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Ipecac item
Ipecac is an unlockable passive item in The Binding of Isaac.
Description
+40 flat damage.
×0.33 fire rate multiplier.
×0.8 range multiplier.
×0.8 shot speed multiplier.
×0.4 tear size multiplier.
Isaac's tears become explosive and are fired in an arc.
Enemies within the blast radius become poisoned.
Damage multipliers do not affect Ipecac's flat damage bonus.
Ipecac shots deal half a heart of self-damage, and a full heart with 85 or a higher damage stat.
The poison deals damage equal to BaseDamage + 2, and ticks for a total of 2 times. The +40 flat damage does not apply to this formula.
Note
This page shows information as of the latest Repentance release.
To see latest up-to date information about this item for the new Repentance+ (Online Co-op) DLC, check this page instead.
How to unlock?
Defeat Mom's Heart 6 times.
Transformations
Item pools
Ipecac can be found in the following item pools:
| Name | Weight |
|---|---|
| Treasure Room |
1.0/1.0
|
| Greed Treasure Room |
1.0/1.0
|
Tags
The following tags are applied to this item:
| Id | Description |
|---|---|
| bob | Contributes towards the Bob transformation. |
| summonable | Can be summoned via  Lemegeton. |
| offensive | Can appear for  Tainted Lost. |
Special synergies
The following special synergies and interactions for Ipecac have been documented.
| Mod | Item | Synergy |
|---|---|---|
| --- | Abyss | Spawns a green locust that is 25% larger, 20% slower, deals 50% more damage, and has a chance to poison enemies. |
* Note that not all possible synergies and interactions are listed here.
External links
- Check out the item description on the external Isaac Wiki.
Prayer Card 
Notched Axe 
Infestation 
Tough Love 
The Mulligan 
Technology 2