#5.100.611 · Active Item
"Hear my pain"
Recharge: 12 rooms
- Makes Isaac shout, dealing damage to and pushing away nearby enemies.
- The item can be used when not fully charged, but deals more damage and has increased range the more charges it has when used.
- The shout deals damage equal to 20 + 28x the charges Larynx has.
- Only charges when Isaac is hit.