diff --git a/worlds/ffmq/Items.py b/worlds/ffmq/Items.py
index f1c102d3..31453a0f 100644
--- a/worlds/ffmq/Items.py
+++ b/worlds/ffmq/Items.py
@@ -260,7 +260,8 @@ def create_items(self) -> None:
         items.append(i)
 
     for item_group in ("Key Items", "Spells", "Armors", "Helms", "Shields", "Accessories", "Weapons"):
-        for item in self.item_name_groups[item_group]:
+        # Sort for deterministic order
+        for item in sorted(self.item_name_groups[item_group]):
             add_item(item)
 
     if self.options.brown_boxes == "include":