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 9c3ede3d31..1aba4fae3a 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
@@ -180,10 +180,14 @@ void Audio_PlayFanfare_Rando() {
         } else {
             temp1 = (getItemId == GI_HEART_PIECE) ? NA_BGM_SMALL_ITEM_GET : NA_BGM_ITEM_GET | 0x900;
         }
-        // If we get a skulltula token, play "get small item"
-        if (getItemId == GI_SKULL_TOKEN) {
+        // 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
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 c906eb1629..cdc63422f4 100644
--- a/soh/src/overlays/actors/ovl_player_actor/z_player.c
+++ b/soh/src/overlays/actors/ovl_player_actor/z_player.c
@@ -12702,10 +12702,15 @@ s32 func_8084DFF4(GlobalContext* globalCtx, Player* this) {
 
             // Restore appropriate item fanfares in rando when we're obtaining items outside of their normal contexts
             if (gSaveContext.n64ddFlag) {
-                // If we get a skulltula token, play "get small item" (for tokensanity)
-                if (this->getItemId == GI_SKULL_TOKEN) {
+                // If we get a skulltula token (in tokensanity) or the "WINNER" heart, play "get small item"
+                if (this->getItemId == GI_SKULL_TOKEN || this->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 (this->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