Spawns a small flying Monstrofamiliar that charges up and fires a large cluster of tears, similar to Monstro's main attack.
It fires between 12 and 14 tears that do 3.5 damage each.
It can do a minimum of 3.5 damage to 49 damage, depending on how many shots are fired and how many hit.
Notes
Familiars that follow behind Isaac have a certain priority in how close their position is to him over other familiars, with Lil Monstro having 3rd / 5th priority.