In-game pickup line
“Needle shot”
Mechanics
What Euthanasia does
- Needles have a 3.33% firing chance, rising with Luck to 25% at 13 Luck. A normal enemy killed by one bursts into 10 tears.
- Bosses are not instantly killed; needles instead deal 3× Isaac's damage to them.
Achievement #292
How to unlock it
Defeat Delirium as Lilith.
Unlocking an item and finding it during a run are separate steps.
Explore more unlocksIn a run
Practical note
It becomes stronger in crowded rooms because a needle kill can send extra tears into nearby enemies.
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.
