Death's Touch 
Effects
- +1.5 damage
- -0.3 tears
- Grants piercing tears.
- Tear size multiplier: 2x.
- Tears are replaced by Death's scythes.
Interactions
- (Added in Afterbirth †)
Haemolacria: Stat effects apply. Fired tears will retain piercing effect; however, burst tears will not. All other effects do not apply.
Ipecac: Tears explode at their center, not where they touch the enemy, which means the very large size from Death's Touch may be detrimental. Piercing effect does not apply.
- (Added in Repentance)
Spirit Sword Overrides the scythe visual including the ranged attack.