Cac is a passive item in TBOI Ascension, a mod for The Binding of Isaac.

Does not appear in any item pools.

Obtained by holding the drop button while having Haemolacria or Ipecac in a room with the Ipecac or Haemolacria.

+9.99 damage.
-0.25 shot speed.
-0.6 tears.

While heldIsaac shoots tears that explode on impact into smaller ones, which then explode into smaller shrapnel.

Explosions deal no damage and do not break rocks or doors.

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

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

• Download TBOI Ascension from the Steam Workshop.