Fruit Cake

Effects

Each tear that Isaac fires gains a random effect. The possible effects are:

Anti-Gravity

Ball of Bandages (Level 4)

Ball of Tar

(Added in Repentance)(Brain Worm) Brain Worm

Bumbo (Level 3)

The Common Cold

(Added in Afterbirth †) Compound Fracture

Continuum

Cricket's Body

Cupid's Arrow

(Added in Afterbirth †) Euthanasia

Explosivo

(Added in Afterbirth †) Eye of Belial

(Added in Afterbirth †) Eye of Greed

(Added in Repentance) Eye of the Occult

Fire Mind

(Added in Afterbirth †) Flat Stone

(Flat Worm) Flat Worm

(Added in Afterbirth †) Glaucoma

God's Flesh

Godhead

(Added in Afterbirth †) Haemolacria

Head of the Keeper

Holy Light

(Hook Worm) Hook Worm

(Added in Repentance) Immaculate Heart

Ipecac

Iron Bar

(Added in Afterbirth †) Jacob's Ladder

(Added in Repentance) Knockout Drops

(Added in Afterbirth †) Lachryphagy

(Added in Afterbirth †) Large Zit

(Added in Afterbirth †) Little Horn

(Added in Repentance) Lodestone

Lost Contact

A Lump of Coal

Mom's Contacts

Mom's Eyeshadow

Mom's Perfume

(Added in Repentance) Mucormycosis

The Mulligan

My Reflection

Mysterious Liquid

(Added in Repentance) Ocular Rift

Ouija Board

(Added in Afterbirth †)(Ouroboros Worm) Ouroboros Worm

The Parasite

(Added in Afterbirth †) Parasitoid

Pisces

Polyphemus

(Added in Afterbirth †) Pop!

Proptosis

(Pulse Worm) Pulse Worm

(Ring Worm) Ring Worm

(Added in Repentance) Rotten Tomato

Rubber Cement

Serpent's Kiss

(Added in Afterbirth †) Sinus Infection

Spider Bite

Spoon Bender

Strange Attractor

(Added in Afterbirth †) Sulfuric Acid

(Added in Afterbirth †) Technology Zero

(Added in Repentance) Terra

Tiny Planet

(Added in Afterbirth †) Trisagion

(Added in Repentance) Uranus

(Wiggle Worm) Wiggle Worm

The following tear effects when generated by Fruit Cake work differently than that of the base item:

• (Added in Afterbirth †) Eye of Greed: Isaac will not lose coins from this effect occurring.
• Ipecac: There is no associated damage up/poison effect.
• My Reflection: There is no associated shot speed up.
• Polyphemus: Only the ability to pierce enemies on overkill damage is applied; there is no associated damage bonus with the tear.
• Proptosis : (Removed in Repentance) There is no associated damage multiplier, effectively decreasing damage dealt.
• Serpent's Kiss: (Added in Repentance) This keeps the internal tear tag that makes enemies drop Black Hearts, despite the item itself losing this ability.
• Tiny Planet: There is no associated range up.

(Added in Repentance) The unique tear effects available to some wisps made by Book of Virtues can also be used by Fruit Cake. This can include:

• Drop hearts/coins/cards/runes on kill. The tear must deal the final hit; earlier hits do not flag enemies to drop the consumable on death.
• Teleport enemies to a random location in the room. This cannot affect Bosses.
• Transform enemies into poop (similarly to E. Coli).
• Transform enemies into random wisps.

Synergies

• Brimstone: Each tick of brimstone has a random effect.
• Dr. Fetus: Bombs pull their effects from bomb modifiers ( Bobby-Bomb, Bob's Curse, Bomber Boy, Butt Bombs, Glitter Bombs, Hot Bombs, Mr. Mega, Sad Bombs, Scatter Bombs, Sticky Bombs) as well as tear effects.
• (Added in Afterbirth †) Finger!/ Technology 2: Each tick of the laser has a random effect, allowing it to rapidly afflict enemies with multiple status effects.
• Isaac's Tears/ Tammy's Head/ Tear Detonator: Each tear will have its own tear effect.
• The Ludovico Technique: The tear will cycle through different effects, based on Isaac's tear rate.
• Mom's Knife: The benefits of fruit cake still occur but are short lived due to the high damage of Mom's knife.