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