Bloody Tears can drop from the Grooms and Brides that sometimes spawn in graveyards. It's rare, but at least it's a way to obtain them without a Blood Moon.
The damage isn't all that matters though. Venom Staff has higher range, fires more projectiles, pierces more enemies and inflicts a better debuff than Poison Staff.
They haven't revealed any new bullet types. Chippy mentioned that "there's what looks to be a new bullet" in one of his videos, but those were actually Stinkbug Blockers.
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