diff --git a/code/__DEFINES/obj_flags.dm b/code/__DEFINES/obj_flags.dm
index 8530bf63cad..5b9553e66fc 100644
--- a/code/__DEFINES/obj_flags.dm
+++ b/code/__DEFINES/obj_flags.dm
@@ -54,6 +54,8 @@
 #define ANTI_TINFOIL_MANEUVER   (1<<12) //Hats with negative effects when worn (i.e the tinfoil hat).
 #define DANGEROUS_OBJECT    (1<<13)     //Clothes that cause a larger notification when placed on a person.
 #define LARGE_WORN_ICON    (1<<14)     //Clothes that use large icons, for applying the proper overlays like blood
+/// Clothes that block speech (i.e the muzzle). Can be applied to any clothing piece.
+#define BLOCKS_SPEECH (1<<15)
 
 /// Flags for the organ_flags var on /obj/item/organ
 
diff --git a/code/_globalvars/bitfields.dm b/code/_globalvars/bitfields.dm
index 1f852f2a4ca..e257abed530 100644
--- a/code/_globalvars/bitfields.dm
+++ b/code/_globalvars/bitfields.dm
@@ -79,6 +79,7 @@ DEFINE_BITFIELD(car_traits, list(
 DEFINE_BITFIELD(clothing_flags, list(
 	"ANTI_TINFOIL_MANEUVER" = ANTI_TINFOIL_MANEUVER,
 	"BLOCKS_SHOVE_KNOCKDOWN" = BLOCKS_SHOVE_KNOCKDOWN,
+	"BLOCKS_SPEECH" = BLOCKS_SPEECH,
 	"BLOCK_GAS_SMOKE_EFFECT" = BLOCK_GAS_SMOKE_EFFECT,
 	"LAVAPROTECT" = LAVAPROTECT,
 	"MASKINTERNALS" = MASKINTERNALS,
diff --git a/code/game/objects/structures/crates_lockers/closets/secure/medical.dm b/code/game/objects/structures/crates_lockers/closets/secure/medical.dm
index 2894c30e242..3921d2d2d9d 100644
--- a/code/game/objects/structures/crates_lockers/closets/secure/medical.dm
+++ b/code/game/objects/structures/crates_lockers/closets/secure/medical.dm
@@ -28,7 +28,7 @@
 	for(var/i in 1 to 3)
 		new /obj/item/tank/internals/anesthetic(src)
 	for(var/i in 1 to 3)
-		new /obj/item/clothing/mask/breath/medical(src)
+		new /obj/item/clothing/mask/breathmuzzle(src)
 
 /obj/structure/closet/secure_closet/medical3
 	name = "medical doctor's locker"
diff --git a/code/modules/clothing/masks/miscellaneous.dm b/code/modules/clothing/masks/miscellaneous.dm
index b85f95fce52..162bb5beb96 100644
--- a/code/modules/clothing/masks/miscellaneous.dm
+++ b/code/modules/clothing/masks/miscellaneous.dm
@@ -3,6 +3,7 @@
 	desc = "To stop that awful noise."
 	icon_state = "muzzle"
 	inhand_icon_state = "blindfold"
+	clothing_flags = BLOCKS_SPEECH
 	flags_cover = MASKCOVERSMOUTH
 	w_class = WEIGHT_CLASS_SMALL
 	gas_transfer_coefficient = 0.9
@@ -16,6 +17,25 @@
 			return
 	..()
 
+/obj/item/clothing/mask/breathmuzzle
+	name = "surgery mask"
+	desc = "To silence those pesky patients before putting them under."
+	icon_state = "breathmuzzle"
+	inhand_icon_state = "breathmuzzle"
+	clothing_flags = MASKINTERNALS | BLOCKS_SPEECH
+	gas_transfer_coefficient = 0.1
+	permeability_coefficient = 0.01
+	equip_delay_other = 25 // my sprite has 4 straps, a-la a head harness. takes a while to equip, longer than a muzzle
+
+/obj/item/clothing/mask/breathmuzzle/attack_paw(mob/user, list/modifiers)
+	// The breathmuzzle is similar enough to a regular muzzle that similar rules would apply to both.
+	if(iscarbon(user))
+		var/mob/living/carbon/carbon_user = user
+		if(src == carbon_user.wear_mask)
+			to_chat(user, "<span class='warning'>You need help taking this off!</span>")
+			return
+	..()
+
 /obj/item/clothing/mask/surgical
 	name = "sterile mask"
 	desc = "A sterile mask designed to help prevent the spread of diseases."
diff --git a/code/modules/mob/living/carbon/carbon.dm b/code/modules/mob/living/carbon/carbon.dm
index 31eb21cf8f1..40a4dabc5c5 100644
--- a/code/modules/mob/living/carbon/carbon.dm
+++ b/code/modules/mob/living/carbon/carbon.dm
@@ -210,7 +210,10 @@
 	loc.handle_fall(src)//it's loc so it doesn't call the mob's handle_fall which does nothing
 
 /mob/living/carbon/is_muzzled()
-	return(istype(src.wear_mask, /obj/item/clothing/mask/muzzle))
+	for (var/obj/item/clothing/clothing in get_equipped_items())
+		if(clothing.clothing_flags & BLOCKS_SPEECH)
+			return TRUE
+	return FALSE
 
 /mob/living/carbon/hallucinating()
 	if(hallucination)
diff --git a/icons/mob/clothing/mask.dmi b/icons/mob/clothing/mask.dmi
index 66524e6d5c3..aaeff29704a 100644
Binary files a/icons/mob/clothing/mask.dmi and b/icons/mob/clothing/mask.dmi differ
diff --git a/icons/mob/inhands/clothing_lefthand.dmi b/icons/mob/inhands/clothing_lefthand.dmi
index 1324bc555af..4e83b053a94 100644
Binary files a/icons/mob/inhands/clothing_lefthand.dmi and b/icons/mob/inhands/clothing_lefthand.dmi differ
diff --git a/icons/mob/inhands/clothing_righthand.dmi b/icons/mob/inhands/clothing_righthand.dmi
index e4445618832..1825c18f727 100644
Binary files a/icons/mob/inhands/clothing_righthand.dmi and b/icons/mob/inhands/clothing_righthand.dmi differ
diff --git a/icons/obj/clothing/masks.dmi b/icons/obj/clothing/masks.dmi
index b28f808041a..64ccef9d720 100644
Binary files a/icons/obj/clothing/masks.dmi and b/icons/obj/clothing/masks.dmi differ