The Derangement Garment is a community-created cosmetic item for the Medic. It turns the Medic's default coat into a straitjacket, with three straps on his torso, a belt around his neck, and two belts on each elbow.
The Derangement Garment was contributed to the Steam Workshop.
- The Derangement Garment was added to the game.
- This item is a reference to the 1991 movie The Silence of the Lambs.