The Quadwrangler is a promotional cosmetic item for the Medic. It is a device attached to the back of the Medic's right hand with three team-colored and glowing vials equipped with a jiggleboned tube that flows to a plug embedded in his upper arm. It also changes the collar of the Medic's normal lab coat, giving him a much larger cowl-like collar and revealing the collar of a team-colored turtle neck sweater.
- The Quadwrangler was added to the game.
- Updated the Quadwrangler so it can be traded and crafted.
- The Quadwrangler was originally an Engineer item.
- According to the development team, the Quadwrangler, along with the Atomic Accolade and Professor's Pineapple, took approximately 8 days to make, from conception to submission.
- The Quadwrangler's name comes from the protagonist's uncle in Quantum Conundrum, who is named Professor Fitz Quadwrangle, and wears a coat similar to the item.