be stacked indefinitely.

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.

It Hurts can be found in the following item pools:

The following tags are applied to this item:

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