This option specifies what the maximum number of heart containers will be. The randomizer will insert or remove heart containers as needed. For example, if you choose to start with 4 hearts with a maximum of 4 hearts, there will not be any additional heart containers in the game. If you choose to start with 1 heart with a maximum of 8 hearts, the game will add 3 heart containers, bringing the total number of in game heart containers to 7. When the game requires more hearts than normal, items will begin to appear in the pbag caves (1 pbag cave in the west, 2 in the east, see below for details).