Pickups are items which are not gear, or runes. Pickups can be collected with the Interact command while the player is close or, in the case of gems, just by walking on top of them.

All main categories of pickups are:

  • Healing pickups that restore the player's health or reduce Malaise.
  • Scrolls to upgrade player stats.
  • Currency pickups, which award varying amounts of cells or gold.
  • Special pickups serving miscellaneous functions.
  • Keys, which let the player unlock doors.

Healing pickups


Food regenerates a fixed percentage of health when eaten (+65% health restored if the Gastronomy Mutation Icon.png Gastronomy mutation is active, half as much health restored if the Dead Inside Mutation Icon.png Dead Inside mutation is active). There are 2 different functional types of food, each with 7 different appearances depending on the selected diet, which is altered by game settings. If untouched by the player, it will be chosen as "Carnivore." Both types of food can add Malaise on Hell difficulty if the piece of food is infected. The amount of malaise given depends on if the food is major or minor. Minor food gives 50 points (1 bar) and major food gives 150 points (3 bars) of malaise. There will always be 1 clean piece of food in any one biome, dropping from an enemy. Another guaranteed piece of food will be found in a wall rune. This and any other drops, including those from lore rooms, will always be infected with Malaise on 5 BSC.

Minor foods

Minor foods restore 15% of the player's maximum health (25% if Gastronomy Mutation Icon.png Gastronomy is active, 7.5% if Dead Inside Mutation Icon.png Dead Inside is active). They're dropped from enemies, wall and floor runes, and can be purchased from food shops with 0-4 BSC active (with 5 BSC, food shops will sell a cough syrup instead).

Name Icon Diet setting
Kebab Minor-carni-kebab-96x96.png Carnivore
Carrot Minor-vege-carrot-96x96.png Vegetarian
Guts Minor-mons-guts-96x96.png Monster
Cherries Minor-fruit-cherry-96x96.png Fruitarian
Pastry Minor-castle-cake-96x96.png Castlevaniesque
"Le Croissant" Minor-bag-croissant-96x96.png Baguette
Small medkit Smallmedkit.png Half-Life
Gruyère Minor-cheese-wedge.png Cheese

Major foods

Major foods heal 50% of the player's maximum health (83% if Gastronomy Mutation Icon.png Gastronomy is active, 25% if Dead Inside Mutation Icon.png Dead Inside is active). They're found in the same ways minor foods are, as well as in lore rooms, but are rarer.

Name Icon Diet setting
Drumstick Major-carni-chicken-96x96.png Carnivore
Big ol' radish Major-vege-radish-96x96.png Vegetarian
Monster's Eye Major-mons-monstereye-96x96.png Monster
Watermelon Major-fruit-watermelon-96x96.png Fruitarian
Turkey Major-castle-turkey-96x96.png Castlevaniesque
"La Baguette" Major-bag-baguette-96x96.png Baguette
Large medkit Medkit.png Half-Life
Camembert Major-cheese-wheel.png Cheese

Other healing items

These healing items are more uncommon than food and can usually only be encountered under certain conditions.

Type Icon Description Sources Notes
Flask Recharge Healing Potion 1 Icon.png Restores 1 Health Flask charge. Since 2.5 can be recycled for gold.
Cough Syrup Cough Syrup.png Reduces your Malaise infection level by 30%. Food Shops Cannot appear if Malaise has been disabled, such as through custom mode or when fewer than 5 Boss Cells are active.


Scrolls are items that increase the player's stats.

Name Icon Effect Sources
Scroll of Power Power.png Adds one point to one of the three stats.
  • Scroll vats
  • Enemy drops
  • Cursed chest
  • Challenge Rift chest
Assassin's Scroll Str Skill.png Adds one point to either Brutality or Tactics.
  • Scroll vats
  • Enemy drops
Minotaur's Scroll Str Hp.png Adds one point to either Brutality or Survival.
Guardian's Scroll Skill Hp.png Adds one point to either Tactics or Survival.
Epic Scrolls of Power EpicPower.png Adds one point to all three stats.
Scroll Fragment Scroll Fragments.png Each 4th fragment collected will give a Scroll of Power.
  • Scroll Fragment pedestals
  • Enemy drops
  • Bosses
  • Scroll Fragments can only be found while 3 or more Boss Stem Cells are active.

Currency pickups

Gold Gold Currency Icon.png

Gold is the main currency used for making purchases and buying weapon upgrades throughout runs. All enemies will drop small amounts of gold when killed that appear as tiny, bright pebbles that automatically fly towards the player to be collected. Gold is lost upon death leaving over a small amount depending on your Gold Reserves level (default 0 gold).


Gems give a significant amount of gold when collected. Each one awards a different amount of gold depending on its type.

Gems in order of value
Name Icon Description Value Sources
Gold Tooth Golden Tooth Icon.png A tooth worth 100 GOLD. He was asking for it... 100
Golden Arrow Golden Arrow Icon.png A transmuted arrow worth 100 GOLD. When you care enough to shoot the very best. 100
Shiny Rock Shiny Rock Icon.png Totally and utterly worthless. You're not gonna pick that thing up, are you? 100
  • Guaranteed drop from one of the Key Dark Tracker Elites in High Peak Castle
  • Timed door reward
  • Wall runes (uncommon)
  • Random drop from enemies
Ingot Ingot Icon.png Pretty easy to sell. You should be able to get at least 130 GOLD for it. 130
  • Inside the chest at the end of the platforming challenge in The Bank.
Malachite Malachite Icon.png Quite common, but you shouldn't have any trouble getting 250 GOLD for it. 250
  • Wall runes (common)
  • Timed door reward
  • The Concierge death reward
  • Random drop from enemies
Amethyst Amethyst Icon.png This pretty stone will fetch you 500 GOLD! My precccioussss... 500
  • Wall runes (uncommon)
  • The Concierge death reward
  • Timed door reward
  • Random drop from enemies
Blue Sapphire Blue Sapphire Icon.png A magnificent stone worth 1000 GOLD! 1000
  • Wall runes (rare)
  • Timed door reward (rare)
  • Behind one of the 8 doors at the end of the Ancient Sewers.
Ruby Ruby Icon.png A precious stone of truly exceptional purity that will fetch you the modest sum of 1500 GOLD! 1500
  • Wall rune (very rare)
  • Cursed chest reward
  • Tutorial Knight's corpse on 4th run of a save in the Prisoner's Quarters (guaranteed drop)
Corrupted Artifact Corrupted Artefact Icon.png This is worth 10000 GOLD, but if you pick it up, you'll be cursed. (20-kill curse) 10000
  • Random drop from enemies
Fragment of the Philosopher's Stone Philosophers Stone Icon.png You're officially the richest creature on the island. This absolutely perfect little jewel is worth 75000 GOLD! 75000
  • Random drop from enemies (0.2%)
  • Wall runes (incredibly rare)

Dead Man’s Bag

Dead Man's Bag.png

A bag that spawns at the start of Prisoners' Quarters. It contains some of the gold from your last run. The value depends on your current level of Gold Reserves and any gold above this limit is lost.


Cell Currency Icon.png

Cells are a special currency that is used primarily for unlocking items and upgrades. They are often dropped from slain enemies and bosses, or found in chests and canisters in biomes. Cells are lost upon death.

Cells can be spent in two ways; unlocking items and upgrades from The Collector, or by increasing the chance for higher quality gear to appear in runs from The Blacksmith.



A rare pickup that produces one extra cell on every kill for 45 seconds, even if an enemy normally can't drop any (Myopic CrowsFF, etc). Has a 0.3% drop rate from enemies killed. The extra cells are gold instead of blue.

Residual cells

Residual Cells.png

A bag that spawns next to the Dead Man's Bag if you defeated the Hand of the King. It contains any cells possessed upon reaching the Throne Room, as well as the 40 cells dropped by the Hand of the King. If not picked up, or if the run is reset, the cells will be lost.

Other pickups

Bonus Point Stars

Main article: Bonus Point Stars

Bonus Point Star.png

Bonus Point Stars are exclusively found in the Daily Run. They give a 5-point bonus for each enemy killed for 15 seconds.

Secret Potion of ???

Mysterious Map

Map Part.png Mysterious Map.png

The Mysterious Map can be obtained by collecting four Map Parts throughout the Infested Shipwreck. Having it will mark an X spot in the player's map.


Unlike most pickups, keys are not used when they are picked up. Instead, they are added to the player's inventory, so they can be used later to open their respective doors. Keys remain in the player's inventory for the rest of the run if not used on the appropriate door and unused keys disappear upon death or at the end of a successful run.

The keys stop spawning if the respective Blueprints they are guarding have been obtained and turned in to the Collector.

Name Icon Location Notes
Gardener's Key Gardener's Key.png Promenade of the Condemned 3 Gardener's Keys are required to obtain the Explosive Crossbow Icon.png Explosive Crossbow blueprint.

After the Explosive Crossbow blueprint is collected, there will be Malachite or Amethyst gems in its place on subsequent runs as well as a random weapon or skill. The doors will also be permanently open.

In the Ramparts, the Graveyard, and the Forgotten Sepulcher, there is a secret room with a door unlocked by a Gardener's Key.png Gardener's Key, behind which is a Moonflower Key.png Moonflower Key.

Iron Cells Key Iron Cells Key.png Prison Depths, Corrupted Prison Dropped by enemies inside the biome. Used to open 1 of 2 cell doors at the end of the biome, which grants the player a random item on an altar. Only 1 may spawn each run.
Old Service Key Old Service Key.png Ancient Sewers 3 Old Service Keys are dropped by enemies in the Ancient Sewers and are used to open any of the 8 doors at the end of the biome.

It stinks.

Village Key Village Key.png Stilt Village 2 Village Keys open doors further in the level. The mid-stage door can be bypassed with the Spider Rune Icon.png Spider Rune, but the doors blocking the Clock Tower and Forgotten Sepulcher cannot be bypassed. A secret area in the village requires this key to unlock access to its prize, the blueprint for the Parry Shield Icon.png Parry Shield.
Clockmaker's Key Clockmaker's Key.png Clock Tower Opens the door blocking the exit to the Clock Room.
Bell Tower Key Bell Tower Key.png Clock Tower Drops from a Clock Tower bell when all 4 are rung in ascending order of the pitch of their ring[1]. Opens the door blocking the blueprint for Punishment Icon.png Punishment.
Graveyard Key Graveyard Key.png Graveyard Opens the door leading into the underground portion of the graveyard.

Open the gates of Hell...

Architect's Key Architect's Key.png Graveyard (inside a wall or floor rune in the underground section) Opens the door blocking the blueprints for Merchandise Categories and Parting Gift Mutation Icon.png Parting Gift.
Crypt Key Crypt Key.png Forgotten Sepulcher 2 Crypt Keys are found throughout the biome, each letting player progress further in the level. They are all in rooms which can only be accessed with the Teleportation Rune Icon.png Teleportation Rune.

2 Additional keys can be found if the player does not have the Explorer's Rune Icon.png Explorer's Rune, which are dropped by 2 Elite Dark Trackers and used to unlock the doors leading to the rune. Once the rune is collected these keys won't appear again.

It seems to be very old.

Moonflower Key Moonflower Key.png Ramparts, Graveyard, Forgotten Sepulcher There are 3 Moonflower Keys:

Each appears in a secret room reached with a well-hidden passage through the walls. A glimpse of the room may hint at the passage's location, which is faintly marked by vines. Inside each room is a door requiring a Gardener's Key from the Promenade of the Condemned to pick up to the Moonflower Key. Reaching all four of these locations in a single run requires having 3 active BSC and passing through the 3-cell door leading from the Ramparts to the Insufferable Crypt. If all Moonflower Keys are collected, they can access a secret room in High Peak Castle hidden in a similar way as the rooms containing the keys. The room contains the blueprint for Acceptance Mutation Icon.png Acceptance.

Castle Key Castle Key.png High Peak Castle There are 3 Castle Keys in High Peak Castle. They drop from the Elite enemies inside the colored doors. Only 2 are needed to proceed to the Throne Room, but the last grants access to a room where the player can find a Scroll of Power, 2 weapons, and the blueprint for the Boomerang Icon.png Boomerang.
Cavern KeyRotG Cavern Key.png Prisoners' Quarters (inside the huge door at the entrance of Prisoners' Quarters. Only accessible after defeating the Hand of the King for the first time) Opens the door to the CavernRotG in the Graveyard.

Once unlocked, the door remains open for future runs. Otherwise, the key will continue to respawn.

Garland KeyRotG Garland Key.png CavernRotG (in a ceiling secret space) Gives access to a gate in one 4 BSC door, which contains the blueprint of Festive Outfit.
Dilapidated Arboretum KeyTBS Dilapidated Arboretum Key.png Prisoners' Quarters (near entrance to Dilapidated ArboretumTBS from the deceased Royal Gardener) Opens the door to the Dilapidated ArboretumTBS. Once unlocked, the door despawns from future runs, unless the player doesn't have the DLC.
Distillery Key Distillery Key.png Derelict Distillery (behind a wall that needs to be broken with an explosive barrel) Opens the door to the exit of the biome.
Crowned KeyTQatS Crowned Key.png Stilt Village (inside the lighthouse keeper's home) Permanently unlocks the door to the Infested Shipwreck.
Forked KeyTQatS Forked Key.png Infested ShipwreckTQatS (inside a breakable floor that can be found using the Mysterious Map) Opens the door to the lore room containing the Abyssal Trident.
Red Pass Red Pass Icon.png The Bank Opens the door to the red floor in the Bank; used for reaching the Blue Pass.
Blue Pass Blue Pass Icon.png The Bank Opens the door to the blue floor in the Bank; used for reaching the exit and the Green Pass.
Green Pass Green Pass Icon.png The Bank Opens the door to the green floor in the Bank; used for reaching a special platforming challenge.
Allen KeyRotG Allen Key.png AstrolabRotG Dropped by an Elite Slammer. Used to open the door to the final section of the biome.
Elevator KeyRotG Elevator Key.png AstrolabRotG Dropped by an Elite Failed Experiment. Opens the door to the elevator at the end of the biome.
Guardian's KeyRotG Guardian's Key.png AstrolabRotG Dropped by two Elite Slammers at the end of the final section of the biome. Used to open 2 doors blocking access to the Observatory.
Apex KeyRotG Apex Key.png AstrolabRotG Found in a secret area, at the end of an obstacle course. Used to open the door to the button that lets the blueprint for Sonic Carbine Icon.png Sonic Carbine drop.

Removed pickups

Removed healing items

Type Icon Description Sources
Small Cough Syrup Small Cough Syrup.png Reduces your Malaise infection level by 10%.

Removed gems

Name Icon Description Value Sources
Golden Cell Golden Cell Icon.png A little gold cell worth 20 GOLD. 20 One per Cell while an amulet with the "Get gold as well as a cell" affix was equipped.

With v1.9, the Update of Plenty, this affix was removed, rendering this gem inaccessible.

Removed keys

Name Icon Location Notes
Madman's Key Madman's Key.png Ossuary, Ancient Sewers Dropped from an Elite Zombie and an Elite Inquisitor that spawned from a Christmas present, which also gave the player a 5-kill curse.

This key was later removed from the game and was only replaced in the Ancient Sewers with the Old Service Key.

Gold Cells Key Gold Cells Key.png Prison Depths Dropped by enemies inside the biome. Used to open a cell door at the end of the biome, which grants the player one Scroll.

With v1.5, the Corrupted Update, they were removed and replaced with a Cursed Chest at the beginning of the biome, which gives one Scroll of Power.


Navigation wiki
Rusty Sword Icon.png Gear  •  Forgotten Map Icon.png Biomes (Map)  •  Dark Tracker.png Enemies  •  The Concierge.png Bosses  •  Ygdar Orus Li Ox Mutation Icon.png Mutations  •  Teleportation Rune Icon.png Runes and Upgrades  •  Stun Effect.gif Mechanics  •  Leftmouse button.png Controls  •  Custom Mode Icon.png Custom Mode  •  Firestarter Aspect Icon.png Aspects
Tutorial Knight.png NPCs  •  Ruby Icon.png Pickups  •  Emergency Door Icon.png Objects  •  Classic Outfit Icon.png Outfits  •  Boss Stem Cell Icon.png Boss Stem Cells  •  Malaise Icon.png Malaise  •  Cursed Effect.png Curse  •  Merchandise Categories Icon.png Shops  •  Gold Currency Icon.png Currency  •  Rhythm n' Bouzouki Icon.png Soundtracks
Challenge Rifts  •  Challenger Rune Icon.png Daily Challenge  •  Temporal Distortion Icon.png Lore  •  EpicPower.png Stats  •  Affixes  •  Ice Effect.png Status Effects  •  Hazards  •  YOLOWinAch.png Achievements  •  Version history
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