From the Super Mario Wiki
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The 3UP Heart is a heart-shaped item that first appears in Super Mario Land 2: 6 Golden Coins. As the name implies, it grants the player three extra lives. Originally, it was depicted as a 1-Up Heart with a "3" written on it, and was only found in minigames. It reappears in Wario Land: Super Mario Land 3, it is depicted as a blinking heart and shows up in hard-to-reach places and secret rooms. It remains immobile and does not disappear until it is collected.
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