Pulse Worm is a trinket. Tears pulsate in size between 1x to 1.6x as they travel. The effect changes the hitbox of the tear but does not affect damage. Golden Trinket / Mom's Box / Pulse Worm: Each effect/trinket copy multiplies the maximum tear size. Godhead: The damaging aura pulses along with...

Nov 30, 2015 · Binding of Isaac: Rebirth Item guide series===Support me===Monthly on Patreon: https://www.patreon.com/syncerOne-time donation: https://www.paypal.com/cgi-bi...

Causes Isaac's tears to pulsate in size between 1-1.6x as they travel. The effect affects the hitbox, but not the tears' damage.

Dec 30, 2014 · Pulse Worm causes shots to pulse in size. Purple Heart increases chance for challenge rooms to be boss challenge rooms / Causes more enemy champions to spawn. Push Pin adds a 10% chance to shoot a piercing and spectral tear.

Jun 20, 2022 · Brain Worm aside, I absolutely love the Pulse Worm. It basically does nothing except slightly increasing your tears' hitbox... but to be fair, it looks really satisfying. Hook Worm is probably my least favorite, except with certain tear modifiers like Brimstone. It feels like your tears are actively avoiding your enemies.

Ouroboros worm is great with Azazel because of the range and tear shape. Brain Worm should be in its own S tier at the top.

Jan 13, 2025 · Trinkets are a type of item that provides passive bonuses, typically not as strong as collectible items. By default, only one can be held at a time.

Mar 8, 2015 · Took me a while to figure it out too. The only real effect it has is when you have Ludovico + Brimstone, it makes the ring fluctuate in size. It does not change damage but makes it more likely for shots to hit enemies. 313K subscribers in the bindingofisaac community.

Tears pulsate in size as they travel.

Pulse Worm is a trinket. Effects. Tears pulsate in size between 1x to 1.6x as they travel. The effect changes the hitbox of the tear but does not affect damage. Synergies. Golden Trinket / Mom's Box / Pulse Worm: Each effect/trinket copy multiplies the maximum tear size. Godhead: The damaging aura pulses along with the tear. In-game Footage