The Madmann's Muzzle is a community-created cosmetic item for the Medic. It is a dark team-colored leather mask that covers the Medic's lower face, with openings for the nostrils and the mouth, although the mouth's opening is barred by three vertical bars.
The Madmann's Muzzle was contributed to the Steam Workshop.
- The Madmann's Muzzle was added to the game.
- The design for the item based on the facial mask worn by the character Hannibal Lecter from The Silence of the Lambs movie, played by Anthony Hopkins.