
Items that can be used without firing, such a Mom's knife and orbitals can do massive amounts of damage.This effect is not cancelled by shooting tears. Wisps pause all enemies and enemy shots for 3 seconds when destroyed. Book of Virtues: Spawns green wisps on the middle ring.120 Volt: 120 volt continues to damage enemies even while paused, allowing for insane amounts of damage.Pausing in the room before entering the minecart in the Mines causes the minecart to freeze, trapping the player inside of it until they exit to the main menu.Reducing a boss to zero health whilst they are paused will initiate their death animation but they will not die until a fire button is pressed or the 30 second timer has lapsed.The health bars of multi-segmented bosses may not be updated properly, making it seem as if they died without running out of health.Damage against paused multi-segmented bosses works unpredictably, most notably allowing you to damage Scolex on normally invulnerable parts.This applies for spawn-upon-death effects such as Attack Flies created by a Moter, or a Boss that stopped becoming frozen and began summoning enemies. New enemies generated during Pause being active will not be frozen and act normally.The Forgotten's Soul will be able to extend far past the normal limits of the chain when activated while The Soul is out.All enemies resume actions after 30 seconds.

Bosses will resume their actions after 30 seconds have passed, while non-boss enemies (except Lil' Haunt) are still paused.Using Dark Arts will not stop the effect.Stops fireplaces from shooting projectiles.Co-op babies can fire without ending the effect.Touching frozen enemies will still damage Isaac.Stops all enemies including bosses until a fire button is pressed.
