diff --git a/osu.Game.Rulesets.Osu.Tests/TestSceneOsuHealthProcessor.cs b/osu.Game.Rulesets.Osu.Tests/TestSceneOsuLegacyHealthProcessor.cs
similarity index 86%
rename from osu.Game.Rulesets.Osu.Tests/TestSceneOsuHealthProcessor.cs
rename to osu.Game.Rulesets.Osu.Tests/TestSceneOsuLegacyHealthProcessor.cs
index 16f28c0212..a7ae06a9ce 100644
--- a/osu.Game.Rulesets.Osu.Tests/TestSceneOsuHealthProcessor.cs
+++ b/osu.Game.Rulesets.Osu.Tests/TestSceneOsuLegacyHealthProcessor.cs
@@ -10,12 +10,12 @@
 namespace osu.Game.Rulesets.Osu.Tests
 {
     [TestFixture]
-    public class TestSceneOsuHealthProcessor
+    public class TestSceneOsuLegacyHealthProcessor
     {
         [Test]
         public void TestNoBreak()
         {
-            OsuHealthProcessor hp = new OsuHealthProcessor(-1000);
+            OsuLegacyHealthProcessor hp = new OsuLegacyHealthProcessor(-1000);
             hp.ApplyBeatmap(new Beatmap<OsuHitObject>
             {
                 HitObjects =
@@ -31,7 +31,7 @@ public void TestNoBreak()
         [Test]
         public void TestSingleBreak()
         {
-            OsuHealthProcessor hp = new OsuHealthProcessor(-1000);
+            OsuLegacyHealthProcessor hp = new OsuLegacyHealthProcessor(-1000);
             hp.ApplyBeatmap(new Beatmap<OsuHitObject>
             {
                 HitObjects =
@@ -51,7 +51,7 @@ public void TestSingleBreak()
         [Test]
         public void TestOverlappingBreak()
         {
-            OsuHealthProcessor hp = new OsuHealthProcessor(-1000);
+            OsuLegacyHealthProcessor hp = new OsuLegacyHealthProcessor(-1000);
             hp.ApplyBeatmap(new Beatmap<OsuHitObject>
             {
                 HitObjects =
@@ -72,7 +72,7 @@ public void TestOverlappingBreak()
         [Test]
         public void TestSequentialBreak()
         {
-            OsuHealthProcessor hp = new OsuHealthProcessor(-1000);
+            OsuLegacyHealthProcessor hp = new OsuLegacyHealthProcessor(-1000);
             hp.ApplyBeatmap(new Beatmap<OsuHitObject>
             {
                 HitObjects =
diff --git a/osu.Game.Rulesets.Osu/Mods/OsuModClassic.cs b/osu.Game.Rulesets.Osu/Mods/OsuModClassic.cs
index f20f95b384..10d7af5e58 100644
--- a/osu.Game.Rulesets.Osu/Mods/OsuModClassic.cs
+++ b/osu.Game.Rulesets.Osu/Mods/OsuModClassic.cs
@@ -18,7 +18,7 @@
 
 namespace osu.Game.Rulesets.Osu.Mods
 {
-    public class OsuModClassic : ModClassic, IApplicableToHitObject, IApplicableToDrawableHitObject, IApplicableToDrawableRuleset<OsuHitObject>
+    public class OsuModClassic : ModClassic, IApplicableToHitObject, IApplicableToDrawableHitObject, IApplicableToDrawableRuleset<OsuHitObject>, IApplicableHealthProcessor
     {
         public override Type[] IncompatibleMods => base.IncompatibleMods.Append(typeof(OsuModStrictTracking)).ToArray();
 
@@ -34,6 +34,9 @@ public class OsuModClassic : ModClassic, IApplicableToHitObject, IApplicableToDr
         [SettingSource("Fade out hit circles earlier", "Make hit circles fade out into a miss, rather than after it.")]
         public Bindable<bool> FadeHitCircleEarly { get; } = new Bindable<bool>(true);
 
+        [SettingSource("Classic health", "More closely resembles the original HP drain mechanics.")]
+        public Bindable<bool> ClassicHealth { get; } = new Bindable<bool>(true);
+
         private bool usingHiddenFading;
 
         public void ApplyToHitObject(HitObject hitObject)
@@ -115,5 +118,7 @@ private void applyEarlyFading(DrawableHitCircle circle)
                 }
             };
         }
+
+        public HealthProcessor? CreateHealthProcessor(double drainStartTime) => ClassicHealth.Value ? new OsuLegacyHealthProcessor(drainStartTime) : null;
     }
 }
diff --git a/osu.Game.Rulesets.Osu/OsuRuleset.cs b/osu.Game.Rulesets.Osu/OsuRuleset.cs
index 35cbfa3790..e53f20277b 100644
--- a/osu.Game.Rulesets.Osu/OsuRuleset.cs
+++ b/osu.Game.Rulesets.Osu/OsuRuleset.cs
@@ -48,8 +48,6 @@ public class OsuRuleset : Ruleset, ILegacyRuleset
 
         public override ScoreProcessor CreateScoreProcessor() => new OsuScoreProcessor();
 
-        public override HealthProcessor CreateHealthProcessor(double drainStartTime) => new OsuHealthProcessor(drainStartTime);
-
         public override IBeatmapConverter CreateBeatmapConverter(IBeatmap beatmap) => new OsuBeatmapConverter(beatmap, this);
 
         public override IBeatmapProcessor CreateBeatmapProcessor(IBeatmap beatmap) => new OsuBeatmapProcessor(beatmap);
diff --git a/osu.Game.Rulesets.Osu/Scoring/OsuHealthProcessor.cs b/osu.Game.Rulesets.Osu/Scoring/OsuLegacyHealthProcessor.cs
similarity index 95%
rename from osu.Game.Rulesets.Osu/Scoring/OsuHealthProcessor.cs
rename to osu.Game.Rulesets.Osu/Scoring/OsuLegacyHealthProcessor.cs
index 7025a7be65..e383e82b86 100644
--- a/osu.Game.Rulesets.Osu/Scoring/OsuHealthProcessor.cs
+++ b/osu.Game.Rulesets.Osu/Scoring/OsuLegacyHealthProcessor.cs
@@ -10,9 +10,9 @@
 
 namespace osu.Game.Rulesets.Osu.Scoring
 {
-    public partial class OsuHealthProcessor : LegacyDrainingHealthProcessor
+    public partial class OsuLegacyHealthProcessor : LegacyDrainingHealthProcessor
     {
-        public OsuHealthProcessor(double drainStartTime)
+        public OsuLegacyHealthProcessor(double drainStartTime)
             : base(drainStartTime)
         {
         }
diff --git a/osu.Game/Rulesets/Mods/IApplicableHealthProcessor.cs b/osu.Game/Rulesets/Mods/IApplicableHealthProcessor.cs
new file mode 100644
index 0000000000..be46828069
--- /dev/null
+++ b/osu.Game/Rulesets/Mods/IApplicableHealthProcessor.cs
@@ -0,0 +1,18 @@
+// Copyright (c) ppy Pty Ltd <contact@ppy.sh>. Licensed under the MIT Licence.
+// See the LICENCE file in the repository root for full licence text.
+
+using osu.Game.Rulesets.Scoring;
+
+namespace osu.Game.Rulesets.Mods
+{
+    /// <summary>
+    /// Interface for a <see cref="Mod"/> that provides its own health processor.
+    /// </summary>
+    public interface IApplicableHealthProcessor
+    {
+        /// <summary>
+        /// Creates the <see cref="HealthProcessor"/>. May be null to use the ruleset default.
+        /// </summary>
+        HealthProcessor? CreateHealthProcessor(double drainStartTime);
+    }
+}
diff --git a/osu.Game/Screens/Play/Player.cs b/osu.Game/Screens/Play/Player.cs
index 1c97efcff7..cc08079d88 100644
--- a/osu.Game/Screens/Play/Player.cs
+++ b/osu.Game/Screens/Play/Player.cs
@@ -227,7 +227,8 @@ private void load(OsuConfigManager config, OsuGameBase game, CancellationToken c
 
             dependencies.CacheAs(ScoreProcessor);
 
-            HealthProcessor = ruleset.CreateHealthProcessor(playableBeatmap.HitObjects[0].StartTime);
+            HealthProcessor = gameplayMods.OfType<IApplicableHealthProcessor>().FirstOrDefault()?.CreateHealthProcessor(playableBeatmap.HitObjects[0].StartTime);
+            HealthProcessor ??= ruleset.CreateHealthProcessor(playableBeatmap.HitObjects[0].StartTime);
             HealthProcessor.ApplyBeatmap(playableBeatmap);
 
             dependencies.CacheAs(HealthProcessor);