diff --git a/soh/soh/Enhancements/game-interactor/GameInteractor.h b/soh/soh/Enhancements/game-interactor/GameInteractor.h
index f6db2e950..ce5a18b6e 100644
--- a/soh/soh/Enhancements/game-interactor/GameInteractor.h
+++ b/soh/soh/Enhancements/game-interactor/GameInteractor.h
@@ -141,6 +141,9 @@ typedef enum {
     // Opt: *EnItem00
     // Vanilla condition: Flags_GetCollectible(play, this->collectibleFlag)
     VB_ITEM00_DESPAWN,
+    // Opt: *ItemBHeart
+    // Vanilla condition: Flags_GetCollectible(play, 0x1F)
+    VB_ITEM_B_HEART_DESPAWN,
     // Opt: *EnTk
     // Vanilla condition: gSaveContext.dayTime <= 0xC000 || gSaveContext.dayTime >= 0xE000 || LINK_IS_ADULT || play->sceneNum != SCENE_GRAVEYARD
     VB_DAMPE_IN_GRAVEYARD_DESPAWN,
diff --git a/soh/soh/Enhancements/randomizer/hook_handlers.cpp b/soh/soh/Enhancements/randomizer/hook_handlers.cpp
index 35f9df9f6..552758443 100644
--- a/soh/soh/Enhancements/randomizer/hook_handlers.cpp
+++ b/soh/soh/Enhancements/randomizer/hook_handlers.cpp
@@ -689,6 +689,17 @@ void RandomizerOnVanillaBehaviorHandler(GIVanillaBehavior id, bool* should, void
             }
             break;
         }
+        case VB_ITEM_B_HEART_DESPAWN: {
+            ItemBHeart* itemBHeart = static_cast<ItemBHeart*>(optionalArg);
+            RandomizerCheck rc = OTRGlobals::Instance->gRandomizer->GetCheckFromActor(itemBHeart->actor.id, gPlayState->sceneNum, itemBHeart->actor.params);
+            if (rc != RC_UNKNOWN_CHECK) {
+                itemBHeart->sohItemEntry = Rando::Context::GetInstance()->GetFinalGIEntry(rc, true, (GetItemID)Rando::StaticData::GetLocation(rc)->GetVanillaItem());
+                itemBHeart->actor.draw = (ActorFunc)ItemBHeart_DrawRandomizedItem;
+                itemBHeart->actor.update = (ActorFunc)ItemBHeart_UpdateRandomizedItem;
+                *should = Rando::Context::GetInstance()->GetItemLocation(rc)->HasObtained();
+            }
+            break;
+        }
         case VB_MALON_ALREADY_TAUGHT_EPONAS_SONG: {
             *should = Flags_GetRandomizerInf(RAND_INF_LEARNED_EPONA_SONG);
             break;
@@ -1348,16 +1359,6 @@ void RandomizerOnActorInitHandler(void* actorRef) {
         }
     }
 
-    if (actor->id == ACTOR_ITEM_B_HEART) {
-        ItemBHeart* itemBHeart = static_cast<ItemBHeart*>(actorRef);
-        RandomizerCheck rc = OTRGlobals::Instance->gRandomizer->GetCheckFromActor(itemBHeart->actor.id, gPlayState->sceneNum, itemBHeart->actor.params);
-        if (rc != RC_UNKNOWN_CHECK) {
-            itemBHeart->sohItemEntry = Rando::Context::GetInstance()->GetFinalGIEntry(rc, true, (GetItemID)Rando::StaticData::GetLocation(rc)->GetVanillaItem());
-            itemBHeart->actor.draw = (ActorFunc)ItemBHeart_DrawRandomizedItem;
-            itemBHeart->actor.update = (ActorFunc)ItemBHeart_UpdateRandomizedItem;
-        }
-    }
-
     if (actor->id == ACTOR_EN_DNS) {
         EnDns* enDns = static_cast<EnDns*>(actorRef);
         s16 respawnData = gSaveContext.respawn[RESPAWN_MODE_RETURN].data & ((1 << 8) - 1);
diff --git a/soh/src/overlays/actors/ovl_Item_B_Heart/z_item_b_heart.c b/soh/src/overlays/actors/ovl_Item_B_Heart/z_item_b_heart.c
index 5015a3908..85a81af85 100644
--- a/soh/src/overlays/actors/ovl_Item_B_Heart/z_item_b_heart.c
+++ b/soh/src/overlays/actors/ovl_Item_B_Heart/z_item_b_heart.c
@@ -6,6 +6,7 @@
 
 #include "z_item_b_heart.h"
 #include "objects/object_gi_hearts/object_gi_hearts.h"
+#include "soh/Enhancements/game-interactor/GameInteractor_Hooks.h"
 
 #define FLAGS 0
 
@@ -39,7 +40,7 @@ static InitChainEntry sInitChain[] = {
 void ItemBHeart_Init(Actor* thisx, PlayState* play) {
     ItemBHeart* this = (ItemBHeart*)thisx;
 
-    if (Flags_GetCollectible(play, 0x1F)) {
+    if (GameInteractor_Should(VB_ITEM_B_HEART_DESPAWN, Flags_GetCollectible(play, 0x1F), this)) {
         Actor_Kill(&this->actor);
     } else {
         Actor_ProcessInitChain(&this->actor, sInitChain);