The Ludovico technique is a passive item in The Binding of Isaac: Rebirth. Visually, it looks similar to the item Technology and adds specula forcing Isaac's eyes open as well as mechanical devices to his upper head. It allows the player to control a single tear instead of shooting consistently. The tear does damage over time to enemies it touches and can move over rocks and through enemies unlike normal tears.

The speed of the tear is determined by the Shot Speed stat, while the tick-rate of it depends on your tear stat.


  • This item synergises extremely well with laser items (e.g. Brimstone) as it creates a permanent laser ring which can be moved around the room at will. Also if combined with Spoon Bender (homing tears), as the laser ring will deform and bend towards enemies.
  • It can also be combined with multi-shot items such as the 20/20, adding smaller tears orbiting around the central one.
  • If combined with Mom's Knife, each tear will be replaced by a knife.
  • When combined with A Lump of Coal the floating tear will increase in size and damage as it travels away from the player, and again, decrease in size and damage as it floats closer to the player.
  • With Strange Attractor, enemies will be drawn directly to the tear, unable to escape its pull and keeping them a safe distance from the player.
  • If you have Spoon Bender alone, the tear will slowly float towards the nearest enemy, when not controlling it. When it locks on, moving the tear will become harder to control


The Ludovico Technique is a reference to a fictional aversion therapy (of the same name) used in A Clockwork Orange. In this therapy the patient's eyes were kept open by specula and the patients were forced to watch violent images while under the effects of a nausea inducing drug.



  • JG1VA966 ZYS1 ONMS, S2BBN63F or ZMVQ J83Q  - The Ludovico Technique spawns in the first treasure room you enounter.
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