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Isaac's tears become rocks and gain extra knockback.
Rock tears can destroy obstacles such as rocks and blue/purple fires which can normally only be destroyed by explosions.
Rock tears have a damage increase with a minor random increase/decrease in the amount increased being different per tear.
Notes
Rock tears allow Isaac to hurt Tuff Twins directly.
The Rock tears are also able to counter the damage resistance of Blasters.
Spectral tears make it harder to destroy rocks; such objects are only destroyed at the max range of the tears. Piercing and blue/purple fires are not affected in the same way.
Damage increase from the tear effect cannot be seen on the hud.
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