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The Flair!, Photo Badge, Clan Pride and The Conscientious Objector are items that can have custom images applied to them via the Decal Tool. (Yes, it drops)
The Flair! is a set of pins with 4 repeating images.
The photo badge is a polaroid photo clipped onto the player's chest.
The Clan Pride is a medal.
The Conscientious Objector is a sign used as a melee weapon.
The Photo Badge and Conscientious Objector can use any 256x256 image.