The one's with known effects are as follows: Cancer - faster firing speed Counterfeit Penny - gives a chance of one extra cent being collected upon picking up a coin (dimes might be 11, nickels 6, pennies 2) Goat Hoof - Randomly causes a tear to increase in damage Burnt penny - chance of a bomb spawning upon picking up a penny Missing page - When using a spacebar item a random book is used, and chance of activating necronomicon when damage is taken Bloody penny - Chance of dropping half heart upon picking up a coin Lucky Toe - chance of extra items when opening chests or from blue rocks Isaac's Fork - chance to regain health upon kill Liberty Cap - Random odd mushroom effect each room Push pin - Chance that a tear becomes "spectral (Ouija Board effect) Tick - Boss health decreased, cannot be exchanged Umbilical Cord - If brought to half a heart Little Steve will be spawned Safety Cap - Identifies pills Rusted Key - Chance to drop a key when hit Pinky Eye - Chance a tear will be poisonous Red Patch - Chance to activate the "Razor Blade" when hit, and sometimes shears Mom's Pearl - Chance to freeze enemy