diff --git a/include/battle_controllers.h b/include/battle_controllers.h
index 2ce28ca609..b628e69dc1 100644
--- a/include/battle_controllers.h
+++ b/include/battle_controllers.h
@@ -277,6 +277,7 @@ void InitBattleControllers(void);
 bool32 IsValidForBattle(struct Pokemon *mon);
 void TryReceiveLinkBattleData(void);
 void PrepareBufferDataTransferLink(u32 battler, u32 bufferId, u16 size, u8 *data);
+void UpdateFriendshipFromXItem(u32 battler);
 
 // emitters
 void BtlController_EmitGetMonData(u32 battler, u32 bufferId, u8 requestId, u8 monToCheck);
diff --git a/include/constants/item_effects.h b/include/constants/item_effects.h
index ac1c7d5c5b..dbe322beac 100644
--- a/include/constants/item_effects.h
+++ b/include/constants/item_effects.h
@@ -93,4 +93,8 @@
 #define ITEM_EFFECT_HEAL_PP 21
 #define ITEM_EFFECT_NONE 22
 
+// Since X item stat increases are now handled by battle scripts, the friendship increase effect is now handled by the battle controller in HandleAction_UseItem.
+#define X_ITEM_FRIENDSHIP_INCREASE    1   // The amount of friendship gained by using an X item on a Pokémon in battle.
+#define X_ITEM_MAX_FRIENDSHIP         200 // Friendship threshold at which Pokémon stop receiving a friendship increase from using X items on them in battle.
+
 #endif // GUARD_CONSTANTS_ITEM_EFFECTS_H
diff --git a/include/pokemon.h b/include/pokemon.h
index edc37a1a0b..ebc21441d8 100644
--- a/include/pokemon.h
+++ b/include/pokemon.h
@@ -830,5 +830,6 @@ uq4_12_t GetDynamaxLevelHPMultiplier(u32 dynamaxLevel, bool32 inverseMultiplier)
 u32 GetRegionalFormByRegion(u32 species, u32 region);
 bool32 IsSpeciesForeignRegionalForm(u32 species, u32 currentRegion);
 u32 GetTeraTypeFromPersonality(struct Pokemon *mon);
+bool8 ShouldSkipFriendshipChange(void);
 
 #endif // GUARD_POKEMON_H
diff --git a/src/battle_controllers.c b/src/battle_controllers.c
index 885b2a922a..da18baee14 100644
--- a/src/battle_controllers.c
+++ b/src/battle_controllers.c
@@ -12,9 +12,11 @@
 #include "battle_tv.h"
 #include "cable_club.h"
 #include "event_object_movement.h"
+#include "item.h"
 #include "link.h"
 #include "link_rfu.h"
 #include "m4a.h"
+#include "overworld.h"
 #include "palette.h"
 #include "party_menu.h"
 #include "recorded_battle.h"
@@ -25,6 +27,7 @@
 #include "util.h"
 #include "text.h"
 #include "constants/abilities.h"
+#include "constants/item_effects.h"
 #include "constants/songs.h"
 #include "pokemon_animation.h"
 
@@ -3260,3 +3263,46 @@ bool32 SwitchIn_TryShinyAnimUtil(u32 battler)
 
     return TRUE;
 }
+
+void UpdateFriendshipFromXItem(u32 battler)
+{
+    struct Pokemon *party = GetBattlerParty(battler);
+
+    u8 friendship;
+    gBattleResources->bufferA[battler][1] = REQUEST_FRIENDSHIP_BATTLE;
+    GetBattlerMonData(battler, party, gBattlerPartyIndexes[battler], &friendship);
+
+    u16 heldItem;
+    gBattleResources->bufferA[battler][1] = REQUEST_HELDITEM_BATTLE;
+    GetBattlerMonData(battler, party, gBattlerPartyIndexes[battler], (u8*)&heldItem);
+
+    if (friendship < X_ITEM_MAX_FRIENDSHIP)
+    {
+        if (GetItemHoldEffect(heldItem) == HOLD_EFFECT_FRIENDSHIP_UP)
+            friendship += 150 * X_ITEM_FRIENDSHIP_INCREASE / 100;
+        else
+            friendship += X_ITEM_FRIENDSHIP_INCREASE;
+
+        u8 pokeball;
+        gBattleResources->bufferA[battler][1] = REQUEST_POKEBALL_BATTLE;
+        GetBattlerMonData(battler, party, gBattlerPartyIndexes[battler], &pokeball);
+
+        if (pokeball == BALL_LUXURY)
+            friendship++;
+
+        u8 metLocation;
+        gBattleResources->bufferA[battler][1] = REQUEST_MET_LOCATION_BATTLE;
+        GetBattlerMonData(battler, party, gBattlerPartyIndexes[battler], &metLocation);
+
+        if (metLocation == GetCurrentRegionMapSectionId())
+            friendship++;
+
+        if (friendship > MAX_FRIENDSHIP)
+            friendship = MAX_FRIENDSHIP;
+
+        gBattleMons[battler].friendship = friendship;
+        gBattleResources->bufferA[battler][3] = friendship;
+        gBattleResources->bufferA[battler][1] = REQUEST_FRIENDSHIP_BATTLE;
+        SetBattlerMonData(battler, GetBattlerParty(battler), gBattlerPartyIndexes[battler]);
+    }
+}
diff --git a/src/battle_util.c b/src/battle_util.c
index 18b8570579..a683ff9989 100644
--- a/src/battle_util.c
+++ b/src/battle_util.c
@@ -44,6 +44,7 @@
 #include "constants/battle_string_ids.h"
 #include "constants/hold_effects.h"
 #include "constants/items.h"
+#include "constants/item_effects.h"
 #include "constants/moves.h"
 #include "constants/songs.h"
 #include "constants/species.h"
@@ -580,6 +581,11 @@ void HandleAction_UseItem(void)
     ClearVariousBattlerFlags(gBattlerAttacker);
 
     gLastUsedItem = gBattleResources->bufferB[gBattlerAttacker][1] | (gBattleResources->bufferB[gBattlerAttacker][2] << 8);
+    if (X_ITEM_FRIENDSHIP_INCREASE > 0
+        && GetItemEffectType(gLastUsedItem) == ITEM_EFFECT_X_ITEM
+        && !ShouldSkipFriendshipChange())
+        UpdateFriendshipFromXItem(gBattlerAttacker);
+
     gBattlescriptCurrInstr = gBattlescriptsForUsingItem[GetItemBattleUsage(gLastUsedItem) - 1];
     gCurrentActionFuncId = B_ACTION_EXEC_SCRIPT;
 }
diff --git a/src/data/pokemon/item_effects.h b/src/data/pokemon/item_effects.h
index 93ff78ad7c..851424021f 100644
--- a/src/data/pokemon/item_effects.h
+++ b/src/data/pokemon/item_effects.h
@@ -334,14 +334,8 @@ const u8 gItemEffect_PPMax[9] = {
     VITAMIN_FRIENDSHIP_CHANGE(6),
 };
 
-#define STAT_BOOST_FRIENDSHIP_CHANGE      \
-    [6] = 1, /* Friendship change, low */ \
-    [7] = 1  /* Friendship change, mid */
-
 const u8 gItemEffect_GuardSpec[8] = {
     [3] = ITEM3_GUARD_SPEC,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 // The first item effect value for the stat boost items
@@ -350,44 +344,30 @@ const u8 gItemEffect_GuardSpec[8] = {
 
 const u8 gItemEffect_DireHit[8] = {
     [0] = 1 << 5, // ITEM0_DIRE_HIT
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_XAttack[8] = {
     [1] = ITEM1_X_ATTACK,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_XDefense[8] = {
     [1] = ITEM1_X_DEFENSE,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_XSpeed[8] = {
     [1] = ITEM1_X_SPEED,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_XAccuracy[8] = {
     [1] = ITEM1_X_ACCURACY,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_XSpecialAttack[8] = {
     [1] = ITEM1_X_SPATK,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_XSpecialDefense[8] = {
     [1] = ITEM1_X_SPDEF,
-    [5] = ITEM5_FRIENDSHIP_LOW | ITEM5_FRIENDSHIP_MID,
-    STAT_BOOST_FRIENDSHIP_CHANGE,
 };
 
 const u8 gItemEffect_EvoItem[6] = {
diff --git a/src/pokemon.c b/src/pokemon.c
index 9b7ce57de1..6e0e7accb8 100644
--- a/src/pokemon.c
+++ b/src/pokemon.c
@@ -80,7 +80,6 @@ static union PokemonSubstruct *GetSubstruct(struct BoxPokemon *boxMon, u32 perso
 static void EncryptBoxMon(struct BoxPokemon *boxMon);
 static void DecryptBoxMon(struct BoxPokemon *boxMon);
 static void Task_PlayMapChosenOrBattleBGM(u8 taskId);
-static bool8 ShouldSkipFriendshipChange(void);
 void TrySpecialOverworldEvo();
 
 EWRAM_DATA static u8 sLearningMoveTableID = 0;
@@ -6385,7 +6384,7 @@ bool8 HasTwoFramesAnimation(u16 species)
         && !gTestRunnerHeadless;
 }
 
-static bool8 ShouldSkipFriendshipChange(void)
+bool8 ShouldSkipFriendshipChange(void)
 {
     if (gMain.inBattle && gBattleTypeFlags & (BATTLE_TYPE_FRONTIER))
         return TRUE;
diff --git a/test/battle/item_effect/increase_stat.c b/test/battle/item_effect/increase_stat.c
index 3f162ea828..b56f1a2b84 100644
--- a/test/battle/item_effect/increase_stat.c
+++ b/test/battle/item_effect/increase_stat.c
@@ -1,5 +1,6 @@
 #include "global.h"
 #include "test/battle.h"
+#include "constants/item_effects.h"
 
 SINGLE_BATTLE_TEST("X Attack sharply raises battler's Attack stat", s16 damage)
 {
@@ -257,3 +258,25 @@ SINGLE_BATTLE_TEST("Max Mushrooms raises battler's Speed stat", s16 damage)
         }
     }
 }
+
+SINGLE_BATTLE_TEST("Using X items in battle raises Friendship", s16 damage)
+{
+    u32 startingFriendship;
+    u8 metLocation = MAPSEC_NONE;
+    PARAMETRIZE { startingFriendship = 0; }
+    PARAMETRIZE { startingFriendship = X_ITEM_MAX_FRIENDSHIP; }
+    GIVEN {
+        PLAYER(SPECIES_WOBBUFFET) { Friendship(startingFriendship); };
+        // Set met location to MAPSEC_NONE to avoid getting the friendship boost
+        // from being met in the current map section
+        SetMonData(&PLAYER_PARTY[0], MON_DATA_MET_LOCATION, &metLocation);
+        OPPONENT(SPECIES_WOBBUFFET);
+    } WHEN {
+        TURN { USE_ITEM(player, ITEM_X_ACCURACY); MOVE(opponent, MOVE_CELEBRATE); }
+    } THEN {
+        if (startingFriendship == X_ITEM_MAX_FRIENDSHIP)
+            EXPECT_EQ(player->friendship, X_ITEM_MAX_FRIENDSHIP);
+        else
+            EXPECT_EQ(player->friendship, X_ITEM_FRIENDSHIP_INCREASE);
+    }
+}
diff --git a/test/battle/move_effect/embargo.c b/test/battle/move_effect/embargo.c
index 3e86b60b0b..4b06b92fc1 100644
--- a/test/battle/move_effect/embargo.c
+++ b/test/battle/move_effect/embargo.c
@@ -114,28 +114,32 @@ SINGLE_BATTLE_TEST("Embargo negates a held item's Speed reduction")
     }
 }
 
-WILD_BATTLE_TEST("Embargo doesn't block held item effects that affect friendship")
-{
-    u32 initialFriendship;
-    u32 finalFriendship;
+// This is a useful test, but under the current circumstances, we can't actually test this without modifying
+// X_ITEM_FRIENDSHIP_INCREASE. Since HOLD_EFFECT_FRIENDSHIP_UP applies a 1.5x modifier, and the stock
+// Friendship increase is 1, the held item effect actually does not affect the Friendship gained.
+//
+// WILD_BATTLE_TEST("Embargo doesn't block held item effects that affect friendship")
+// {
+//     u32 initialFriendship;
+//     u32 finalFriendship;
 
-    KNOWN_FAILING; // Pokémon are currently not obtaining Friendship for using items in battle.
-    GIVEN {
-        ASSUME(gItemsInfo[ITEM_X_ACCURACY].battleUsage == EFFECT_ITEM_INCREASE_STAT);
-        PLAYER(SPECIES_WOBBUFFET) { Item(ITEM_SOOTHE_BELL); };
-        OPPONENT(SPECIES_WOBBUFFET);
-    } WHEN {
-        TURN { USE_ITEM(player, ITEM_X_ACCURACY); }
-        TURN { MOVE(player, MOVE_SING); }
-    } SCENE {
-        MESSAGE("Wobbuffet used Sing!");
-        MESSAGE("Wild Wobbuffet fell asleep!");
-    } THEN {
-        initialFriendship = GetMonData(&PLAYER_PARTY[0], MON_DATA_FRIENDSHIP);
-        finalFriendship = GetMonData(&gPlayerParty[0], MON_DATA_FRIENDSHIP);
-        EXPECT_EQ(finalFriendship, initialFriendship + 2);
-    }
-}
+//     KNOWN_FAILING; // Pokémon are currently not obtaining Friendship for using items in battle.
+//     GIVEN {
+//         ASSUME(gItemsInfo[ITEM_X_ACCURACY].battleUsage == EFFECT_ITEM_INCREASE_STAT);
+//         PLAYER(SPECIES_WOBBUFFET) { Item(ITEM_SOOTHE_BELL); };
+//         OPPONENT(SPECIES_WOBBUFFET);
+//     } WHEN {
+//         TURN { USE_ITEM(player, ITEM_X_ACCURACY); }
+//         TURN { MOVE(player, MOVE_SING); }
+//     } SCENE {
+//         MESSAGE("Wobbuffet used Sing!");
+//         MESSAGE("Wild Wobbuffet fell asleep!");
+//     } THEN {
+//         initialFriendship = GetMonData(&PLAYER_PARTY[0], MON_DATA_FRIENDSHIP);
+//         finalFriendship = GetMonData(&gPlayerParty[0], MON_DATA_FRIENDSHIP);
+//         EXPECT_EQ(finalFriendship, initialFriendship + 2);
+//     }
+// }
 
 SINGLE_BATTLE_TEST("Embargo doesn't block a held item's form-changing effect, but it does block its other effects", s16 damage)
 {