Spawns fly familiar that moves in a straight line and circles around the first wall or obstacle it hits, dealing 105 damage per second on contact. Spawns a white attack fly that orbits somewhere between Distant Admiration and Forever Alone, dealing 45 damage per second. Tears have a 1/6 chance of spawning allied Blue Flies when they hit an enemy. Upon taking damage, the familiar will pursue enemies for the rest of the room, dealing 22.5 damage per second. Spawns an orbital familiar that blocks enemy shots. Also increases the effectiveness of fly and spider familiars.ДЇlies become harmless or less dangerous depending on the type. Increases the size of Blue Spiders and Blue Flies and doubles the amount of damage they deal. Spawns two Pretty Flies that block enemy shots and deal contact damage to flies. Spawns an attack fly that orbits a long distance from Isaac, dealing 30 damage per second. Spawns an attack fly that circles further out than Halo of Flies, but closer than Forever Alone, dealing 75 damage per second. Spawns a large orbital familiar that blocks enemy shots and deals 30 damage per second to enemies. When hit, spawns a quickly orbiting attack fly similar to Forever Alone for the current room dealing 75 150 damage per second. Spawns a familiar that flies around the room in a zig-zag pattern and explodes on contact with an enemy. It can be moved using the shooting directional keys Spawns a controllable familiar that deals 37.5 damage per second on touch. Summons the boss Baby Plum to fight for Isaac in the current room.

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