Sad Bombs 
Effect
- Upon exploding, Bombs shoot 10 tears off in every direction, similar to
Tammy's Head. The tears deal a flat 25 damage plus Isaac's damage and are affected by any tear modifiers Isaac has on his tears.
- Grants five bombs.
Notes
- The tears generated by the bombs can push other bombs. Dropping multiple Sad Bombs is not advised since they could be pushed near you.
Synergies
Anti-Gravity: Tears will hover in place for a few seconds before dispersing.
Blood Clot: The bombs produce tears that mimic the tear last fired before explosion.
Bob's Brain/
BBF/
Bob's Rotten Head/
Mr. Boom: Gains the Sad Bombs effect.
- (Added in Afterbirth)
Brimstone: Bombs explode into Brimstone beams in all directions.
- (Added in Afterbirth †)
Compound Fracture/
Cricket's Body/
The Parasite: Bombs explode into tears that will split.
- (Added in Afterbirth / Removed in Repentance)
Dr. Fetus/
Epic Fetus: Fired bombs/missiles will explode into tears.
- (Added in Repentance) Fired bombs/missiles have a chance to explode into tears. This effect occurs randomly based on the luck stat.
- Guppy: Flies will spawn when the tears created by the bombs hit enemies.
- (Added in Afterbirth †)
Haemolacria: Bombs explode into Haemolacria tears which burst into tears.
Kamikaze!: Tears will explode after activating the item.
Mom's Knife: Bombs explode into knives that don't return.
- (Added in Afterbirth)
Multidimensional Baby: Each tear from the bomb will be duplicated.
- (Added in Afterbirth)
Scatter Bombs: All mini bombs gain the effect and deal full damage.
- (Added in Repentance): Tears from extra explosions deal 65% of their normal damage.
Technology/(Added in Afterbirth)
Tech X: Bombs explode into Technology beams in all directions.
Interactions
20/20/
The Inner Eye/
Mutant Spider: Does not affect the amount of tears when bombs explode.
- (Added in Afterbirth)
Explosivo: Tear explosions are not affected by Sad Bombs.
Ipecac: Normal Ipecac shots won't explode into tears, but placed bombs will shoot Ipecac shots in every direction.
The Ludovico Technique/(Added in Afterbirth)
Marked: Tears that burst from bombs cannot be controlled.
My Reflection: Tears will return to the place where the bomb exploded, not Isaac.
Tiny Planet: Tears orbit around where the bomb exploded, not Isaac.
Tech.5: No effect.
Technology 2: Bombs only explode into tears with a slight damage reduction.