Toxic Shock

Effects

• Upon entering a room, all enemies are poisoned, dealing double Isaac's tear damage and also creating a green fog for the first few seconds of the room.
• Killing enemies leaves a small, short-lasting pool of green creep on the ground.
  • The creep deals 1 damage per tick or 30 damage per second.

Notes

• High tear damage will cause this item to become very powerful for rooms with a lot of enemies, since they can die instantly and render the room harmless.
• Enemies which spawn after the first few seconds of each room are not affected by this item, e.g. Flies spawned from a Mulligan dying.
• Enemies that spawn with some form of invulnerability such as Hosts, Wizoobs, or (Added in Repentance) Needles are not affected by this item.
• The poison effect only activates upon entering a room and not at the start of a wave. In Boss Rush and most of Greed mode, the item will not poison enemies.
• If Toxic Shock is picked up in the middle of a room with enemies, the mass poison will occur immediately.