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:

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.

It Hurts

• Taking damage fires a ring of 10 large tears and grants a stacking tears stat bonus for the current room
• These ring tears leave bloody creep on the ground
• Abyss: x1 creep locust .75x Isaac's damage

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