In-game pickup line
“Double tap sneeze”
Mechanics
What Hemoptysis does
- Double-tapping a fire direction releases a damaging blood sneeze in front of Isaac.
- Enemies hit take increased damage from Brimstone-style beam attacks while cursed.
Achievement #591
How to unlock it
Defeat Delirium as Tainted Azazel.
Unlocking an item and finding it during a run are separate steps.
Explore more unlocksIn a run
Practical note
Sneeze at a close target before firing a Brimstone-like attack into it.
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.
