At base stats, Ipecac shots won't be able to fly over obstacles, but the more range ups Isaac gets, the higher shots will be launched. The height of the shots scales with range.The same applies to using it on a Crawl Space wall. Using Ipecac in a Crawl Space will cause the tear to bounce off the ceiling, bounce off the floor at a low height, and eventually explode.Explosions that deal more than or equal to 100/ 166 damage shake the screen.Self-damage is increased to a full heart with 85 or higher damage stat.Since explosions that deal less than 85 damage hurt Isaac for half a heart, Ipecac shots usually hurt Isaac for half a heart.Character damage multipliers do not apply to Ipecac's flat bonus.Ipecac's damage bonus does not apply to Burn or Poison fully only +4/ +2 is applied to their damage per tick.The damage boost mitigates the very small tear size multiplier.Enemies within the blast radius of an Ipecac explosion will also be poisoned.Collecting three items from this set will transform Isaac into Bob. Replaces tears with explosive and poisoning projectiles fired in an arc.