Recommended guidelines were provided for the shape and size of aesthetic features added to roadside barriers in National Cooperative Highway Research Program Report No. 554, but limited full-scale crash testing has been performed on barriers with aesthetic features, especially in combination with sidewalks and pedestrian railings, each of which may contribute to increased propensity for vehicle snag, vehicle instabilities, and occupant risk metrics. A Hawaii Department of Transportation (HDOT) bridge rail design with vertical faces and aesthetic recessed panels was evaluated to Manual for Assessing Safety Hardware (MASH) TL-3 impact conditions in three configurations: stand-alone; in combination with a pedestrian handrail installed on the back side of the barrier system; and in combination with a pedestrian rail and 6 ft long x 6 in. tall sidewalk. The 34 in. tall aesthetic concrete bridge rail consisted of segments measuring 11 ft long at upstream and downstream ends and three 22 ft long, consecutive interior segments. MASH test designation Nos. 3-10 and 3-11 were performed on the stand-alone system and with the sidewalk and pedestrian rail, and test designation 3-11 was performed on the system on level terrain with handrail. Results indicated that the HDOT 34 in. tall aesthetic concrete bridge rail was crashworthy in all of the configurations evaluated.