Haemolacria

Item Icon
Pickup Quote	"I'm seeing red..."
Entity ID	5.100.531
Character Appearance
Tear Appearance
Item Pool	Ultra Secret Room Treasure Room Treasure Room
Collection Grid	(page 5, column 6, row 3) (page 5, column 7, row 3)
Unlock Method	Acquire Blood Clot 10 times

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

Effects

• 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

• 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.
• The main tear has a roughly 1.71x size multiplier.

Synergies

• Brimstone: Significantly increased tear delay. Isaac fires a large arcing tear that fires several Brimstone beams in random directions upon bursting.
• Compound Fracture/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: A single tear can scatter massive amounts of smaller tears in a wide area regardless of what it hits.
• 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: 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: 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. The throw is unaffected and does not scatter blood tears.
• Ipecac: Tear delay is increased by 1/3 compared to either of the items on their own, but Isaac now fires Ipecac shots that releases poisonous, high-damage but non-explosive split tears on impact.
• 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/Monstro's Lung: Fires a barrage of Haemolacria tears, all of which will burst.
• 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: The tears burst into 3-5 Tech X rings on impact.
• Technology: Fires arcing tears that release Technology lasers upon bursting.
• 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: 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

• Azazel: Haemolacria overrides Azazel's Brimstone.
• Epic Fetus: Overrides Haemolacria, with increased damage and tear delay.
• 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: 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: 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: Overridden by Haemolacria. Only stat changes apply.
• The Ludovico Technique: Overridden by Haemolacria.
• Piercing tears / Spectral tears: The main tear gains these effects, but the burst tears don't inherit them.
• 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: The main tear follows the beam, but the burst spreads normally.

Gallery

• 

  Haemolacria's appearance in the original Steam Workshop mod.

• 

  Haemolacria tear appearance with Brimstone.

• 

  Haemolacria tear appearance with Dr. Fetus.

Trivia

• Haemolacria has been added in Booster Pack #4, after the initial release of the DLC.
• 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

PC 7RQR CJAB (First floor Golden Treasure Room)

XboxOne JGW6 YMVT

Switch WMAP AJ87 (First floor Item Room)

Bugs

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)

Bug!	Using Mom's Knife and Marked with Haemolacria will cause it to only fire towards the center of room, using the fire buttons will barely move the Marked icon; while Mom's Knife will be unusable and locked to the right.

The Binding of Isaac: Rebirth
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