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Using the guppy transformation or a black rune in an area full of items are probably the most broadly reliable ways, but there are lots of items that make blue flies.
I got it with guppy and a moderately high tear rate. Definitely higher or equal to 5. You just need to run into the right type of enemies consecutively to build up your fly count a bit.
Compost item duplicates flies easily
Guppy's Head with lots of batteries or Car Battery
Black Rune a room full of pickups
Fish Head + lots of health willing to spend
Jar of Flies
Guppy