Varicose Veins

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Item icon
Item altar

 
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Character appearance
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Item Pool Treasure Room.png Treasure Room
Greed mode onlyItem Pool Treasure Room.png Treasure Room
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(page 4, column 7, line 5)
Added in Afterbirth †

Varicose Veins is a passive item.

Effects[edit | edit source]

  • When Isaac gets hit, 10 tears are fired in a circle around him (similar to Tammy's Head Tammy's HeadTammy's Head Icon.png1 roomsShoots 10 tears in a circle around Isaac, which retain the damage, shot speed, and special effects (such as poison) of Isaac's tears.).
    • Tears spawned on hit have a +25 damage bonus.
  • When Isaac gets hit, has a chance to activate the Anemic AnemicAnemic Icon.png+5 range. After Isaac is damaged, a trail of red creep will be left behind Isaac until he leaves the current room. effect for 2 seconds.

Synergies[edit | edit source]

  • Brimstone BrimstoneBrimstone 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.: Every time Isaac takes damage, 10 brimstone beams fire out in a circle around him.
  • 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./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./The Parasite The ParasiteThe Parasite Icon.pngIsaac's tears split in two when they hit something.: Ten tears fired when taking damage will burst into split tears.
  • Dead Eye Dead EyeDead Eye Icon.pngIsaac's damage increases each time an enemy is hit. Damage is reset upon missing a shot.: The ten tears will retain damage buff from accuracy.
  • Dull Razor Dull RazorDull Razor Icon.png2 roomsHurts Isaac without depleting health, activating any items that trigger upon taking damage.: Every time Isaac uses the Dull Razor, 10 tears are shot around him, which deals considerable damage.
    • Dull Razor + Brimstone BrimstoneBrimstone 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.: Every time Isaac uses the Dull Razor, 10 Brimstone lasers are shot around him, which will (most likely) clear out a room.
      • Dull Razor + Brimstone + Habit HabitHabit Icon.pngWhen Isaac is hit, 1 point of an item's charge is filled. + 9 Volt 9 Volt9 Volt Icon.pngReduces the charge of any Activated Items by 1. Any 1 charge items instead have timed recharges. or AAA Battery AAA BatteryAAA Battery Icon.pngAutomatically recharges the last energy slot of an activated item, effectively reducing recharge rates by one.: The 9 Volt or AAA Battery will reduce the Dull Razor to only needing one charge, and using it will activate the Habit, effectively giving the Dull Razor infinite uses, which can be used for infinite Brimstone lasers.
      • Dull Razor + Brimstone + Habit + Car Battery Car BatteryCar Battery Icon.pngCauses Isaac's activated item to activate twice on each use.: Fills two charges on use, allowing infinite uses of the Dull Razor, which can be used for infinite Brimstone lasers.
  • Euthanasia EuthanasiaEuthanasia Icon.pngAdds a chance to fire needles. If a needle kills an enemy, it bursts into more needles.: When Isaac takes damage, the ten tears each have a chance to become needles.
  • 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.: When Isaac takes damage, the ten tears bounce away from Isaac.
  • Godhead GodheadGodhead Icon.pngIncreases damage and range while reducing tears and shot speed. Grants homing tears and tears gain a damaging halo.: Fires ten tears with damaging auras. Homing effect is present but barely noticeable.
  • Haemolacria HaemolacriaHaemolacria Icon.pngTears 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.: Fires ten Haemolacria tears upon taking damage which will burst upon hitting enemies or obstacles.
  • Ipecac IpecacIpecac Icon.pngReplaces tears with explosive and poisoning projectiles fired in an arc from the mouth.: Fires ten explosive shots that do massive damage and can poison enemies.
  • Technology TechnologyTechnology Icon.pngReplaces tears with a piercing laser with unlimited range.: When Isaac gets hurt, ten lasers fire out from him.
  • Tiny Planet Tiny PlanetTiny Planet Icon.pngRange up and makes shot tears revolve around Isaac until they drop.: Ten tears fired when taking damage will orbit Isaac.

Interactions[edit | edit source]

  • 20/20 20/2020 20 Icon.pngGrants double shot./The Inner Eye The Inner EyeThe Inner Eye Icon.pngGrants triple shot but decreases tears./Mutant Spider Mutant SpiderMutant Spider Icon.pngGrants quadruple shot but decreases tears.: No effect. When Isaac gets damaged, only ten tears will be fired.
  • 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.: No effect.
  • Chocolate Milk Chocolate MilkChocolate Milk Icon.pngGrants charged tears that deal greater damage when fully charged.: Fires ten minimally charged tears. Damage of tears is reduced slightly.
  • Dr. Fetus Dr. FetusDr. Fetus Icon.pngTears are replaced by bombs that benefit from bomb-enhancing effects and slide a fixed range after being fired.: Taking damage releases 10 bombs around Isaac, which often leads to taking damage again.
  • Epic Fetus Epic FetusEpic Fetus Icon.pngIsaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.: Fires ten normal tears when taking damage.
  • 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.: No effect.
  • Marked MarkedMarked Icon.pngIsaac will now fire tears automatically directed at a red target on the ground which is controlled by the player. This allows for a full 360 degree tear firing radius. Can be overridden by other tear modifiers such as Mom's Knife or Brimstone.: No effect.
  • Mom's Knife Mom's KnifeMom's Knife 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.: Fires ten low damage knives when taking damage.
  • Monstro's Lung Monstro's LungMonstro's Lung Icon.pngIncreases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.: Fires ten red tears when taking damage. No other effects.
  • Soy Milk Soy MilkSoy Milk Icon.pngTears shrink and do much less damage, but fire in very rapid succession.: Fires ten tiny tears when taking damage. Tear damage is only slightly reduced.
  • Technology 2 Technology 2Technology 2 Icon.pngDecreases damage and replaces right eye tears with a unlimited range, piercing laser which fires continuously.: Fires 10 tears around Isaac with reduced 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.: No effect.
  • Tractor Beam Tractor BeamTractor Beam Icon.pngIsaac emits a beam from his face. Isaac's tears travel in the path of the beam.: No effect.
  • Trisagion TrisagionTrisagion Icon.pngTears are replaced with piercing white blasts of light.: Fires ten beams around Isaac that do a third of base damage.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • Varicose veins is a medical condition where veins (typically on the extremities) become swollen and more clearly visible. They can also cause aching pain or discomfort.

Seeds[edit | edit source]

 Switch  Greedier mode only HA1R GPTA (First Golden Treasure Room)


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