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While Jack Skellington was giving haunted gifts to every child as he stopped at the first house, he gave a boy a present as he left. The boy's parents were excited to see what Santa had brought their son, but when he pulled out the shrunken head, the sight caused causing his parents to scream and faint.
But later, Santa Claus replaced the shrunken head with a puppy.
Video Game Appearances
The Shrunken Heads are used as collectibles.