The Foppish Physician is a community-created promotional cosmetic item for the Medic. It adds wide gold-trimmed lapels and a Mandarin collar to the Medic's labcoat. It also replaces the turn-down collar on his dress shirt with a tunic collar and adds a team-colored waistcoat. The labcoat is additionally edged with gold trim.
This item was awarded in Genuine quality to players who purchased the Total War Master Collection or owned or purchased either Empire: Total War or Napoleon: Total War on Steam before October 1, 2012. It was also awarded in Genuine quality to players who purchased Medieval II: Total War from the Yogscast Jingle Jam 2015 Charity Bundle.
- The Foppish Physician was added to the game.
- The Foppish Physician and the Distinguished Rogue are now paintable and are team-colored by default.
- [Undocumented] Added Strange quality.
- The backpack icon shows the waistcoat colored in a much darker red than the one used on the actual cosmetic.
- This outfit is based primarily on the tailcoat of the uniform of late 18th century French military.
- Players who had already purchased Medieval II: Total War received The Foppish Physician on October 1st, 2012.
- The Distinguished Rogue and this item were originally submitted as one multi-class item (intended to be distributed with Empire: Total War). 
- Several users who received the Genuine quality versions of the Distinguished Rogue and Foppish Physician, also received duplicates of both items.
- The Foppish Physician and the Distinguished Rogue use the same texture file.
Promotional image featuring the Distinguished Rogue and the Foppish Physician.
- Total War Master Collection
- Distinguished Rogue
- Freedom Staff
- K-9 Mane
- King of Scotland Cape
- Stovepipe Sniper Shako