Nondescript Cigarettes
"Hell Yeah"
Gives a chance for Isaac to fire a smoky tear that does 1.5x damage and confuses enemies for a long time
Gives +10 luck, but removes 1 heart container every new floor (has no effect on soul hearts
Decreases time to take damage from toxic gas by 1.5x
Has a 1/400 chance that for one room only, Isaac wears a MAGA hat until he leaves the room (purely cosmetic change)
(Credit to Awenicks for the +10 luck but less health every floor idea)