diff --git a/soh/soh/Enhancements/randomizer/3drando/settings.cpp b/soh/soh/Enhancements/randomizer/3drando/settings.cpp
index f36dade6d..41a83dd33 100644
--- a/soh/soh/Enhancements/randomizer/3drando/settings.cpp
+++ b/soh/soh/Enhancements/randomizer/3drando/settings.cpp
@@ -2595,6 +2595,8 @@ namespace Settings {
     StartingDekuShield.SetSelectedIndex(cvarSettings[RSK_STARTING_DEKU_SHIELD]);
     StartingKokiriSword.SetSelectedIndex(cvarSettings[RSK_STARTING_KOKIRI_SWORD]);
 
+    StartingSkulltulaToken.SetSelectedIndex(cvarSettings[RSK_STARTING_SKULLTULA_TOKEN]);
+
     MapsAndCompasses.SetSelectedIndex(cvarSettings[RSK_STARTING_MAPS_COMPASSES]);
 
     // RANDOTODO: Implement disabling ammo drops. Currently only "On" (index 0) or "On + Bombchus" (index 1) is implemented.
diff --git a/soh/soh/Enhancements/randomizer/3drando/spoiler_log.cpp b/soh/soh/Enhancements/randomizer/3drando/spoiler_log.cpp
index b48f7bef9..32be2d679 100644
--- a/soh/soh/Enhancements/randomizer/3drando/spoiler_log.cpp
+++ b/soh/soh/Enhancements/randomizer/3drando/spoiler_log.cpp
@@ -440,6 +440,7 @@ static void WriteStartingInventory() {
       // to see if the name is one of the 3 we're using rn
       if (setting->GetName() == "Start with Consumables" ||
           setting->GetName() == "Start with Max Rupees" ||
+          setting->GetName() == "Gold Skulltula Tokens" ||
           setting->GetName() == "Start with Fairy Ocarina" ||
           setting->GetName() == "Start with Kokiri Sword" ||
           setting->GetName() == "Start with Deku Shield") {
diff --git a/soh/soh/Enhancements/randomizer/randomizer.cpp b/soh/soh/Enhancements/randomizer/randomizer.cpp
index 297ec0995..0c6f70d65 100644
--- a/soh/soh/Enhancements/randomizer/randomizer.cpp
+++ b/soh/soh/Enhancements/randomizer/randomizer.cpp
@@ -233,6 +233,7 @@ std::unordered_map<std::string, RandomizerSettingKey> SpoilerfileSettingNameToEn
     { "Skip Child Zelda", RSK_SKIP_CHILD_ZELDA },
     { "Start with Consumables", RSK_STARTING_CONSUMABLES },
     { "Start with Max Rupees", RSK_FULL_WALLETS },
+    { "Gold Skulltula Tokens", RSK_STARTING_SKULLTULA_TOKEN },
     { "Timesaver Settings:Cuccos to return", RSK_CUCCO_COUNT },
     { "Timesaver Settings:Big Poe Target Count", RSK_BIG_POE_COUNT },
     { "Timesaver Settings:Skip Child Stealth", RSK_SKIP_CHILD_STEALTH },
@@ -670,6 +671,7 @@ void Randomizer::ParseRandomizerSettingsFile(const char* spoilerFileName) {
                     case RSK_TRIAL_COUNT:
                     case RSK_BIG_POE_COUNT:
                     case RSK_CUCCO_COUNT:
+                    case RSK_STARTING_SKULLTULA_TOKEN:
                         numericValueString = it.value();
                         gSaveContext.randoSettings[index].value = std::stoi(numericValueString);
                         break;
@@ -2556,6 +2558,7 @@ void GenerateRandomizerImgui() {
     cvarSettings[RSK_SHUFFLE_KOKIRI_SWORD] = CVar_GetS32("gRandomizeShuffleKokiriSword", 0) ||
                                              CVar_GetS32("gRandomizeStartingKokiriSword", 0);
     cvarSettings[RSK_STARTING_DEKU_SHIELD] = CVar_GetS32("gRandomizeStartingDekuShield", 0);
+    cvarSettings[RSK_STARTING_SKULLTULA_TOKEN] = CVar_GetS32("gRandomizeStartingSkulltulaToken", 0);
     cvarSettings[RSK_STARTING_MAPS_COMPASSES] = CVar_GetS32("gRandomizeStartingMapsCompasses", 2);
     cvarSettings[RSK_SHUFFLE_DUNGEON_REWARDS] = CVar_GetS32("gRandomizeShuffleDungeonReward", 0);
     cvarSettings[RSK_SHUFFLE_SONGS] = CVar_GetS32("gRandomizeShuffleSongs", 0);
@@ -3949,6 +3952,8 @@ void DrawRandoEditor(bool& open) {
                 UIWidgets::EnhancementCheckbox(Settings::StartingConsumables.GetName().c_str(),
                                               "gRandomizeStartingConsumables");
                 UIWidgets::PaddedSeparator();
+                UIWidgets::EnhancementSliderInt("Gold Skulltula Tokens: %d", "##RandoStartingSkulltulaToken", "gRandomizeStartingSkulltulaToken", 0, 100, "", 0, true);
+                UIWidgets::PaddedSeparator();
 
                 ImGui::EndChild();
 
diff --git a/soh/soh/Enhancements/randomizer/randomizerTypes.h b/soh/soh/Enhancements/randomizer/randomizerTypes.h
index 66e12f592..82689cd8d 100644
--- a/soh/soh/Enhancements/randomizer/randomizerTypes.h
+++ b/soh/soh/Enhancements/randomizer/randomizerTypes.h
@@ -1066,6 +1066,7 @@ typedef enum {
     RSK_MIX_INTERIOR_ENTRANCES,
     RSK_MIX_GROTTO_ENTRANCES,
     RSK_DECOUPLED_ENTRANCES,
+    RSK_STARTING_SKULLTULA_TOKEN,
     RSK_MAX
 } RandomizerSettingKey;
 
diff --git a/soh/src/code/z_sram.c b/soh/src/code/z_sram.c
index 406cba1fb..9337e7ce8 100644
--- a/soh/src/code/z_sram.c
+++ b/soh/src/code/z_sram.c
@@ -414,6 +414,11 @@ void Sram_InitSave(FileChooseContext* fileChooseCtx) {
         if(Randomizer_GetSettingValue(RSK_STARTING_KOKIRI_SWORD)) Item_Give(NULL, ITEM_SWORD_KOKIRI);
         if(Randomizer_GetSettingValue(RSK_STARTING_DEKU_SHIELD)) Item_Give(NULL, ITEM_SHIELD_DEKU);
 
+        if(Randomizer_GetSettingValue(RSK_STARTING_SKULLTULA_TOKEN)) {
+            gSaveContext.inventory.questItems |= gBitFlags[QUEST_SKULL_TOKEN];
+            gSaveContext.inventory.gsTokens = Randomizer_GetSettingValue(RSK_STARTING_SKULLTULA_TOKEN);
+        }
+
         if(Randomizer_GetSettingValue(RSK_STARTING_OCARINA)) {
             INV_CONTENT(ITEM_OCARINA_FAIRY) = ITEM_OCARINA_FAIRY;
         }