diff --git a/BaseClasses.py b/BaseClasses.py
index b03d24e5..9e2b657c 100644
--- a/BaseClasses.py
+++ b/BaseClasses.py
@@ -1349,6 +1349,7 @@ class Spoiler:
                             get_path(state, multiworld.get_region('Inverted Big Bomb Shop', player))
 
     def to_file(self, filename: str) -> None:
+        from itertools import chain
         from worlds import AutoWorld
 
         def write_option(option_key: str, option_obj: Options.AssembleOptions) -> None:
@@ -1385,6 +1386,14 @@ class Spoiler:
 
             AutoWorld.call_all(self.multiworld, "write_spoiler", outfile)
 
+            precollected_items = [f"{item.name} ({self.multiworld.get_player_name(item.player)})"
+                                  if self.multiworld.players > 1
+                                  else item.name
+                                  for item in chain.from_iterable(self.multiworld.precollected_items.values())]
+            if precollected_items:
+                outfile.write("\n\nStarting Items:\n\n")
+                outfile.write("\n".join([item for item in precollected_items]))
+
             locations = [(str(location), str(location.item) if location.item is not None else "Nothing")
                          for location in self.multiworld.get_locations() if location.show_in_spoiler]
             outfile.write('\n\nLocations:\n\n')