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Medals are items found in Yoshi's New Island.
Medals can be received if the ball on the goal roulette stops on a Smiley Flower. The number of medals Yoshi will get depends on the number of flowers he collected when playing the level. Five medals is the maximum for a single level run, but the player can replay the level to get the level maximum of 30. 10 Medals give the player a 1-UP, 20 Medals give the player a 1-UP three times, and 30 Medals give the player a vehicle challenge, an extra level based on a transformation which Yoshi can complete to get extra lives.