diff --git a/app/blueprints/packages/reviews.py b/app/blueprints/packages/reviews.py
index 0d8c5e0..b902310 100644
--- a/app/blueprints/packages/reviews.py
+++ b/app/blueprints/packages/reviews.py
@@ -21,8 +21,8 @@ from flask_login import current_user, login_required
 from flask_wtf import FlaskForm
 from wtforms import *
 from wtforms.validators import *
-from app.models import db, PackageReview, Thread, ThreadReply, NotificationType
-from app.utils import is_package_page, addNotification, get_int_or_abort
+from app.models import db, PackageReview, Thread, ThreadReply, NotificationType, PackageReviewVote, Package
+from app.utils import is_package_page, addNotification, get_int_or_abort, isYes, is_safe_url
 from app.tasks.webhooktasks import post_discord_webhook
 
 
@@ -146,3 +146,43 @@ def delete_review(package):
 	db.session.commit()
 
 	return redirect(thread.getViewURL())
+
+
+def handle_review_vote(package: Package, review_id: int):
+	if current_user in package.maintainers:
+		flash("You can't vote on the reviews on your own package!", "danger")
+		return
+
+	review: PackageReview = PackageReview.query.get(review_id)
+	if review is None or review.package != package:
+		abort(404)
+
+	if review.author == current_user:
+		flash("You can't vote on your own reviews!", "danger")
+		return
+
+	vote = PackageReviewVote.query.filter_by(review=review, user=current_user).first()
+	if vote is None:
+		vote = PackageReviewVote()
+		vote.review = review
+		vote.user = current_user
+		vote.is_positive = isYes(request.form["is_positive"])
+		db.session.add(vote)
+	else:
+		vote.is_positive = isYes(request.form["is_positive"])
+
+	review.update_score()
+	db.session.commit()
+
+
+@bp.route("/packages/<author>/<name>/review/<int:review_id>/", methods=["POST"])
+@login_required
+@is_package_page
+def review_vote(package, review_id):
+	handle_review_vote(package, review_id)
+
+	next_url = request.args.get("r")
+	if next_url and is_safe_url(next_url):
+		return redirect(next_url)
+	else:
+		return redirect(review.thread.getViewURL())
diff --git a/app/blueprints/users/profile.py b/app/blueprints/users/profile.py
index 9259b8a..8ffa3f1 100644
--- a/app/blueprints/users/profile.py
+++ b/app/blueprints/users/profile.py
@@ -15,12 +15,12 @@
 # along with this program.  If not, see <https://www.gnu.org/licenses/>.
 
 import math
-from typing import List, Optional, Tuple
+from typing import Optional
 
 from flask import *
 from flask_babel import gettext
 from flask_login import current_user, login_required
-from sqlalchemy import func, and_, or_
+from sqlalchemy import func
 
 from app.models import *
 from app.tasks.forumtasks import checkForumAccount
@@ -88,49 +88,51 @@ def get_user_medals(user: User) -> Tuple[List[Medal], List[Medal]]:
 	# REVIEWS
 	#
 
-	users_by_reviews = db.session.query(User.username, func.count(PackageReview.id).label("count")) \
+	users_by_reviews = db.session.query(User.username, func.sum(PackageReview.score).label("karma")) \
 		.select_from(User).join(PackageReview) \
-		.group_by(User.username).order_by(text("count DESC")).all()
+		.group_by(User.username).order_by(text("karma DESC")).all()
 	try:
 		review_boundary = users_by_reviews[math.floor(len(users_by_reviews) * 0.25)][1] + 1
 	except IndexError:
 		review_boundary = None
-	users_by_reviews = [username for username, _ in users_by_reviews]
+	usernames_by_reviews = [username for username, _ in users_by_reviews]
 
 	review_idx = None
 	review_percent = None
+	review_karma = 0
 	try:
-		review_idx = users_by_reviews.index(user.username)
+		review_idx = usernames_by_reviews.index(user.username)
 		review_percent = round(100 * review_idx / len(users_by_reviews), 1)
+		review_karma = max(users_by_reviews[review_idx][1], 0)
 	except ValueError:
 		pass
 
 	if review_percent is not None and review_percent < 25:
 		if review_idx == 0:
-			title = gettext(u"Most reviews")
+			title = gettext(u"Top reviewer")
 			description = gettext(
-					u"%(display_name)s has written the most reviews on ContentDB.",
+					u"%(display_name)s has written the most helpful reviews on ContentDB.",
 					display_name=user.display_name)
 		elif review_idx <= 2:
 			if review_idx == 1:
-				title = gettext(u"2nd most reviews")
+				title = gettext(u"2nd most helpful reviewer")
 			else:
-				title = gettext(u"3rd most reviews")
+				title = gettext(u"3rd most helpful reviewer")
 			description = gettext(
 					u"This puts %(display_name)s in the top %(perc)s%%",
 					display_name=user.display_name, perc=review_percent)
 		else:
 			title = gettext(u"Top %(perc)s%% reviewer", perc=review_percent)
-			description = gettext(u"Only %(place)d users have written more reviews.", place=review_idx)
+			description = gettext(u"Only %(place)d users have written more helpful reviews.", place=review_idx)
 
 		unlocked.append(Medal.make_unlocked(
 				place_to_color(review_idx + 1), "fa-star-half-alt", title, description))
 	else:
-		description = gettext(u"Consider writing more reviews to get a medal.")
+		description = gettext(u"Consider writing more helpful reviews to get a medal.")
 		if review_idx:
 			description += " " + gettext(u"You are in place %(place)s.", place=review_idx + 1)
 		locked.append(Medal.make_locked(
-				description, (len(user.reviews), review_boundary)))
+				description, (review_karma, review_boundary)))
 
 	#
 	# TOP PACKAGES
diff --git a/app/models/packages.py b/app/models/packages.py
index a9b9e77..f1231c8 100644
--- a/app/models/packages.py
+++ b/app/models/packages.py
@@ -337,7 +337,8 @@ class Package(db.Model):
 	threads = db.relationship("Thread", back_populates="package", order_by=db.desc("thread_created_at"),
 			foreign_keys="Thread.package_id", cascade="all, delete, delete-orphan", lazy="dynamic")
 
-	reviews = db.relationship("PackageReview", back_populates="package", order_by=db.desc("package_review_created_at"),
+	reviews = db.relationship("PackageReview", back_populates="package",
+			order_by=[db.desc("package_review_score"),db.desc("package_review_created_at")],
 			cascade="all, delete, delete-orphan")
 
 	audit_log_entries = db.relationship("AuditLogEntry", foreign_keys="AuditLogEntry.package_id",
diff --git a/app/models/threads.py b/app/models/threads.py
index 13dae75..8b731ef 100644
--- a/app/models/threads.py
+++ b/app/models/threads.py
@@ -15,6 +15,7 @@
 # along with this program.  If not, see <https://www.gnu.org/licenses/>.
 
 import datetime
+from typing import Tuple, List
 
 from flask import url_for
 
@@ -156,6 +157,16 @@ class PackageReview(db.Model):
 	recommends = db.Column(db.Boolean, nullable=False)
 
 	thread     = db.relationship("Thread", uselist=False, back_populates="review")
+	votes      = db.relationship("PackageReviewVote", back_populates="review")
+
+	score      = db.Column(db.Integer, nullable=False, default=1)
+
+	def get_totals(self, current_user = None) -> Tuple[int,int,bool]:
+		votes: List[PackageReviewVote] = self.votes
+		pos = sum([ 1 for vote in votes if vote.is_positive ])
+		neg = sum([ 1 for vote in votes if not vote.is_positive])
+		user_vote = next(filter(lambda vote: vote.user == current_user, votes), None)
+		return pos, neg, user_vote.is_positive if user_vote else None
 
 	def asSign(self):
 		return 1 if self.recommends else -1
@@ -167,3 +178,25 @@ class PackageReview(db.Model):
 		return url_for("packages.delete_review",
 				author=self.package.author.username,
 				name=self.package.name)
+
+	def getVoteUrl(self, next_url=None):
+		return url_for("packages.review_vote",
+				author=self.package.author.username,
+				name=self.package.name,
+				review_id=self.id,
+				r=next_url)
+
+	def update_score(self):
+		(pos, neg, _) = self.get_totals()
+		self.score = 3 * (pos - neg) + 1
+
+
+class PackageReviewVote(db.Model):
+	review_id = db.Column(db.Integer, db.ForeignKey("package_review.id"), primary_key=True)
+	review = db.relationship("PackageReview", foreign_keys=[review_id], back_populates="votes")
+	user_id = db.Column(db.Integer, db.ForeignKey("user.id"), primary_key=True)
+	user = db.relationship("User", foreign_keys=[user_id], back_populates="review_votes")
+
+	is_positive = db.Column(db.Boolean, nullable=False)
+
+	created_at = db.Column(db.DateTime, nullable=False, default=datetime.datetime.utcnow)
diff --git a/app/models/users.py b/app/models/users.py
index 81792d4..2be63f5 100644
--- a/app/models/users.py
+++ b/app/models/users.py
@@ -172,6 +172,7 @@ class User(db.Model, UserMixin):
 
 	packages      = db.relationship("Package", back_populates="author", lazy="dynamic", order_by=db.asc("package_title"))
 	reviews       = db.relationship("PackageReview", back_populates="author", order_by=db.desc("package_review_created_at"), cascade="all, delete, delete-orphan")
+	review_votes  = db.relationship("PackageReviewVote", back_populates="user", cascade="all, delete, delete-orphan")
 	tokens        = db.relationship("APIToken", back_populates="owner", lazy="dynamic", cascade="all, delete, delete-orphan")
 	threads       = db.relationship("Thread", back_populates="author", lazy="dynamic", cascade="all, delete, delete-orphan")
 	replies       = db.relationship("ThreadReply", back_populates="author", lazy="dynamic", cascade="all, delete, delete-orphan")
diff --git a/app/template_filters.py b/app/template_filters.py
index 154a5b2..828c03a 100644
--- a/app/template_filters.py
+++ b/app/template_filters.py
@@ -1,6 +1,6 @@
 from . import app, utils
 from .models import Permission, Package, PackageState, PackageRelease
-from .utils import abs_url_for, url_set_query
+from .utils import abs_url_for, url_set_query, url_set_anchor
 from flask_login import current_user
 from flask_babel import format_timedelta, gettext
 from urllib.parse import urlparse
@@ -16,9 +16,8 @@ def inject_debug():
 @app.context_processor
 def inject_functions():
 	check_global_perm = Permission.checkPerm
-	return dict(abs_url_for=abs_url_for, url_set_query=url_set_query,
-			check_global_perm=check_global_perm,
-			get_headings=get_headings)
+	return dict(abs_url_for=abs_url_for, url_set_query=url_set_query, url_set_anchor=url_set_anchor,
+			check_global_perm=check_global_perm, get_headings=get_headings)
 
 @app.context_processor
 def inject_todo():
diff --git a/app/templates/index.html b/app/templates/index.html
index 1f6981f..b0ba3b3 100644
--- a/app/templates/index.html
+++ b/app/templates/index.html
@@ -152,7 +152,7 @@
 		{{ _("See more") }}
 	</a>
 	<h2 class="my-3">{{ _("Recent Positive Reviews") }}</h2>
-	{% from "macros/reviews.html" import render_reviews %}
+	{% from "macros/reviews.html" import render_reviews with context %}
 	{{ render_reviews(reviews, current_user, True) }}
 
 
diff --git a/app/templates/macros/reviews.html b/app/templates/macros/reviews.html
index 249d1bb..bb6b662 100644
--- a/app/templates/macros/reviews.html
+++ b/app/templates/macros/reviews.html
@@ -1,7 +1,28 @@
+{% macro render_review_vote(review, current_user, next_url) %}
+	{% set (positive, negative, is_positive) = review.get_totals(current_user) %}
+	<form class="-group" method="post" action="{{ review.getVoteUrl(next_url) }}">
+		<input type="hidden" name="csrf_token" value="{{ csrf_token() }}" />
+		<div class="btn-group">
+			<button class="btn {% if is_positive == true %}btn-primary{% else %}btn-secondary{% endif %}" name="is_positive" value="yes">
+				<i class="fas fa-thumbs-up mr-1"></i>
+				{{ _("Helpful") }}
+				<span class="badge badge-light ml-1">{{ positive }}</span>
+			</button>
+			<button class="btn {% if is_positive == false %}btn-primary{% else %}btn-secondary{% endif %}" name="is_positive" value="no">
+				<i class="fas fa-thumbs-down mr-1"></i>
+				{{ _("Unhelpful") }}
+				<span class="badge badge-light ml-1">{{ negative }}</span>
+			</button>
+		</div>
+	</form>
+{% endmacro %}
+
 {% macro render_reviews(reviews, current_user, show_package_link=False) -%}
 <ul class="comments mt-4 mb-0">
 	{% for review in reviews %}
+		{% set review_anchor = "review-" + (review.id | string) %}
 		<li class="row my-2 mx-0">
+			<a id="{{ review_anchor }}"></a>
 			<div class="col-md-1 p-1">
 				<a href="{{ url_for('users.profile', username=review.author.username) }}">
 					<img class="img-fluid user-photo img-thumbnail img-thumbnail-1" src="{{ review.author.getProfilePicURL() }}">
@@ -44,7 +65,7 @@
 
 							{{ reply.comment | markdown }}
 
-							<p class="mt-2 mb-0">
+							<div class="btn-toolbar mt-2 mb-0">
 								{% if show_package_link %}
 									<a class="btn btn-primary mr-1" href="{{ review.package.getURL("packages.view") }}">
 										{{ _("%(title)s by %(author)s",
@@ -53,12 +74,14 @@
 									</a>
 								{% endif %}
 
-								<a class="btn {% if review.thread.replies.count() > 1 %} btn-primary {% else %} btn-secondary {% endif %}"
+								<a class="btn {% if review.thread.replies.count() > 1 %} btn-primary {% else %} btn-secondary {% endif %} mr-1"
 										href="{{ url_for('threads.view', id=review.thread.id) }}">
 									<i class="fas fa-comments mr-2"></i>
 									{{ _("%(num)d comments", num=review.thread.replies.count() - 1) }}
 								</a>
-							</p>
+
+								{{ render_review_vote(review, current_user, url_set_anchor(review_anchor)) }}
+							</div>
 						</div>
 					</div>
 				</div>
diff --git a/app/templates/macros/threads.html b/app/templates/macros/threads.html
index d9e73e9..19a7717 100644
--- a/app/templates/macros/threads.html
+++ b/app/templates/macros/threads.html
@@ -1,5 +1,7 @@
 {% macro render_thread(thread, current_user) -%}
 
+{% from "macros/reviews.html" import render_review_vote %}
+
 <ul class="comments mt-4 mb-0">
 	{% for r in thread.replies %}
 	<li class="row my-2 mx-0">
@@ -60,6 +62,10 @@
 					{% endif %}
 
 					{{ r.comment | markdown }}
+
+					{% if thread.replies[0] == r and thread.review %}
+						{{ render_review_vote(thread.review, current_user, thread.getViewURL()) }}
+					{% endif %}
 				</div>
 			</div>
 		</div>
diff --git a/app/templates/packages/reviews_list.html b/app/templates/packages/reviews_list.html
index fe69fa6..0ff71c0 100644
--- a/app/templates/packages/reviews_list.html
+++ b/app/templates/packages/reviews_list.html
@@ -5,8 +5,8 @@
 {% endblock %}
 
 {% block content %}
-	{% from "macros/pagination.html" import render_pagination %}
-	{% from "macros/reviews.html" import render_reviews %}
+	{% from "macros/pagination.html" import render_pagination with context %}
+	{% from "macros/reviews.html" import render_reviews with context %}
 
 	{{ render_pagination(pagination, url_set_query) }}
 	{{ render_reviews(reviews, current_user, True) }}
diff --git a/app/templates/packages/view.html b/app/templates/packages/view.html
index 422facf..1de5fac 100644
--- a/app/templates/packages/view.html
+++ b/app/templates/packages/view.html
@@ -253,7 +253,7 @@
 
 				<h2 id="reviews" class="mt-0">{{ _("Reviews") }}</h2>
 
-				{% from "macros/reviews.html" import render_reviews, render_review_form, render_review_preview %}
+				{% from "macros/reviews.html" import render_reviews, render_review_form, render_review_preview with context %}
 				{% if current_user.is_authenticated %}
 					{% if has_review %}
 						<p>
diff --git a/app/templates/users/profile.html b/app/templates/users/profile.html
index d556869..00f5e83 100644
--- a/app/templates/users/profile.html
+++ b/app/templates/users/profile.html
@@ -191,7 +191,7 @@
 
 
 <h2 class="my-3" id="reviews">{{ _("Reviews") }}</h2>
-{% from "macros/reviews.html" import render_reviews %}
+{% from "macros/reviews.html" import render_reviews with context %}
 {{ render_reviews(user.reviews, current_user, True) }}
 
 {% endblock %}
diff --git a/app/utils/flask.py b/app/utils/flask.py
index 76bf31e..9307ed2 100644
--- a/app/utils/flask.py
+++ b/app/utils/flask.py
@@ -40,6 +40,12 @@ def abs_url_for(path, **kwargs):
 def abs_url(path):
 	return urljoin(app.config["BASE_URL"], path)
 
+def url_set_anchor(anchor):
+	args = MultiDict(request.args)
+	dargs = dict(args.lists())
+	dargs.update(request.view_args)
+	return url_for(request.endpoint, **dargs) + "#" + anchor
+
 def url_set_query(**kwargs):
 	args = MultiDict(request.args)
 
diff --git a/migrations/versions/cd5ab8a01f4a_.py b/migrations/versions/cd5ab8a01f4a_.py
new file mode 100644
index 0000000..afe4455
--- /dev/null
+++ b/migrations/versions/cd5ab8a01f4a_.py
@@ -0,0 +1,38 @@
+"""empty message
+
+Revision ID: cd5ab8a01f4a
+Revises: 1af840af0209
+Create Date: 2021-08-18 20:47:54.268263
+
+"""
+from alembic import op
+import sqlalchemy as sa
+from sqlalchemy.dialects import postgresql
+
+# revision identifiers, used by Alembic.
+revision = 'cd5ab8a01f4a'
+down_revision = '1af840af0209'
+branch_labels = None
+depends_on = None
+
+
+def upgrade():
+    # ### commands auto generated by Alembic - please adjust! ###
+    op.create_table('package_review_vote',
+    sa.Column('review_id', sa.Integer(), nullable=False),
+    sa.Column('user_id', sa.Integer(), nullable=False),
+    sa.Column('is_positive', sa.Boolean(), nullable=False),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.ForeignKeyConstraint(['review_id'], ['package_review.id'], ),
+    sa.ForeignKeyConstraint(['user_id'], ['user.id'], ),
+    sa.PrimaryKeyConstraint('review_id', 'user_id')
+    )
+    op.add_column('package_review', sa.Column('score', sa.Integer(), nullable=False, server_default="1"))
+    # ### end Alembic commands ###
+
+
+def downgrade():
+    # ### commands auto generated by Alembic - please adjust! ###
+    op.drop_column('package_review', 'score')
+    op.drop_table('package_review_vote')
+    # ### end Alembic commands ###