Medal
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Rhythm Tengoku
Medals are earned after getting a High Level rank, which also unlocks Endless Games and Rhythm Toys.
Rhythm Heaven
Gold Medal
Gold Medals are obtained by completing a minigame with a superb rank. A gold frame will appear around the selection of the rhythm game. Collecting medals will unlock Endless Games and Rhythm Toys.
In Rhythm Heaven Fever
Getting a perfect will earn the player two medals instead of one. A perfect medal, and a Normal medal.