That somehow reminds me:
Do you guys prefer Tammys Head or Krampus head?
Tammys head: 1 room charge, whatever tear effects you have, damage multiplied by 2 (correct me if wrong), Shoots in both Cardinal/Ordinal directions.
Krampus head: 3 room Charge, fires brimstone in all cardinal directions, damage isn't dependent on your own
Personally to me it depends on the situation. If i have brimstone or even moms knife (not sure if it works with it), Id take Tammys head.
If i had just tears, Id take Krampus head.