Players can find special Birthday Medallions on the Fortnite island as part ofFortniteBattle Royale’s 7th Anniversary celebrations. These special medallions are just part of a limited-time anniversary celebration forFortnite, with cake, balloons, fireworks, and flare guns all making special appearances. Birthday Medallions are relatively rare, however, as they’re tied to the Legendary-quality Birthday Present item.
Unlike theBoss Medallions inFortnite Chapter 5 Season 4, players shouldn’t expect to gain powerful passive buffs from Birthday Medallions. Instead, their passive effect is rather comical,spawning balloons that gradually lift the holder higher and higher into the air.While novel and fun, skilled players might also be able to use their Balloons to their advantage.

How To Get Birthday Medallions In Fortnite
How To Find Birthday Presents On The Fortnite Island
Birthday Medallions are only found inside Birthday Presents, which are Legendary-quality throwable items.When picking up a Birthday Present, players can toss it like a grenade to spawn a large birthday present structure, complete with a neat ribbon on top. Players can access some items inside bybreaking down the sides of the present with a Pickaxe.
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A Birthday Medallion is guaranteed to drop inside a Birthday Present, along with an Epic or Legendary-quality item.As such, players will need to find Birthday Presents, which can appear as floor loot, or drop from regular chests or theRare Chests scattered around theFortniteisland.

Despite playing several Battle Royale matches in a row, I only found a Birthday Present once.The Birthday Present item appears to be extremely rare and has a very low spawn rate, so players may need to search many locations and loot many chests before one appears.
Once players have a Birthday Medallion in their inventory, they will occasionally find Balloons spawning on their character that lift them up into the air.With one or two Balloons, players can take advantage of greatly increased jump distance: a potentially powerful advantage, particularly for escaping the storm or throwing off an opponent’s aim with an unexpected jump.

With three Balloons, players will start to float higher and higher, and may need to cut one or two to stay grounded.
It’s worth noting that Birthday Medallions are also tied to the special Birthday Quests currently available inFortnite; for example, one requires players to travel 777 units using the Birthday Medallion Balloons. Other quests can be completed by spawning Birthday Presents.

These quests reward Battle Pass XP, which is useful for anyone who wants to unlock more cosmetics and V-Bucks from thelatestFortniteBattle Pass. Otherwise,Fortnite’sBirthday Medallions aren’t particularly game-changing when it comes to combat or building. However, they’re plenty of fun and add a bit of levity to the game, and players are encouraged to celebrateFortnite’slatest anniversary.