Yes. That's what the lanyard hole is for. Designed to fit a typical ball-chain as used for dog tags, etc. I wore it on a lanyard for three days at OR. I wouldn't say it's the most secure sheath ever done for a neck knife, but it is on par with similar designs. It's not going to fall out by accident. How well it would hold up to daily use, with hundreds or thousands of ins and outs I can't really say, but it'll be fine for any reasonable length survival circumstance.