This is such a cool detail. (5.2.0 addition)
When you now escape with limited killer items it notifies you it gets removed and displays a description of it. I thought this was a really cool addition. Does anyone know the description of the nemesis vaccine?

Comments
opening the box in a trial without pinhead summons an AI pinhead to chase whoever opened the box for the entire trial.
It has no real use but it'd be funny
Most of my survivor games have been spirit quick let's swap
I've left the trial with it twice now, you get a scoring event "pleasure seeker" and 2.5k points :)
I've been going against every killer except Pinhead.
It's almost as if he was never released.
Spirit had her audio bug for a quite a while though. She couldn't hear footsteps whilst phasing, so it's was so much more difficult.
I like the introduction of killer specific items (it’s actually something i had featured in one of my killer concepts) and it’s a nice touch that you get a BP score and text for the item when escaping!
But they could have made something like bubbas masks where you have to get out x times to unlock a charm or something to make it more rewarding..