Flames are consumed after taking a certain amount of damage or touching enemies. Summons a temporary flame familiar that fires spectral tears, deal contact damage to enemies and blocks enemy shots. Tear delay is reset on changing rooms however, the distortion persists. Can be used multiple times to stack the effect. Reduces tear delay but distorts the screen for a length of time. After 6 full hearts are absorbed, it will spawn varying amounts of consumables and items from the Angel room pool. Gains charges through soul, black, and white hearts. They modify Isaac's Attributes, grant or modify Tear Effects, and much more. Items are an integral part of game-play in The Binding of Isaac: Rebirth. For changes to Rebirth items, see Changes.
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