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That's the odd thing: Sometimes, upon losing health and holding keys, the key doesn't drop and is lost forever. Not to mention, there's a danger of dropping keys over spikes and being unable to pick them up because you'll never have full health (although this doesn't happen in any of your levels).

Ah! There's the issue. I never made it clear enough in the game, but if you lose a key it reapawns where you originally found it :)

Ooooooooooooooooooooooh. Well, then it's all hunky dory on that end, then! But yeah, that sounds like an important thing to let the player know~