diff --git a/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleComponent.cs b/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleComponent.cs
index c2d7124194..3eef6bc0c5 100644
--- a/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleComponent.cs
+++ b/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleComponent.cs
@@ -1,8 +1,10 @@
 using Content.Shared.Medical.SuitSensor;
+using Robust.Shared.Audio; // DeltaV
+using Robust.Shared.Serialization.TypeSerializers.Implementations.Custom; // DeltaV
 
 namespace Content.Server.Medical.CrewMonitoring;
 
-[RegisterComponent]
+[RegisterComponent, AutoGenerateComponentPause] // DeltaV - add AutoGenerateComponentPause
 [Access(typeof(CrewMonitoringConsoleSystem))]
 public sealed partial class CrewMonitoringConsoleComponent : Component
 {
@@ -16,4 +18,35 @@ public sealed partial class CrewMonitoringConsoleComponent : Component
     /// </summary>
     [DataField("sensorTimeout"), ViewVariables(VVAccess.ReadWrite)]
     public float SensorTimeout = 10f;
+
+    // DeltaV - start of alert system code
+    /// <summary>
+    ///     Should the component beep if someone goes critical or dies
+    /// </summary>
+    [DataField]
+    public bool AlertsEnabled = true;
+
+    /// <summary>
+    ///     Track sensors that have triggered the crew member critical alert.
+    /// </summary>
+    public HashSet<string> AlertedSensors = [];
+
+    /// <summary>
+    ///     Timestamp of the next possible alert (alert cooldown)
+    /// </summary>
+    [DataField(customTypeSerializer: typeof(TimeOffsetSerializer)), AutoPausedField]
+    public TimeSpan NextAlert;
+
+    /// <summary>
+    ///     Time between alerts
+    /// </summary>
+    [DataField]
+    public TimeSpan AlertCooldown = TimeSpan.FromSeconds(15);
+
+    /// <summary>
+    ///     Alert sound that is played when a crew member goes into critical / dies.
+    /// </summary>
+    [DataField]
+    public SoundSpecifier AlertSound = new SoundPathSpecifier("/Audio/_DV/Medical/CrewMonitoring/crew_alert.ogg");
+    // DeltaV - end of alert system code
 }
diff --git a/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleSystem.cs b/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleSystem.cs
index a53df6dbae..f5176fe5ba 100644
--- a/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleSystem.cs
+++ b/Content.Server/Medical/CrewMonitoring/CrewMonitoringConsoleSystem.cs
@@ -1,11 +1,15 @@
 using System.Linq;
 using Content.Server.DeviceNetwork;
 using Content.Server.DeviceNetwork.Systems;
+using Content.Server.Power.EntitySystems; // DeltaV
 using Content.Server.PowerCell;
 using Content.Shared.Medical.CrewMonitoring;
 using Content.Shared.Medical.SuitSensor;
 using Content.Shared.Pinpointer;
 using Robust.Server.GameObjects;
+using Robust.Shared.Audio; // DeltaV
+using Robust.Shared.Audio.Systems; // DeltaV
+using Robust.Shared.Timing; // DeltaV
 
 namespace Content.Server.Medical.CrewMonitoring;
 
@@ -13,6 +17,8 @@ public sealed class CrewMonitoringConsoleSystem : EntitySystem
 {
     [Dependency] private readonly PowerCellSystem _cell = default!;
     [Dependency] private readonly UserInterfaceSystem _uiSystem = default!;
+    [Dependency] private readonly SharedAudioSystem _audio = default!; // DeltaV
+    [Dependency] private readonly IGameTiming _timing = default!; // DeltaV
 
     public override void Initialize()
     {
@@ -43,6 +49,48 @@ public sealed class CrewMonitoringConsoleSystem : EntitySystem
 
         component.ConnectedSensors = sensorStatus;
         UpdateUserInterface(uid, component);
+
+        // DeltaV - start of alert system code
+        if (!component.AlertsEnabled)
+            return;
+
+        // station power (for the machine version)
+        if (!this.IsPowered(uid, EntityManager))
+            return;
+
+        // cell power (for the handheld)
+        if (!_cell.HasActivatableCharge(uid))
+            return;
+
+        foreach (var (sensorId, status) in sensorStatus)
+        {
+            // DamagePercentage above 1f is considered critical. It is null when sensor vitals are off.
+            var isCritical = status.DamagePercentage is >= 1f;
+
+            // Skip crew members that we have already alerted about
+            if (component.AlertedSensors.Contains(sensorId))
+            {
+                if (status.IsAlive && !isCritical)
+                    component.AlertedSensors.Remove(sensorId);
+                continue;
+            }
+
+            if (!status.IsAlive || isCritical)
+            {
+                if (_timing.CurTime >= component.NextAlert)
+                {
+                    var audioParams = AudioParams.Default.WithVolume(-2f).WithMaxDistance(4f);
+                    _audio.PlayPvs(component.AlertSound, uid, audioParams);
+                    component.NextAlert = _timing.CurTime + component.AlertCooldown;
+                }
+
+                // We are doing this outside the cooldown check to avoid "alert queues"
+                // If two people die at the same time and remain dead for longer, we want to alert once for both people
+                // instead of alerting once for the first one, waiting the cooldown, and then alerting again for the second one.
+                component.AlertedSensors.Add(sensorId);
+            }
+        }
+        // DeltaV - end of alert system code
     }
 
     private void OnUIOpened(EntityUid uid, CrewMonitoringConsoleComponent component, BoundUIOpenedEvent args)
diff --git a/Resources/Audio/_DV/Medical/CrewMonitoring/crew_alert.ogg b/Resources/Audio/_DV/Medical/CrewMonitoring/crew_alert.ogg
new file mode 100644
index 0000000000..d7474c8fc2
Binary files /dev/null and b/Resources/Audio/_DV/Medical/CrewMonitoring/crew_alert.ogg differ
diff --git a/Resources/Prototypes/Entities/Objects/Specific/Medical/handheld_crew_monitor.yml b/Resources/Prototypes/Entities/Objects/Specific/Medical/handheld_crew_monitor.yml
index a2887d1cba..6a7b505fe2 100644
--- a/Resources/Prototypes/Entities/Objects/Specific/Medical/handheld_crew_monitor.yml
+++ b/Resources/Prototypes/Entities/Objects/Specific/Medical/handheld_crew_monitor.yml
@@ -61,6 +61,8 @@
     price: 750
   - type: Tag # DeltaV - Let it be put in storage implants by removing HighRiskItem
     tags: []
+  - type: CrewMonitoringConsole # DeltaV - disable crew crit / dead beeping alerts
+    alertsEnabled: false
 
 - type: entity
   id: SpyCrewMonitorEmpty
@@ -85,6 +87,8 @@
     sprite: Objects/Specific/Medical/syndihandheldcrewmonitor.rsi
   - type: PowerCellDraw
     useRate: 0 # DeltaV - Changed to zero with the removal of the microreactor in observations kit
+  - type: CrewMonitoringConsole # DeltaV - disable crew crit / dead beeping alerts
+    alertsEnabled: false
 
 - type: entity
   id: SyndiCrewMonitorEmpty