Pupula Duplex
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Pupula Duplex is a passive item added in The Binding of Isaac: Afterbirth.
Effects
- Grants spectral tears.
Tear size multiplier: 2x.
+0.6 tear size.
Notes
- Despite their crescent shape, the tears still have a circular hitbox.
Synergies
Godhead: The damaging aura benefits from the increased size significantly.
Interactions
-
Azazel/ 
Tainted Azazel/
The Forgotten/ 
Tainted Forgotten: No effect, only has an effect on 
The Soul. 
Epic Fetus/
Mom's Knife/
Tech X/ 
Spirit Sword/
Brimstone: No effect on those items.
The Ludovico Technique: Only tear appearance changes, no tear size up.-
My Reflection: Tears will spin like boomerangs. This is a purely cosmetic effect. -
Technology: Lasers are much wider.
In-game Footage
Trivia
- "Pupula Duplex" is said to be a condition in which a person has two irises and two pupils in one eye, without any actual recorded cases. An actual rare medical condition similar to it exists, called polycoria.
- This item's icon is similar to
Diplopia.
 The Binding of Isaac: Rebirth
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