Pal Pills are rather uncommon items in the game only being found in some blocks in certain areas. When a Pal Pill is used, it summons mini 8-bit versions of the character that used it. For example, if Mario used the Pal Pill, it summons a bunch of mini 8-bit Marios. Even if the player switches to another character like Princess Peach, there will still be the 8-bit Marios. The 8-bit characters act like extra allies that can help the players defeat enemies or take damage for them. However, they can only take one hit of damage before going away.