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All you have to do is play in windowed mode, the operating system will act like you're still looking at your desktop and prevent tearing.
So to do this: C:\Users\YOURNAMEHERE\Documents\My Games\Binding of Isaac Afterbirth+
Open the file Options.ini
Fullscreen = 0
WindowWidth = Your Resoution here
WindowHeight = Your Resolution here
Now launch the game and see how it looks. If it's too big, scale the width/height accordingly.
Best place to instantly test screen tearing is Greed mode, due to the length of the room.