Haemolacria
ItemAfterbirth+Locked
passiveGame ID 531★★★★
How do you unlock Haemolacria?
In The Binding of Isaac, Haemolacria is unlocked by unlocking Haemolacria (Achievement).
Structured pathSource-backed requirements are mapped into trackable steps.
Turns Isaac's tears into large blood tears fired in an arc. Upon hitting the floor, an obstacle, or an enemy, they burst into many smaller tears in all directions. Increases tear delay.
How to unlock: Acquire Blood Clot 10 times
What unlocking Haemolacria leads to
Nothing depends on this yet.
Source: bindingofisaacrebirth.wiki.gg
Imported 2026-09-13