Little Horn (Item)

 is a passive item added in Afterbirth †.

Effects

 * Running into enemies damages them.
 * Adds a chance to fire piercing tears which instantly kill any non-boss enemy.
 * This chance scales with luck.

Synergies

 * Ipecac: Projectiles gain the effect, piercing through and instantly killing most enemies, and then exploding upon landing.
 * Soy Milk: Due to the higher tear rate, the special tears will be fired much more frequently.