|Book Of Despair|
|Temporary tears up|
Book Of Despair is an active item.
- Halves tear delay for the current room.
- This item originated from the Binding of Isaac: Community Remix mod.
- Upon use, Isaac starts crying, similar to his appearance after picking up Torn Photo.
- Book Of Despair was one of the few items not imported into Repentance, alongside Bowl of Tears, Donkey Jawbone, Knife Piece 3, Menorah, Stone Bombs, and Voodoo Pin.
K4A1 WN9Z (First floor treasure room)