Tin medals are items awarded to participants of the International Mushroom Games. A tin medal is given to a competitor or team who reaches first place in an event, and another tin medal is given if they break a Mushroom Kingdom record. When the scores are added up at the end of the games, tin medals are worth ten points. In Leaping Lizards, several of them are awarded throughout the competition, though who receives them is dependent on the reader's choices.
- Obstacle course – either Rocky Wrench (if Mario or Luigi runs the event) or Princess Toadstool (if she runs the event)
- Beetlebowl – either the Koopas (if Mario, Luigi, and Toadstool, or just Mario and Luigi defend their bucket) or the Hammers (if Luigi and Toadstool are dunking)
- Fungus Lift – Toad
- Super Triple Jump – either the Mushroom King (if he is chosen as the competitor) or Iggy Koopa (if Luigi is chosen)