diff --git a/eid_api.lua b/eid_api.lua
index 75dbcee8..b6c7e7d1 100644
--- a/eid_api.lua
+++ b/eid_api.lua
@@ -1474,13 +1474,17 @@ function EID:evaluateTransformationProgress(transformation)
 				local eType, eVariant, eSubType = entityString:match("([^.]+).([^.]+).([^.]+)")
 				if tonumber(eType) == EntityType.ENTITY_PICKUP then
 					if tonumber(eVariant) == PickupVariant.PICKUP_COLLECTIBLE then
-						if EID.TouchedActiveItems[i][tonumber(eSubType)] then
-							EID.TransformationProgress[i][transformation] = EID.TransformationProgress[i][transformation] + EID.TouchedActiveItems[i][tonumber(eSubType)]
+						if EID.PlayerItemInteractions[i].actives[tostring(eSubType)] then
+							EID.TransformationProgress[i][transformation] = EID.TransformationProgress[i][transformation] + EID.PlayerItemInteractions[i].actives[tostring(eSubType)]
 						else
 							EID.TransformationProgress[i][transformation] = EID.TransformationProgress[i][transformation] + player:GetCollectibleNum(eSubType, true)
 						end
 					elseif tonumber(eVariant) == PickupVariant.PICKUP_TRINKET and player:HasTrinket(eSubType) then
 						EID.TransformationProgress[i][transformation] = EID.TransformationProgress[i][transformation] + 1
+					elseif tonumber(eVariant) == PickupVariant.PICKUP_PILL then
+						if EID.PlayerItemInteractions[i].pills[tostring(eSubType)] then
+							EID.TransformationProgress[i][transformation] = EID.TransformationProgress[i][transformation] + EID.PlayerItemInteractions[i].pills[tostring(eSubType)]
+						end
 					end
 				end
 			end
@@ -1489,27 +1493,27 @@ function EID:evaluateTransformationProgress(transformation)
 end
 
 -- Given a transformation identifier, itterate over every player and count the number of items they have which count towards that transformation 
-EID.TouchedActiveItems = {}
+EID.PlayerItemInteractions = {}
 function EID:evaluateQueuedItems()
 	for i = 0, game:GetNumPlayers() - 1 do
 		local player = Isaac.GetPlayer(i)
 		if player.QueuedItem then
-			if not EID.TouchedActiveItems[i] then
-				EID.TouchedActiveItems[i] = {LastTouch = 0}
+			if not EID.PlayerItemInteractions[i] then
+				EID.PlayerItemInteractions[i] = {LastTouch = 0, actives = {}, pills = {}}
 			end
-			if EID.TouchedActiveItems[i].LastTouch + 45 >= game:GetFrameCount() and player.QueuedItem.Item then
+			if EID.PlayerItemInteractions[i].LastTouch + 45 >= game:GetFrameCount() and player.QueuedItem.Item then
 				return
 			else
-				EID.TouchedActiveItems[i].LastTouch = 0
+				EID.PlayerItemInteractions[i].LastTouch = 0
 			end
 
 			if not player.QueuedItem.Touched and player.QueuedItem.Item and player.QueuedItem.Item.Type == ItemType.ITEM_ACTIVE then
-				local itemID = player.QueuedItem.Item.ID
-				if not EID.TouchedActiveItems[i][itemID] then
-					EID.TouchedActiveItems[i][itemID] = 0
+				local itemID = tostring(player.QueuedItem.Item.ID)
+				if not EID.PlayerItemInteractions[i].actives[itemID] then
+					EID.PlayerItemInteractions[i].actives[itemID] = 0
 				end
-				EID.TouchedActiveItems[i][itemID] = EID.TouchedActiveItems[i][itemID] + 1
-				EID.TouchedActiveItems[i].LastTouch = game:GetFrameCount()
+				EID.PlayerItemInteractions[i].actives[itemID] = EID.PlayerItemInteractions[i].actives[itemID] + 1
+				EID.PlayerItemInteractions[i].LastTouch = game:GetFrameCount()
 			end
 		end 
 	end
diff --git a/main.lua b/main.lua
index 87fa5d72..eef1de2b 100644
--- a/main.lua
+++ b/main.lua
@@ -1473,7 +1473,7 @@ EID:AddCallback(ModCallbacks.MC_POST_RENDER, onRender)
 local function OnGameStartGeneral(_,isSave)
 	EID:buildTransformationTables()
 	if not isSave then
-		EID.TouchedActiveItems = {}
+		EID.PlayerItemInteractions = {}
 	end
 end
 EID:AddCallback(ModCallbacks.MC_POST_GAME_STARTED, OnGameStartGeneral)
@@ -1482,17 +1482,28 @@ EID:AddCallback(ModCallbacks.MC_POST_GAME_STARTED, OnGameStartGeneral)
 local function OnUseD4(_, _, _, player)
 	local playerID = EID:getPlayerID(player)
 	for i = 0, 3 do
-		local itemID = player:GetActiveItem(i)
-		if itemID ~= 0 then
-			if not EID.TouchedActiveItems[playerID][itemID] then
-				EID.TouchedActiveItems[playerID][itemID] = 0
+		local itemID = tostring(player:GetActiveItem(i))
+		if itemID ~= "0" then
+			if not EID.PlayerItemInteractions[playerID].actives[itemID] then
+				EID.PlayerItemInteractions[playerID].actives[itemID] = 0
 			end
-			EID.TouchedActiveItems[playerID][itemID] = EID.TouchedActiveItems[playerID][itemID] + 1
+			EID.PlayerItemInteractions[playerID].actives[itemID] = EID.PlayerItemInteractions[playerID].actives[itemID] + 1
 		end
 	end
 end
 EID:AddCallback(ModCallbacks.MC_USE_ITEM, OnUseD4, CollectibleType.COLLECTIBLE_D4)
 
+function EID:OnUsePill(pillEffectID, player)
+	local playerID = EID:getPlayerID(player)
+	local effectID = tostring(pillEffectID+1)
+	if not EID.PlayerItemInteractions[playerID].pills[effectID] then
+		EID.PlayerItemInteractions[playerID].pills[effectID] = 0
+	end
+	EID.PlayerItemInteractions[playerID].pills[effectID] = EID.PlayerItemInteractions[playerID].pills[effectID] + 1
+end
+EID:AddCallback(ModCallbacks.MC_USE_PILL, EID.OnUsePill)
+
+
 -- only save and load configs when using MCM. Otherwise Config file changes arent valid
 if EID.MCMLoaded or REPENTANCE then
 	local json = require("json")
@@ -1503,7 +1514,7 @@ if EID.MCMLoaded or REPENTANCE then
 		["FlipItemPositions"] = true,
 		["AbsorbedItems"] = true,
 		["CollectedItems"] = true,
-		["TouchedActiveItems"] = true,
+		["PlayerItemInteractions"] = true,
 	}
 	--------------------------------
 	--------Handle Savadata---------
@@ -1521,15 +1532,15 @@ if EID.MCMLoaded or REPENTANCE then
 					EID.SaveGame[EID.Config["SaveGameNumber"]].ItemNeedsPickup[id] = nil
 				end
 			end
-			EID.TouchedActiveItems = {}
+			EID.PlayerItemInteractions = {}
 			if isSave then
 				-- JSON saves integer table keys as strings. we need to transform them back...
-				for playerID, data in pairs(savedEIDConfig["TouchedActiveItems"] or {}) do
+				for playerID, data in pairs(savedEIDConfig["PlayerItemInteractions"] or {}) do
 					local convertedData = {}
 					for key, value in pairs(data) do
 						convertedData[tonumber(key) or key] = value
 					end
-					EID.TouchedActiveItems[tonumber(playerID)] = convertedData
+					EID.PlayerItemInteractions[tonumber(playerID)] = convertedData
 				end
 			end
 
@@ -1618,7 +1629,7 @@ if EID.MCMLoaded or REPENTANCE then
 			EID.Config["FlipItemPositions"] = flipItemTable or {}
 		end
 		EID.Config["CollectedItems"] = EID.CollectedItems
-		EID.Config["TouchedActiveItems"] = EID.TouchedActiveItems or {}
+		EID.Config["PlayerItemInteractions"] = EID.PlayerItemInteractions or {}
 
 		EID.SaveData(EID, json.encode(EID.Config))
 		EID:hidePermanentText()