Primal chaos and we're all friends here.

[MunchkinMan]

I've been trying to research this issue, and I'm sure that I've addressed this aspect of the card before (I'm guessing the old mailing list that pre-dates the forums), but I'm not having much luck. So, I'm just going to wing it based on what I can find:

An Item taken from in play needs to remain in play, so you must put it in play. You can't, however, replace an Item of the same type you are already using. As an example, if you took something that is Headgear, but you're already using Headgear, you couldn't use the new Headgear and must put it in play turned sideways.