Epic Fetus

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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 The Family Man (challenge #19)

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 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 Brimstone and Mom's Knife 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 20/20: Makes two missiles drop one after the other.
  • Blood Clot Blood Clot / Chemical Peel Chemical Peel: Each missile has a 50% chance to deal 20 or 40 points more damage, respectively.
  • Bob's Curse Bob's Curse/Scorpio Scorpio: Grants each missile the poison effect.
  • Added in Afterbirth Conjoined: 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 Hat/Pyromaniac Pyromaniac: Isaac becomes immune to his own airstrikes.
  • Ipecac Ipecac: Greatly increases damage and turns missiles poisonous. Does not grant explosion immunity.
  • Loki's Horns Loki's Horns: Four cross-hairs are produced around the player, firing four missiles instead of a single one.
  • Mysterious Liquid Mysterious Liquid: 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 Attractor: Enemies get drawn towards the crosshair.
  • Added in Afterbirth Spoon Bender Spoon Bender: Cursor slides towards enemies
  • Added in Afterbirth Technology Technology: Explosion shoots technology beams in all directions. When firing/moving the cursor, Isaac still shoots Technology laser.
  • Added in Afterbirth Technology 2 Technology 2: Both the Technology 2 laser, and the Epic Fetus missiles will be active.
  • Added in AfterbirthTech X Tech X: Explosion shoots technology beams in all directions.

Interactions[edit | edit source]

  • Added in Afterbirth8 Inch Nails 8 Inch Nails: Retains damage and knock back boost.
  • Anti-Gravity Anti-Gravity: Overridden by Epic Fetus.
  • Added in AfterbirthBomber Boy Bomber Boy: Overridden by Epic Fetus.
  • Brimstone Brimstone: 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 Milk: Missiles can't be charged, but reduces Isaac's tear delay by 20%.
  • Cursed Eye Cursed Eye: Overridden by Epic Fetus.
  • Dr. Fetus Dr. Fetus: Overridden by Epic Fetus.
  • Fire Mind Fire Mind / Added in Afterbirth Hot Bombs Hot Bombs: 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 Technique: Overridden by Epic Fetus.
  • Monstro's Lung Monstro's Lung: 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 Knife: Overridden by Epic Fetus.
    • Added in Afterbirth: Missiles explode into a circle of knives.
  • The Parasite The Parasite: No effect.
  • Sad Bombs Sad Bombs / Tammy's Head Tammy's Head / Added in Afterbirth †Varicose Veins Varicose Veins: Fires only normal tears, not missiles.
  • Added in AfterbirthScatter Bombs Scatter Bombs: Overridden by Epic Fetus.
  • Soy Milk Soy Milk: Not recommended. Damage of missiles will be decreased accordingly, but unlike normal tears, the fire-rate will not significantly increase.
  • Tiny Planet Tiny Planet: Overridden by Epic Fetus.
  • Added in AfterbirthThe Wiz The Wiz: 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 Glass Cannon (challenge #11).

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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