On April 25, 2023, Mattel introduced the Down Syndrome Barbie, an addition to the Fashionistas Collection. She is part of a line of dolls depicting various disabilities, such as hearing impairment, wheelchair use, limb prostheses, and alopecia, tailored to represent diversity and inclusion. The doll's accessories include a puff-sleeve dress adorned with butterfly motifs and recognizable yellow and blue hues, and a pink necklace with three pendants representing trisomy of the 21st chromosome, a hallmark of the condition. Additionally, she is equipped with ankle braces, which are commonly used by children with Down Syndrome to assist with mobility.