diff --git a/include/aoapplication.h b/include/aoapplication.h
index 4c3a83f..cf9eb2b 100644
--- a/include/aoapplication.h
+++ b/include/aoapplication.h
@@ -361,6 +361,10 @@ public:
   // Returns the color from the misc folder.
   QColor get_chat_color(QString p_identifier, QString p_chat);
 
+  // Returns the value with p_identifier from penalty/penalty.ini in the current
+  // theme path
+  QString get_penalty_value(QString p_identifier);
+
   // Returns the sfx with p_identifier from courtroom_sounds.ini in the current theme path
   QString get_court_sfx(QString p_identifier, QString p_misc="");
 
diff --git a/src/courtroom.cpp b/src/courtroom.cpp
index 516d3fc..55fc35f 100644
--- a/src/courtroom.cpp
+++ b/src/courtroom.cpp
@@ -3994,14 +3994,45 @@ void Courtroom::set_hp_bar(int p_bar, int p_state)
   if (p_state < 0 || p_state > 10)
     return;
 
+  int prev_state = p_state;
   if (p_bar == 1) {
     ui_defense_bar->set_image("defensebar" + QString::number(p_state));
+    prev_state = defense_bar_state;
     defense_bar_state = p_state;
   }
   else if (p_bar == 2) {
     ui_prosecution_bar->set_image("prosecutionbar" + QString::number(p_state));
+    prev_state = prosecution_bar_state;
     prosecution_bar_state = p_state;
   }
+
+  QString sfx_name;
+  QString effect_name;
+  if (p_state > prev_state) {
+    sfx_name = ao_app->get_penalty_value("hp_increased_sfx");
+    effect_name = ao_app->get_penalty_value("hp_increased_effect").toLower();
+  }
+  else if (p_state < prev_state) {
+    sfx_name = ao_app->get_penalty_value("hp_decreased_sfx");
+    effect_name = ao_app->get_penalty_value("hp_decreased_effect").toLower();
+  }
+  else {
+    return;
+  }
+
+  if (effect_name == "screenshake") {
+    do_screenshake();
+  }
+  else if (effect_name == "flash") {
+    do_flash();
+  }
+  else {
+    do_effect(effect_name, "", "", "");
+  }
+
+  if (!sfx_name.isEmpty()) {
+    sfx_player->play(sfx_name);
+  }
 }
 
 void Courtroom::show_judge_controls(bool visible)
diff --git a/src/text_file_functions.cpp b/src/text_file_functions.cpp
index 4073c05..5f3de17 100644
--- a/src/text_file_functions.cpp
+++ b/src/text_file_functions.cpp
@@ -521,6 +521,13 @@ QColor AOApplication::get_chat_color(QString p_identifier, QString p_chat)
   return return_color;
 }
 
+QString AOApplication::get_penalty_value(QString p_identifier)
+{
+  return get_config_value(p_identifier, "penalty/penalty.ini", current_theme,
+                          get_subtheme(), default_theme, "");
+}
+
+
 QString AOApplication::get_court_sfx(QString p_identifier, QString p_misc)
 {
   QString value = get_config_value(p_identifier, "courtroom_sounds.ini", current_theme, get_subtheme(), default_theme, p_misc);