Varicose Veins 
Effects
- When Isaac gets hit, 10 tears are fired in a circle around him (similar to
Tammy's Head).
- Tears spawned on hit have a +25 damage bonus.
- When Isaac gets hit, has a chance to activate the
Anemic effect for 2 seconds.
- The effect doesn't seem affected by luck.
Interactions
20/20 /
The Inner Eye /
Mutant Spider: No effect. When Isaac gets damaged, only ten tears will be fired.
Apple!: Each tear has a chance to fire the razor tear.
- (Azazel) Azazel: Fires ten short-ranged brimstone beams in a circle.
Anti-Gravity: No effect.
Chocolate Milk: Fires ten minimally charged tears. Damage of tears is reduced slightly.
Dr. Fetus: Taking damage releases 10 bombs around Isaac, which often leads to taking damage again.
Epic Fetus: Fires ten normal tears when taking damage.
- (Added in Repentance)
Eye of the Occult: Tears are controllable.
- (Added in Repentance)
It Hurts: Two rings of tears are released at once.
The Ludovico Technique: No effect.
Marked: No effect.
Monstro's Lung: Fires ten red tears when taking damage. No other effects.
- (Added in Repentance)
Playdough Cookie: Each one of the 10 tears spawned on hit has one of the available random effects applied to it.
Soy Milk: Fires ten tiny tears when taking damage. Tear damage is only slightly reduced.
- (Tainted Azazel) Tainted Azazel: Fires ten brimstone beams in a circle. These beams do not have the damage penalty T. Azazel's attacks have, and can be further boosted by his (Added in Repentance)
Hemoptysis sneeze.
Tech X: No effect.
Technology: Fires ten lasers in a circle.
Tractor Beam: No effect.