Epiphora

### Collection Grid

*(page 4, column 3, row 1)**(page 4, column 3, row 1)**(page 4, column 4, row 1)*

**Epiphora** is a passive item added in *The Binding of Isaac: Afterbirth*.

## Effects

* Tear delay gradually decreases as the player shoots in one direction. Accuracy also decreases as the fire rate increases.
	+ At max "charge", it will reduce tear delay by half, rounding down.
* Fire rate gradually increases as the player shoots in one direction. Accuracy also decreases as the fire rate increases.
	+ At max "charge", it will increase fire rate by double.
* Rate of fire returns to its original value if Isaac stops firing, changes firing directions, uses an active item, or is hit.
	+ Being hit, changing rooms, and using items no longer reset the Epiphora bonus.
	+ Entering an unexplored boss room will reset the Epiphora bonus.
		- During the delay when transitioning between rooms, picking up an item, or using an active item, it's possible to change the firing direction without resetting the bonus.

## Notes

* Epiphora technically works with items that require a charge (such as ), but requires releasing the key or button, causing players to lose the effect.

## Synergies

* : Epiphora's bonus will not reset when switching fire diagonally, as long as Isaac's head doesn't turn.
* : Reduces the need to change firing direction, allowing Isaac to maintain the increased rate of fire.
* / : Firing bombs continually will decrease tear delay, although doing so is **not recommended** since it increases the risk of self-damage.
* The Forgotten: When tapping the attack button in a single direction repeatedly, the Ephiphora effect will cause the bone swings to speed up.
* : Changing firing direction while jumping does not reset the bonus, similar to when changing rooms.
* : Incubus's fire rate will match Isaac's.
* : Fire rate increases while moving the tear in one direction; it has a negligible effect during normal gameplay.
* : Both items work as normal, with tear rate gradually increasing until Isaac turns his head, which can happen via him or the crosshair moving too out of parallel.
* : Reduces the need to change firing direction allowing Isaac to maintain the increased rate of fire.
* : Isaac will never lose the benefits of Epiphora, even after he stops firing. This effectively makes Epiphora a substantial tears up. Fully charging Ephiphora is still needed to gain a higher tears stat if an item that would increase the tears stat is picked up.
* : Fire rate still increases when shooting in one direction, but will stay on the line (i.e. no loss in accuracy).
* / : Allows for firing in multiple directions at once, decreasing need to change firing direction.

## Interactions

* Charging items such as , , , , , and : Effect only activates when holding charge in a specific direction, and deactivates when the charge is released, effectively making Epiphora useless unless Isaac has exceedingly low fire rate.
	+ /  +  /  /  / : Due to constant firing, Epiphora's fire rate bonus can now be used.
	+ /  + : The Brimstone laser only gains the increased damage from higher tear rates when the laser starts firing, making Epiphora's bonus useless.
* : Overrides Epiphora.
* Lilith: Lilith and her Incubus cannot gain extra fire rate from Epiphora.
	+ Incubus' fire rate will increase without the accuracy penalty
* Tainted Isaac: If you pick up an item and drop Epiphora while holding the attack button you will keep the fire rate. The effect will disappear upon entering a new floor.
* : Bag of Crafting can be used to switch directions without reducing fire rate when activated.

## Trivia

* Epiphora is an overflow of tears onto the face.