Euthanasia

5.100.496

Curse Room Devil Beggar Treasure Room Treasure Room

(page 5, column 11, row 1)

Defeat Delirium as Lilith

Euthanasia is an unlockable passive item added in The Binding of Isaac: Afterbirth †.

Effects

• Adds a chance to fire needles which deal triple Isaac's tear damage.
  • Needles will instantly kill regular enemies and cause them to burst into 10 more tears in all directions.
  • The chance to fire a needle depends on luck. At base luck (0), it is 3.33% and goes up to 100% at 15 luck.
• This item belongs to the Spun set. Collecting three items from this set will transform Isaac into a buff berserker.

Notes

• The needle tears can kill enemies that are normally invincible, such as Peep's eyes, Death's Heads, and Stoneys.
• The needle tears can kill Grimaces, allowing the player to permanently remove any obstacle in a room.
• Possible needle tears in a burst from killing an enemy do not retain the instant kill and burst-causing capabilities, but still deal triple damage. This prevents chain reactions of bursts.
• The tears in the burst are larger than normal but do not have a damage bonus.
• Unless piercing is obtained, Knights from the front will still block the needles.

Synergies

• Haemolacria: Does not override the tear burst and retains the chance for triple damage, but doesn't change the tear appearance. When killing an enemy, ten Haemolacria tears are fired which can burst into smaller tears.
• Lachryphagy: Does not override the tears burst, retains the chance to do triple damage, and retains Euthanasia tear appearance. Needles from Lachryphagy bursts can activate Euthanasia bursts, and all needles fired by Euthanasia bursts can be fed and will burst.
• Pop!: Does not override the tear burst and retains the chance for triple damage, but tear appearance doesn't change.
• Serpent's Kiss / The Virus: Allows harvesting black hearts from Stone Grimaces as they can be (invisibly) poisoned by touching them, then destroyed with Euthanasia.

Interactions

• Brimstone: Overrides the tear burst, retains the chance for triple damage but does not change the appearance of the laser. It does not retain the ability to kill normally unkillable enemies.
• Compound Fracture: Bones will split up as normal, and upon touching an enemy, it will burst into 10 bones which will all split. Bones and bone fragments have a chance to deal triple damage (bone fragments deal 50% of Isaac's tear damage by default), and they will instantly kill normal enemies.
• Cricket's Body: Needle tears will split into 4 small needle tears upon hitting the ground or an enemy. Split tears produced have a chance to deal triple damage but will not cause tear bursts.
• Dr. Fetus: Overrides the tear burst, retains the chance for triple damage but does not change the appearance of the bombs. It does not retain the ability to kill normally unkillable enemies.
• Epic Fetus: Overrides the tear burst, retains the chance for triple damage but does not change the appearance of the missiles. It does not retain the ability to kill normally unkillable enemies.
• Godhead: The tears retain all properties of Euthanasia, and while the aura has a chance to do triple damage, it cannot kill normally unkillable enemies, and will not cause a tear burst upon killing an enemy.
• Ipecac: Overrides the tear burst, retains the chance for triple damage with large, explosive needles. It does not retain the ability to kill normally unkillable enemies.
• A Lump of Coal: When needles are fired, they don't seem to grow in size; however, they will increase in damage as they travel. Burst needles will increase in size and damage.
• Little Horn: Some needle tears gain the piercing, instant kill effect, and orange glow. When these tears pass through and kill an enemy, they do not burst into more tears.
• Mom's Knife: Overrides Euthanasia.
• The Parasite: Both regular tears and parasite split tears will cause enemies to burst into tears, with a chance to deal triple damage and kill normally unkillable enemies.
• Tech.5: The laser has a chance to deal triple damage, will not burst into tears, and cannot kill normally unkillable enemies. The tears retain all the properties of Euthanasia.
• Tech X: Completely overrides Euthanasia. No triple damage, no tear burst. Cannot kill normally unkillable enemies.
• Technology: Overrides the tear burst, retains the chance for triple damage but does not change the appearance of the laser. It does not retain the ability to kill normally unkillable enemies.
• Technology 2: The tears that Isaac fire retain all properties of Euthanasia, but the laser is unaffected.
• Trisagion: Overrides the tear burst, retains the chance for triple damage but does not change the appearance of the holy beam. It does not retain the ability to kill normally unkillable enemies.

Trivia

• Euthanasia is the act of intentionally ending a person or animal's life to end their pain and suffering. It is usually carried out by an injection, hence why this item has the appearance of a needle.
• Euthanasia is the only syringe item that points upwards; all of the other syringes point downwards.
• Euthanasia and Experimental Treatment are the only 2 syringe items that need to be unlocked.

Seeds

 PC  LH27 889W (Treasure Room adjacent to spawn)

 Switch  DSX3 LF12 (First Golden Treasure Room)

Syringes

• Adrenaline
• Euthanasia
• Experimental Treatment
• Growth Hormones
• Roid Rage
• Speed Ball
• Synthoil
• The Virus