Items can be purchased from Izchak The Merchant or won at the Alewife Tavern. There is no limit on how many items a hero can carry. Some heroes start the game equipped with items. Items cannot be used when a hero is stunned, unless the item is a familiar.

By default, heroes can buy and use most items. Some items have additional restrictions as to which heroes can buy and use them. Only the hero who owns an item may use it. Items cannot be given away or traded.

Weapon items are identified with the axe symbol. Any hero able to purchase and wield weapons will have the axe symbol on their Hero Rules card. If a hero cannot purchase and wield weapons, the symbol appears with a red line through the axe.

Only Spell Casters can buy and use magic items, which are identified with the book symbol. Any hero able to cast spells will have the book symbol on their Hero Rules card. If a hero cannot cast spells, the symbol appears with a red line through the book.

Some items can only be used by heroes with a certain amount of health at the start of the game.