Almond Milk 
Effects
- Quadruples fire rate.
- x0.3 damage multiplier.
- Tears gain random worm trinket effects, as well as some item effects such as
Rubber Cement, 
My Reflection and 
Tiny Planet.
Synergies
- (Azazel) Azazel's Brimstone will fire as long as you hold down the fire button. It still shuffles through the worm effects rapidly.
Brimstone / 
Monstro's Lung / 
Tech X: Fires automatically upon reaching full charge. Tech X overrides the worm trinket effects.
Chocolate Milk: Tears will be automatically charged and shot.
Cursed Eye: Adds an additional set of five shots periodically firing straight, as well as applying Cursed Eye's teleport whenever hit while firing.
Tractor Beam: All tears now travel along the beam, improving overall accuracy and DPS.
Interactions
Soy Milk: Overridden by Almond Milk (no additional effect on tears or damage).
The Ludovico Technique: The tear will rapidly teleport in a small area around it, making it difficult to aim.
Bugs
| (Bug) Bug!
| Using Almond Milk in conjunction with Chocolate Milk and 
Neptunus at the same time will make it so Isaac is incapable of shooting tears.
|