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Out-of-battle effect items are held items that take effect outside of battle.
Soothe Bells appeared in Smells Like Team Spirit! as the prize for winning the Hearthome City Tag Battle Competition; due to being a Tag Battle competition, the prize was two Soothe Bells, one for each winner. Ash and Paul won them; however, Paul did not want his, so Ash is in possession of both. Ash's Soothe Bells made an appearance at the start of In The Shadow of Zekrom!, on Ash's desk along with various other gifts and prizes he received in the Sinnohregion.