It Hurts

It Hurts is a passive item.

Effects

 * Taking damage releases a ring of bloody tears and increases tears for the current room.

Trivia

 * The item itself is a reference to a suture.
 * The item comes from the phrase "Sewing your mouth shut". It is a phrase used commonly by parents to threaten noisy children into silence.
 * This item acts very similar to Varicose Veins, which was added in Afterbirth+.
 * Varicose Veins merely triggers the Tammy's Head effect, granting a damage bonus to the tears spawned but not spawning red tears.
 * Varicose Veins does not decrease Isaac's tear delay; instead, it has a chance to activate the Anemic effect.
 * The phrase "It Hurts" may be a reference to Earthbound, Chzo Mythos or Ruby Quest, different works in which the phrase is used in an iconic horrific context.
 * This item's appearance originated from the Binding of Isaac: Community Remix mod. The original item had a different effect.
 * It releases a ring of tears, not brimstone lasers, when playing as Azazel

Seeds
AJJQ NHRX (First-floor treasure room)

4DP7 AJZC (First-floor treasure room)

SHXW BTG8 (First-floor treasure room)

HCTD Z1CM (First-floor treasure room)

Q78Z NY1Z (First-floor treasure room)