Haemolacria

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Item icon
Item altar
 
 
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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 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 BrimstoneBrimstone 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.: Significantly increased tear delay. Isaac fires a large arcing tear that fires several Brimstone beams in random directions upon bursting.
  • Chocolate Milk Chocolate MilkChocolate Milk Icon.pngGrants charged tears that deal greater damage when fully charged.: Completely charged tears and their burst tears are larger and deal higher damage than normal. Chocolate Milk also allows low-damage Haemolacria tears to be fired rapidly.
  • Conjoined transformation: Fires 3 Haemolacria tears simultaneously.
  • Compound Fracture Compound FractureCompound Fracture Icon.pngIncreases range. Tears turn into bones, which shatter into 1-3 bone shards upon hitting an enemy or obstacle./The Parasite The ParasiteThe Parasite Icon.pngIsaac's tears split in two when they hit something.: 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 BodyCricket's Body Icon.pngGrants -1 Tear Delay and reduces Range. When tears hit an object or deplete their range, they spawn 4 smaller tears, whose Range and Damage scale with Isaac's.: A single tear can scatter massive amounts of smaller tears in a wide area regardless of what it hits.
  • Dead Eye Dead EyeDead Eye Icon.pngIsaac's damage increases each time an enemy is hit. Damage is reset upon missing a shot.: 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. FetusDr. Fetus Icon.pngTears are replaced by bombs that benefit from bomb-enhancing effects and slide for a fixed time after being fired.: 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 BombsSad 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.: Bomb explodes into 4 sad bombs which then explode into burst tears. Can lag the game.
  • Fate's Reward Fate's RewardFate's Reward Icon.pngA blue head familiar that will follow Isaac and fire tears copying his tear effects and damage.: The familiar fires additional Haemolacria tears.
  • The Forgotten: Several blood tears are scattered upon the bone club hitting an enemy. Also increases the size of the club, similar to Polyphemus PolyphemusPolyphemus Rebirth Icon.pngMakes Isaac shoot one huge tear. Also reduces Tears to minimum. Damage increased . If tear does more damage than an enemy's life, the tear continues to travel with the extra remaining damage.. The throw is unaffected and does not scatter blood tears.
  • Holy Light Holy LightHoly Light Icon.pngIsaac has a random chance to fire a Holy tear, which, when it hits an enemy, will spawn a Crack the Sky-style light beam on the same enemy, dealing damage.: 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.
  • Ipecac IpecacIpecac Icon.pngReplaces tears with explosive and poisoning projectiles fired in an arc from the mouth.: Fires a large explosive shot that releases poisonous, high-damage but non-explosive split tears on impact.
  • Lachryphagy LachryphagyLachryphagy Icon.pngIsaac's tears decelerate as they travel. Upon stopping or hitting an obstacle, they burst into 8 tears in all directions. Tears can be fired into other tears to feed them, increasing their damage.: Tears look like Hameolacria. They can be fed and will burst into 8 tears that have Haemolacria's burst effect upon hitting obstacles or enemies.
  • Lead Pencil Lead PencilLead Pencil Icon.pngAfter every 15 tears fired, Isaac will fire a high-damage cluster of tears.: Fires a barrage of Haemolacria tears, all of which will burst.
  • Mom's Knife Mom's KnifeMom'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.: Haemolacria works with minimal tear delay while Mom's Knife has to be charged.
    • Does not work with Lilith, Mom's Knife overrides Haemolacria.
  • My Reflection My ReflectionMy Reflection Icon.pngGives Isaac's tears a boomerang effect, and increases range and shot speed.: Removes the arcing behavior of the tears, massively increasing airtime of both the main tear and the scattered ones.
  • Pop! Pop!Pop! Icon.pngReplaces Isaac's tears with eyeballs that can bounce off of each other. The eyeballs are not limited by range, and will instead dissipate when they stop moving or when hitting an enemy or obstacle.: The large tear floats in the air before exploding, and the smaller burst tears can be knocked around.
  • Proptosis ProptosisProptosis Rebirth Icon.pngTears start out massive with high damage, and then shrink down and become weaker over a short range.: Large tear and burst tears do roughly double normal damage.
  • Tech 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.: The tears burst into 3-5 Tech X rings on impact.
  • Technology TechnologyTechnology Icon.pngReplaces tears with a piercing laser with unlimited range.: Fires arcing tears that release Technology lasers upon bursting.

Interactions[edit | edit source]

  • Angelic Prism Angelic PrismAngelic Prism Icon.pngGrants a prism orbital with a large orbital radius. Tears that pass through the prism split into four multi-colored tears.: The main tear splits if it hits the prism. Burst tears will only split if the main tear did not split.
  • Anti-Gravity Anti-GravityAnti-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.: If a fire button is held down when a Haemolacria tear bursts, the burst tears will hover in place before being fired outwards.
  • Apple! Apple!Apple! Icon.pngIncreases tears. Adds a chance to fire a high-damage razor blade. /Euthanasia EuthanasiaEuthanasia Icon.pngAdds a chance to fire needles. If a needle kills an enemy, it bursts into more needles. / Tough Love Tough LoveTough Love Rebirth Icon.pngAdds a chance to shoot a tooth instead of a tear, which deals greater damage than regular tears.: The visual effects on tears don't work, but the damage bonuses do.
  • Azazel: Haemolacria overrides Azazel's Brimstone.
  • Death's Touch Death's TouchDeath's Touch Icon.pngIncreases Damage by 1.5, reduces Tears by 0.3 and increases tear size. Grants piercing tears. Tears are replaced by Death's scythes, which is a cosmetic effect only.: Tears pierce enemies instead of bursting on contact. The visual effect is not maintained.
  • Epic Fetus Epic FetusEpic Fetus Icon.pngIsaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.: Overrides Haemolacria, with increased damage and tear delay.
  • Flat Stone Flat StoneFlat Stone Icon.pngTears bounce off the floor. Tears that hit an enemy after bouncing deal splash damage to all nearby enemies for 25% of Isaac's tear damage.: At base range, the main tear bounces once, releasing burst tears which do not bounce, then bursts normally. At high range, the main tear can bounce multiple times.
  • Godhead GodheadGodhead Icon.pngIncreases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo.: The main tear has the damaging aura but burst tears do not.
    • Godhead GodheadGodhead Icon.pngIncreases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo. + The Forgotten: The blood tears from the bone club have the damaging aura.
  • Kidney Stone Kidney StoneKidney Stone Icon.pngRandomly while firing tears, Isaac will stop firing and turn red, where he will charge and release a lot of 'tears' in one go. In the burst of tears is a kidney stone which deals a lot of damage.: Overridden by Haemolacria. Only stat changes apply.
  • The Ludovico Technique The Ludovico TechniqueThe 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 Haemolacria.
  • Polyphemus PolyphemusPolyphemus Rebirth Icon.pngMakes Isaac shoot one huge tear. Also reduces Tears to minimum. Damage increased . If tear does more damage than an enemy's life, the tear continues to travel with the extra remaining damage.: The large tear will shrink if an enemy dies on hit, reducing the damage of the burst tears.
  • Rubber Cement Rubber CementRubber Cement Icon.pngTears bounce off walls, enemies, and environmental objects.: Tears will burst only when they hit the floor, not on walls or enemies.
  • Sinus Infection Sinus InfectionSinus Infection Icon.pngAdds a chance to fire a booger which sticks to enemies and poisons them.: 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 BeamTractor Beam Icon.pngIsaac emits a beam from his face. Isaac's tears travel in the path of the 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.

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)


Moving Box Icon.png Booster Packs Moving Box Icon.png
#1
  • Angry Fly Icon.png
    Angry Fly
    Spawns a fly familiar that orbits around a random enemy and deals 5 damage per tick to enemies it comes in contact with.
  • Black Hole Icon.png
    Black Hole
    Throws a black hole on the ground which sucks in and damages enemies.
  • Bozo Icon.png
    Bozo
    Increases damage by a flat 0.1 and grants a soul heart. Enemies can randomly become briefly charmed or feared. Taking damage has a chance to spawn a rainbow poop.
  • Broken Modem Icon.png
    Broken Modem
    Enemies, enemy shots, tears, and pickups will briefly freeze in place at random intervals.
  • Mystery Gift Icon.png
    Mystery Gift
    Upon use, spawns a random item from the current room's item pool, with a chance to spawn A Lump of Coal or The Poop instead.
  • Sprinkler Icon.png
    Sprinkler
    Upon use, spawns a sprinkler that rotates and fires tears.
  • Fast Bombs Icon.png
    Fast Bombs
    Grants 7 bombs and allows bombs to be placed rapidly.
  • Buddy in a Box Icon.png
    Buddy in a Box
    Grants a familiar with a random tear effect. The familiar is randomized at the start of each floor.
  • Lil Delirium Icon.png
    Lil Delirium
    Grants a familiar that transforms into another random familiar every 10 seconds.
  • 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.
#2
  • Jumper Cables Icon.png
    Jumper Cables
    Grants an active item charge every 15 enemies killed.
  • Coupon Icon.png
    Coupon
    Upon use, makes a random item from a shop, devil deal, or black market free.
  • Telekinesis Icon.png
    Telekinesis
    Upon use, for the next two seconds, any enemy shots that come near Isaac are held in place. After the charge is depleted, they are fired back as tears.
  • Moving Box Icon.png
    Moving Box
    If the box is empty, picks up all items and pickups in a room and stores them. If the box is not empty, places all stored items and pickups in the current room.
  • Technology Zero Icon.png
    Technology Zero
    Connects Isaac's tears with electricity that can damage enemies.
  • Leprosy Icon.png
    Leprosy
    Upon taking damage, grants a body part as an orbital, which blocks enemy shots and deals 7 damage per tick to enemies it comes in contact with. The orbitals will be destroyed if they take enough damage from enemies or enemy shots.
  • Filigree FeatherFiligree FeatherAngels drop items instead of key pieces when defeated.
  • Dressing Table.png
#3
  • 7 Seals Icon.png
    7 Seals
    Grants a random Harbinger familiar that changes every 10 seconds.
  • Mr. ME! Icon.png
    Mr. ME!
    Summons a controllable ghost that can perform various tasks depending on what it targets.
  • Angelic Prism Icon.png
    Angelic Prism
    Grants a prism orbital with a large orbital radius. Tears that pass through the prism split into four multi-colored tears.
  • Pop! Icon.png
    Pop!
    Replaces Isaac's tears with eyeballs that can bounce off of each other. The eyeballs are not limited by range, and will instead dissipate when they stop moving or when hitting an enemy or obstacle.
  • Door StopDoor StopThe last door Isaac went through stays open, allowing him to leave the room even if enemies are in it.
#4
  • Death's List Icon.png
    Death's List
    Grants a reward if all enemies in a room are killed in the order they are marked.
  • Haemolacria Icon.png
    Haemolacria
    Tears are now fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay.
  • Lachryphagy Icon.png
    Lachryphagy
    Isaac's tears decelerate as they travel. Upon stopping or hitting an obstacle, they burst into 8 tears in all directions. Tears can be fired into other tears to feed them, increasing their damage.
  • Trisagion Icon.png
    Trisagion
    Tears are replaced with piercing white blasts of light.
  • Schoolbag Icon.png
    Schoolbag
    Allows Isaac to hold two active items.
  • 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
#5
  • Blanket Icon.png
    Blanket
    Grants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
  • Sacrificial Altar Icon.png
    Sacrificial Altar
    Upon use, sacrifices up to 2 familiars and spawns an item from the Devil Room Pool for each familiar sacrificed.
  • Lil Spewer Icon.png
    Lil Spewer
    Spawns a random pill, and grants a small Spewer familiar that charges up and fires different types of creep.
  • Marbles Icon.png
    Marbles
    Spawns 3 random trinkets. Taking damage has a small chance to swallow Isaac's currently held trinket, gaining its effect permanently.
  • Mystery Egg Icon.png
    Mystery Egg
    Spawns an egg familiar, which cracks and turns into a random friendly enemy when Isaac is hurt. The egg regenerates upon entering a different room.
  • Flat Stone Icon.png
    Flat Stone
    Tears bounce off the floor. Tears that hit an enemy after bouncing deal splash damage to all nearby enemies for 25% of Isaac's tear damage.
  • Marrow Icon.png
    Marrow
    Grants one bone heart and spawns three red heart pickups.
  • Slipped Rib Icon.png
    Slipped Rib
    Spawns a bone familiar that circles around Isaac and reflects enemy shots.
  • Hallowed Ground Icon.png
    Hallowed Ground
    Spawns a white poop familiar, which turns into a white poop when Isaac is hurt.
  • Pointy Rib Icon.png
    Pointy Rib
    Spawns a bone familiar that can be aimed with the fire buttons and does contact damage.
  • Book of the Dead Icon.png
    Book of the Dead
    Upon use, spawns a friendly Bony or an orbital bone for each enemy killed in the current room.
  • Dad's Ring Icon.png
    Dad's Ring
    Creates a ring of light around Isaac that petrifies enemies in contact.
  • Divorce Papers Icon.png
    Divorce Papers
    Spawns a Mysterious Paper, increases tears, and grants a bone heart.
  • Jaw Bone Icon.png
    Jaw Bone
    Spawns a familiar that flies the room while firing, dealing a flat 7 damage to enemies that come in contact and retrieving pickups.
  • Brittle Bones Icon.png
    Brittle Bones
    Replaces all red hearts with 6 empty bone hearts. Upon losing a bone heart, Isaac fires bones in 8 directions and permanently gains a tears up.
  • Broken Shovel 1 Icon.png
    Broken Shovel
    While held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel.
  • Broken Shovel 2 Icon.png
    Broken Shovel
    One of two parts necessary to create Mom's Shovel.
  • Mom's Shovel Icon.png
    Mom's Shovel
    Spawns a trapdoor that leads to the next floor upon activation. Unlocks The Forgotten when used on a mound of dirt that appears in The Dark Room.
  • 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
  • Mr. Mine.png
  • Mr. Red Maw.png
  • Boss The Matriarch.png
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