There are ten items in the game to possibly receive, along with the addition of coins.
Items[edit]
Note: If there is a 
symbol on the item, it can be launched either forward or backward.
Green Shell[edit]
Launches a Green Shell that travels in a straight line, bouncing off walls until it falls off the track or breaks. If someone gets hit with one they spin out.
Triple Green Shells[edit]
Spins three Green Shells around the kart that protect against items or can be launched onto the track.
Red Shell[edit]
Sends a Red Shell out that hones on the nearest racer in front of you that spins them out on impact. if it falls off the track, it is gone. If it hits a wall, it will break. If thrown backward, it will stay stationary on the track and hit the first racer to get to close to it.
Triple Red Shells[edit]
Spins three Red Shells around the kart that allow more than one shot at opponent racers or a shield.
Spiny Shell[edit]
Launches a wonderful, blue, spike-covered shell onto the track that targets the lead racer. You'll know its coming by the distinctive ''Errah, Errah!'' sound. It take out any racer in its way until it reaches the leader, taking him out in a spin. It will have finished its job when you hear it go ''Errah, Errah, ERRAH!!!'' If shot backward, it will plant it self on the track and take out the leader when they pass by, remaining as a blockade to any other racer that hits it without breaking apart.
Starman[edit]
Make you invincible to all items and spins out any driver you hit for a short amount of time. If you hit an obstacle, it will be uprooted.
Banana[edit]
Leaves a banana peel on the track that spins out a racer that hits it.
Boo[edit]
Send out Boo, who makes you invisible and invincible at the same time and steals the leader's item while distracting them. If you are the leader, you will get a random item.
Mushroom[edit]
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Gives you a momentary speed boost.
Thunderbolt[edit]
Thunderbolts are rare items only obtained by lower-ranking drivers. When activated, they shrink everyone on the track that are not using a star or a Boo. A shrunk driver loses speed and the ability to use mushrooms. When the driver who activated this item crashes into a shrunk driver, the shrunk driver spins out. After a set amount of time, or if the shrunk drivers go into a pit, the shrunk drivers revert to normal size and regain their speed and weight.
Coins[edit]
Coins are different from items. There are 50 scattered among each track. They help your speed and stability ranking as you collect them. At the start of a race, you get 5, 3 if in the top 4, and 2 for first place. if you have only one, a warning goes off. If you have absolutely no coins, the warning will become a klaxon and you will spin out every time you hit a racer. Each time you bump or get bumped by a racer, you lose a coin. Each time you hit an item ,get hit with an item, or get hit while spinning out, you'll lose five coins. If you have all fifty coins at the end of a race plus the ones you initially started with, it is considered a ''perfect coin pick-up.''