diff --git a/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml b/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml
index 19c24ec270..dffb932b78 100644
--- a/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml
+++ b/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml
@@ -22,6 +22,20 @@
                     <Control MinSize="4 0"/>
                 </BoxContainer>
                 <Control MinSize="0 8" />
+                <BoxContainer Orientation="Horizontal" Margin="5 0 0 0">
+                    <Label Text="{Loc 'ui-options-midi-volume'}" />
+                    <Control MinSize="8 0" />
+                    <Slider Name="MidiVolumeSlider"
+                            MinValue="0"
+                            MaxValue="200"
+                            HorizontalExpand="True"
+                            MinSize="80 0"
+                            Rounded="True" />
+                    <Control MinSize="8 0" />
+                    <Label Name="MidiVolumeLabel" MinSize="48 0" Align="Right" />
+                    <Control MinSize="4 0"/>
+                </BoxContainer>
+                <Control MinSize="0 8" />
                 <CheckBox Name="AmbienceCheckBox" Text="{Loc 'ui-options-ambient-hum'}" />
                 <CheckBox Name="LobbyMusicCheckBox" Text="{Loc 'ui-options-lobby-music'}" />
             </BoxContainer>
diff --git a/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml.cs b/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml.cs
index 22e905b032..629a457264 100644
--- a/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml.cs
+++ b/Content.Client/EscapeMenu/UI/Tabs/AudioTab.xaml.cs
@@ -1,10 +1,13 @@
+using System;
 using Content.Shared.CCVar;
+using Robust.Client.Audio.Midi;
 using Robust.Client.AutoGenerated;
 using Robust.Client.Graphics;
 using Robust.Client.UserInterface;
 using Robust.Client.UserInterface.Controls;
 using Robust.Client.UserInterface.XAML;
 using Robust.Shared;
+using Robust.Shared.Maths;
 using Robust.Shared.Configuration;
 using Robust.Shared.IoC;
 using Robust.Shared.Localization;
@@ -28,6 +31,7 @@ namespace Content.Client.EscapeMenu.UI.Tabs
             ApplyButton.OnPressed += OnApplyButtonPressed;
             ResetButton.OnPressed += OnResetButtonPressed;
             MasterVolumeSlider.OnValueChanged += OnMasterVolumeSliderChanged;
+            MidiVolumeSlider.OnValueChanged += OnMidiVolumeSliderChanged;
             AmbienceCheckBox.OnToggled += OnAmbienceCheckToggled;
             LobbyMusicCheckBox.OnToggled += OnLobbyMusicCheckToggled;
 
@@ -39,18 +43,22 @@ namespace Content.Client.EscapeMenu.UI.Tabs
             ApplyButton.OnPressed -= OnApplyButtonPressed;
             ResetButton.OnPressed -= OnResetButtonPressed;
             MasterVolumeSlider.OnValueChanged -= OnMasterVolumeSliderChanged;
+            MidiVolumeSlider.OnValueChanged -= OnMidiVolumeSliderChanged;
             AmbienceCheckBox.OnToggled -= OnAmbienceCheckToggled;
             base.Dispose(disposing);
         }
 
-        private void OnMasterVolumeSliderChanged(Range range)
+        private void OnMasterVolumeSliderChanged(Robust.Client.UserInterface.Controls.Range range)
         {
-            MasterVolumeLabel.Text =
-                Loc.GetString("ui-options-volume-percent", ("volume", MasterVolumeSlider.Value / 100));
             _clydeAudio.SetMasterVolume(MasterVolumeSlider.Value / 100);
             UpdateChanges();
         }
 
+        private void OnMidiVolumeSliderChanged(Robust.Client.UserInterface.Controls.Range range)
+        {
+            UpdateChanges();
+        }
+
         private void OnAmbienceCheckToggled(BaseButton.ButtonEventArgs args)
         {
             UpdateChanges();
@@ -64,6 +72,7 @@ namespace Content.Client.EscapeMenu.UI.Tabs
         private void OnApplyButtonPressed(BaseButton.ButtonEventArgs args)
         {
             _cfg.SetCVar(CVars.AudioMasterVolume, MasterVolumeSlider.Value / 100);
+            _cfg.SetCVar(CVars.MidiVolume, LV100ToDB(MidiVolumeSlider.Value));
             _cfg.SetCVar(CCVars.AmbienceBasicEnabled, AmbienceCheckBox.Pressed);
             _cfg.SetCVar(CCVars.LobbyMusicEnabled, LobbyMusicCheckBox.Pressed);
             _cfg.SaveToFile();
@@ -78,22 +87,40 @@ namespace Content.Client.EscapeMenu.UI.Tabs
         private void Reset()
         {
             MasterVolumeSlider.Value = _cfg.GetCVar(CVars.AudioMasterVolume) * 100;
-            MasterVolumeLabel.Text =
-                Loc.GetString("ui-options-volume-percent", ("volume", MasterVolumeSlider.Value / 100));
+            MidiVolumeSlider.Value = DBToLV100(_cfg.GetCVar(CVars.MidiVolume));
             AmbienceCheckBox.Pressed = _cfg.GetCVar(CCVars.AmbienceBasicEnabled);
             LobbyMusicCheckBox.Pressed = _cfg.GetCVar(CCVars.LobbyMusicEnabled);
             UpdateChanges();
         }
 
+        // Note: Rather than moving these functions somewhere, instead switch MidiManager to using linear units rather than dB
+        // Do be sure to rename the setting though
+        private float DBToLV100(float db)
+        {
+            return (MathF.Pow(10, (db / 10)) * 100);
+        }
+
+        private float LV100ToDB(float lv100)
+        {
+            // Saving negative infinity doesn't work, so use -10000000 instead (MidiManager does it)
+            return MathF.Max(-10000000, MathF.Log(lv100 / 100, 10) * 10);
+        }
+
         private void UpdateChanges()
         {
             var isMasterVolumeSame =
                 System.Math.Abs(MasterVolumeSlider.Value - _cfg.GetCVar(CVars.AudioMasterVolume) * 100) < 0.01f;
+            var isMidiVolumeSame =
+                System.Math.Abs(MidiVolumeSlider.Value - DBToLV100(_cfg.GetCVar(CVars.MidiVolume))) < 0.01f;
             var isAmbienceSame = AmbienceCheckBox.Pressed == _cfg.GetCVar(CCVars.AmbienceBasicEnabled);
             var isLobbySame = LobbyMusicCheckBox.Pressed == _cfg.GetCVar(CCVars.LobbyMusicEnabled);
-            var isEverythingSame = isMasterVolumeSame && isAmbienceSame && isLobbySame;
+            var isEverythingSame = isMasterVolumeSame && isMidiVolumeSame && isAmbienceSame && isLobbySame;
             ApplyButton.Disabled = isEverythingSame;
             ResetButton.Disabled = isEverythingSame;
+            MasterVolumeLabel.Text =
+                Loc.GetString("ui-options-volume-percent", ("volume", MasterVolumeSlider.Value / 100));
+            MidiVolumeLabel.Text =
+                Loc.GetString("ui-options-volume-percent", ("volume", MidiVolumeSlider.Value / 100));
         }
     }
 }
diff --git a/Resources/Locale/en-US/escape-menu/ui/options-menu.ftl b/Resources/Locale/en-US/escape-menu/ui/options-menu.ftl
index 1122090f48..680668c3a9 100644
--- a/Resources/Locale/en-US/escape-menu/ui/options-menu.ftl
+++ b/Resources/Locale/en-US/escape-menu/ui/options-menu.ftl
@@ -11,6 +11,7 @@ ui-options-reset-all = Reset All
 ## Audio menu
 
 ui-options-master-volume = Master Volume:
+ui-options-midi-volume = MIDI (Instrument) Volume:
 ui-options-ambient-hum = Ambient Hum
 ui-options-lobby-music = Lobby Music
 ui-options-volume-label = Volume