Spawns a familiar that follows Isaac around and fires two tears at once in a V-pattern which deal 4 damage each.
Harlequin Baby shoots once per second.
Harlequin Baby shoots 1.36 times a second.
This item belongs to the Conjoined set. Collecting three items from this set will transform Isaac into a three-faced version of himself.
Notes
Familiars that follow behind Isaac have a certain priority in how close their position is to him over other familiars, with Harlequin Baby having 5th priority.
Synergies
Mongo Baby: Will copy Harlequin Baby’s spread double shot effect.
Tainted Forgotten: The momentum from the skeleton being tossed makes Harlequin Baby's tears launch at abnormally high shot speed.
This item refers to a condition called Harlequin Ichthyosis, which is a rare skin condition from birth, which on babies gives puffy red eyes, green or red crackled/scaly skin, and stretched out lips.
Harlequin Baby shoots once per second.
Harlequin Baby shoots 1.36 times a second.
This item belongs to the 
Conjoined set. Collecting three items from this set will transform Isaac into a three-faced version of himself.
Mongo Baby: Will copy Harlequin Baby’s spread double shot effect.
Tainted Forgotten: The momentum from the skeleton being tossed makes Harlequin Baby's tears launch at abnormally high shot speed.
The Binding of Isaac: Rebirth
