If you're one of my beloved followers who is waiting for me to post something... Uh... Too bad I guess.
Now, let's cut the chase. People always say that Almond Milk is a perfect item to make synergies with- they're wrong.
It does cause tons of effects to your tears, and one of those effects is a severe DMG down. If you're playing as Tainted Samson on Greed Mode, NEVER take Almond Milk, like I did.
It'll take you tons of items to get your DMG back to a decent number. While you're shooting, never just hold the buttons, spam them. Because if you just casually hold them, if your rage finally bursts, your bone will be sent flying across the screen, missing every enemy that was in front of you and it'll take some time until it comes back to you. Now, here's where the DMG down really fucks you. If you manage to keep your bone when your rage bursts, your damage won't be enough to kill an enemy big enough to keep your rage meter constant, what means you'll have a really short time of rage mode.
That's my advice to you. Tainted Samson has a very unique thing going on... that can be ruined if you take the wrong items.