diff --git a/worlds/alttp/Options.py b/worlds/alttp/Options.py
index 01eda055..fb832d5b 100644
--- a/worlds/alttp/Options.py
+++ b/worlds/alttp/Options.py
@@ -34,6 +34,7 @@ class DungeonItem(Choice):
     option_own_world = 2
     option_any_world = 3
     option_different_world = 4
+    option_start_with = 6
     alias_true = 3
     alias_false = 0