Purchased in 2023. All accessories are included. Used once, so please refrain from purchasing if you are sensitive to used items. Accessories: Nebulizer kit (one set) Kids accessories: elephant, rabbit Air hose (one) Mouthpiece (one) Inhalation mask (small, one) Adapter (one) Replacement air filters (five) Dedicated AC adapter (one) Storage pouch (one) Instruction manual (one) Medical device insert (one)