20/20

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Font TeamMeat 2.pngFont TeamMeat 0.pngFont TeamMeat slash.pngFont TeamMeat 2.pngFont TeamMeat 0.png
Removed in AfterbirthItem icon
Added in  AfterbirthItem icon
Item altar
 
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245
 
Character appearance
 
Tear appearance
Table dividing line 2.png
 
Treasure Room Treasure Room
Greed mode only Treasure Room Treasure Room
Table dividing line 3.png
 
Added in  Afterbirth(page 3, column 1, row 1)
Removed in Afterbirth(page 3, column 1, row 5)

20/20 is a passive item.

Effect[edit | edit source]

  • Isaac fires two tears at once, one from each eye.

Notes[edit | edit source]

  • Unlike other multiple shot items like Mutant Spider Mutant SpiderMutant Spider Icon.pngGrants quadruple shot but decreases tears. or The Inner Eye The Inner EyeThe Inner Eye Icon.pngGrants triple shot but decreases tears., 20/20 does not reduce rate of fire, effectively doubling damage per second potential. Removed in Afterbirth However, it does not synergize with as many items as the other shot multipliers do.

Synergies[edit | edit source]

  • Blood Clot Blood ClotBlood Clot Icon.pngIncreases damage by 1 and range by 5 for tears fired from the left eye. / Chemical Peel Chemical PeelChemical Peel Icon.pngTears fired from left eye do increased damage.: Every second row of tears has increased damage.
  • Added in  Afterbirth Brimstone BrimstoneBrimstone Rebirth Icon.pngTears are replaced by a laser beam that pierces through all enemies and obstacles in its path and deals high damage. Can only be fired after a short charge-up period.: Two brimstone shots are fired, without an increase in charge time.
  • Added in  AfterbirthDiplopia DiplopiaDiplopia Icon.pngOne time useDuplicates all pickups and item pedestals in the room.: When doubled, fires 4 tightly packed tears.
  • Added in  Afterbirth Doctor's Remote Doctor's RemoteDoctor's Remote Icon.png2 roomsSets a big red target on the ground (similar to the Epic Fetus item) which can be controlled with tear controls. After 6 seconds or by pressing space again, a huge explosive missile hits it, which damages all enemies caught in its blast radius. / Epic Fetus Epic FetusEpic Fetus Icon.pngIsaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.: Replaces the single missile strike with a barrage of two consecutive missiles.
  • Added in  Afterbirth The Inner Eye The Inner EyeThe Inner Eye Icon.pngGrants triple shot but decreases tears. / Mutant Spider Mutant SpiderMutant Spider Icon.pngGrants quadruple shot but decreases tears.: Adds two tears to each shot, with no extra fire rate decrease.
  • Added in  Afterbirth Keeper: Fires 5 tears with no fire rate decrease.
  • Added in  AfterbirthKidney Stone Kidney StoneKidney Stone Icon.pngRandomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. In the burst of tears is a kidney stone which deals a lot of damage.: Increase number of tears in tear barrage; however, only fires one stone.
  • The Ludovico Technique The Ludovico TechniqueThe Ludovico Technique Icon.pngInstead of firing tears, Isaac controls one floating tear that hover over obstacles. This tear deals constant damage when held in place over an enemy.: The Ludovico tear gains one smaller tear orbiting the main one, each dealing the same amount of damage.
  • Added in  Afterbirth Monstro's Lung Monstro's LungMonstro's Lung Icon.pngIncreases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.: Adds two tears to the tear barrage, for a total of 16.
  • Added in Afterbirth †Sprinkler SprinklerSprinkler Icon.png4 roomsUpon use, spawns a sprinkler that rotates and fires tears.: Fires two tears at once that almost completely overlap each other.
  • Added in  Afterbirth Technology TechnologyTechnology Icon.pngReplaces tears with a piercing laser with unlimited range.: Two technology shots are fired simultaneously.
  • Added in  AfterbirthTractor Beam Tractor BeamTractor Beam Icon.pngIsaac emits a beam from his face. Isaac's tears travel in the path of the beam.: Both tears are fired along the beam. Only one tear can be seen, as they overlap each other.
  • Added in  AfterbirthThe Wiz The WizThe Wiz Icon.pngTears simultaneously fire out of both eyes diagonally, similar to the effect of the R U A Wizard? pill. Isaac's tears also travel above all obstacles.: Two tears are fired in each direction.

Interactions[edit | edit source]

  • Removed in Afterbirth Brimstone BrimstoneBrimstone Rebirth Icon.pngTears are replaced by a laser beam that pierces through all enemies and obstacles in its path and deals high damage. Can only be fired after a short charge-up period.: Overrides 20/20.
  • Removed in Afterbirth The Inner Eye The Inner EyeThe Inner Eye Icon.pngGrants triple shot but decreases tears.: Overrides 20/20.
  • Removed in Afterbirth Mom's Knife Mom's KnifeMom's Knife Rebirth Icon.pngIsaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.: Overrides 20/20.
  • Removed in Afterbirth Monstro's Lung Monstro's LungMonstro's Lung Icon.pngIncreases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.: Overrides 20/20.
  • Removed in Afterbirth Mutant Spider Mutant SpiderMutant Spider Icon.pngGrants quadruple shot but decreases tears.: Overrides 20/20.
  • Sad Bombs Sad BombsSad Bombs Rebirth Icon.png+5 Bombs. Upon exploding, bombs shoot 8 tears off in every direction, similar to Tammy's Head. The tears are affected by any tear modifiers Isaac has on his own tears.: Does not affect the amount of tears when bombs explode.
  • Removed in Afterbirth Technology TechnologyTechnology Icon.pngReplaces tears with a piercing laser with unlimited range.: Overrides 20/20.
  • Added in Afterbirth †Varicose Veins Varicose VeinsVaricose Veins Icon.pngTaking damage releases a ring of 10 high damage tears.: No effect on amount of tears when taking damage.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • 20/20 is an idiom that refers to someone with near perfect vision.
  • Curiously, Isaac can throw tears even though his eyes are covered by lenses.
  • Despite only having one eye, Cain shoots two tears at once with this item.
  • Added in  Afterbirth 20/20's icon is white-tinted in Afterbirth.

Seeds[edit | edit source]

 PC  Added in  Afterbirth 77H1 T20K (Treasure room adjacent to spawn)

 PC  STDX QSC8 (Treasure room adjacent to spawn)

 PC  NYJK 3QDN (Treasure room adjacent to spawn)

 PC  AFJE 9RXX (Treasure room adjacent to spawn)

 PC  Y6FY DZH6 (Treasure room next to spawn)

 PS4  GD7V 66ZX (Treasure room adjacent to spawn)

 Vita  92SM AXWG (Treasure room next to spawn)

 3DS  H3Y3 X22S (First floor treasure room)

 XboxOne  228H QN22 (First floor treasure room above spawn)

 Switch  GBDPZXGJ (Eden starts with it)


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