The ? Card does not activate both active items.Items that grant temporary effects for the room, such as The Nail, may deactivate if switched with an item in the secondary slot.Items in the secondary slot will recharge at the same rate as the primary item.The button to swap between active items is the same button used to swap between cards and pills.Swap between active items by pressing the PC Control key, PS4 R2, XboxOne RT, or Switch ZR.
