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 b78a8cce33..073a25f0b5 100644
--- a/soh/src/overlays/actors/ovl_player_actor/z_player.c
+++ b/soh/src/overlays/actors/ovl_player_actor/z_player.c
@@ -12677,8 +12677,8 @@ s32 func_8084DFF4(GlobalContext* globalCtx, Player* this) {
             }
 
             // In Rando, if we get special quest items (medallions/stones/songs), play their respective unique fanfares
-            // instead of the default "get item" fanfare
-            if (gSaveContext.n64ddFlag) {
+            // instead of the default "get item" fanfare (if we have the setting toggled on)
+            if (gSaveContext.n64ddFlag && CVar_GetS32("gRandoFanfareByItemType", 0)) {
                 // If the item we're getting is a medallion, play the "get a medallion" fanfare
                 if ((this->getItemId == GI_MEDALLION_FOREST) || (this->getItemId == GI_MEDALLION_FIRE) ||
                     (this->getItemId == GI_MEDALLION_WATER) || (this->getItemId == GI_MEDALLION_SHADOW) ||