diff --git a/addons/fire/addon.toml b/addons/fire/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/fire/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/fire/config.cpp b/addons/fire/config.cpp
index f2392f9797..ac9f7009ec 100644
--- a/addons/fire/config.cpp
+++ b/addons/fire/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -18,3 +25,5 @@ class CfgPatches {
 #include "CfgSounds.hpp"
 #include "ACE_Medical_Treatment_Actions.hpp"
 #include "RscTitles.hpp"
+
+#endif
diff --git a/addons/medical/addon.toml b/addons/medical/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical/config.cpp b/addons/medical/config.cpp
index 6c93d1e3e8..76e9818124 100644
--- a/addons/medical/config.cpp
+++ b/addons/medical/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -21,3 +28,5 @@ class CfgPatches {
 class ACE_Tests {
     medicalHitpoints = QPATHTOF(dev\test_hitpointConfigs.sqf);
 };
+
+#endif
diff --git a/addons/medical_ai/addon.toml b/addons/medical_ai/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_ai/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_ai/config.cpp b/addons/medical_ai/config.cpp
index c42fc98f95..b9fb4386ad 100644
--- a/addons/medical_ai/config.cpp
+++ b/addons/medical_ai/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -16,3 +23,5 @@ class CfgPatches {
 
 #include "ACE_Settings.hpp"
 #include "CfgEventHandlers.hpp"
+
+#endif
diff --git a/addons/medical_blood/addon.toml b/addons/medical_blood/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_blood/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_blood/config.cpp b/addons/medical_blood/config.cpp
index 3e5d5227da..c10bd80ee0 100644
--- a/addons/medical_blood/config.cpp
+++ b/addons/medical_blood/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -16,3 +23,5 @@ class CfgPatches {
 
 #include "CfgEventHandlers.hpp"
 #include "ACE_Settings.hpp"
+
+#endif
diff --git a/addons/medical_damage/addon.toml b/addons/medical_damage/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_damage/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_damage/config.cpp b/addons/medical_damage/config.cpp
index 5edaa691b3..712ec44a01 100644
--- a/addons/medical_damage/config.cpp
+++ b/addons/medical_damage/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -27,3 +34,5 @@ class ACE_Extensions {
     };
 };
  */
+
+#endif
diff --git a/addons/medical_engine/addon.toml b/addons/medical_engine/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_engine/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_engine/config.cpp b/addons/medical_engine/config.cpp
index be5dc54040..8d718155d1 100644
--- a/addons/medical_engine/config.cpp
+++ b/addons/medical_engine/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -21,3 +28,5 @@ class CfgPatches {
 #include "CfgMoves.hpp"
 #include "CfgVehicles.hpp"
 #include "CfgWeapons.hpp"
+
+#endif
diff --git a/addons/medical_feedback/addon.toml b/addons/medical_feedback/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_feedback/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_feedback/config.cpp b/addons/medical_feedback/config.cpp
index 50eb2bbab3..caea028b79 100644
--- a/addons/medical_feedback/config.cpp
+++ b/addons/medical_feedback/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -20,3 +27,5 @@ class CfgPatches {
 #include "CfgVehicles.hpp"
 #include "RscTitles.hpp"
 #include "RscInGameUI.hpp"
+
+#endif
diff --git a/addons/medical_gui/addon.toml b/addons/medical_gui/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_gui/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_gui/config.cpp b/addons/medical_gui/config.cpp
index b09143a6c9..eb3ac27561 100644
--- a/addons/medical_gui/config.cpp
+++ b/addons/medical_gui/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -18,3 +25,5 @@ class CfgPatches {
 #include "CfgEventHandlers.hpp"
 #include "CfgVehicles.hpp"
 #include "gui.hpp"
+
+#endif
diff --git a/addons/medical_statemachine/addon.toml b/addons/medical_statemachine/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_statemachine/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_statemachine/config.cpp b/addons/medical_statemachine/config.cpp
index 23a55f5258..2b396c8b8c 100644
--- a/addons/medical_statemachine/config.cpp
+++ b/addons/medical_statemachine/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -16,3 +23,5 @@ class CfgPatches {
 
 #include "Statemachine.hpp"
 #include "CfgEventHandlers.hpp"
+
+#endif
diff --git a/addons/medical_status/addon.toml b/addons/medical_status/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_status/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_status/config.cpp b/addons/medical_status/config.cpp
index 69c1b2fd27..dc68c63bcc 100644
--- a/addons/medical_status/config.cpp
+++ b/addons/medical_status/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -16,3 +23,5 @@ class CfgPatches {
 
 #include "ACE_settings.hpp"
 #include "CfgEventHandlers.hpp"
+
+#endif
diff --git a/addons/medical_treatment/addon.toml b/addons/medical_treatment/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_treatment/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_treatment/config.cpp b/addons/medical_treatment/config.cpp
index 1664eed719..9c77b37f13 100644
--- a/addons/medical_treatment/config.cpp
+++ b/addons/medical_treatment/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -22,3 +29,5 @@ class CfgPatches {
 #include "CfgVehicles.hpp"
 #include "CfgWeapons.hpp"
 #include "Cfg3DEN.hpp"
+
+#endif
diff --git a/addons/medical_vitals/addon.toml b/addons/medical_vitals/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/medical_vitals/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/medical_vitals/config.cpp b/addons/medical_vitals/config.cpp
index 91995242c9..f00fbe7174 100644
--- a/addons/medical_vitals/config.cpp
+++ b/addons/medical_vitals/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\nomedical\script_component.hpp")
+#define PATCH_SKIP "No Medical"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -15,3 +22,5 @@ class CfgPatches {
 };
 
 #include "CfgEventHandlers.hpp"
+
+#endif
diff --git a/addons/realisticnames/addon.toml b/addons/realisticnames/addon.toml
new file mode 100644
index 0000000000..7cfef775ee
--- /dev/null
+++ b/addons/realisticnames/addon.toml
@@ -0,0 +1,2 @@
+[preprocess]
+enabled = false
diff --git a/addons/realisticnames/config.cpp b/addons/realisticnames/config.cpp
index e8f4afae46..e98d18f0b6 100644
--- a/addons/realisticnames/config.cpp
+++ b/addons/realisticnames/config.cpp
@@ -1,5 +1,12 @@
 #include "script_component.hpp"
 
+#if __has_include("\z\ace\addons\norealisticnames\script_component.hpp")
+#define PATCH_SKIP "No Realistic Names"
+#endif
+
+#ifdef PATCH_SKIP
+ACE_PATCH_NOT_LOADED(ADDON,PATCH_SKIP)
+#else
 class CfgPatches {
     class ADDON {
         name = COMPONENT_NAME;
@@ -20,3 +27,5 @@ class CfgPatches {
 #include "CfgMagazines.hpp"
 #include "CfgVehicles.hpp"
 #include "CfgWeapons.hpp"
+
+#endif
diff --git a/optionals/nomedical/$PBOPREFIX$ b/optionals/nomedical/$PBOPREFIX$
new file mode 100644
index 0000000000..3f6d8ad8e6
--- /dev/null
+++ b/optionals/nomedical/$PBOPREFIX$
@@ -0,0 +1 @@
+z\ace\addons\nomedical
diff --git a/optionals/nomedical/config.cpp b/optionals/nomedical/config.cpp
new file mode 100644
index 0000000000..e392061445
--- /dev/null
+++ b/optionals/nomedical/config.cpp
@@ -0,0 +1,15 @@
+#include "script_component.hpp"
+
+class CfgPatches {
+    class ADDON {
+        name = COMPONENT_NAME;
+        units[] = {};
+        weapons[] = {};
+        requiredVersion = REQUIRED_VERSION;
+        requiredAddons[] = {};
+        author = ECSTRING(common,ACETeam);
+        authors[] = {"Dystopian"};
+        url = ECSTRING(main,URL);
+        VERSION_CONFIG;
+    };
+};
diff --git a/optionals/nomedical/script_component.hpp b/optionals/nomedical/script_component.hpp
new file mode 100644
index 0000000000..8fb8b9c73b
--- /dev/null
+++ b/optionals/nomedical/script_component.hpp
@@ -0,0 +1,6 @@
+#define COMPONENT nomedical
+#define COMPONENT_BEAUTIFIED No Medical
+
+#include "\z\ace\addons\main\script_mod.hpp"
+
+#include "\z\ace\addons\main\script_macros.hpp"
diff --git a/optionals/norealisticnames/$PBOPREFIX$ b/optionals/norealisticnames/$PBOPREFIX$
new file mode 100644
index 0000000000..f4a3ddedba
--- /dev/null
+++ b/optionals/norealisticnames/$PBOPREFIX$
@@ -0,0 +1 @@
+z\ace\addons\norealisticnames
diff --git a/optionals/norealisticnames/config.cpp b/optionals/norealisticnames/config.cpp
new file mode 100644
index 0000000000..e392061445
--- /dev/null
+++ b/optionals/norealisticnames/config.cpp
@@ -0,0 +1,15 @@
+#include "script_component.hpp"
+
+class CfgPatches {
+    class ADDON {
+        name = COMPONENT_NAME;
+        units[] = {};
+        weapons[] = {};
+        requiredVersion = REQUIRED_VERSION;
+        requiredAddons[] = {};
+        author = ECSTRING(common,ACETeam);
+        authors[] = {"Dystopian"};
+        url = ECSTRING(main,URL);
+        VERSION_CONFIG;
+    };
+};
diff --git a/optionals/norealisticnames/script_component.hpp b/optionals/norealisticnames/script_component.hpp
new file mode 100644
index 0000000000..ed570dd357
--- /dev/null
+++ b/optionals/norealisticnames/script_component.hpp
@@ -0,0 +1,6 @@
+#define COMPONENT norealisticnames
+#define COMPONENT_BEAUTIFIED No Realistic Names
+
+#include "\z\ace\addons\main\script_mod.hpp"
+
+#include "\z\ace\addons\main\script_macros.hpp"