Elden Ring currently features a total of 32 Crystal Tears with 29 of them being unique. Specifically, the Crimson Crystal Tear, Cerulean Crystal Tear, and Ruptured Crystal Tear have 2 iterations of each and if you combine them, they become doubly potent....
Teleport there and take down the Putrid Avatar to obtain the Ruptured Crystal Tear. Then, go down the road to the west until you reach the Ordina Liturgical Town. Activate the Site of Grace, but don’t go into this location right now. Instead, head to the frozen lake and grab the Cons...