Empty Heart in hand
Empty Heart is a item that you can use on some stands.
Uses.
Empty Heart On Standless for Sans.
x chara + empty heart (do not use) + B = X sans
Spawnrates.
Every 45 mins with a 1/100 chance of spawning
More about the empty heart ---> https://m.youtube.com/watch?v=iik25wqIuFo