There’s a lot of little systems built into the world of Sekiro: Shadows Die Twice, and while the game does a good job of explaining them to the player, it can be a bit overwhelming. If you don’t read everything and take it all in, then you can be left a bit confused by some things, such as items and how to use them. Thankfully, you don’t have to head to the menu every time you want to heal yourself. Here’s how to use quick items in Sekiro: Shadows Die Twice.
How to Use Quick Items
The answer to how to stay out of the menu when you want to use your items is to head into the menu. Relax, it’s just a one-time thing…per item or whenever you want to swap them out. Hit Options/Menu to go to the main menu screen. The second row there is the Quick Item menu. Five open spots are available and you can put any usable item into them for quick access in the game world, without opening this screen and fussing with the menu.
Select any of the five open spots and select it. This will bring you to the inventory screen where you can choose which item goes in this slot. Your Healing Gourd should probably be there, as well as Pellets. Everything else is fair game, so pick whatever is most useful to you at the current time. You’ll likely swap these as you progress and encounter unique challenges, such as Headless which requires Divine Confetti. Either way, pick the item you want, then fill the other spots if you feel like it.
Now, back into the actual world of Sekiro, your quick item menu is in the bottom right. Using the D-Pad you can cycle through the items you put in there, going left or right as you need. When you find the item you want to actually use just press up on the D-Pad and it will be done.
And that’s how to use quick items in Sekiro: Shadows Die Twice.
