Getting this item changes Isaac's lower torso to the likeness of a horse, in line with the centaur archer Chiron in Greek mythology.
All tears fired with this item become triangular, like arrowheads. This grants them the ability to pierce through enemies, much like Cupid's Arrow. There is also an increase in the speed stat.
- Flat Worm, The flatworm adds slight knock back while also increasing the width of your tears.