From Brotato Wiki
Item
Sad Tomato is an in-game item that can be bought from a Shop or can be found in a Crate. Most Items modify the Stats of the player, and some of them provide additional effects.
Unique
Sad Tomato is a unique item. Only 1 of each unique item can be equipped, and it will then no longer be offered in the Shop, and no longer drop from loot crates.