A small rock.
- The rock gets wedged in Isaac's head and makes him bleed.
- Increases Damage by 1, increases Tears by 0.2, decreases Speed by 0.2, and turns tears gray.
- This is most likely to be a reference to the biblical story of David and Goliath, where David kills the giant known as Goliath with a small rock, hence the name.
- Destroy 50 Rocks. Does not have to be done in one playthrough.
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