Scissors

Effects

Detaches Isaac's head from his body and turns the head into a stationary familiar that fires tears for the current room.
- The player still controls Isaac's headless body, which also shoots tears.
  - (Added in Repentance) The body constantly spews a controllable fountain of blood shots, dealing about 0.66x-1.01x damage.
- (Removed in Repentance) The tears fired by the head do not scale with Isaac's damage and always do 3.5 damage.
  - (Added in Repentance) The head's tears are affected by Isaac's stats and attack modifiers.

Can spawn multiple heads if used in the same room more than once.
- (Added in Repentance) Only the most recent head is able to fire.
(Removed in Repentance) Brimstone and Technology are not fired from the stationary head.
If Isaac has an invisible body due to the cosmetic effect of Transcendence, only a shadow will be seen after using the Scissors.
If Isaac is Blindfolded, the floating head can still fire tears.
(Added in Repentance) The floating head does nothing as (Lilith) Lilith, (Tainted Lilith) Tainted Lilith, and (Tainted Forgotten) Tainted Forgotten.
- As (The Forgotten) The Forgotten, the floating head will only fire tears when the Soul is active.
- The floating head will not fire tears as (Tainted Samson) Tainted Samson while he is enraged.
(Added in Afterbirth / Removed in Repentance) Each wave of Boss Rush fully recharges the item, allowing many heads to be spawned.
Only deaths which end runs (i.e. Isaac is not revived by a revival item such as 1up!) count towards unlocking the Scissors.

(Added in Repentance) Book of Virtues: Spawns red wisps in the middle ring. The wisps fire 2-3 tears at a time, which are inaccurate, travel in an arc, and have variable range.