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Font TeamMeat H.pngFont TeamMeat a.pngFont TeamMeat e.pngFont TeamMeat m.pngFont TeamMeat o.pngFont TeamMeat l.pngFont TeamMeat a.pngFont TeamMeat c.pngFont TeamMeat r.pngFont TeamMeat i.pngFont TeamMeat a.png
Item icon
Item altar
Table dividing line 1.png
Character appearance
Tear appearance
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Treasure Room Treasure Room
Greed mode only Treasure Room Treasure Room
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(page 5, column 6, row 3)
Haemolacria Acquire Blood Clot 10 timesHaemolacriaHaemolacria
Added in Afterbirth †

Haemolacria is an unlockable passive item added in Booster Pack #4.

Effects[edit | edit source]

  • Tears are fired in an arc. Upon hitting the floor, an obstacle, or an enemy they burst into many smaller tears in all directions.
  • Tears down - (Delay * 2) + 10
  • Increases damage by about 31%.
    • The scattered tears deal random damage that is around 50-80% of the main tear.

Notes[edit | edit source]

  • Higher shot speed lowers the arc of the main shot, whereas lower speed heightens it, resulting in a very minor change in effective range.
    • The split tears are affected normally by shot speed.
  • The tear height stat is entirely ignored for both the main shot and the split tears.

Synergies[edit | edit source]

  • Brimstone Brimstone: Significantly increased tear delay. Isaac fires a large arcing tear that fires several Brimstone beams in random directions upon bursting.
  • Compound Fracture Compound Fracture/The Parasite The Parasite: Similar to Cricket's Body, tears will split, scattering massive amounts of smaller tears across the room. Hits on walls or the floor absorb most of the extra tears.
  • Cricket's Body Cricket's Body: A single tear can scatter massive amounts of smaller tears in a wide area regardless of what it hits.
  • Dead Eye Dead Eye: Both the main tear and the burst tears can increase the damage bonus, but missing the burst tears won't reset it.
  • Dr. Fetus Dr. Fetus: Significantly increased tear delay. Isaac fires a large arcing tear reminiscent of a bomb that scatters into 3-5 bombs that explode simultaneously.
    • Dr. Fetus + Sad Bombs Sad Bombs: Bomb explodes into 4 sad bombs which then explode into burst tears. Can lag the game.
  • The Forgotten: Several blood tears are scattered upon the bone club hitting an enemy. It also increases the size of the club, similar to Polyphemus Polyphemus. The throw is unaffected and does not scatter blood tears.
  • Ipecac Ipecac: Fires a large explosive shot that releases poisonous, high-damage but non-explosive split tears on impact.
  • Lachryphagy Lachryphagy: Tears look like Haemolacria. They can be fed and will burst into 8 tears that have Haemolacria's burst effect upon hitting obstacles or enemies.
  • Lead Pencil Lead Pencil/Monstro's Lung Monstro's Lung: Fires a barrage of Haemolacria tears, all of which will burst.
  • Mom's Knife Mom's Knife: Haemolacria works with minimal tear delay while Mom's Knife has to be charged.
    • Does not work with Lilith, Mom's Knife overrides Haemolacria.
  • Tech X Tech X: The tears burst into 3-5 Tech X rings on impact.
  • Technology Technology: Fires arcing tears that release Technology lasers upon bursting.
  • Trisagion Trisagion: Both Trisagion and Haemolacria fire at the same time, Haemolacria does not keep spectral tears despite its tears sprite change but the arced tear keeps piercing.
  • My Reflection My Reflection: Range becomes extremely high, making Haemolacria tears follow Isaac for a long time before hitting the ground. Burst tears do not have a boomerang effect.

Interactions[edit | edit source]

  • Azazel: Haemolacria overrides Azazel's Brimstone.
  • Epic Fetus Epic Fetus: Overrides Haemolacria, with increased damage and tear delay.
  • Flat Stone Flat Stone: At the base range, the main tear bounces once, releasing burst tears which do not bounce, then bursts normally. At a high range, the main tear can bounce multiple times.
  • Godhead Godhead: The main tear has the damaging aura but burst tears do not.
    • Godhead + The Forgotten: The blood tears from the bone club have the damaging aura.
  • Holy Light Holy Light: The main tear can be a holy tear and bursts normally in addition to the light beam. Split tears have an independent chance of being holy tears.
  • Kidney Stone Kidney Stone: Overridden by Haemolacria. Only stat changes apply.
  • The Ludovico Technique The Ludovico Technique: Overridden by Haemolacria.
  • Sinus Infection Sinus Infection: If the main tear is a booger, it will get stuck and not burst on hitting an enemy, dealing its heightened damage. Split tears have an independent chance of being booger tears.
  • Tractor Beam Tractor Beam: The main tear follows the beam, but the burst spreads normally.

In-game Footage[edit | edit source]

Gallery[edit | edit source]

Trivia[edit | edit source]

  • Haemolacria is based on this Steam Workshop item by HiHowAreYou, originally known as Water Balloon.
  • The item is a reference to Haemolacria, a rare condition that causes people to produce tears that are composed of blood.

Seeds[edit | edit source]

 PC  Greed mode only 7RQR CJAB (First Floor golden treasure room)

 XboxOne  Normal mode only JGW6 YMVT

Bugs[edit | edit source]

Bug Bug! When using The Forgotten's melee attack with both Jacob's Ladder and Haemolacria, the sparks caused by splattered tears will hurt the player. (Video clip)

Collectible Moving Box icon.png Booster Packs Collectible Moving Box icon.png
  • Collectible Angry Fly icon.png
  • Collectible Black Hole icon.png
  • Collectible Bozo icon.png
  • Collectible Broken Modem icon.png
  • Collectible Mystery Gift icon.png
  • Sprinkler Icon.png
  • Collectible Fast Bombs icon.png
  • Collectible Buddy in a Box icon.png
  • Collectible Lil Delirium icon.png
  • HairpinHairpinFully recharges Isaac's active item upon entering a boss fight.
  • Wooden CrossWooden CrossGrants a Holy Mantle shield upon entering a new floor, which protects against one hit of damage.
  • Butter!Butter!Using an active item will drop it onto a pedestal on the ground. Taking damage may result in dropping a passive item.
  • Huge GrowthHuge GrowthMakes Isaac large for the current room, increasing his range and damage.
  • Ancient RecallAncient RecallSpawns 3 random cards.
  • Era WalkEra WalkFor the current room, enemies are slowed, Isaac's speed is increased, and his shot speed is decreased.
  • Collectible Jumper Cables icon.png
  • Collectible Coupon icon.png
  • Telekinesis Icon.png
  • Collectible Moving Box icon.png
  • Technology Zero Icon.png
  • Collectible Leprosy icon.png
  • Filigree FeatherFiligree FeatherAngels drop items instead of key pieces when defeated.
  • Dressing Table.png
  • 7 Seals icon.png
  • Collectible Mr. ME! icon.png
  • Collectible Angelic Prism icon.png
  • Collectible Pop! icon.png
  • Door StopDoor StopThe last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
  • Collectible Death's List icon.png
  • Collectible Haemolacria icon.png
  • Collectible Lachryphagy icon.png
  • Collectible Trisagion icon.png
  • Collectible Schoolbag icon.png
  • Extension CordExtension CordBeams of yellow electricity flow between Isaac and his familiars, damaging any enemies between them.
  • Cross Grimace.png
  • Fistuloid.png
  • Gush.png
  • Soul Sucker.png
  • Tar Boy.png
  • Tube Worm.png
  • Collectible Blanket icon.png
  • Collectible Sacrificial Altar icon.png
  • Collectible Lil Spewer icon.png
  • Collectible Marbles icon.png
  • Collectible Mystery Egg icon.png
  • Collectible Flat Stone icon.png
  • Collectible Marrow icon.png
  • Slipped Rib Icon.png
  • Collectible Hallowed Ground icon.png
  • Collectible Pointy Rib icon.png
  • Collectible Book of the Dead icon.png
  • Collectible Dad's Ring icon.png
  • Collectible Divorce Papers icon.png
  • Collectible Jaw Bone icon.png
  • Collectible Brittle Bones icon.png
  • Collectible Broken Shovel 1 icon.png
  • Collectible Broken Shovel 2 icon.png
  • Collectible Mom's Shovel icon.png
  • Rotten PennyRotten PennySpawns a blue fly every time a coin is picked up.
  • Baby-BenderBaby-BenderGrants Isaac's familiars homing shots.
  • Finger BoneFinger BoneGrants a chance to gain a bone heart upon taking damage.
  • The Forgotten App.png
  • Crispy.png
  • Cross Stoney.png
  • Dank Charger.png
  • Leper.png
  • Leper Flesh.png
  • Mr. Mine.png
  • Mr. Red Maw.png
  • Boss The Matriarch.png
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