Proptosis

**Proptosis** is a passive item.

## Effects

* Doubles Isaac's Damage stat.
* Isaac's tears become larger and do more damage, but shrink and do less damage the further they travel.

## Notes

* Effective range of Isaac's tears now also depends on damage, as they can shrink out of existence before their air time runs out.
* Tear size increasing items also increase the maximum distance before disappearance, but the damage dealt can go below original at the extreme.
* The item has the opposite effect of the item A Lump of Coal, which makes Isaac deal more damage from farther away.

## Synergies

* Template:I: The tears will not decrease in size or damage until they start moving, making this excellent against enemies that chase Isaac.
* Template:I: The Athame ring is much larger and deals 1.5x damage.
	+ The ring deals normal damage.
* Template:I: Retains the double damage effect without losing damage over range.
	+ The beam decreases in damage and width the farther it travels.
	+ Does not affect Azazel's short-ranged Template:I.
* Template:I: Further increases the size of the initial tears.
* Template:I/Template:I: Doubles damage with no penalty for distance.
* Template:I: Large tears cause a larger halo as well.
* Template:I: Fired and burst tears do double damage. Fired tears and burst tears will still shrink and do less damage the farther they travel.
* Template:I: Proptosis scales with Isaac's damage while the Lump of Coal does not. At base damage, the Lump of Coal will approximately negate the damage lost over distance, but with increased damage, tears still do more damage up close.
	+ Template:I + Template:I: The controlled tear has full **Proptosis** damage buff, no matter how far they are from Isaac.
* Template:I: The Maw ring is much larger and deals 1.5x damage.
	+ The ring deals normal damage.
* Template:I: The Knife damage is doubled regardless of range.
* Template:I: Tears do massive damage and carry with leftover damage while still shrinking.
* Template:I: Significantly increases tear size, effectively increasing maximum range.
* Template:I/Template:I: Doubles damage.
	+ The beam decreases in damage and width the farther it travels. Tears become virtually powerless across large rooms like the Boss Rush and the Hush fight.
* Template:I: Ring size and damage is substantially increased, but decreases as the ring travels further from Isaac.
* Template:I: Significantly increases the beam's damage per tick, tripling damage at medium range.
* Template:I: Tears spawned by Varicose Veins are larger and deal additional damage, and usually disappear at the edges of normal sized rooms.

## Interactions

* Template:I/Template:I/Template:I: Tears will often disappear before they can burst. Tears created from bursts will also shrink, but due to their already low range, the difference may not be noticeable.
* Template:I: Tears will often disappear before they can travel through walls.
* Template:I: At base range and tear size, tears will bounce twice against the floor and then disappear.
* Template:I: Tears almost disappear completely but are still able to do massive damage.
* Template:I: The tear barrage and kidney stone disappear after a certain distance. The kidney stone takes longer to disappear than the tear barrage.
* Template:I: Tears disappear too quickly to be fed.
* Template:I: The closer the tear floats to Isaac, the larger it is. The farther away, the smaller it becomes.
* Template:I/Template:I: Tears will disappear at different distances depending on how big they were when fired.
* Template:I: Tears disappear before they can return to Isaac.
* Template:I: Tears will disappear extremely quickly after being fired.
* Template:I: Tears usually disappear before they can bounce off walls.
* Template:I: Tears disappear nearly instantly in front of Isaac, decreasing his range and damage to nearly nothing.

## Trivia

* Eye proptosis is a condition resulting in forward displacement and entrapment of the eye from behind by the eyelids. The condition is also known as eye dislocation and eye luxation.

## Gallery

* Proptosis Rebirth Icon.png

Removed in Afterbirth † Proptosis's original appearance before Booster Pack #5.

## Seeds

 PC  CMTS HNLP (Treasure room adjacent to spawn)

 PC  1SKS ZMYW (Treasure room adjacent to spawn)

 PS4  BZZ7 DWY3 (Treasure room adjacent to spawn)

 3DS  HAPT EHDH (First floor treasure room)

 PC   GDD6 7YNH (Treasure room adjacent to spawn, Burning Basement)

 Switch  L79D L9S8 (Treasure room adjacent to spawn)

fr:Proptosis