diff --git a/worlds/ladx/Items.py b/worlds/ladx/Items.py
index b9e1eeab3e69..2a64c59394e6 100644
--- a/worlds/ladx/Items.py
+++ b/worlds/ladx/Items.py
@@ -26,7 +26,7 @@ class DungeonItemData(ItemData):
     @property
     def dungeon_index(self):
         return int(self.ladxr_id[-1])
-    
+
     @property
     def dungeon_item_type(self):
         s = self.ladxr_id[:-1]
@@ -174,7 +174,7 @@ class ItemName:
     TRADING_ITEM_SCALE = "Scale"
     TRADING_ITEM_MAGNIFYING_GLASS = "Magnifying Glass"
 
-trade_item_prog = ItemClassification.progression 
+trade_item_prog = ItemClassification.progression
 
 links_awakening_items = [
     ItemData(ItemName.POWER_BRACELET, "POWER_BRACELET", ItemClassification.progression),
@@ -303,3 +303,135 @@ class ItemName:
 links_awakening_items_by_name = {
     item.item_name : item for item in links_awakening_items
 }
+
+links_awakening_item_name_groups: typing.Dict[str, typing.Set[str]] = {
+    "Instruments": {
+        "Full Moon Cello",
+        "Conch Horn",
+        "Sea Lily's Bell",
+        "Surf Harp",
+        "Wind Marimba",
+        "Coral Triangle",
+        "Organ of Evening Calm",
+        "Thunder Drum",
+    },
+    "Entrance Keys": {
+        "Tail Key",
+        "Angler Key",
+        "Face Key",
+        "Bird Key",
+        "Slime Key",
+    },
+    "Nightmare Keys": {
+        "Nightmare Key (Angler's Tunnel)",
+        "Nightmare Key (Bottle Grotto)",
+        "Nightmare Key (Catfish's Maw)",
+        "Nightmare Key (Color Dungeon)",
+        "Nightmare Key (Eagle's Tower)",
+        "Nightmare Key (Face Shrine)",
+        "Nightmare Key (Key Cavern)",
+        "Nightmare Key (Tail Cave)",
+        "Nightmare Key (Turtle Rock)",
+    },
+    "Small Keys": {
+        "Small Key (Angler's Tunnel)",
+        "Small Key (Bottle Grotto)",
+        "Small Key (Catfish's Maw)",
+        "Small Key (Color Dungeon)",
+        "Small Key (Eagle's Tower)",
+        "Small Key (Face Shrine)",
+        "Small Key (Key Cavern)",
+        "Small Key (Tail Cave)",
+        "Small Key (Turtle Rock)",
+    },
+    "Compasses": {
+        "Compass (Angler's Tunnel)",
+        "Compass (Bottle Grotto)",
+        "Compass (Catfish's Maw)",
+        "Compass (Color Dungeon)",
+        "Compass (Eagle's Tower)",
+        "Compass (Face Shrine)",
+        "Compass (Key Cavern)",
+        "Compass (Tail Cave)",
+        "Compass (Turtle Rock)",
+    },
+    "Maps": {
+        "Dungeon Map (Angler's Tunnel)",
+        "Dungeon Map (Bottle Grotto)",
+        "Dungeon Map (Catfish's Maw)",
+        "Dungeon Map (Color Dungeon)",
+        "Dungeon Map (Eagle's Tower)",
+        "Dungeon Map (Face Shrine)",
+        "Dungeon Map (Key Cavern)",
+        "Dungeon Map (Tail Cave)",
+        "Dungeon Map (Turtle Rock)",
+    },
+    "Stone Beaks": {
+        "Stone Beak (Angler's Tunnel)",
+        "Stone Beak (Bottle Grotto)",
+        "Stone Beak (Catfish's Maw)",
+        "Stone Beak (Color Dungeon)",
+        "Stone Beak (Eagle's Tower)",
+        "Stone Beak (Face Shrine)",
+        "Stone Beak (Key Cavern)",
+        "Stone Beak (Tail Cave)",
+        "Stone Beak (Turtle Rock)",
+    },
+    "Trading Items": {
+        "Yoshi Doll",
+        "Ribbon",
+        "Dog Food",
+        "Bananas",
+        "Stick",
+        "Honeycomb",
+        "Pineapple",
+        "Hibiscus",
+        "Letter",
+        "Broom",
+        "Fishing Hook",
+        "Necklace",
+        "Scale",
+        "Magnifying Glass",
+    },
+    "Rupees": {
+        "20 Rupees",
+        "50 Rupees",
+        "100 Rupees",
+        "200 Rupees",
+        "500 Rupees",
+    },
+    "Upgrades": {
+        "Max Powder Upgrade",
+        "Max Bombs Upgrade",
+        "Max Arrows Upgrade",
+    },
+    "Songs": {
+        "Ballad of the Wind Fish",
+        "Manbo's Mambo",
+        "Frog's Song of Soul",
+    },
+    "Tunics": {
+        "Red Tunic",
+        "Blue Tunic",
+    },
+    "Bush Breakers": {
+        "Progressive Power Bracelet",
+        "Magic Rod",
+        "Magic Powder",
+        "Bomb",
+        "Progressive Sword",
+        "Boomerang",
+    },
+    "Sword": {
+        "Progressive Sword",
+    },
+    "Shield": {
+        "Progressive Shield",
+    },
+    "Power Bracelet": {
+        "Progressive Power Bracelet",
+    },
+    "Bracelet": {
+        "Progressive Power Bracelet",
+    },
+}
diff --git a/worlds/ladx/Locations.py b/worlds/ladx/Locations.py
index f29355f2ba86..8670738e0869 100644
--- a/worlds/ladx/Locations.py
+++ b/worlds/ladx/Locations.py
@@ -1,5 +1,5 @@
 from BaseClasses import Region, Entrance, Location, CollectionState
-
+import typing
 
 from .LADXR.checkMetadata import checkMetadataTable
 from .Common import *
@@ -25,6 +25,39 @@
 def meta_to_name(meta):
     return f"{meta.name} ({meta.area})"
 
+def get_location_name_groups() -> typing.Dict[str, typing.Set[str]]:
+    groups = {
+        "Instrument Pedestals": {
+            "Full Moon Cello (Tail Cave)",
+            "Conch Horn (Bottle Grotto)",
+            "Sea Lily's Bell (Key Cavern)",
+            "Surf Harp (Angler's Tunnel)",
+            "Wind Marimba (Catfish's Maw)",
+            "Coral Triangle (Face Shrine)",
+            "Organ of Evening Calm (Eagle's Tower)",
+            "Thunder Drum (Turtle Rock)",
+        },
+        "Boss Rewards": {
+            "Moldorm Heart Container (Tail Cave)",
+            "Genie Heart Container (Bottle Grotto)",
+            "Slime Eye Heart Container (Key Cavern)",
+            "Angler Fish Heart Container (Angler's Tunnel)",
+            "Slime Eel Heart Container (Catfish's Maw)",
+            "Facade Heart Container (Face Shrine)",
+            "Evil Eagle Heart Container (Eagle's Tower)",
+            "Hot Head Heart Container (Turtle Rock)",
+            "Tunic Fairy Item 1 (Color Dungeon)",
+            "Tunic Fairy Item 2 (Color Dungeon)",
+        },
+    }
+    # Add region groups
+    for s, v in checkMetadataTable.items():
+        if s == "None":
+            continue
+        groups.setdefault(v.area, set()).add(meta_to_name(v))
+    return groups
+
+links_awakening_location_name_groups = get_location_name_groups()
 
 def get_locations_to_id():
     ret = {
diff --git a/worlds/ladx/__init__.py b/worlds/ladx/__init__.py
index 2846b40e67d9..7499aca8c404 100644
--- a/worlds/ladx/__init__.py
+++ b/worlds/ladx/__init__.py
@@ -13,7 +13,8 @@
 from worlds.AutoWorld import WebWorld, World
 from .Common import *
 from .Items import (DungeonItemData, DungeonItemType, ItemName, LinksAwakeningItem, TradeItemData,
-                    ladxr_item_to_la_item_name, links_awakening_items, links_awakening_items_by_name)
+                    ladxr_item_to_la_item_name, links_awakening_items, links_awakening_items_by_name,
+                    links_awakening_item_name_groups)
 from .LADXR import generator
 from .LADXR.itempool import ItemPool as LADXRItemPool
 from .LADXR.locations.constants import CHEST_ITEMS
@@ -23,7 +24,8 @@
 from .LADXR.settings import Settings as LADXRSettings
 from .LADXR.worldSetup import WorldSetup as LADXRWorldSetup
 from .Locations import (LinksAwakeningLocation, LinksAwakeningRegion,
-                        create_regions_from_ladxr, get_locations_to_id)
+                        create_regions_from_ladxr, get_locations_to_id,
+                        links_awakening_location_name_groups)
 from .Options import DungeonItemShuffle, ShuffleInstruments, LinksAwakeningOptions, ladx_option_groups
 from .Rom import LADXDeltaPatch, get_base_rom_path
 
@@ -66,6 +68,15 @@ class LinksAwakeningWebWorld(WebWorld):
     )]
     theme = "dirt"
     option_groups = ladx_option_groups
+    options_presets: typing.Dict[str, typing.Dict[str, typing.Any]] = {
+        "Keysanity": {
+            "shuffle_nightmare_keys": "any_world",
+            "shuffle_small_keys": "any_world",
+            "shuffle_maps": "any_world",
+            "shuffle_compasses": "any_world",
+            "shuffle_stone_beaks": "any_world",
+        }
+    }
 
 class LinksAwakeningWorld(World):
     """
@@ -98,12 +109,9 @@ class LinksAwakeningWorld(World):
 
     # Items can be grouped using their names to allow easy checking if any item
     # from that group has been collected. Group names can also be used for !hint
-    item_name_groups = {
-        "Instruments": {
-            "Full Moon Cello", "Conch Horn", "Sea Lily's Bell", "Surf Harp",
-            "Wind Marimba", "Coral Triangle", "Organ of Evening Calm", "Thunder Drum"
-        },
-    }
+    item_name_groups = links_awakening_item_name_groups
+
+    location_name_groups = links_awakening_location_name_groups
 
     prefill_dungeon_items = None