diff --git a/soh/soh/Enhancements/enhancementTypes.h b/soh/soh/Enhancements/enhancementTypes.h
index bd025115b90..9de1ef7b944 100644
--- a/soh/soh/Enhancements/enhancementTypes.h
+++ b/soh/soh/Enhancements/enhancementTypes.h
@@ -87,6 +87,14 @@ typedef enum {
     DAMAGE_OHKO
 } DamageMultType;
 
+typedef enum {
+    PVP_DAMAGE_MULT_1X,
+    PVP_DAMAGE_MULT_2X,
+    PVP_DAMAGE_MULT_4X,
+    PVP_DAMAGE_MULT_8X,
+    PVP_DAMAGE_MULT_OHKO,
+} PvpDamageMult;
+
 typedef enum {
     DAMPE_NONE,
     DAMPE_NORMAL,
diff --git a/soh/soh/Network/Anchor/Anchor.h b/soh/soh/Network/Anchor/Anchor.h
index 9eb10323091..9c763b2a156 100644
--- a/soh/soh/Network/Anchor/Anchor.h
+++ b/soh/soh/Network/Anchor/Anchor.h
@@ -62,6 +62,7 @@ typedef struct {
 typedef struct {
     uint32_t ownerClientId;
     u8 pvpMode;           // 0 = off, 1 = on, 2 = on with friendly fire
+    u8 pvpDamageMult;     // 0 = 1x, 1 = 2x, 2 = 4x, 3 = 8x, 4 = OHKO
     u8 showLocationsMode; // 0 = none, 1 = team, 2 = all
     u8 teleportMode;      // 0 = off, 1 = team, 2 = all
     u8 syncItemsAndFlags; // 0 = off, 1 = on
diff --git a/soh/soh/Network/Anchor/Menu.cpp b/soh/soh/Network/Anchor/Menu.cpp
index 77b544fb3df..d5c82f6e2e9 100644
--- a/soh/soh/Network/Anchor/Menu.cpp
+++ b/soh/soh/Network/Anchor/Menu.cpp
@@ -10,6 +10,13 @@ extern std::shared_ptr<AnchorRoomWindow> mAnchorRoomWindow;
 } // namespace SohGui
 
 static const char* pvpModes[3] = { "Off", "On", "On + Friendly Fire" };
+static const char* pvpDamageMults[5] = {
+    "1x: Kokiri sword slash damages quarter heart.",
+    "2x: Kokiri sword slash damages half heart.",
+    "4x: Kokiri sword slash damages one heart.",
+    "8x: Kokiri sword slash damages two hearts.",
+    "One Hit KO",
+};
 static std::vector<const char*> teleportModes = { "None", "Team Only", "All" };
 static std::vector<const char*> showLocationsModes = { "None", "Team Only", "All" };
 
@@ -174,6 +181,14 @@ void AnchorAdminMenu(WidgetInfo& info) {
                                     .Color(THEME_COLOR))) {
         anchor->SendPacket_UpdateRoomState();
     }
+    if (UIWidgets::CVarCombobox("PvP Damage Multiplier:", CVAR_REMOTE_ANCHOR("RoomSettings.PvpDamageMult"),
+                                pvpDamageMults,
+                                UIWidgets::ComboboxOptions()
+                                    .DefaultIndex(1)
+                                    .LabelPosition(UIWidgets::LabelPositions::Above)
+                                    .Color(THEME_COLOR))) {
+        anchor->SendPacket_UpdateRoomState();
+    }
     if (UIWidgets::CVarCombobox("Show Locations For:", CVAR_REMOTE_ANCHOR("RoomSettings.ShowLocationsMode"),
                                 showLocationsModes,
                                 UIWidgets::ComboboxOptions()
diff --git a/soh/soh/Network/Anchor/Packets/DamagePlayer.cpp b/soh/soh/Network/Anchor/Packets/DamagePlayer.cpp
index e97abea4fab..acc7b726674 100644
--- a/soh/soh/Network/Anchor/Packets/DamagePlayer.cpp
+++ b/soh/soh/Network/Anchor/Packets/DamagePlayer.cpp
@@ -1,6 +1,7 @@
 #include "soh/Network/Anchor/Anchor.h"
 #include <nlohmann/json.hpp>
 #include <libultraship/libultraship.h>
+#include "soh/Enhancements/enhancementTypes.h"
 #include "soh/Enhancements/game-interactor/GameInteractor.h"
 
 extern "C" {
@@ -14,6 +15,24 @@ void func_80838280(Player* player);
  * DAMAGE_PLAYER
  */
 
+int GetPvpDamageMultiplier(const RoomState& roomState) {
+    uint8_t damageOption = roomState.pvpDamageMult;
+    switch (damageOption) {
+        case PVP_DAMAGE_MULT_1X:
+            return 1;
+        case PVP_DAMAGE_MULT_2X:
+            return 2;
+        case PVP_DAMAGE_MULT_4X:
+            return 4;
+        case PVP_DAMAGE_MULT_8X:
+            return 8;
+        case PVP_DAMAGE_MULT_OHKO:
+            return 256;
+        default:
+            return 1;
+    }
+}
+
 void Anchor::SendPacket_DamagePlayer(u32 clientId, u8 damageEffect, u8 damage) {
     if (!IsSaveLoaded()) {
         return;
@@ -47,7 +66,7 @@ void Anchor::HandlePacket_DamagePlayer(nlohmann::json payload) {
     u8 damageEffect = payload["damageEffect"].get<u8>();
     u8 damage = payload["damage"].get<u8>();
 
-    self->actor.colChkInfo.damage = damage * 8; // Arbitrary number currently, need to fine tune
+    self->actor.colChkInfo.damage = damage * GetPvpDamageMultiplier(roomState) * 4;
 
     if (damageEffect == DUMMY_PLAYER_HIT_RESPONSE_FIRE) {
         for (int i = 0; i < ARRAY_COUNT(self->bodyFlameTimers); i++) {
diff --git a/soh/soh/Network/Anchor/Packets/UpdateRoomState.cpp b/soh/soh/Network/Anchor/Packets/UpdateRoomState.cpp
index 327385715fa..04ec6c0a2d2 100644
--- a/soh/soh/Network/Anchor/Packets/UpdateRoomState.cpp
+++ b/soh/soh/Network/Anchor/Packets/UpdateRoomState.cpp
@@ -21,11 +21,13 @@ nlohmann::json Anchor::PrepRoomState() {
     if (isGlobalRoom) {
         // Global room uses hardcoded settings
         payload["pvpMode"] = 0;
+        payload["pvpDamageMult"] = 0;
         payload["showLocationsMode"] = 0;
         payload["teleportMode"] = 0;
         payload["syncItemsAndFlags"] = 0;
     } else {
         payload["pvpMode"] = CVarGetInteger(CVAR_REMOTE_ANCHOR("RoomSettings.PvpMode"), 1);
+        payload["pvpDamageMult"] = CVarGetInteger(CVAR_REMOTE_ANCHOR("RoomSettings.PvpDamageMult"), 1);
         payload["showLocationsMode"] = CVarGetInteger(CVAR_REMOTE_ANCHOR("RoomSettings.ShowLocationsMode"), 1);
         payload["teleportMode"] = CVarGetInteger(CVAR_REMOTE_ANCHOR("RoomSettings.TeleportMode"), 1);
         payload["syncItemsAndFlags"] = CVarGetInteger(CVAR_REMOTE_ANCHOR("RoomSettings.SyncItemsAndFlags"), 1);
@@ -49,6 +51,7 @@ void Anchor::HandlePacket_UpdateRoomState(nlohmann::json payload) {
 
     roomState.ownerClientId = payload["state"]["ownerClientId"].get<uint32_t>();
     roomState.pvpMode = payload["state"]["pvpMode"].get<u8>();
+    roomState.pvpDamageMult = payload["state"].value("pvpDamageMult", 1);
     roomState.showLocationsMode = payload["state"]["showLocationsMode"].get<u8>();
     roomState.teleportMode = payload["state"]["teleportMode"].get<u8>();
     roomState.syncItemsAndFlags = payload["state"]["syncItemsAndFlags"].get<u8>();