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Tirajisú is a passive item in Vampire Survivors. It is unlocked by surviving for 20 minutes as Krochi Freetto.
Tirajisú increases Revival by 1 per level.
Tirajisú is required for the evolution and union of Phiera Der Tuphello and Eight The Sparrow, Phieraggi.
Tirajisú can be found as a stage item in Cappella Magna, Moongolow, and Boss Rash.
Stage items can be used to complete an evolution if you dont have the item unlocked yet.
You also clearly don't look at the unlock menu because it would tell you how to get it; have fun asking for every other item in the game.