Backstabber

Backstabber is a passive item added in Afterbirth †.

Effects

 * When tears land on the "back" of enemies, they deal double damage and inflict bleeding.
 * Bleeding enemies take damage equal to 10% of their maximum health every 5 seconds.

Synergies

 * : Can still inflict bleeding, as long as Isaac is "behind" the enemy.
 * : Daddy Longlegs can occasionally gain the added damage and bleeding of Backstabber.
 * : Increases chance to backstab an enemy while standing in front or to the side by the shot bouncing to hit the enemy's back.
 * Shooting Familiars: Tears fired by familiars can inflict the effects of Backstabber.

Trivia

 * This item might be a reference to Judas's betrayal of Jesus.
 * The item may also be a reference to the backstabbing mechanic in other video games, where backstabbing results in increased damage to enemies.

Backstabber