A severed dog's head.
Isaac is traumatized with a wide eyed stare.
Increases Damage, increases the size of tears and causes tears to inflict more knock back on enemies. The damage stat is increased by 0.5 and multiplied by 1.5.
- It is named after a dog that Edmund McMillen wanted as a child. While he never got the dog, he had planned to name it Max. This item and Lunch use its name.