diff --git a/soh/src/code/code_800EC960.c b/soh/src/code/code_800EC960.c
index cab454b13a..a0b08ff144 100644
--- a/soh/src/code/code_800EC960.c
+++ b/soh/src/code/code_800EC960.c
@@ -1246,6 +1246,7 @@ void Audio_StepFreqLerp(FreqLerp* lerp);
 void func_800F56A8(void);
 void Audio_PlayNatureAmbienceSequence(u8 natureAmbienceId);
 s32 Audio_SetGanonDistVol(u8 targetVol);
+void Audio_PlayFanfare_Rando(ItemID getItemId);
 
 // Function originally not called, so repurposing for DPad input
 void func_800EC960(u8 dpad) {
@@ -3889,6 +3890,49 @@ void Audio_ResetSfxChannelState(void) {
     sAudioCodeReverb = 0;
 }
 
+// Function to play "get-item" fanfares according to the type of item obtained (used in rando)
+// Longer fanfares for medallions/stones/songs are behind the Cvar
+void Audio_PlayFanfare_Rando(ItemID getItemId) {
+    s32 temp1;
+
+    if (((getItemId >= GI_RUPEE_GREEN) && (getItemId <= GI_RUPEE_RED)) ||
+        ((getItemId >= GI_RUPEE_PURPLE) && (getItemId <= GI_RUPEE_GOLD)) ||
+        ((getItemId >= GI_RUPEE_GREEN_LOSE) && (getItemId <= GI_RUPEE_PURPLE_LOSE)) || (getItemId == GI_HEART)) {
+        Audio_PlaySoundGeneral(NA_SE_SY_GET_BOXITEM, &D_801333D4, 4, &D_801333E0, &D_801333E0, &D_801333E8);
+    } else {
+        if ((getItemId == GI_HEART_CONTAINER_2) || (getItemId == GI_HEART_CONTAINER) ||
+            ((getItemId == GI_HEART_PIECE) && ((gSaveContext.inventory.questItems & 0xF0000000) == 0x40000000))) {
+            temp1 = NA_BGM_HEART_GET | 0x900;
+        } else {
+            temp1 = (getItemId == GI_HEART_PIECE) ? NA_BGM_SMALL_ITEM_GET : NA_BGM_ITEM_GET | 0x900;
+        }
+        // If we get a skulltula token or the "WINNER" heart, play "get small item"
+        if (getItemId == GI_SKULL_TOKEN || getItemId == GI_HEART_PIECE_WIN) {
+            temp1 = NA_BGM_SMALL_ITEM_GET | 0x900;
+        }
+        // But if the "WINNER" heart is the 4th heart piece collected, play "get heart container"
+        if (getItemId == GI_HEART_PIECE_WIN && ((gSaveContext.inventory.questItems & 0xF0000000) == 0x40000000)) {
+            temp1 = NA_BGM_HEART_GET | 0x900;
+        }
+        // If the setting is toggled on and we get special quest items (longer fanfares):
+        if (CVar_GetS32("gRandoQuestItemFanfares", 0) != 0) {
+            // If we get a medallion, play the "get a medallion" fanfare
+            if ((getItemId >= GI_MEDALLION_LIGHT) && (getItemId <= GI_MEDALLION_SPIRIT)) {
+                temp1 = NA_BGM_MEDALLION_GET | 0x900;
+            }
+            // If it's a Spiritual Stone, play the "get a spiritual stone" fanfare
+            if ((getItemId >= GI_STONE_KOKIRI) && (getItemId <= GI_STONE_ZORA)) {
+                temp1 = NA_BGM_SPIRITUAL_STONE | 0x900;
+            }
+            // If the item we're getting is a song, play the "learned a song" fanfare
+            if ((getItemId >= GI_ZELDAS_LULLABY) && (getItemId <= GI_PRELUDE_OF_LIGHT)) {
+                temp1 = NA_BGM_OCA_FAIRY_GET | 0x900;
+            }
+        }
+        Audio_PlayFanfare(temp1);
+    }
+}
+
 void func_800F3F3C(u8 arg0) {
     if (gSoundBankMuted[0] != 1) {
         Audio_StartSeq(SEQ_PLAYER_BGM_SUB, 0, NA_BGM_VARIOUS_SFX);
diff --git a/soh/src/overlays/actors/ovl_En_Si/z_en_si.c b/soh/src/overlays/actors/ovl_En_Si/z_en_si.c
index aa67f1a20f..944a628507 100644
--- a/soh/src/overlays/actors/ovl_En_Si/z_en_si.c
+++ b/soh/src/overlays/actors/ovl_En_Si/z_en_si.c
@@ -115,7 +115,12 @@ void func_80AFB768(EnSi* this, GlobalContext* globalCtx) {
                     player->actor.freezeTimer = 20;
                 }
                 Message_StartTextbox(globalCtx, textId, NULL);
-                Audio_PlayFanfare(NA_BGM_SMALL_ITEM_GET);
+
+                if (gSaveContext.n64ddFlag) {
+                    Audio_PlayFanfare_Rando(getItemId);
+                } else {
+                    Audio_PlayFanfare(NA_BGM_SMALL_ITEM_GET);
+                }
                 this->actionFunc = func_80AFB950;
             } else {
                 Collider_UpdateCylinder(&this->actor, &this->collider);
@@ -149,7 +154,11 @@ void func_80AFB89C(EnSi* this, GlobalContext* globalCtx) {
             Item_Give(globalCtx, giveItemId);
         }
         Message_StartTextbox(globalCtx, textId, NULL);
-        Audio_PlayFanfare(NA_BGM_SMALL_ITEM_GET);
+        if (gSaveContext.n64ddFlag) {
+            Audio_PlayFanfare_Rando(getItemId);
+        } else {
+            Audio_PlayFanfare(NA_BGM_SMALL_ITEM_GET);
+        }
         this->actionFunc = func_80AFB950;
     }
 }
diff --git a/soh/src/overlays/actors/ovl_player_actor/z_player.c b/soh/src/overlays/actors/ovl_player_actor/z_player.c
index 569ec28022..d7faa19cb3 100644
--- a/soh/src/overlays/actors/ovl_player_actor/z_player.c
+++ b/soh/src/overlays/actors/ovl_player_actor/z_player.c
@@ -12684,7 +12684,11 @@ s32 func_8084DFF4(GlobalContext* globalCtx, Player* this) {
         Message_StartTextbox(globalCtx, giEntry->textId, &this->actor);
         Item_Give(globalCtx, giEntry->itemId);
 
-        if (((this->getItemId >= GI_RUPEE_GREEN) && (this->getItemId <= GI_RUPEE_RED)) ||
+        // In rando the fanfares are handled by a function in code_800EC960.c
+        if (gSaveContext.n64ddFlag) {
+            Audio_PlayFanfare_Rando(this->getItemId);
+        } 
+        else if (((this->getItemId >= GI_RUPEE_GREEN) && (this->getItemId <= GI_RUPEE_RED)) ||
             ((this->getItemId >= GI_RUPEE_PURPLE) && (this->getItemId <= GI_RUPEE_GOLD)) ||
             ((this->getItemId >= GI_RUPEE_GREEN_LOSE) && (this->getItemId <= GI_RUPEE_PURPLE_LOSE)) ||
             (this->getItemId == GI_HEART)) {