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For the patch itself, see April 29, 2008 Patch.
Goldrush banner with Medic TF2
"This update will also mark the beginning of the most significant change we'll be making to Team Fortress 2 over the next year. Beginning first with the medic, players will be able to earn three unique items by earning some or all of the new Medic achievements coming in this update. These three unique items will allow players to have new choices as to how they play the class, as well as have a new impact and benefit to the team they play on. After this initial release we'll be quickly adding unique items for the remaining eight classes."
Goldrush Update Page

The Gold Rush Update, also referred to as the Medic Update, was the first major content update for Team Fortress 2.

The update centered around the Medic as the first class to receive three new weapons that provided alternate means of gameplay. Alongside the introduction of these weapons, the Character Info and Loadout system was implemented to allow players to equip the different weapons that would come in later updates.

The update also detailed the introduction of the new Payload gamemode, the related titular map Gold Rush, and the release of Meet the Scout. Numerous improvements and additions were also included.

The update was released in the April 29, 2008 Patch.

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