Fires a Toxic Bullet, dealing damage to hit enemies. The Toxic Bullet explodes, creating a Toxic Puddle and inflicting Room 0 Trauma on those it hits. Room 0 Trauma deals continuous damage and applies Panic to nearby enemies.

Gains Plague Bodyarmor. Inflicts Room 0 Trauma on the attacking enemy. Room 0 Trauma deals continuous damage and applies Despair to nearby enemies.

Throw poison to create a Toxic Swamp. Enemies that touch the Toxic Swamp are inflicted with Room 0 Trauma and Venom-Soaked. Venom-Soaked enemies leave Toxic Footprints as they move. Toxic Footprints apply Room 0 Trauma to enemies on contact. Room 0 Trauma deals continuous damage and applies Decay to nearby enemies.

Equips a Unique Weapon. Unequipped after all bullets are consumed or after a certain period of time has passed. Enemies hit by the Unique Weapon bullets are inflicted with Room 0 Trauma. Room 0 Trauma deals continuous damage and applies Nightmare to nearby enemies.

When an enemy inflicted with Room 0 Trauma is killed, it spawns a Toxic Puddle. Enemies that step in the Toxic Puddle are inflicted with Room 0 Trauma. Room 0 Trauma deals continuous damage and applies Toxic Reaction to nearby enemies.