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Item Interactions

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This page is meant to show the interactions between a few special items in the game. This page is meant to show, for example, which items you should not take in combination with the few main attack modifiers such as Brimstone, Mom's Knife, Technology, etc.

Please do not add combinations of items just because they are simply powerful.

Interaction TableEdit

Each cell in the table shows the resulting effect for the combination of those two items.

Dr. Fetus

Dr Fetus Icon

Mom's Knife

Moms Knife Icon

Brimstone

Brimstone Icon

Technology

Technology Icon

Technology 2

Technology 2 Icon

Ipecac

IPECAC Icon

Brimstone

Brimstone Icon

Brimstone overrides Dr. Fetus, does not increase damage Greatly increases damage of Mom's Knife -  Brimstone overrides Technology.

If Brimstone was collected first, both shots will fire, but with decreased Brimstone damage.

For Cain, if Brimstone was collected first, Technology 2 will override Brimstone and cause massive damage.

Brimstone will override Technology 2 if Brimstone is taken afterwards. No longer overrides in the latest update.

Increases damage of Brimstone, but Brimstone charges slower

Chocolate Milk

Chocolate Milk Icon

Only a bigger blast radius in room where Chocolate Milk is collected (bug)

With Epic Fetus, you will be able to "charge" the shot, meaning you'll have to click twice to cast a missile.

Greatly increases damage of Mom's Knife, even one-hitting most bosses Allows partial Brimstone charges, charging before entering a room results in a beam that does no damage. Drastically reduces the overall damage Increases Technology damage with charge, making laser visually wider Increases Technology 2 damage. Once you fire the laser, you will not be able to stop firing until you leave the room.  Does nothing

The Common Cold

The Common Cold Icon

Adds poison effect to your bombs Covers the blade in poison Adds poison effect to Brimstone, but no change in color Turns Technology laser green and adds poison effect Technology 2 laser poisons enemies, but no change in color  No effect on Ipecac shots, poison effect stays the same

Dr. Fetus

Dr Fetus Icon

- Mom's Knife overrides Dr Fetus Brimstone overrides Dr. Fetus, does not increase damage Fires both bomb and laser, laser becomes very short, seems to do no damage Fires both bomb and laser  Severely decreases Dr. Fetus bomb firing speed, does not increase damage

Epic Fetus

Epic Fetus Icon

Epic Fetus overrides Dr. Fetus Epic Fetus overrides Mom's Knife after leaving the room Epic Fetus overrides Brimstone

Adds an invisible laser that does massive damage

Increases time between Epic Fetus shots. Technology 2's laser only fires between Epic Fetus Shots

WIth Cain, Technology 2 overrides Epic Fetus, and Technology 2 damage is increased

Epic Fetus overrides Ipecac

The Inner Eye The Inner Eye Icon

Severely decreases bomb firing speed, does not increase damage  Mom's Knife overrides The Inner Eye Triples Brimstone damage, but charges 3x slower Increases Technology damage to maximum, decreases firing rate to minimum    

Mutant Spider Mutant Spider Icon

Severely decreases bomb firing speed, does not increase damage

Mom's Knife overrides Mutant Spider

Quadruples Brimstone damage, but charges 4x slower Increases Technology damage to maximum, decreases firing rate to minimum

 Does not affect technology 2

Isaac will shoot both tears and laser

No effect on Ipecac

Ipecac

IPECAC Icon

 Severely decreases bomb firing speed, does not increase damage Mom's Knife overrides Ipecac

Increases damage of Brimstone, but Brimstone charges slower

 Greatly increases Technology damage if Ipecac is picked up after Technology Both Technology 2 and Ipecac shots are fired  -

Mom's Contacts

Moms Contacts Icon

Applies the freezing effect to Dr. Fetus bombs

  Applies the freezing effect to Mom's Knife

Applies the freezing effect to Brimstone beam Applies the freezing effect to Technology laser Applies the freezing effect to Technology 2 laser Applies the freezing effect to Ipecac shots 

Mom's Knife

Moms Knife Icon

Mom's Knife overrides Dr Fetus - Greatly increases damage of Mom's Knife Mom's knife overrides Technology Technology 2 laser fires while charging Mom's Knife, but does no damage  Mom's Knife overrides Ipecac
Number One

Number One Icon

  Turns Mom's Knife yellow No effect on Brimstone Turns Technology laser yellow, greatly increases fire rate of laser    

Ouija Board

Ouija Board Icon

Dr. Fetus Bombs pass through obstacles Turns Mom's Knife transparent, knife passes through obstacles No effect on Brimstone Destroys objects (poo, flames) instantly No effect on Technology 2  Does not affect Ipecac - shots will still detonate on obstacles and harm the player. Normal tears caused by having The Parasite will be affected

The Parasite

The Parasite Icon

Changes colour of Dr. Fetus bombs and explosions to orange, does not split bombs Turns Mom's Knife Orange   Technology overrides Parasite, does not split laser Co-exists with tear shots only Ipecac shots will split into two normal shots after impact
Polyphemus

Polyphemus Icon

Severely decreases bomb firing speed, does not increase damage Adds a huge amount of damage to Mom's Knife Massive Brimstone damage increase, even one-shotting most bosses, greatly increases charge time Greatly increases laser width and damage If Technology 2 is taken first, maximizes the damage of Technology 2 Ipecac projectile flies through enemies and explodes when encountered an obstacle  

Sacred Heart

Sacred Heart Icon

Adds homing effect to Dr. Fetus bombs, decreases bomb firing rate Turns Mom's Knife white, greatly increases damage and applies slight homing effect Increases Brimstone damage Increase size and damage of Technology laser    Adds homing effect to Ipecac shots

Spider's Bite

Spiders Bite Icon

Adds slowing effect to Dr. Fetus bombs, bombs flash red and yellow Turns Mom's Knife white, applies slowing effect Adds slowing effect to Brimstone beam Adds slowing effect to Technology laser, turns Technology laser white Adds slowing effect to Technology 2 laser  Adds slowing effect to Ipecac shots

Spoon Bender Spoon Bender Icon

Adds homing effect to Dr. Fetus bombs, turns bombs purple Turns Mom's Knife purple, applies slight homing effect No effect on Brimstone Turns Technology laser purple, no homing effect   Adds homing effect to Ipecac shots 

Technology

Technology Icon

  Mom's Knife overrides Technology  Brimstone overrides Technology. -   Greatly increases Technology damage if Ipecac is picked up after Technology

Technology 2

Technology 2 Icon

Both shots fire

Mom's Knife overrides Technology 2, laser will still fire but do no damage (bug)  If Brimstone was collected first, both shots will fire, but with decreased Brimstone damageFor Cain, if Brimstone was collected first, Technology 2 will override Brimstone and cause massive damageBrimstone will override Technology 2 if Brimstone is taken afterwards Both beams fire, allows Technology 2 laser to pass through obstacles if spectral tears are acquired - Both Technology 2 and Ipecac shots are fired

Wiggle Worm

Wiggle Worm Icon

  Mom's Knife wiggles during knife throw, allows multiple hits on enemy during a single throw, does massive damage to larger bosses No effect on Brimstone Causes Technology laser to snake, increasing effective width of Technology laser Does not cause Technology 2 laser to snake, applies wiggle effect to regular tears Causes Ipecac shot to wiggle

Start a Discussion Discussions about Item Interactions

  • Can someone add a column?

    2 messages
    • So, I was looking at the Item Interactions, page, and realized there's nothing there for Lump of Coal. I think that's an important one to a...
    • It interacts like it does with tears. I think that would be as pointless as adding Common Cold...
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