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Special item Stab stab stab Tears are replaced with a knife which can be charged and thrown in a boomerang style action. The knife can also do damage without being thrown as a close range melee weapon. When used as a melee weapon, Mom's Knife deals your tear damage 2 per tick. UNLOCK: Unlock this item by beating Satan with Isaac.

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Final answer:

The question is about the special item 'Mom's Knife' in the video game, Binding of Isaac. It is a versatile weapon that can be used both at a distance and in close combat. The player unlocks it by defeating Satan as the character, Isaac.

Step-by-step explanation:

The inquiry focuses on Mom's Knife, a special item in a video game called Binding of Isaac. This item replaces tears (the primary form of attack in that game) with a knife capable of both ranged and melee attacks. The knife can be 'thrown' in a boomerang pattern to hit distant foes and also taken into close combat as a standing weapon, inflicting twice your tear damage per hit when used this way. The special item is unlocked upon defeating Satan as Isaac within the game.

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