Lack of contextual evidence for the use of small personal ornaments means that much of our understanding of ornamentation traditions within archaeological cultures is reconstructed from ethnographic comparisons. New in situ finds from the areas around the ears and mouth in burials at Boncuklu Tarla, a Neolithic settlement in Türkiye, add a novel dimension to the interpretation of stone ‘tokens’ or ‘plugs’. This article presents a new typology for these artefacts and argues for their use as ear ornaments or labrets in a practice involving significant and lasting corporal alteration.