Both their eyes and mouth are stitched shut, with a large third eye burning with purple flames on their forehead, which is crying with blood.
They behave exactly like other Maws, but fire large, purple homing shots, thus making them a much greater threat. They also have an Eternal Fly orbiting them, which can block Isaac's tears.
Its large homing shot only deals half a heart damage.
Eternal Champion Behavior
Eternal Psychic Maw behaves exactly like its normal counterpart, but has 3 Eternal Flies orbiting itself.