diff --git a/worlds/pokemon_rb/__init__.py b/worlds/pokemon_rb/__init__.py
index 64f62adddb..3d6e463251 100644
--- a/worlds/pokemon_rb/__init__.py
+++ b/worlds/pokemon_rb/__init__.py
@@ -138,7 +138,7 @@ class PokemonRedBlueWorld(World):
 
         if self.multiworld.key_items_only[self.player]:
             self.multiworld.trainersanity[self.player] = self.multiworld.trainersanity[self.player].from_text("off")
-            self.multiworld.dexsanity[self.player] = self.multiworld.dexsanity[self.player].from_text("false")
+            self.multiworld.dexsanity[self.player].value = 0
             self.multiworld.randomize_hidden_items[self.player] = \
                 self.multiworld.randomize_hidden_items[self.player].from_text("off")
 
diff --git a/worlds/pokemon_rb/logic.py b/worlds/pokemon_rb/logic.py
index 87398c7267..cbe28e0ddb 100644
--- a/worlds/pokemon_rb/logic.py
+++ b/worlds/pokemon_rb/logic.py
@@ -53,7 +53,7 @@ def has_key_items(state, count, player):
                                         "Hideout Key", "Card Key 2F", "Card Key 3F", "Card Key 4F", "Card Key 5F",
                                         "Card Key 6F", "Card Key 7F", "Card Key 8F", "Card Key 9F", "Card Key 10F",
                                         "Card Key 11F", "Exp. All", "Fire Stone", "Thunder Stone", "Water Stone",
-                                        "Leaf Stone"] if state.has(item, player)])
+                                        "Leaf Stone", "Moon Stone"] if state.has(item, player)])
                  + min(state.count("Progressive Card Key", player), 10))
     return key_items >= count
 
diff --git a/worlds/pokemon_rb/rom.py b/worlds/pokemon_rb/rom.py
index 0757d33435..4b191d9176 100644
--- a/worlds/pokemon_rb/rom.py
+++ b/worlds/pokemon_rb/rom.py
@@ -238,18 +238,19 @@ def generate_output(self, output_directory: str):
                     data[address] = 0 if "Elevator" in connected_map_name else warp_to_ids[i]
                     data[address + 1] = map_ids[connected_map_name]
 
-    for i, gym_leader in enumerate(("Pewter Gym - Brock TM", "Cerulean Gym - Misty TM",
-                                    "Vermilion Gym - Lt. Surge TM", "Celadon Gym - Erika TM",
-                                    "Fuchsia Gym - Koga TM", "Saffron Gym - Sabrina TM",
-                                    "Cinnabar Gym - Blaine TM", "Viridian Gym - Giovanni TM")):
-        item_name = self.multiworld.get_location(gym_leader, self.player).item.name
-        if item_name.startswith("TM"):
-            try:
-                tm = int(item_name[2:4])
-                move = poke_data.moves[self.local_tms[tm - 1]]["id"]
-                data[rom_addresses["Gym_Leader_Moves"] + (2 * i)] = move
-            except KeyError:
-                pass
+    if not self.multiworld.key_items_only[self.player]:
+        for i, gym_leader in enumerate(("Pewter Gym - Brock TM", "Cerulean Gym - Misty TM",
+                                        "Vermilion Gym - Lt. Surge TM", "Celadon Gym - Erika TM",
+                                        "Fuchsia Gym - Koga TM", "Saffron Gym - Sabrina TM",
+                                        "Cinnabar Gym - Blaine TM", "Viridian Gym - Giovanni TM")):
+            item_name = self.multiworld.get_location(gym_leader, self.player).item.name
+            if item_name.startswith("TM"):
+                try:
+                    tm = int(item_name[2:4])
+                    move = poke_data.moves[self.local_tms[tm - 1]]["id"]
+                    data[rom_addresses["Gym_Leader_Moves"] + (2 * i)] = move
+                except KeyError:
+                    pass
 
     def set_trade_mon(address, loc):
         mon = self.multiworld.get_location(loc, self.player).item.name