A purple 3 Dollar Bill.
Isaac becomes happy, with a sparkle coming from his right eye.
Isaac's tears get a random effect upon entering a room. These are listed below.
|The Inner Eye||Gives Isaac a triple shot, sets Tears to minimum|
|Magneto||Attracts Pick Ups to Isaac|
|Mom's Contacts||Gives Isaac a petrifying shot that will randomly freeze enemies solid for a few seconds.|
|My Reflection||Gives Isaac's tears a boomerang effect and range is set to default.|
|Number One||Sets Isaac's tears to their maximum rate of fire and minimum range.|
|Ouija Board||Allows Isaac's shots to go through rocks or obstacles.|
|Spoon Bender||Gives the Isaacs's shots the ability to curve towards enemies.|
|Tough Love||Isaac randomly shoots teeth instead of tears, dealing more than triple damage, the extra damage can go over the damage limit allowing you to deal triple the max damage.|
|Speed Ball||Increased Speed and Shot Speed.|
|Lucky Foot||Turns negative pills into positive pills, increases chance of winning the Shell Game.|
- Since it can grant the Magneto effect, it can be used to acquire items (bombs, keys etc.) you otherwise couldn't by repeatedly leaving and re-entering a room.
- Since it can give the My Reflection effect, having this item with IPECAC can be potentially dangerous, as the poison bombs will target Isaac.
- Mom's Knife can cause confusion as to which effect is in place. The knife can change its color to match a possible effect, but the actual effect can be different. (i.e. A Yellow Knife for Number One, but Mom's Contacts Freezing Effect.
- The name of this item is a reference to the expression "Queer as a 3 Dollar Bill".