|Halo of tears|
Immaculate Heart is a passive item.
- +1 Red Heart container.
- x1.2 damage multiplier.
- In addition to regular tears, Isaac fires tears that orbit around him.
- The tears are spectral and have the same stats and tear effects as regular tears.
- Unlike orbiting tears fired by Tiny Planet, the tears from Immaculate Heart follow the character without delay and stay at a constant distance.
- Menorah: When you have enough candles lit, Isaac no longer fires tears that orbit around him but instead seems to fire a barrage of tears at random intervals.
- Mom's Knife: The orbiting tears continue to fire as normal.
- Brimstone: Orbiting tears become bloody tears, but fire normally.
- Chocolate Milk: Orbiting tears continually grow larger and larger as long as the fire button is held down, leading to room covering massive damage tears.
- The Ludovico Technique: Orbiting tears will only be generated while the fire button is held; orbiting tears won't be generated if the Ludovico tear is stationary.