Once received, it is impossible to move or take out of your inventory. Upon dying, instead of receiving the "GAME OVER" screen, you will receive a message that says "CONGRATULATIONS! YOU HAVE AN EXTRA LIFE!", and respawn at your death location without any items except for the quarter. You will spawn with all of your previous levels and ability scores while wearing the default black T-shirt and jeans. After the Extra Life Quarter has been used, it turns into a normal quarter.