Upon picking up 3 book items from the following list (
3 items with the book item tag), Isaac will fire tears out of both eyes simultaneously 25% of the time. This effect stacks with items such as
20/20,
The Inner Eye and
Mutant Spider, multiplying the number of tears.
The chance of firing double tears is not affected by Luck.
Activated Collectibles
| Name
|
ID
|
Icon
|
Quote
|
Description
|
Quality
|
| Anarchist Cookbook
|
5.100.65
|
|
|
Spawns six Troll Bombs around the room.
|
 - 1
 - 0
|
| The Bible
|
5.100.33
|
|
|
Grants flight for the current room. Instantly kills Mom, Mom's Heart, and It Lives! when activated, but kills Isaac when used on Satan.
|
|
| The Book of Belial
|
5.100.34
|
|
|
+2 damage for the current room. Passively guarantees a Devil Room or Angel Room will appear while held.
+2 damage for the current room. Passively increases the chance of finding a Devil Room or Angel Room while held.
|
|
| Book of Revelations
|
5.100.78
|
|
|
Increases the chance of a Devil Room / Angel Room appearing while held. Upon use, gives one Soul Heart, and replaces the boss of the current floor with a Harbinger if possible.
|
|
| Book of Secrets
|
5.100.287
|
|
 - ??????
 - Tome of knowledge
|
Gives the effect of Treasure Map, The Compass, or Blue Map for the duration of the current floor. If all effects are active, X-Ray Vision is provided for the floor instead. Highlights any Tinted Rocks and rocks with Crawl Space in the room.
|
 - 1
 - 0
|
| Book of Shadows
|
5.100.58
|
|
|
Creates a protective shield, nullifying all types of damage in the current room for 10 seconds.
|
|
| The Book of Sin
|
5.100.97
|
|
|
Spawns a random coin, heart, bomb, key, battery, pill or card near Isaac.
|
 - 2
 - 1
|
| Book of the Dead
|
5.100.545
|
|
|
Creates a friendly Bony, Black Bony, or an orbital bone for each enemy killed in the current room.
Creates a friendly Bony, Black Bony, Bone Fly, Revenant, Big Bony, or an orbital bone for each enemy killed in the current room.
|
 - 3
 - 2
|
| How to Jump
|
5.100.282
|
|
- It's time you learned how
|
Isaac jumps in the direction he is currently moving, allowing travel over obstacles and enemies.
|
|
| The Necronomicon
|
5.100.35
|
|
|
Deals 40 damage to every enemy in the room.
|
 - 1
 - 0
|
| Monster Manual
|
5.100.123
|
|
- Temporary buddy generator
|
Spawns a familiar from a specific selection for the current room.
Spawns a familiar from a specific selection for the current floor.
|
|
| Satanic Bible
|
5.100.292
|
|
 - Reusable evil
 - Reusable evil... but at what cost?
|
Grants one Black Heart. Replaces the boss room item on the current floor with a Devil Deal.
|
 - 4
 - 3
|
| Telepathy For Dummies
|
5.100.192
|
|
|
Gives homing tears for the current room. Also gives +3 range.
|
|
Lemegeton
|
5.100.712
|
|
|
Spawns a destructible orbital familiar representing a random passive item, which blocks shots and deals contact damage. While the wisp is alive, Isaac gains that item's effects.
|
|
Passive Collectibles
| Name
|
ID
|
Icon
|
Quote
|
Description
|
Quality
|
Book of Virtues
|
5.100.584
|
|
|
Passively causes active items to spawn themed orbital wisp familiars on use, which fire tears and block shots. Can be activated to spawn a basic wisp if Isaac has no other active item.
|
|
Notes
- As
Jacob and Esau /
Tainted Lazarus, it's not possible to cycle between three books to give both characters the transformation's effect. Each character needs to pick up three different books, meaning six books in total.
Unlike
20/20, the damage of doubled tears is not reduced. Each of the doubled tear shots does full damage.
Trivia
- A bookworm is a person who's devoted to reading, especially books.

Book of Virtues is the only passive item to contribute to the transformation.
- Bookworm can be very easily attained by going into a
Library.