Item.SetTransform uses SetTransformIgnoreContacts to set the position of the physics body if the body is disabled. No need to update contacts when moving disabled items such as wearables.

Barotrauma/BarotraumaShared/Source/Items/Item.cs

@@ -528,7 +528,14 @@ namespace Barotrauma
             {
                 try
                 {
-                    body.SetTransform(simPosition, rotation);
+                    if (body.Enabled)
+                    {
+                        body.SetTransform(simPosition, rotation);
+                    }
+                    else
+                    {
+                        body.SetTransformIgnoreContacts(simPosition, rotation);
+                    }
                 }
                 catch (Exception e)
                 {

Barotrauma/BarotraumaShared/Source/Physics/PhysicsBody.cs

@@ -396,11 +396,20 @@ namespace Barotrauma
             System.Diagnostics.Debug.Assert(Math.Abs(simPosition.X) < 1000000.0f);
             System.Diagnostics.Debug.Assert(Math.Abs(simPosition.Y) < 1000000.0f);
             
-
             body.SetTransform(simPosition, rotation);
             SetPrevTransform(simPosition, rotation);
         }
 
+        public void SetTransformIgnoreContacts(Vector2 simPosition, float rotation)
+        {
+            System.Diagnostics.Debug.Assert(MathUtils.IsValid(simPosition));
+            System.Diagnostics.Debug.Assert(Math.Abs(simPosition.X) < 1000000.0f);
+            System.Diagnostics.Debug.Assert(Math.Abs(simPosition.Y) < 1000000.0f);
+            
+            body.SetTransformIgnoreContacts(ref simPosition, rotation);
+            SetPrevTransform(simPosition, rotation);
+        }
+
         public void SetPrevTransform(Vector2 position, float rotation)
         {
             prevPosition = position;