diff --git a/Content.Server/SS220/TouretteSyndrome/TouretteAccentComponent.cs b/Content.Server/SS220/TouretteSyndrome/TouretteAccentComponent.cs
new file mode 100644
index 00000000000000..a99f033d9c93d4
--- /dev/null
+++ b/Content.Server/SS220/TouretteSyndrome/TouretteAccentComponent.cs
@@ -0,0 +1,11 @@
+// © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+using Content.Server.Speech.EntitySystems;
+namespace Content.Server.Speech.Components;
+
+[RegisterComponent]
+[Access(typeof(TouretteAccentSystem))]
+public sealed partial class TouretteAccentComponent : Component
+{
+    [ViewVariables(VVAccess.ReadWrite)] public float SwearChance;
+    protected internal List<string> TouretteWords;
+}
diff --git a/Content.Server/SS220/TouretteSyndrome/TouretteAccentSystem.cs b/Content.Server/SS220/TouretteSyndrome/TouretteAccentSystem.cs
new file mode 100644
index 00000000000000..cd275fa69c46db
--- /dev/null
+++ b/Content.Server/SS220/TouretteSyndrome/TouretteAccentSystem.cs
@@ -0,0 +1,61 @@
+using Content.Server.Speech.Components;
+using Robust.Shared.Audio;
+using Robust.Shared.Prototypes;
+using Robust.Shared.Random;
+using System.Diagnostics;
+using System.Text.RegularExpressions;
+using System.Linq;
+using FastAccessors;
+
+namespace Content.Server.Speech.EntitySystems;
+
+// © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+public sealed class TouretteAccentSystem : EntitySystem
+{
+    [Dependency] private readonly IPrototypeManager _proto = default!;
+    [Dependency] private readonly IRobustRandom _random = default!;
+    [Dependency] private readonly ReplacementAccentSystem _replacement = default!;
+
+    public override void Initialize()
+    {
+        base.Initialize();
+
+        SubscribeLocalEvent<TouretteAccentComponent, AccentGetEvent>(OnAccentGet);
+        SubscribeLocalEvent<TouretteAccentComponent, ComponentStartup>(OnTouretteStartup);
+    }
+
+
+    private void OnTouretteStartup(EntityUid uid, TouretteAccentComponent component, ComponentStartup args)
+    {
+        component.SwearChance = _random.NextFloat(0f, 0.7f);
+
+        if (component.SwearChance >= 0.6f)
+            component.SwearChance = 0f;
+
+        var en = _proto.EnumeratePrototypes<TouretteCollectionPrototype>();
+        component.TouretteWords = en.ToArray()[_random.Next(0, en.Count() - 1)].Replics;
+    }
+
+    // converts left word when typed into the right word. For example typing you becomes ye.
+    private string Accentuate(string message, TouretteAccentComponent component)
+    {
+        var msg = message;
+
+        if (!_random.Prob(component.SwearChance))
+            return msg;
+
+        if (string.IsNullOrEmpty(msg))
+            return msg;
+
+        var pick = _random.Pick(component.TouretteWords);
+        msg = msg[0].ToString().ToLower() + msg.Remove(0, 1);
+        msg = Loc.GetString(pick) + ", " + msg;
+
+        return msg;
+    }
+
+    private void OnAccentGet(EntityUid uid, TouretteAccentComponent component, AccentGetEvent args)
+    {
+        args.Message = Accentuate(args.Message, component);
+    }
+}
diff --git a/Content.Shared/SS220/TouretteSyndrome/TouretteCollectionPrototype.cs b/Content.Shared/SS220/TouretteSyndrome/TouretteCollectionPrototype.cs
new file mode 100644
index 00000000000000..b2d3c03926684c
--- /dev/null
+++ b/Content.Shared/SS220/TouretteSyndrome/TouretteCollectionPrototype.cs
@@ -0,0 +1,16 @@
+// © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+using Robust.Shared.Prototypes;
+using Robust.Shared.Serialization.Manager.Attributes;
+using Robust.Shared.Utility;
+using Robust.Shared.ViewVariables;
+using System.Collections.Generic;
+
+namespace Robust.Shared.Audio;
+
+[Prototype("touretteCollection")]
+public sealed class TouretteCollectionPrototype : IPrototype
+{
+    [ViewVariables, IdDataField] public string ID { get; private set; } = default!;
+    [DataField("replics")]
+    public List<string> Replics { get; private set; } = new();
+}
diff --git a/Resources/Locale/ru-RU/ss220/accent/TouretteAccent.ftl b/Resources/Locale/ru-RU/ss220/accent/TouretteAccent.ftl
new file mode 100644
index 00000000000000..cf1b77e8aa7c2c
--- /dev/null
+++ b/Resources/Locale/ru-RU/ss220/accent/TouretteAccent.ftl
@@ -0,0 +1,49 @@
+accent-tourette-prefix-1-1 = Скуик
+accent-tourette-prefix-1-2 = Пиип
+accent-tourette-prefix-1-3 = Тц-тц 
+accent-tourette-prefix-1-4 = Мяу
+accent-tourette-prefix-1-5 = Скуик скуик
+accent-tourette-prefix-1-6 = Скуик-скуик
+
+accent-tourette-prefix-2-1 = Эй
+accent-tourette-prefix-2-2 = Пупупу
+accent-tourette-prefix-2-3 = Да
+accent-tourette-prefix-2-4 = Нет
+accent-tourette-prefix-2-5 = А
+accent-tourette-prefix-2-6 = Бе
+accent-tourette-prefix-2-7 = Буэ
+accent-tourette-prefix-2-8 = Брррр
+
+accent-tourette-prefix-3-1 = Блять
+accent-tourette-prefix-3-2 = Сука
+accent-tourette-prefix-3-3 = Иду нахуй
+accent-tourette-prefix-3-4 = Буэ
+accent-tourette-prefix-3-5 = Срань
+accent-tourette-prefix-3-6 = Нахуй
+accent-tourette-prefix-3-7 = Хуй
+
+accent-tourette-prefix-4-1 = Пошел ты
+accent-tourette-prefix-4-2 = Чертила
+accent-tourette-prefix-4-3 = Блять
+accent-tourette-prefix-4-4 = Еблан
+accent-tourette-prefix-4-5 = Блядь
+accent-tourette-prefix-4-6 = Срань
+accent-tourette-prefix-4-7 = Сука
+
+accent-tourette-prefix-5-1 = Скуик
+accent-tourette-prefix-5-2 = Мррр
+accent-tourette-prefix-5-3 = Мур 
+accent-tourette-prefix-5-4 = Мяу
+accent-tourette-prefix-5-5 = Пхихи
+accent-tourette-prefix-5-6 = Скуик скуик
+accent-tourette-prefix-5-7 = Хихик
+accent-tourette-prefix-5-8 = Кхихи
+
+accent-tourette-prefix-6-1 = Да
+accent-tourette-prefix-6-2 = Нет
+accent-tourette-prefix-6-3 = Хуй 
+accent-tourette-prefix-6-4 = Да-да
+accent-tourette-prefix-6-5 = Нет-нет
+accent-tourette-prefix-6-6 = Угу
+accent-tourette-prefix-6-7 = Ага
+accent-tourette-prefix-6-8 = Эй
\ No newline at end of file
diff --git a/Resources/Locale/ru-RU/ss220/traits.ftl b/Resources/Locale/ru-RU/ss220/traits.ftl
new file mode 100644
index 00000000000000..edb96be108c25a
--- /dev/null
+++ b/Resources/Locale/ru-RU/ss220/traits.ftl
@@ -0,0 +1,2 @@
+trait-tourette-name = Синдром Туретта
+trait-tourette-desc = Иногда вы непроизвольно издаете какие-то звуки или нецензурную брань. Иногда. И не факт, что вы будете именно ругаться.
diff --git a/Resources/PhotocopierForms/FormIndex.yml b/Resources/PhotocopierForms/FormIndex.yml
index 4b6d1c6d87f484..83552abdbef3f7 100644
--- a/Resources/PhotocopierForms/FormIndex.yml
+++ b/Resources/PhotocopierForms/FormIndex.yml
@@ -95,6 +95,7 @@
     - /PhotocopierForms/nanotrasen_station/medical/med_rcp.xml
     - /PhotocopierForms/nanotrasen_station/medical/med_rep_death.xml
     - /PhotocopierForms/nanotrasen_station/medical/med_rep_psych.xml
+    - /PhotocopierForms/nanotrasen_station/medical/med_rep_psych_tourette.xml
     - /PhotocopierForms/nanotrasen_station/medical/med_sitrep.xml
   - Id: engineering
     Name: Инженерный отдел
diff --git a/Resources/PhotocopierForms/nanotrasen_station/medical/med_rep_psych_tourette.xml b/Resources/PhotocopierForms/nanotrasen_station/medical/med_rep_psych_tourette.xml
new file mode 100644
index 00000000000000..cd8f3c6b8117bd
--- /dev/null
+++ b/Resources/PhotocopierForms/nanotrasen_station/medical/med_rep_psych_tourette.xml
@@ -0,0 +1,20 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<Form>
+  <FormId>med_rep_psych_tourette</FormId>
+  <PrototypeId>PaperNtFormMed</PrototypeId>
+  <EntityName>форма НТ-МЕД-ТРТТ</EntityName>
+  <PhotocopierTitle>Справка о синдроме Туретта</PhotocopierTitle>
+  <Content><![CDATA[[bold]Форма НТ-МЕД-ТРТТ[/bold]
+[head=2]Справка о синдроме Туретта[/head]
+
+[italic]Дата: ДЕНЬ/МЕСЯЦ/ГОД[/italic]
+
+[bold]Психолог:[/bold] (ПОЛНОЕ ИМЯ ПСИХОЛОГА)
+[bold]Полное имя и должность пациента:[/bold]
+[bold]Состояние синдрома:[/bold]
+(Стадия развития, степень выраженности, навязчивость)
+[bold]Проявляющиеся тики:[/bold]
+(Описание тиков)
+
+[italic]Место для печатей - Психолог[/italic]]]></Content>
+</Form>
\ No newline at end of file
diff --git a/Resources/Prototypes/SS220/TouretteCollection/aggressive.yml b/Resources/Prototypes/SS220/TouretteCollection/aggressive.yml
new file mode 100644
index 00000000000000..7f74a2e97dd6c6
--- /dev/null
+++ b/Resources/Prototypes/SS220/TouretteCollection/aggressive.yml
@@ -0,0 +1,11 @@
+# © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+- type: touretteCollection
+  id: aggressive
+  replics:
+    - accent-tourette-prefix-4-1
+    - accent-tourette-prefix-4-2
+    - accent-tourette-prefix-4-3
+    - accent-tourette-prefix-4-4
+    - accent-tourette-prefix-4-5
+    - accent-tourette-prefix-4-6
+    - accent-tourette-prefix-4-7
diff --git a/Resources/Prototypes/SS220/TouretteCollection/confusing.yml b/Resources/Prototypes/SS220/TouretteCollection/confusing.yml
new file mode 100644
index 00000000000000..97b6764dee3bcd
--- /dev/null
+++ b/Resources/Prototypes/SS220/TouretteCollection/confusing.yml
@@ -0,0 +1,12 @@
+# © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+- type: touretteCollection
+  id: confusing
+  replics:
+    - accent-tourette-prefix-6-1
+    - accent-tourette-prefix-6-2
+    - accent-tourette-prefix-6-3
+    - accent-tourette-prefix-6-4
+    - accent-tourette-prefix-6-5
+    - accent-tourette-prefix-6-6
+    - accent-tourette-prefix-6-7
+    - accent-tourette-prefix-6-8
diff --git a/Resources/Prototypes/SS220/TouretteCollection/cute.yml b/Resources/Prototypes/SS220/TouretteCollection/cute.yml
new file mode 100644
index 00000000000000..5cdc1ad406dcb6
--- /dev/null
+++ b/Resources/Prototypes/SS220/TouretteCollection/cute.yml
@@ -0,0 +1,12 @@
+# © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+- type: touretteCollection
+  id: cute
+  replics:
+    - accent-tourette-prefix-5-1
+    - accent-tourette-prefix-5-2
+    - accent-tourette-prefix-5-3
+    - accent-tourette-prefix-5-4
+    - accent-tourette-prefix-5-5
+    - accent-tourette-prefix-5-6
+    - accent-tourette-prefix-5-7
+    - accent-tourette-prefix-5-8
diff --git a/Resources/Prototypes/SS220/TouretteCollection/second.yml b/Resources/Prototypes/SS220/TouretteCollection/second.yml
new file mode 100644
index 00000000000000..b66ede36253ee1
--- /dev/null
+++ b/Resources/Prototypes/SS220/TouretteCollection/second.yml
@@ -0,0 +1,12 @@
+# © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+- type: touretteCollection
+  id: Second
+  replics:
+    - accent-tourette-prefix-2-1
+    - accent-tourette-prefix-2-2
+    - accent-tourette-prefix-2-3
+    - accent-tourette-prefix-2-4
+    - accent-tourette-prefix-2-5
+    - accent-tourette-prefix-2-6
+    - accent-tourette-prefix-2-7
+    - accent-tourette-prefix-2-8
\ No newline at end of file
diff --git a/Resources/Prototypes/SS220/TouretteCollection/squeaks.yml b/Resources/Prototypes/SS220/TouretteCollection/squeaks.yml
new file mode 100644
index 00000000000000..4f1ffc4bfabfab
--- /dev/null
+++ b/Resources/Prototypes/SS220/TouretteCollection/squeaks.yml
@@ -0,0 +1,10 @@
+# © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+- type: touretteCollection
+  id: Squeaks
+  replics:
+    - accent-tourette-prefix-1-1
+    - accent-tourette-prefix-1-2
+    - accent-tourette-prefix-1-3
+    - accent-tourette-prefix-1-4
+    - accent-tourette-prefix-1-5
+    - accent-tourette-prefix-1-6
diff --git a/Resources/Prototypes/SS220/TouretteCollection/swearing.yml b/Resources/Prototypes/SS220/TouretteCollection/swearing.yml
new file mode 100644
index 00000000000000..4bb2a1a1d1ee8c
--- /dev/null
+++ b/Resources/Prototypes/SS220/TouretteCollection/swearing.yml
@@ -0,0 +1,11 @@
+# © SS220, An EULA/CLA with a hosting restriction, full text: https://raw.githubusercontent.com/SerbiaStrong-220/space-station-14/master/CLA.txt
+- type: touretteCollection
+  id: Swearing
+  replics:
+    - accent-tourette-prefix-3-1
+    - accent-tourette-prefix-3-2
+    - accent-tourette-prefix-3-3
+    - accent-tourette-prefix-3-4
+    - accent-tourette-prefix-3-5
+    - accent-tourette-prefix-3-6
+    - accent-tourette-prefix-3-7
\ No newline at end of file
diff --git a/Resources/Prototypes/SS220/tourette_trait.yml b/Resources/Prototypes/SS220/tourette_trait.yml
new file mode 100644
index 00000000000000..190087e439d354
--- /dev/null
+++ b/Resources/Prototypes/SS220/tourette_trait.yml
@@ -0,0 +1,6 @@
+- type: trait
+  id: TouretteSyndrome
+  name: trait-tourette-name
+  description: trait-tourette-desc
+  components:
+    - type: TouretteAccent