Binding of Isaac: Rebirth Wiki
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(in Afterbirth † and Repentance)

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

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 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

  • Collectible Brimstone iconBrimstone: Significantly increased tear delay. Isaac fires a large arcing tear that fires several Brimstone beams in random directions upon bursting.
  • Collectible Chocolate Milk iconChocolate Milk: 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.
  • Collectible Compound Fracture iconCompound Fracture/Collectible The Parasite iconThe 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.
  • Collectible Cricket's Body iconCricket's Body: A single tear can scatter massive amounts of smaller tears in a wide area regardless of what it hits.
  • Collectible Dead Eye iconDead Eye: Both the main tear and the burst tears can increase the damage bonus, but missing the burst tears won't reset it.
  • Collectible Dr. Fetus iconDr. 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 + Collectible Sad Bombs iconSad Bombs: Bomb explodes into 4 sad bombs which then explode into burst tears. Can lag the game.
  • Collectible Fate's Reward iconFate's Reward: 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 Collectible Polyphemus iconPolyphemus. The throw is unaffected and does not scatter blood tears.
  • Collectible Holy Light iconHoly 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.
  • Collectible Ipecac iconIpecac: Fires a large explosive shot that releases poisonous, high-damage but non-explosive split tears on impact.
  • Collectible Lachryphagy iconLachryphagy: 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.
  • Collectible Lead Pencil iconLead Pencil: Fires a barrage of Haemolacria tears, all of which will burst.
  • Collectible Mom's Knife iconMom'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.
  • Collectible My Reflection iconMy Reflection: Removes the arcing behavior of the tears, massively increasing airtime of both the main tear and the scattered ones.
  • Collectible Pop! iconPop!: The large tear floats in the air before exploding, and the smaller burst tears can be knocked around.
  • Collectible Proptosis iconProptosis: Large tear and burst tears do roughly double normal damage.
  • Collectible Tech X iconTech X: The tears burst into 3-5 Tech X rings on impact.
  • Collectible Technology iconTechnology: Fires arcing tears that release Technology lasers upon bursting.

Interactions

  • Collectible Angelic Prism iconAngelic Prism: The main tear splits if it hits the prism. Burst tears will only split if the main tear did not split.
  • Collectible Anti-Gravity iconAnti-Gravity: If a fire button is held down when a Haemolacria tear bursts, the burst tears will hover in place before being fired outwards.
  • Collectible Apple! iconApple! / Collectible Euthanasia iconEuthanasia / Collectible Tough Love iconTough Love: The visual effects on tears don't work, but the damage bonuses do.
  • Azazel: Haemolacria overrides Azazel's Brimstone.
  • Collectible Death's Touch iconDeath's Touch: Tears pierce enemies instead of bursting on contact. The visual effect is not maintained.
  • Collectible Epic Fetus iconEpic Fetus: Overrides Haemolacria, with increased damage and tear delay.
  • Collectible Flat Stone iconFlat Stone: 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.
  • Collectible Godhead iconGodhead: The main tear has the damaging aura but burst tears do not.
  • Collectible Kidney Stone iconKidney Stone: Overridden by Haemolacria. Only stat changes apply.
  • Collectible The Ludovico Technique iconThe Ludovico Technique: Overridden by Haemolacria.
  • Collectible Polyphemus iconPolyphemus: The large tear will shrink if an enemy dies on hit, reducing the damage of the burst tears.
  • Collectible Rubber Cement iconRubber Cement: Tears will burst only when they hit the floor, not on walls or enemies.
  • Collectible Sinus Infection iconSinus 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.
  • Collectible Tractor Beam iconTractor Beam: The main tear follows the beam, but the burst spreads normally.

In-game Footage

Gallery

Trivia

  • 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

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)


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