
Kidney Stone: Increase number of tears in tear barrage however, only fires one stone.The Wiz: Two tears are fired in each direction.Only one tear can be seen, as they overlap each other. Tractor Beam: Both tears are fired along the beam.Technology: Fires two technology shots simultaneously.Sprinkler: Fires two tears at once that almost completely overlap each other.Polyphemus: Grants additional +5 flat damage and removes the fire rate penalty, firing 2 tears per shot.Monstro's Lung: Adds two tears to the tear barrage, for a total of 16.The Ludovico Technique: The Ludovico tear gains one smaller tear orbiting the main one, each dealing the same amount of damage.This is a damage per second increase if tear rate before picking up was less than 3.75 otherwise this is a damage per second decrease. Reduces damage dealt to 80%, but makes his base tear stat equal 2.73. Keeper: Fires 5 tears with no fire rate decrease.Additional copies will add one additional tear with no further change to damage/fire rate. Removes the fire rate penalty while reducing damage to 80%.The Inner Eye / Mutant Spider: Adds two/three tears to each shot, with no extra fire rate decrease.Doctor's Remote / Epic Fetus: Replaces the single missile strike with a barrage of two consecutive missiles.Adds one more tear without further lowering damage.Diplopia: Every additional 20/20 adds 2 more tears in a tight pattern.Brimstone: Two Brimstone shots are fired, without an increase in charge time.


The maximum amount of tears per volley that can be reached by combining and/or duplicating 20/20, The Inner Eye, Mutant Spider and The Wiz is 16, or 20 with the Keeper.

Unlike other multiple shot items like Mutant Spider or The Inner Eye, 20/20 does not reduce the rate of fire.

