Pisces
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Pisces is a passive item.
Effects
- Increases tear knockback.
- If the player has piercing tears, the knockback effect is reduced.
Tear size multiplier: 1.25x.
+0.12 tear size.- -1 tear delay (increased rate of fire)
- Since this directly affects tear delay instead of changing the tears stat, it allows Isaac's rate of fire to go over the normal maximum rate.
- Tear delay decreases are more noticeable and are a greater increase to DPS when the tears stat is high.
- +0.5 fire rate.
Interactions
Blister: Overrides Pisces.
Brimstone: The beam gains knockback.
Cupid's Arrow/
Death's Touch/
Dead Onion/
Sagittarius: Tears gain knockback.
Dr. Fetus/
Epic Fetus/
Ipecac: Explosions also gain increased knockback.
Mom's Knife: The knife gains knockback.
Technology/
Technology 2/ 
Tech X: The lasers gain knockback.
- Technology 2's constant laser has such strong knockback, it can pin enemies to walls.
Trisagion: Adds knockback to blasts, which can not only significantly repel enemies when used correctly, it can deal a high amount of damage to enemies unable to escape the knockback.
In-game Footage
Trivia
- Isaac appears to be covered in scales, a reference to Pisces being represented by twin fish.
- Edmund McMillen is a pisces.
 Zodiac Signs
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 The Binding of Isaac: Rebirth
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