Two small horns, similar to the ones of Loki.
Grants a random chance for tears to fire in a cross (+) pattern. This chance is increased with Isaac's Tears stat. Although the pickup quote is "tears up," it does not actually increase the Tears stat.
- If the player shoots a charged Chocolate Milk shot, all of the cross pattern shots will be charged.
- IPECAC - Gives a chance to shoot three regular tears in the three directions Isaac isn't firing.
- Mom's Eye and The Inner Eye - The cross pattern shot is always fired.
- This does not work with Mutant Spider despite its similarities with The Inner Eye
- Brimstone - When the cross pattern is shot instead of lasers firing in each direction it shoots the laser and shoots tears in the other directions that have the original damage of the tears before being altered by brimstone
- Sometimes it may appear before being unlocked.