diff --git a/soh/soh/Enhancements/game-interactor/GameInteractor.h b/soh/soh/Enhancements/game-interactor/GameInteractor.h
index 3523fa405..108d2f33e 100644
--- a/soh/soh/Enhancements/game-interactor/GameInteractor.h
+++ b/soh/soh/Enhancements/game-interactor/GameInteractor.h
@@ -78,6 +78,8 @@ typedef enum {
     // Vanilla condition: INFTABLE_GREETED_BY_SARIA
     VB_NOT_BE_GREETED_BY_SARIA,
     // Opt: *EnMd
+    VB_MIDO_SPAWN,
+    // Opt: *EnMd
     // Vanilla condition: EnMd->interactInfo.talkState == NPC_TALK_STATE_ACTION
     VB_MOVE_MIDO_IN_KOKIRI_FOREST,
     // Opt: *EnMd
diff --git a/soh/soh/Enhancements/randomizer/hook_handlers.cpp b/soh/soh/Enhancements/randomizer/hook_handlers.cpp
index 4bd8da742..92a1b278c 100644
--- a/soh/soh/Enhancements/randomizer/hook_handlers.cpp
+++ b/soh/soh/Enhancements/randomizer/hook_handlers.cpp
@@ -12,6 +12,7 @@ extern "C" {
 #include "functions.h"
 #include "variables.h"
 #include "soh/Enhancements/randomizer/adult_trade_shuffle.h"
+#include "src/overlays/actors/ovl_Bg_Treemouth/z_bg_treemouth.h"
 #include "src/overlays/actors/ovl_En_Si/z_en_si.h"
 #include "src/overlays/actors/ovl_En_Cow/z_en_cow.h"
 #include "src/overlays/actors/ovl_En_Shopnuts/z_en_shopnuts.h"
@@ -614,6 +615,11 @@ void RandomizerOnVanillaBehaviorHandler(GIVanillaBehavior id, bool* should, void
         case VB_BE_ELIGIBLE_FOR_PRELUDE_OF_LIGHT:
             *should = !Flags_GetEventChkInf(EVENTCHKINF_LEARNED_PRELUDE_OF_LIGHT) && CHECK_QUEST_ITEM(QUEST_MEDALLION_FOREST);
             break;
+        case VB_MIDO_SPAWN:
+            if (RAND_GET_OPTION(RSK_FOREST) != RO_FOREST_OPEN && !Flags_GetEventChkInf(EVENTCHKINF_SHOWED_MIDO_SWORD_SHIELD)) {
+                *should = true;
+            }
+            break;
         case VB_MOVE_MIDO_IN_KOKIRI_FOREST:
             if (RAND_GET_OPTION(RSK_FOREST) == RO_FOREST_OPEN) {
                 *should = true;
@@ -1465,6 +1471,14 @@ void RandomizerOnActorInitHandler(void* actorRef) {
         }
     }
 
+    if (actor->id == ACTOR_BG_TREEMOUTH && LINK_IS_ADULT &&
+        RAND_GET_OPTION(RSK_SHUFFLE_DUNGEON_ENTRANCES) != RO_DUNGEON_ENTRANCE_SHUFFLE_OFF &&
+        (RAND_GET_OPTION(RSK_FOREST) == RO_FOREST_OPEN ||
+            Flags_GetEventChkInf(EVENTCHKINF_SHOWED_MIDO_SWORD_SHIELD))) {
+        BgTreemouth* bgTreemouth = static_cast<BgTreemouth*>(actorRef);
+        bgTreemouth->unk_168 = 1.0f;
+    }
+
     //consumable bags
     if (
         actor->id == ACTOR_EN_ITEM00 &&
diff --git a/soh/src/overlays/actors/ovl_En_Md/z_en_md.c b/soh/src/overlays/actors/ovl_En_Md/z_en_md.c
index f55123f5b..5567f3e29 100644
--- a/soh/src/overlays/actors/ovl_En_Md/z_en_md.c
+++ b/soh/src/overlays/actors/ovl_En_Md/z_en_md.c
@@ -646,7 +646,7 @@ void EnMd_Init(Actor* thisx, PlayState* play) {
     Collider_InitCylinder(play, &this->collider);
     Collider_SetCylinder(play, &this->collider, &this->actor, &sCylinderInit);
     CollisionCheck_SetInfo2(&this->actor.colChkInfo, NULL, &sColChkInfoInit);
-    if (!EnMd_ShouldSpawn(this, play)) {
+    if (!GameInteractor_Should(VB_MIDO_SPAWN, EnMd_ShouldSpawn(this, play), this)) {
         Actor_Kill(&this->actor);
         return;
     }