A homing wave. Psyduck and Slowpoke start with it. Its damage was tuned down so it would not dominate runs. Fires at the nearest enemy. Extra levels add shots and pierce.
0.58s cooldown · 13 base damage · 1 shots
Confusion level-up ladder
Level 2: +1 projectile
Level 3: +45% damage
Level 4: −25% cooldown
Level 5: +1 projectile and +1 pierce
At level 5, Confusion evolves into Psycho Charge (Psicocarga) if you have taken Reflexes at least once in that run. The gold card is always offered when both conditions are true. The evolution grants ×1.8 damage, +2 projectiles, +2 pierce, and a larger shot.