diff --git a/soh/soh/Enhancements/game-interactor/GameInteractor.h b/soh/soh/Enhancements/game-interactor/GameInteractor.h
index 2cac52637..f27342c3e 100644
--- a/soh/soh/Enhancements/game-interactor/GameInteractor.h
+++ b/soh/soh/Enhancements/game-interactor/GameInteractor.h
@@ -271,8 +271,9 @@ typedef enum {
     GI_VB_GIVE_ITEM_FROM_MAGIC_BEAN_SALESMAN,
     // Opt: *EnFr
     GI_VB_GIVE_ITEM_FROM_FROGS,
+    // Opt: *EnSkj
+    GI_VB_GIVE_ITEM_FROM_SKULL_KID_SARIAS_SONG,
     GI_VB_GIVE_ITEM_FROM_MAN_ON_ROOF,
-
     // Opt: *EnSyatekiMan
     GI_VB_GIVE_ITEM_FROM_SHOOTING_GALLERY,
 
diff --git a/soh/soh/Enhancements/randomizer/hook_handlers.cpp b/soh/soh/Enhancements/randomizer/hook_handlers.cpp
index 87c7f5b3c..511c0d7e6 100644
--- a/soh/soh/Enhancements/randomizer/hook_handlers.cpp
+++ b/soh/soh/Enhancements/randomizer/hook_handlers.cpp
@@ -803,6 +803,7 @@ void RandomizerOnVanillaBehaviorHandler(GIVanillaBehavior id, bool* should, void
         case GI_VB_ANJU_SET_OBTAINED_TRADE_ITEM:
         case GI_VB_GIVE_ITEM_FROM_ROLLING_GORON_AS_CHILD:
         case GI_VB_GIVE_ITEM_FROM_LAB_DIVE:
+        case GI_VB_GIVE_ITEM_FROM_SKULL_KID_SARIAS_SONG:
         case GI_VB_GIVE_ITEM_FROM_MAN_ON_ROOF:
         case GI_VB_GIVE_ITEM_SKULL_TOKEN:
         case GI_VB_GIVE_ITEM_FROM_BLUE_WARP:
diff --git a/soh/src/overlays/actors/ovl_En_Skj/z_en_skj.c b/soh/src/overlays/actors/ovl_En_Skj/z_en_skj.c
index 207d9612b..8b6545f76 100644
--- a/soh/src/overlays/actors/ovl_En_Skj/z_en_skj.c
+++ b/soh/src/overlays/actors/ovl_En_Skj/z_en_skj.c
@@ -1039,11 +1039,8 @@ void EnSkj_SariaSongTalk(EnSkj* this, PlayState* play) {
             EnSkj_SetupWaitInRange(this);
         } else {
             func_80AFFE24(this);
-            if (!IS_RANDO) {
+            if (GameInteractor_Should(GI_VB_GIVE_ITEM_FROM_SKULL_KID_SARIAS_SONG, true, this)) {
                 func_8002F434(&this->actor, play, GI_HEART_PIECE, EnSkj_GetItemXzRange(this), EnSkj_GetItemYRange(this));
-            } else {
-                GetItemEntry getItemEntry = Randomizer_GetItemFromKnownCheck(RC_LW_SKULL_KID, GI_HEART_PIECE);
-                GiveItemEntryFromActor(&this->actor, play, getItemEntry, EnSkj_GetItemXzRange(this), EnSkj_GetItemYRange(this));
             }
         }
     }
@@ -1054,15 +1051,12 @@ void func_80AFFE24(EnSkj* this) {
 }
 
 void func_80AFFE44(EnSkj* this, PlayState* play) {
-    if (Actor_HasParent(&this->actor, play)) {
+    if (Actor_HasParent(&this->actor, play) || !GameInteractor_Should(GI_VB_GIVE_ITEM_FROM_SKULL_KID_SARIAS_SONG, true, this)) {
         this->actor.parent = NULL;
         EnSkj_SetupPostSariasSong(this);
     } else {
-        if (!IS_RANDO) {
+        if (GameInteractor_Should(GI_VB_GIVE_ITEM_FROM_SKULL_KID_SARIAS_SONG, true, this)) {
             func_8002F434(&this->actor, play, GI_HEART_PIECE, EnSkj_GetItemXzRange(this), EnSkj_GetItemYRange(this));
-        } else {
-            GetItemEntry getItemEntry = Randomizer_GetItemFromKnownCheck(RC_LW_SKULL_KID, GI_HEART_PIECE);
-            GiveItemEntryFromActor(&this->actor, play, getItemEntry, EnSkj_GetItemXzRange(this), EnSkj_GetItemYRange(this));
         }
     }
 }
@@ -1072,7 +1066,7 @@ void EnSkj_SetupPostSariasSong(EnSkj* this) {
 }
 
 void EnSkj_ChangeModeAfterSong(EnSkj* this, PlayState* play) {
-    if ((Message_GetState(&play->msgCtx) == TEXT_STATE_DONE) && Message_ShouldAdvance(play)) {
+    if ((Message_GetState(&play->msgCtx) == TEXT_STATE_DONE) && Message_ShouldAdvance(play) || !GameInteractor_Should(GI_VB_GIVE_ITEM_FROM_SKULL_KID_SARIAS_SONG, true, this)) {
         Flags_SetItemGetInf(ITEMGETINF_16);
         EnSkj_SetNaviId(this);
         EnSkj_SetupWaitInRange(this);