- Fires 3 blood shots at Isaac
- Burrows underground, immediately reappearing elsewhere
Items that grant spectral tears, such as Ouija Board
The Lump is a Monster which can be encountered in The Womb or Utero. It appears as a large red lump popping out of the ground, with a gaping mouth and two beady eyes, the left one being smaller.
Lumps stay stationary at a single spot, firing 3 blood shots at Isaac if he gets close. After firing at Isaac, they will immediately burrow into the ground and reappear elsewhere.
Lumps usually hide behind rocks in tight spaces, forcing Isaac to get close and risk taking a hit, which makes spectral tears very useful.