Epic Fetus

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Font TeamMeat E.pngFont TeamMeat p.pngFont TeamMeat i.pngFont TeamMeat c.png   Font TeamMeat F.pngFont TeamMeat e.pngFont TeamMeat t.pngFont TeamMeat u.pngFont TeamMeat s.png
Item icon
Item altar
Table dividing line 1.png
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 2, column 5, row 3)
Removed in Afterbirth(page 2, column 5, row 7)
Epic Fetus Complete challenge #19Epic FetusEpic Fetus

Epic Fetus is a Special unlockable passive item.

Effects[edit | edit source]

  • Isaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.
    • Missiles deal 20 times Isaac's damage.

Notes[edit | edit source]

  • Missiles benefit from most bomb-enhancing effects.
  • Epic Fetus overrides most items in the game and has the highest priority of all of them, over Brimstone and Mom's Knife.
  • On PC, using the mouse and keyboard when obtaining this item can be helpful due to the ability to precisely target a specific area in the room, avoiding the sensitivity of a joystick or the limited directions of the arrow keys.
  • Isaac's tear delay determines how quickly a new missile or missile set can be fired after the previous one has landed. Barring very high tear delay, this has little effect on damage rate due to the delay of the missiles themselves.

Synergies[edit | edit source]

  • Added in Afterbirth 20/20 20/2020 20 Rebirth Icon.pngGrants double shot.: Makes two missiles drop one after the other.
  • Blood Clot Blood ClotCollectible Blood Clot icon.pngIncreases damage by 1 and range by 5 for tears fired from the left eye. / Chemical Peel Chemical PeelCollectible Chemical Peel icon.pngTears fired from left eye do increased damage.: Each missile has a 50% chance to deal 20 or 40 points more damage, respectively.
  • Bob's Curse Bob's CurseCollectible Bob's Curse Rebirth icon.pngGives 5 bombs and grants all bombs poison effect./Scorpio ScorpioScorpio Icon.pngGrants poison tears, which deal damage over time when inflicted.: Grants each missile the poison effect.
  • Added in Afterbirth Conjoined (Transformation): Makes three missiles drop one after the other.
  • Added in Afterbirth † The Forgotten: The charge attack is replaced by a missile in the Forgotten's hand and a crosshair that may be moved for an indefinite amount of time. The missile is thrown at the crosshair when all attack buttons are released, with an additional melee swing in the same direction. The melee attack is unaffected.
  • Added in AfterbirthHost Hat Host HatCollectible Host Hat icon.pngA host familiar that sits on Isaac's head and has a random chance to block enemy shots and retaliate with 3 tears. Grants immunity to explosions./Pyromaniac PyromaniacCollectible Pyromaniac icon.pngIsaac heals 1 heart instead of taking damage from an explosive source. Adds 5 bombs.: Isaac becomes immune to his own airstrikes.
  • Ipecac IpecacCollectible Ipecac icon.pngReplaces tears with explosive and poisoning projectiles fired in an arc from the mouth.: Greatly increases damage and turns missiles poisonous. Does not grant explosion immunity.
  • Loki's Horns Loki's HornsCollectible Loki's Horns icon.pngGives a random chance for projectiles to fire in all 4 cardinal directions.: Four cross-hairs are produced around the player, firing four missiles instead of a single one.
  • Mysterious Liquid Mysterious LiquidCollectible Mysterious Liquid icon.pngTears leave a small, short lasting pool of creep on impact or when their range is depleted.: Every explosion from a crosshair leave a small, lasting pool of creep.
    • Added in Afterbirth: The explosion leaves a large pool of green creep behind.
  • Added in Afterbirth Strange Attractor Strange AttractorStrange Attractor Rebirth Icon.pngPickups, trinkets, and monsters are magnetically attracted to Isaac's tears.: Enemies get drawn towards the crosshair.
  • Added in Afterbirth Spoon Bender Spoon BenderSpoon Bender Icon.pngGrants Isaac homing tears.: Cursor slides towards enemies
  • Added in Afterbirth Technology TechnologyTechnology Icon.pngReplaces tears with a piercing laser with unlimited range.: Explosion shoots technology beams in all directions. When firing/moving the cursor, Isaac still shoots Technology laser.
  • Added in Afterbirth Technology 2 Technology 2Technology 2 Icon.pngDecreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.: Both the Technology 2 laser, and the Epic Fetus missiles will be active.
  • Added in AfterbirthTech X Tech XTech X Icon.pngTears are replaced with laser rings that pierce through enemies and deal damage to enemies within them. Can be charged to increase the size of the ring.: Explosion shoots technology beams in all directions.

Interactions[edit | edit source]

  • Added in Afterbirth8 Inch Nails 8 Inch Nails8 Inch Nails Afterbirth icon.png+1.5 Damage Up. Replaces Isaac's tears with nails, which have increased knockback.: Retains damage and knock back boost.
  • Anti-Gravity Anti-GravityCollectible Anti-Gravity icon.png-2 Tear Delay. Tears float in position until firing ceases, after which they will fly off in the direction they were shot in.: Overridden by Epic Fetus.
  • Added in AfterbirthBomber Boy Bomber BoyCollectible Bomber Boy icon.png+5 bombs. Isaac's bombs will now explode in a large cross-shaped pattern (roughly 5 bombs explosions wide). This also affects player-spawned troll bombs.: Overridden by Epic Fetus.
  • Brimstone BrimstoneCollectible Brimstone 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.: Overridden by Epic Fetus.
    • Added in Afterbirth: Lasers fire in all directions upon impact of a missile.
    • Azazel Overridden by Epic Fetus.
  • Chocolate Milk Chocolate MilkCollectible Chocolate Milk icon.pngGrants charged tears that deal greater damage when fully charged.: Missiles can't be charged, but reduces Isaac's tear delay by 20%.
  • Cursed Eye Cursed EyeCollectible Cursed Eye icon.pngGrants charged tears that can be fired in a tight burst of four. Getting hit while charging will teleport Isaac into another room.: Overridden by Epic Fetus.
  • Dr. Fetus Dr. FetusCollectible Dr. Fetus icon.pngTears are replaced by bombs that benefit from bomb-enhancing effects and slide for a fixed time after being fired.: Overridden by Epic Fetus.
  • Fire Mind Fire MindCollectible Fire Mind icon.pngGrants flaming tears that deal burning damage over time. Tears have a chance to explode on impact with an enemy, which creates a fire at the location of the explosion./Added in Afterbirth Hot Bombs Hot BombsCollectible Hot Bombs icon.pngGrants 5 bombs. Isaac's bombs leave behind fire that damages enemies upon contact.: Creates a fire every time a shot lands.
  • Homing tears: Overridden by Epic Fetus.
    • Added in Afterbirth: Cross-hair slowly moves towards enemies.
  • The Ludovico Technique The Ludovico TechniqueCollectible The 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.: Overridden by Epic Fetus.
  • Monstro's Lung Monstro's LungCollectible Monstro's Lung icon.pngIncreases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.: Overridden by Epic Fetus.
    • Added in Afterbirth Adds 2 to 4 more crosshairs that orbit the main crosshair and fires a missile onto each crosshair.
  • Mom's Knife Mom's KnifeCollectible Mom'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.: Overridden by Epic Fetus.
    • Added in Afterbirth: Missiles explode into a circle of knives.
  • The Parasite The ParasiteCollectible The Parasite icon.pngIsaac's tears split in two when they hit something.: No effect.
  • Sad Bombs Sad BombsCollectible Sad 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./Tammy's Head Tammy's HeadTammy's Head Icon.png1 roomsShoots 10 tears in a circle around Isaac, which retain the damage, shot speed, and special effects (such as poison) of Isaac's tears./Added in Afterbirth †Varicose Veins Varicose VeinsCollectible Varicose Veins icon.pngTaking damage releases a ring of 10 high damage tears.: Fires only normal tears, not missiles.
  • Added in AfterbirthScatter Bombs Scatter BombsCollectible Scatter Bombs icon.pngAdds 5 bombs. Isaac's bombs explode into 2-4 tiny bombs.: Overridden by Epic Fetus.
  • Soy Milk Soy MilkSoy Milk Icon.pngTears shrink and do much less damage, but fire in very rapid succession.: Not recommended. Damage of missiles will be decreased accordingly, but unlike normal tears, the fire-rate will not significantly increase.
  • Tiny Planet Tiny PlanetCollectible Tiny Planet icon.pngRange up and makes shot tears revolve around Isaac until they drop.: Overridden by Epic Fetus.
  • Added in AfterbirthThe Wiz The WizCollectible The 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.: Control of the crosshair is rotated 45 degrees clockwise. Fires 2 missiles in rapid succession.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • In the original game it was possible to control the crosshair with the mouse. This was removed in Rebirth.
    • Mouse control can however be re-enabled by editing the options.ini file in C:\Users\<username>\Documents\My Games\Binding of Isaac Afterbirth/Rebirth and changing the line MouseControl=0 into MouseControl=1. Also useful for The Ludovico Technique.
  • The Dr. Fetus and Epic Fetus items are based off of Dr. Fetus, the main villain in Super Meat Boy which is a game by Edmund McMillen (the creator of The Binding of Isaac: Rebirth).
  • This item is used in Challenge #11 (Glass Cannon).

Seeds[edit | edit source]

 PC  GOBD W8TB (Treasure Room adjacent to spawn)

 PS4  8ETR M2M9 (First floor treasure room)

 Vita  8G4J JFH8 (Treasure Room adjacent to spawn)

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