diff --git a/code/game/objects/items/storage/lockbox.dm b/code/game/objects/items/storage/lockbox.dm
index e604f4a29b54..96892a1dbd53 100644
--- a/code/game/objects/items/storage/lockbox.dm
+++ b/code/game/objects/items/storage/lockbox.dm
@@ -187,6 +187,8 @@
 /obj/item/storage/lockbox/medal/med/PopulateContents()
 	new /obj/item/clothing/accessory/medal/med_medal(src)
 	new /obj/item/clothing/accessory/medal/med_medal2(src)
+	for(var/i in 1 to 3)
+		new /obj/item/clothing/accessory/medal/silver/emergency_services/medical(src)
 
 /obj/item/storage/lockbox/medal/sec/PopulateContents()
 	for(var/i in 1 to 3)
@@ -217,6 +219,16 @@
 	for(var/i in 1 to 3)
 		new /obj/item/clothing/accessory/medal/plasma/nobel_science(src)
 
+/obj/item/storage/lockbox/medal/engineering
+	name = "engineering medal box"
+	desc = "A locked box used to store awards to be given to members of the engineering department."
+	req_access = list(ACCESS_CE)
+
+/obj/item/storage/lockbox/medal/engineering/PopulateContents()
+	for(var/i in 1 to 3)
+		new /obj/item/clothing/accessory/medal/silver/emergency_services/engineering(src)
+	new /obj/item/clothing/accessory/medal/silver/elder_atmosian(src)
+
 /obj/item/storage/lockbox/order
 	name = "order lockbox"
 	desc = "A box used to secure small cargo orders from being looted by those who didn't order it. Yeah, cargo tech, that means you."
diff --git a/code/game/objects/structures/crates_lockers/closets/secure/engineering.dm b/code/game/objects/structures/crates_lockers/closets/secure/engineering.dm
index 97a6664adb2e..fe996adb81f6 100644
--- a/code/game/objects/structures/crates_lockers/closets/secure/engineering.dm
+++ b/code/game/objects/structures/crates_lockers/closets/secure/engineering.dm
@@ -13,7 +13,7 @@
 	new /obj/item/holosign_creator/atmos(src)
 	new /obj/item/assembly/flash/handheld(src)
 	new /obj/item/door_remote/chief_engineer(src)
-
+	new /obj/item/storage/lockbox/medal/engineering(src)
 	new /obj/item/circuitboard/machine/techfab/department/engineering(src)
 	new /obj/item/extinguisher/advanced(src)
 	new /obj/item/storage/photo_album/ce(src)
diff --git a/code/modules/clothing/under/accessories/medals.dm b/code/modules/clothing/under/accessories/medals.dm
index 8b0eec98eca5..dcf1e05615e2 100644
--- a/code/modules/clothing/under/accessories/medals.dm
+++ b/code/modules/clothing/under/accessories/medals.dm
@@ -178,3 +178,29 @@
 /obj/item/clothing/accessory/medal/plasma/nobel_science
 	name = "nobel sciences award"
 	desc = "A plasma medal which represents significant contributions to the field of science or engineering."
+
+/obj/item/clothing/accessory/medal/silver/emergency_services
+	name = "emergency services award"
+	desc = "A silver medal awarded to the outstanding emergency service workers of Nanotrasen, those who work tirelessly together through adversity to keep their crew safe and breathing in the harsh environments of outer space."
+	icon_state = "emergencyservices"
+
+	/// Flavor text that is appended to the description.
+	var/insignia_desc = null
+
+/obj/item/clothing/accessory/medal/silver/emergency_services/Initialize(mapload)
+	. = ..()
+	if(istext(insignia_desc))
+		desc += " [insignia_desc]"
+
+/obj/item/clothing/accessory/medal/silver/emergency_services/engineering
+	icon_state = "emergencyservices_engi"
+	insignia_desc = "The back of the medal bears an orange wrench."
+
+/obj/item/clothing/accessory/medal/silver/emergency_services/medical
+	icon_state = "emergencyservices_med"
+	insignia_desc = "The back of the medal bears a dark blue cross."
+
+/obj/item/clothing/accessory/medal/silver/elder_atmosian
+	name = "atmospheric mastery award"
+	desc = "Often referred to as the \"elder atmosian\" award, this medal is awarded to the exemplary scientists and technicians who push the boundaries and demonstrate mastery of atmospherics."
+	icon_state = "elderatmosian"
diff --git a/icons/mob/clothing/accessories.dmi b/icons/mob/clothing/accessories.dmi
index dbe0275bc8c0..d19e62a08bb4 100644
Binary files a/icons/mob/clothing/accessories.dmi and b/icons/mob/clothing/accessories.dmi differ
diff --git a/icons/obj/clothing/accessories.dmi b/icons/obj/clothing/accessories.dmi
index f130b71d3295..b3ca92160cce 100644
Binary files a/icons/obj/clothing/accessories.dmi and b/icons/obj/clothing/accessories.dmi differ