An earpiece includes an earpiece housing, wherein the earpiece housing is configured to substantially encompass an opening of an ear canal to physically block ambient sound from entering the ear canal. The earpiece further includes a processor disposed within the earpiece housing, at least one microphone operatively connected to the processor and configured to sense ambient sound, and a speaker operatively connected to the processor. The processor is configured to process the ambient sound from the microphone and add additional ambient sound to produce a modified ambient sound at the speaker.