Final answer:
The item that creates 5 beams of light at random locations in the room, dealing 20 damage to enemies, is option C - "CRACK THE SKY".
Step-by-step explanation:
The item that creates 5 beams of light at random locations in the room, dealing 20 damage to any enemies which come into contact with them, is option C - "CRACK THE SKY" ItemID: 160 "Holy white death".
These beams tend to favor spawning in the middle of the room but also have a chance to spawn in front of an enemy. The item's effect is similar to that of a divine intervention or a heavenly strike.