diff --git a/Content.Server/Speech/Components/ScrambledAccentComponent.cs b/Content.Server/Speech/Components/ScrambledAccentComponent.cs
new file mode 100644
index 0000000000..d25e048ede
--- /dev/null
+++ b/Content.Server/Speech/Components/ScrambledAccentComponent.cs
@@ -0,0 +1,7 @@
+namespace Content.Server.Speech.Components
+{
+    [RegisterComponent]
+    public sealed class ScrambledAccentComponent : Component
+    {
+    }
+}
diff --git a/Content.Server/Speech/EntitySystems/ScrambledAccentSystem.cs b/Content.Server/Speech/EntitySystems/ScrambledAccentSystem.cs
new file mode 100644
index 0000000000..00e1a768f3
--- /dev/null
+++ b/Content.Server/Speech/EntitySystems/ScrambledAccentSystem.cs
@@ -0,0 +1,46 @@
+using System.Linq;
+using System.Text.RegularExpressions;
+using Content.Server.Speech.Components;
+using Robust.Shared.Random;
+
+namespace Content.Server.Speech.EntitySystems
+{
+    public sealed class ScrambledAccentSystem : EntitySystem
+    {
+        [Dependency] private readonly IRobustRandom _random = default!;
+
+        public override void Initialize()
+        {
+            SubscribeLocalEvent<ScrambledAccentComponent, AccentGetEvent>(OnAccent);
+        }
+
+        public string Accentuate(string message)
+        {
+            var words = message.ToLower().Split();
+
+            if (words.Length < 2)
+            {
+                var pick = _random.Next(1, 8);
+                // If they try to weasel out of it by saying one word at a time we give them this.
+                return Loc.GetString($"accent-scrambled-words-{pick}");
+            }
+
+            //Scramble the words
+            var scrambled = words.OrderBy(x => _random.Next()).ToArray();
+
+            var msg = String.Join(" ", scrambled);
+
+            //First letter should be capital
+            msg = msg[0].ToString().ToUpper() + msg.Remove(0, 1);
+
+            //Capitalize lone i's
+            msg = Regex.Replace(msg, @"(?<=\ )i(?=[\ \.\?]|$)", "I");
+            return msg;
+        }
+
+        private void OnAccent(EntityUid uid, ScrambledAccentComponent component, AccentGetEvent args)
+        {
+            args.Message = Accentuate(args.Message);
+        }
+    }
+}
diff --git a/Resources/Locale/en-US/accent/scrambled.ftl b/Resources/Locale/en-US/accent/scrambled.ftl
new file mode 100644
index 0000000000..e01f574742
--- /dev/null
+++ b/Resources/Locale/en-US/accent/scrambled.ftl
@@ -0,0 +1,7 @@
+accent-scrambled-words-1 = Who?,
+accent-scrambled-words-2 = What?,
+accent-scrambled-words-3 = When?,
+accent-scrambled-words-4 = Where?,
+accent-scrambled-words-5 = Why!,
+accent-scrambled-words-6 = How?,
+accent-scrambled-words-7 = Me!,
diff --git a/Resources/Locale/en-US/disease/disease.ftl b/Resources/Locale/en-US/disease/disease.ftl
index 674e1905fd..ee30b59ebf 100644
--- a/Resources/Locale/en-US/disease/disease.ftl
+++ b/Resources/Locale/en-US/disease/disease.ftl
@@ -10,3 +10,4 @@ disease-eaten-inside = You feel like you're being eaten from the inside.
 disease-banana-compulsion = You really want to eat some bananas.
 disease-beat-chest-compulsion = {CAPITALIZE(THE($person))} beats {POSS-ADJ($person)} chest.
 disease-vomit = {CAPITALIZE(THE($person))} vomits.
+disease-think = You feel like you can't think straight.
diff --git a/Resources/Prototypes/Diseases/infectious.yml b/Resources/Prototypes/Diseases/infectious.yml
index c24fd5a2ce..b9fd3e7432 100644
--- a/Resources/Prototypes/Diseases/infectious.yml
+++ b/Resources/Prototypes/Diseases/infectious.yml
@@ -220,3 +220,24 @@
       min: 420 ## Reachable with a flamer
     - !type:DiseaseReagentCure
       reagent: Theobromine
+
+- type: disease
+  id: TongueTwister
+  name: Tongue Twister
+  cureResist: 0.1
+  effects:
+    - !type:DiseaseGenericStatusEffect
+      key: Stutter
+      component: ScrambledAccent
+    - !type:DiseaseSnough
+      probability: 0.01
+      snoughSound:
+        collection: Sneezes
+    - !type:DiseaseSnough
+      probability: 0.02
+      snoughMessage: disease-think
+  cures:
+    - !type:DiseaseBedrestCure
+      maxLength: 30
+    - !type:DiseaseJustWaitCure
+      maxLength: 400
diff --git a/Resources/Prototypes/Entities/Objects/Specific/Medical/healthanalyzer.yml b/Resources/Prototypes/Entities/Objects/Specific/Medical/healthanalyzer.yml
index a4cc92a4a7..a200ebb516 100644
--- a/Resources/Prototypes/Entities/Objects/Specific/Medical/healthanalyzer.yml
+++ b/Resources/Prototypes/Entities/Objects/Specific/Medical/healthanalyzer.yml
@@ -44,4 +44,4 @@
   components:
   - type: HealthAnalyzer
     fake: true
-    disease: ActiveZombieVirus
\ No newline at end of file
+    disease: ActiveZombieVirus