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Template:I: Tears will increase their damage and size as they travel, and they are not limited by range.Template:I: Coal's bonus is based on total distance traveled so it does benefit (slightly) from Reflection.Template:I: Fear shots cause enemies to run away allowing Coal's damage to increase longer.Even at close range it will still do about +3.5 damage. Template:I: Increases the tear's damage and size the farther the tear is from Isaac.Template:I: The extra distance traveled from zig-zagging increases Coal's damage.Template:I: Tears and burst tears will increase in damage the farther they travel.Template:I: Tears and auras will increase in size and damage the farther they travel.Template:I: Tears will gain damage as they travel.Burst needles will also increase in size and damage. Template:I: Needles will increase in size and damage as they travel.Split tears will increase in size and damage as well however, the gradual increase in size is barely noticeable because split tears will disappear very quickly. Template:I/ Template:I: Fired tears will increase in size and damage as they travel.Template:I: Combined with a good amount of range or shot speed, tears travel through the room walls back inside and deal even more damage.Template:I: Bone tears will grow in size and damage as they travel however, bone shards will only increase in damage.
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The item has the opposite effect of the item Template:I, which makes Isaac deal more damage at close range.This starts at +0 and increases to about +6 at a standard room's width (but can go higher). Tears gain a flat damage bonus based on how far they travel.Tears shot with Anti-Gravity will become larger and stronger the longer they are held in place.Can make My Reflection tears much more powerful.IPECAC - Ipecac's long travel time allows for increased damage.Sacred Heart - The slow shot speed and homing can allow for a large damage increase with this item.Magician tarot card or Spoon Bender) and if range has been increased by a large amount. Can be very potent if combined with an item that causes tears to home in on a target (e.g.Due to the nature of the Ludovico Technique, the controllable tear gets larger the farther away Isaac is from it.Turns Mom's Knife black, but does not increase damage.
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This is because damage increases based on how long Isaac's tears are on screen, and higher Shot Speed decreases that time.