Sram is a passive item in TBOI Otherside, a mod for The Binding of Isaac.

Grants the following for 10 seconds:

• Tears get a burning effect.
• Tears become piercing and spectral.
• Tears will launch in a spread attack.
• ×0.33 damage multiplier.
• ×5 fire rate multiplier.
• -2 range.
• +0.2 shot speed.

This item can only be acquired by using Weird Mirror on Mars.

• Download TBOI Otherside from the Steam Workshop.