diff --git a/soh/soh/Enhancements/game-interactor/GameInteractor_HookTable.h b/soh/soh/Enhancements/game-interactor/GameInteractor_HookTable.h
index 2c94d27a4..51a6ab5a8 100644
--- a/soh/soh/Enhancements/game-interactor/GameInteractor_HookTable.h
+++ b/soh/soh/Enhancements/game-interactor/GameInteractor_HookTable.h
@@ -65,6 +65,7 @@ DEFINE_HOOK(OnUpdateFileTargetSelection, (uint8_t optionIndex));
 DEFINE_HOOK(OnUpdateFileLanguageSelection, (uint8_t optionIndex));
 DEFINE_HOOK(OnUpdateFileQuestSelection, (uint8_t questIndex));
 DEFINE_HOOK(OnUpdateFileBossRushOptionSelection, (uint8_t optionIndex, uint8_t optionValue));
+DEFINE_HOOK(OnUpdateFileRandomizerOptionSelection, (uint8_t optionIndex));
 DEFINE_HOOK(OnUpdateFileNameSelection, (int16_t charCode));
 DEFINE_HOOK(OnFileChooseMain, (void* gameState));
 
diff --git a/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.cpp b/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.cpp
index 21f1a9c09..f69cc29af 100644
--- a/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.cpp
+++ b/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.cpp
@@ -294,6 +294,10 @@ void GameInteractor_ExecuteOnUpdateFileBossRushOptionSelection(uint8_t optionInd
                                                                                                 optionValue);
 }
 
+void GameInteractor_ExecuteOnUpdateFileRandomizerOptionSelection(uint8_t optionIndex) {
+    GameInteractor::Instance->ExecuteHooks<GameInteractor::OnUpdateFileRandomizerOptionSelection>(optionIndex);
+}
+
 void GameInteractor_ExecuteOnUpdateFileNameSelection(int16_t charCode) {
     GameInteractor::Instance->ExecuteHooks<GameInteractor::OnUpdateFileNameSelection>(charCode);
 }
diff --git a/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.h b/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.h
index b32dada61..a6f1563f2 100644
--- a/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.h
+++ b/soh/soh/Enhancements/game-interactor/GameInteractor_Hooks.h
@@ -72,6 +72,7 @@ void GameInteractor_ExecuteOnUpdateFileTargetSelection(uint8_t optionIndex);
 void GameInteractor_ExecuteOnUpdateFileLanguageSelection(uint8_t optionIndex);
 void GameInteractor_ExecuteOnUpdateFileQuestSelection(uint8_t questIndex);
 void GameInteractor_ExecuteOnUpdateFileBossRushOptionSelection(uint8_t optionIndex, uint8_t optionValue);
+void GameInteractor_ExecuteOnUpdateFileRandomizerOptionSelection(uint8_t optionIndex);
 void GameInteractor_ExecuteOnUpdateFileNameSelection(int16_t charCode);
 void GameInteractor_ExecuteOnFileChooseMain(void* gameState);
 
diff --git a/soh/soh/Enhancements/tts/tts.cpp b/soh/soh/Enhancements/tts/tts.cpp
index 978e5ca24..13dd9f183 100644
--- a/soh/soh/Enhancements/tts/tts.cpp
+++ b/soh/soh/Enhancements/tts/tts.cpp
@@ -12,6 +12,7 @@
 #include "message_data_static.h"
 #include "overlays/gamestates/ovl_file_choose/file_choose.h"
 #include "soh/Enhancements/boss-rush/BossRush.h"
+#include "soh/Enhancements/FileSelectEnhancements.h"
 #include "soh/resource/type/SohResourceType.h"
 
 extern "C" {
@@ -839,6 +840,16 @@ void RegisterOnUpdateMainMenuSelection() {
             SpeechSynthesizer::Instance->Speak(translation.c_str(), GetLanguageCode());
         });
 
+    GameInteractor::Instance->RegisterGameHook<GameInteractor::OnUpdateFileRandomizerOptionSelection>(
+        [](uint8_t optionIndex) {
+            if (!CVarGetInteger(CVAR_SETTING("A11yTTS"), 0))
+                return;
+            uint8_t language = (gSaveContext.language == LANGUAGE_JPN) ? LANGUAGE_ENG : gSaveContext.language;
+
+            auto optionName = SohFileSelect_GetSettingText(optionIndex, language);
+            SpeechSynthesizer::Instance->Speak(optionName, GetLanguageCode());
+        });
+
     GameInteractor::Instance->RegisterGameHook<GameInteractor::OnUpdateFileNameSelection>([](int16_t charCode) {
         if (!CVarGetInteger(CVAR_SETTING("A11yTTS"), 0))
             return;
diff --git a/soh/src/overlays/gamestates/ovl_file_choose/z_file_choose.c b/soh/src/overlays/gamestates/ovl_file_choose/z_file_choose.c
index 736616fc9..a212085ae 100644
--- a/soh/src/overlays/gamestates/ovl_file_choose/z_file_choose.c
+++ b/soh/src/overlays/gamestates/ovl_file_choose/z_file_choose.c
@@ -1540,6 +1540,8 @@ void FileChoose_UpdateRandomizerMenu(GameState* thisx) {
             }
         }
 
+        GameInteractor_ExecuteOnUpdateFileRandomizerOptionSelection(this->randomizerIndex);
+
         Audio_PlaySoundGeneral(NA_SE_SY_FSEL_CURSOR, &gSfxDefaultPos, 4, &gSfxDefaultFreqAndVolScale,
                                &gSfxDefaultFreqAndVolScale, &gSfxDefaultReverb);
     }