Twisted Pair

Effects

Spawns two demon familiars that float by Isaac's side, and fire tears that use Isaac's tears, range, shot speed, and tear effects, and scale with Isaac's damage.
- Each familiar deals damage equal to 0.375x Isaac's damage.
This item belongs to the Conjoined set. Collecting three items from this set will transform Isaac into a three-faced version of himself.

Twisted Pair is very similar to the item Incubus. It provides the same total damage per second increase in the form of a familiar (familiars in this case).
When playing as (Lilith) Lilith, the demon familiars will not inherit Lilith's damage stats as Incubus does.
Holding the up/down + left/right attack buttons will make one demon go further behind and the other one in front of Isaac.
Because the demons need time to adjust their position while firing, the left\right directional buttons can be tapped to shoot more precise, straight lines of tears.

Box of Friends/ Crooked Penny/ Diplopia: Each additional Twisted Pair will add two more familiars that float farther out from Isaac.
Tractor Beam: Twisted Pair's tears follow the beam.

Epic Fetus: Each familiar will fire a missile from a two additional crosshairs. Not Recommended, as the twisted pair crosshairs are not synced to Isaac's crosshair and move at a much slower rate, making self damage much more likely as the additional crosshairs will struggle to make distance from Isaac.
Eye of Greed When the tear effect triggers, it occurs 3 times and costs you 3 coins.
(Found Soul) Found Soul: While the soul is alive, decreases Twisted Pair's damage by 20%.
Sacrificial Altar: Only 1 item pedestal is spawned for their sacrifice, unless they were spawned through Cambion Conception, in which case they will count for two.