The Grimm Hatte (pronounced "grim hat") is a community-created cosmetic item for the Medic. It is a dark plague doctor's hat with a white band and a gold buckle, resembling those worn by doctors during the Bubonic plague.
Main article: Paint Can
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- The Grimm Hatte was added to the game.
- Updated the Grimm Hatte with changes from the community creators.
- Updated The Grimm Hatte with the latest changes from the authors.
- "Grimm" is a reference to the Brothers Grimm, who wrote many fairy tales, often containing death as a theme.
- A diamond-shaped object can be seen below the Grimm Hatte's model; this is a bone exported as an object that the creator did not notice and was added in the Scream Fortress 2015 update.
- The item's description, translated from pseudo-Early Modern English reads: "You have never seen a hat which is as grim as this hat you look upon."