diff --git a/Resources/Prototypes/_Omu/Entities/Clothing/Head/mantles.yml b/Resources/Prototypes/_Omu/Entities/Clothing/Head/mantles.yml
index b1a1e30a0ff..2a9dff0228b 100644
--- a/Resources/Prototypes/_Omu/Entities/Clothing/Head/mantles.yml
+++ b/Resources/Prototypes/_Omu/Entities/Clothing/Head/mantles.yml
@@ -242,6 +242,39 @@
     - type: ShowHealthBars
     - type: ShowHealthIcons
 
+# medical mantle with internals and pressure protection for paramedics.
+- type: entity
+  id: ClothingCyberneticBeastMantleMedicalParamedic
+  parent: ClothingCyberneticBeastMantleMedical
+  name: beast's paramedic mantle
+  description: A modified version of a cybernetic beast's mantle. This one comes with internals, a pressure seal, and an included medhud.
+  components:
+  - type: Sprite
+    sprite: _Omu/Clothing/Head/mantle.rsi
+    state: icon-paramedic
+  - type: Clothing
+    sprite: _Omu/Clothing/Head/mantle.rsi
+    clothingVisuals:
+      head:
+      - state: helmet-medical
+      - state: helmet-internals-medical
+      - state: eyes-medical
+        shader: unshaded
+  - type: IngestionBlocker
+  - type: PressureProtection
+    highPressureMultiplier: 0.1
+    lowPressureMultiplier: 1000
+  - type: ComponentToggler
+    components:
+    - type: VisionCorrection
+      correctionPower: 16
+    - type: NightVision
+      isEquipment: true
+      color: "#CCFFCC"
+    - type: BreathMask
+    - type: ShowHealthBars
+    - type: ShowHealthIcons
+
 # Mantle for the BSO
 - type: entity
   id: ClothingCyberneticBeastMantleBlueshieldOfficer
diff --git a/Resources/Prototypes/_Omu/Traits/physical.yml b/Resources/Prototypes/_Omu/Traits/physical.yml
index d2486f066b6..5631af58ef2 100644
--- a/Resources/Prototypes/_Omu/Traits/physical.yml
+++ b/Resources/Prototypes/_Omu/Traits/physical.yml
@@ -78,7 +78,7 @@
         Chemist: ClothingCyberneticBeastMantleMedical
         MedicalDoctor: ClothingCyberneticBeastMantleMedical
         MedicalIntern: ClothingCyberneticBeastMantleMedical
-        Paramedic: ClothingCyberneticBeastMantleMedical
+        Paramedic: ClothingCyberneticBeastMantleMedicalParamedic # paramedic mantle variant with internals
         Brigmedic: ClothingCyberneticBeastMantleMedical
         # tossup of mantles for command.
         BlueshieldOfficer: ClothingCyberneticBeastMantleBlueshieldOfficer
diff --git a/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/helmet-internals-medical.png b/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/helmet-internals-medical.png
new file mode 100644
index 00000000000..3cccfb851d1
Binary files /dev/null and b/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/helmet-internals-medical.png differ
diff --git a/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/icon-paramedic.png b/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/icon-paramedic.png
new file mode 100644
index 00000000000..0afa06b3374
Binary files /dev/null and b/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/icon-paramedic.png differ
diff --git a/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/meta.json b/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/meta.json
index f863ffc1c5d..4e6649c49d7 100644
--- a/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/meta.json
+++ b/Resources/Textures/_Omu/Clothing/Head/mantle.rsi/meta.json
@@ -22,6 +22,9 @@
     {
       "name": "icon-medical"
     },
+    {
+      "name": "icon-paramedic"
+    },
     {
       "name": "icon-salvage"
     },
@@ -88,6 +91,10 @@
       "name": "helmet-internals",
       "directions": 4
     },
+    {
+      "name": "helmet-internals-medical",
+      "directions": 4
+    },
     {
       "name": "inhand-left",
       "directions": 4