diff --git a/soh/soh/Enhancements/Items/InjectItemCounts.cpp b/soh/soh/Enhancements/Items/InjectItemCounts.cpp
index 2b52a20e5c..5bd7c6ee69 100644
--- a/soh/soh/Enhancements/Items/InjectItemCounts.cpp
+++ b/soh/soh/Enhancements/Items/InjectItemCounts.cpp
@@ -26,6 +26,9 @@ void BuildSkulltulaMessage(uint16_t* textId, bool* loadFromMessageTable) {
         msg = msg + "\x0E\x3C";
     }
     int16_t gsCount = gSaveContext.inventory.gsTokens;
+    if (IS_RANDO && RAND_GET_OPTION(RSK_SHUFFLE_TOKENS)) {
+        gsCount += 1;
+    }
     msg.InsertNumber(static_cast<uint8_t>(gsCount));
     msg.AutoFormat(ITEM_SKULL_TOKEN);
     msg.LoadIntoFont();