diff --git a/soh/soh/Enhancements/presets.h b/soh/soh/Enhancements/presets.h
index a2cc40d24..a89d14574 100644
--- a/soh/soh/Enhancements/presets.h
+++ b/soh/soh/Enhancements/presets.h
@@ -86,6 +86,7 @@ const std::vector<const char*> enhancementsCvars = {
     "gNoHeartDrops",
     "gBombchuDrops",
     "gGoronPot",
+    "gFullHealthSpawn",
     "gDampeWin",
     "gRedPotionEffect",
     "gRedPotionHealth",
diff --git a/soh/soh/GameMenuBar.cpp b/soh/soh/GameMenuBar.cpp
index a1bcdbec1..07fd67440 100644
--- a/soh/soh/GameMenuBar.cpp
+++ b/soh/soh/GameMenuBar.cpp
@@ -443,6 +443,8 @@ namespace GameMenuBar {
                         32x: Can survive void damage with max health and double defense\n\
                         64x: Cannot survive void damage"
                     );
+                    UIWidgets::PaddedEnhancementCheckbox("Spawn with full health", "gFullHealthSpawn", true, false);
+                    UIWidgets::Tooltip("Respawn with full health instead of 3 Hearts");
                     UIWidgets::PaddedEnhancementCheckbox("No Random Drops", "gNoRandomDrops", true, false);
                     UIWidgets::Tooltip("Disables random drops, except from the Goron Pot, Dampe, and bosses");
                     bool forceEnableBombchuDrops = gSaveContext.n64ddFlag &&
diff --git a/soh/src/code/z_sram.c b/soh/src/code/z_sram.c
index fc2f5f561..40dcca14c 100644
--- a/soh/src/code/z_sram.c
+++ b/soh/src/code/z_sram.c
@@ -207,7 +207,7 @@ void Sram_OpenSave() {
     osSyncPrintf(VT_RST);
 
     if (gSaveContext.health < 0x30) {
-        gSaveContext.health = 0x30;
+        gSaveContext.health = CVarGetInteger("gFullHealthSpawn", 0) ? gSaveContext.healthCapacity : 0x30;
     }
 
     if (gSaveContext.scarecrowLongSongSet) {
diff --git a/soh/src/overlays/misc/ovl_kaleido_scope/z_kaleido_scope_PAL.c b/soh/src/overlays/misc/ovl_kaleido_scope/z_kaleido_scope_PAL.c
index f2e87db28..54d23405d 100644
--- a/soh/src/overlays/misc/ovl_kaleido_scope/z_kaleido_scope_PAL.c
+++ b/soh/src/overlays/misc/ovl_kaleido_scope/z_kaleido_scope_PAL.c
@@ -4158,7 +4158,7 @@ void KaleidoScope_Update(PlayState* play)
                             Grotto_ForceGrottoReturn();
                         }
                         gSaveContext.nextTransitionType = 2;
-                        gSaveContext.health = 0x30;
+                        gSaveContext.health = CVarGetInteger("gFullHealthSpawn", 0) ? gSaveContext.healthCapacity : 0x30;
                         Audio_QueueSeqCmd(0xF << 28 | SEQ_PLAYER_BGM_MAIN << 24 | 0xA);
                         gSaveContext.healthAccumulator = 0;
                         gSaveContext.magicState = 0;