In-game pickup line
“Spill your guts”
Mechanics
What Akeldama does
- In hostile rooms, tears form a chain behind Isaac as he moves.
- Enemies that touch the trailing tears take damage.
Achievement #446
How to unlock it
Defeat Mother as Judas.
Unlocking an item and finding it during a run are separate steps.
Explore more unlocksIn a run
Practical note
Move in a loop around enemies to drag the tear chain through them.
Reference
Game data and sources
The item ID, quality and pool listings, icon, game-file tags, and short pickup line come from the extracted Repentance files. This effect explanation is an editorial summary checked against the references below. Repentance+ can differ.
