Lil Delirium

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Item icon
Item altar

 
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Item Pool Devil Room.png Devil Room
Item Pool Angel Room.png Angel Room
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Delirious Defeat Delirium for the first time as any characterDeliriousDelirious
Added in Afterbirth †

Lil Delirium is an unlockable passive item added in Booster Pack #1.

Effects[edit | edit source]

  • Grants a familiar that transforms into another random familiar every 10 seconds.
    • The familiars it turns into are normal familiars that look white and melted like Delirium.
    • Familiars deal the same damage as their normal non-Delirium counterparts.
    • Familiars will not deal contact damage.

Notes[edit | edit source]

Interactions[edit | edit source]

  • Homing tears: Only affects familiars that are normally affected by homing items.

Trivia[edit | edit source]

  • Lil Delirium is based on this Steam Workshop item by Ashkait and Scayze.
  • Lil Delirium, 7 Seals 7 Seals7 Seals Icon.pngGrants a random Harbinger familiar that changes every 10 seconds., Void VoidVoid Icon.png6 roomsConsumes all pedestal items in the room. Active items will have their effects added to Void, and passive items will grant stat upgrades., and Duality DualityDuality Icon.pngWhenever a Devil or Angel Room would spawn after defeating a boss, both rooms spawn. Only one can be entered. are the only items to belong to both Devil Room and Angel Room pools.
  • When entering a new floor or room, Lil Delirium and a normal familiar you have can swap forms as long as Lil Delirium is currently transformed as that familiar. For example, if you have Lil Brimstone Lil BrimstoneLil Brimstone Icon.pngA Familiar that shoots a thin Brimstone beam. Must charge like Brimstone before shooting. and Lil Delirium, Lil Brimstone will become Lil Delirium's form, while Lil Delirium will look normal. This persists for the other familiar, but Lil Delirium will go back to normal.
    • This also works if you pick up the familiar Lil Delirium is transformed as.

In-game Footage[edit | edit source]

Seeds[edit | edit source]

 Switch  Greedier mode only 6GW8 CG48 (Basement Devil Room)

Bugs[edit | edit source]

Bug Bug!  PS4  The Ludovico Technique will work normally until Lil Delirium turns into Incubus, which will cause the Ludovico tear to disappear for the entire room, even after Lil Delirium has transformed into another familiar.[citation needed]
Moving Box Icon.png Added in Afterbirth † Booster Packs Moving Box Icon.png
#1
  • Angry FlyAngry FlySpawns a fly familiar that orbits around a random enemy and deals 5 damage per tick to enemies it comes in contact with.
  • Black HoleBlack HoleThrows a black hole on the ground which sucks in and damages enemies.
  • BozoBozoIncreases 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 ModemBroken ModemEnemies, enemy shots, tears, and pickups will briefly freeze in place at random intervals.
  • Mystery GiftMystery GiftUpon 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.
  • SprinklerSprinklerUpon use, spawns a sprinkler that rotates and fires tears.
  • Fast BombsFast BombsGrants 7 bombs and allows bombs to be placed rapidly.
  • Buddy in a BoxBuddy in a BoxGrants a familiar with a random tear effect. The familiar is randomized at the start of each floor.
  • Lil DeliriumLil DeliriumGrants 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 CablesJumper CablesGrants an active item charge every 15 enemies killed.
  • CouponCouponUpon use, makes a random item from a shop, devil deal, or black market free.
  • TelekinesisTelekinesisUpon 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 BoxMoving BoxIf 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 ZeroTechnology ZeroConnects Isaac's tears with electricity that can damage enemies.
  • LeprosyLeprosyUpon 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 Seals7 SealsGrants a random Harbinger familiar that changes every 10 seconds.
  • Mr. ME!Mr. ME!Summons a controllable ghost that can perform various tasks depending on what it targets.
  • Angelic PrismAngelic PrismGrants a prism orbital with a large orbital radius. Tears that pass through the prism split into four multi-colored tears.
  • Pop!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 ListDeath's ListGrants a reward if all enemies in a room are killed in the order they are marked.
  • HaemolacriaHaemolacriaTears 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.
  • LachryphagyLachryphagyIsaac'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.
  • TrisagionTrisagionTears are replaced with piercing white blasts of light.
  • SchoolbagSchoolbagAllows Isaac to hold two active items.
  • Extension CordExtension CordBeams of yellow electricity flow between Isaac and his familiars, damaging any enemies between them.
#5
  • BlanketBlanketGrants one soul heart. Upon entering a boss room, grants a shield that blocks one hit, then disappears.
  • Sacrificial AltarSacrificial AltarUpon use, sacrifices up to 2 familiars and spawns an item from the Devil Room Pool for each familiar sacrificed.
  • Lil SpewerLil SpewerSpawns a random pill, and grants a small Spewer familiar that charges up and fires different types of creep.
  • MarblesMarblesSpawns 3 random trinkets. Taking damage has a small chance to swallow Isaac's currently held trinket, gaining its effect permanently.
  • Mystery EggMystery EggSpawns an egg familiar, which cracks and turns into a random charmed enemy when Isaac is hurt. The egg regenerates upon entering a different room.
  • Flat StoneFlat StoneTears 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.
  • MarrowMarrowGrants one bone heart and spawns three red heart pickups.
  • Slipped RibSlipped RibSpawns a bone familiar that circles around Isaac and reflects enemy shots.
  • Hallowed GroundHallowed GroundSpawns a white poop familiar, which turns into a white poop when Isaac is hurt.
  • Pointy RibPointy RibSpawns a bone familiar that can be aimed with the fire buttons and does contact damage.
  • Book of the DeadBook of the DeadUpon use, spawns a charmed Bony or an orbital bone for each enemy killed in the current room.
  • Dad's RingDad's RingCreates a ring of light around Isaac that petrifies enemies in contact.
  • Divorce PapersDivorce PapersSpawns a Mysterious Paper, increases tears, and grants a bone heart.
  • Jaw BoneJaw BoneSpawns a familiar that flies the room while firing, dealing double Isaac's tear damage to enemies that come in contact and retrieving pickups.
  • Brittle BonesBrittle BonesReplaces 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 ShovelBroken ShovelWhile held, causes multiple Mom's Foots to come down and stomp on Isaac. One of two parts necessary to create Mom's Shovel.
  • Broken ShovelBroken ShovelOne of two parts necessary to create Mom's Shovel.
  • Mom's ShovelMom's ShovelSpawns 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


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