At Join Avenue's Market, X Accuracy can be bought in dozens at $8550 each, which equates to $712.5 per X Accuracy.
Effect
Generations I to II
When used from the Bag during battle, it makes the Pokémon's moves ignore accuracy checks.
Generations III to VI
When used from the Bag during battle, it raises the accuracy of a Pokémon currently in battle by 1 level. It also increases the Pokémon's friendship a little. One-hit knockout moves are no longer affected by X Accuracy.
Generation VII onward
When used from the Bag during battle, it raises the accuracy of a Pokémon currently in battle by 2 levels. It also increases the Pokémon's friendship a little. One-hit knockout moves are unaffected by X Accuracy.
Wonder Launcher
The X Accuracy appears as four Wonder Launcher items, increasing Accuracy by 1, 2, 3, or 6 stages. It costs 3, 5, 7, or 11 points to use respectively.
X Accuracy is a Trainer card introduced in the Next Quest expansion. When used, if the targeted Pokémon spins a Miss in battle on that turn, it spins again.
In Pokémon Duel, X Accuracy is a Plate. When used, if the targeted Pokémon spins a Miss in battle on that turn, it will shift to the next wheel segment.
In the spin-off games
Pokémon Masters EX
In Pokémon Masters EX, X Accuracies can only be used by certain sync pairs who have them as an item move. In addition, a variant of X Accuracy called X Accuracy All can be used by certain sync pairs. Both of these item moves have 2 MP. An X Accuracy only raises the user's accuracy, while an X Accuracy All raises the accuracy of all allies. A full list of all sync pairs who can learn X Accuracy or X Accuracy All can be found here.