PokéBase - Pokémon Q&A
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I really don't see the difference other than the Leftovers being better.
(please cooperate with any screwed up stuff as my internet refuses to cooperate with my computer and has me type weird stuff)

Leftovers restore 1/16 of your total HP. Shell Bell restores 1/8 of the damage you did.
So if you have a stall-ish Pokémon, it won't inflict much damage, so Leftovers' guaranteed healing is preferred. Guaranteed as in you would heal the same amount of HP each turn.

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Shell Bell heals based off how much damage you do.(that means your Pokemon have to damage the foe and at the same turn it will heal you)

Leftovers heals 6% of your Pokemon health every turn.

Leftovers is generally considered the better item.


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Unless you F.E.A.R.... then Shell Bell is the better troll item.