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.
Some heroes are more proficient at using certain items. If a hero’s face appears on an Item card, that hero has an optional enhanced shot sequence when using that particular item.