The Matchbox Ambulance (2005) is a generic realistic casting based on a real North American ambulance. Though much more realistic than Matchbox's previous ambulance casting (Ambulance (2000)), it is not based on any individual prototype. It made its debut for the 2005 mainline under the 1-75 series for the MBX Metal subline in White with Ambulance, Red and Yellow stripes, 679 tampos. The casting has a number of MB679 and was originally in production for 2005 to 2010 when it was discontinued. It returned in 2018 after a 8 year hiatus, albeit retooled for easier assembly. The former back of the ambulance in metal has turned to plastic while the retaining the metal cab and has been updated with a copyright year of 2018. The casting still retains the original number of MB679 and has been in production ever since.