Tinytoma is an unlockable familiar in The Binding of Isaac, added in the Repentance DLC.

Spawns a large familiar that slowly orbits around Isaac, and repels enemies that touch it, dealing 3.5 damage per tick (3.5 per second).

After blocking 3 shots and/or dealing 3 ticks of contact damage, the familiar splits into 2 smaller ones that orbit opposite of each other. They can only take 2 hits before being destroyed, and burst into 3 Blue Spiders in the process.

After both orbitals are destroyed, the familiar regenerates in its full size after 5 seconds.

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

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.

Defeat Mother as Lazarus.

Tinytoma can be found in the following item pools:

The following tags are applied to this item:

The following special synergies and interactions for Tinytoma have been documented.

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

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.

Tinytoma

• Orbital familiar that blocks enemy shots and breaks into smaller pieces from taking damage
• The smaller pieces also break from taking damage and spawn blue spiders when destroyed
• Tinytoma will regenerate in its original form some time after all pieces of it have been destroyed
• Abyss: x1 shield locust .75x Isaac's damage

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