Compound Fracture

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Item icon
Item altar
 
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5.100.453
 
Character appearance
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Treasure Room Treasure Room
Greed mode only Treasure Room Treasure Room
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(page 4, column 8, row 5)
 
Compound Fracture Defeat Delirium as LazarusCompound FractureCompound Fracture
Added in Afterbirth †

Compound Fracture is an unlockable passive item added in Afterbirth †.

Effects[edit | edit source]

  • Tears turn into bones, which shatter into 1-3 shards upon hitting an obstacle or enemy.
    • Shards deal 50% of Isaac's normal tear damage.
    • Unlike The Parasite The Parasite, there is no damage minimum on splitting, but the tears can also split only once.
  • +1.5 range.
  • +1.0 tear height.

Synergies[edit | edit source]

  • Bob's Rotten Head Bob's Rotten Head: The bomb will break into 1-3 more bombs which are launched in random directions from the point of impact.
  • Cricket's Body Cricket's Body/The Parasite The Parasite: Each tear splits into more tears, which will all shatter.
  • Haemolacria Haemolacria: Tears will sometimes burst into smaller tears when hitting obstacles or enemies. These smaller tears are miniature versions of Haemolacria tears, which will burst when hitting the ground.
  • Ipecac Ipecac: If the bone tear hits a wall or an obstacle, it will split into explosive half-damage shards. Hits on enemies and the floor behave as normal Ipecac.
  • The Ludovico Technique The Ludovico Technique: Tear turns into a spinning bone that rapidly spews out smaller bone shots on contact with enemies.
  • Spectral Tears: Bones pass through obstacles and generate shards for each obstacle they pass through, which can result in many shards being generated from a single bone.

Interactions[edit | edit source]

  • Anti-Gravity Anti-Gravity: Bone tears will hover until released but bone shards will travel normally.
  • Brimstone Brimstone: Overrides Compound Fracture.
  • Dr. Fetus Dr. Fetus: Overrides Compound Fracture.
  • Epic Fetus Epic Fetus: Overrides Compound Fracture.
  • Flat Stone Flat Stone: Bone tears will bounce when they are fired, however, bone shards will not bounce when they travel.
  • Lachryphagy Lachryphagy: Bone tears can be fed and will burst into split tears. Bone tears will burst into bone shards when hitting obstacles or enemies which can also be fed and burst into split tears and bone shards yet again. When bone shards are fed, they turn back into bone tears which can repeat this process again and again.
  • Mom's Knife Mom's Knife: Overrides Compound Fracture.
  • Technology Technology/Tech X Tech X: Overrides Compound Fracture.
  • Technology 2 Technology 2: The laser is not affected, but bone tears still shoot from Isaac's left eye.
  • Tractor Beam Tractor Beam: Bone tears will not burst into bone shards when fired at obstacles, however, bone tears will burst into bone shards when fired at enemies.
  • Trisagion Trisagion: Beams will only burst when hitting obstacles.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • The item is a reference to a compound fracture, a medical condition where a bone breaks and is exposed through the skin.


Lazarus Unlocks Lazarus Unlocks Lazarus Unlocks
Missing No.Missing No.Complete the Boss Rush as LazarusLazarus' RagsLazarus' RagsDefeat Isaac as LazarusBroken AnkhBroken AnkhDefeat Satan as LazarusStore CreditStore CreditDefeat ??? as LazarusPandora's BoxPandora's BoxDefeat The Lamb as LazarusWrapped BabyWrapped BabyRemoved in Afterbirth † Defeat Mom's Heart on hard mode as Azazel
Added in Afterbirth † Defeat Mom's Heart on hard mode as Lazarus
Begotten BabyBegotten BabyRemoved in Afterbirth † Defeat Mom's Heart on hard mode as Lazarus
Added in Afterbirth † Defeat Mom's Heart on hard mode as Azazel
Empty VesselEmpty VesselDefeat Hush as LazarusKey BumKey BumDefeat Ultra Greed as LazarusLong BabyLong BabyDefeat Mega Satan as LazarusDripping BabyDripping BabyEarn all hard mode completion marks as Lazarus Compound FractureCompound FractureDefeat Delirium as LazarusPlan CPlan CDefeat Ultra Greedier as Lazarus
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