This item can be collected multiple times, improving the effect with each stage.
- Stage 1: the ball floats around Isaac, absorbing bullets and damaging enemies it touches.
- Stage 2: the ball shoots charming tears like a familiar.
- Stage 3: now she can walk and shoot charming tears. If she is far away from enemies, she will shoot, if she is near she will walk to the enemy dealing damage. Unlike the Cube of Meat, she will not shove items around while moving.
- Stage 4: bigger version, dealing more damage.