diff --git a/package.json b/package.json
index a35d2217e5a..c25c90837b2 100644
--- a/package.json
+++ b/package.json
@@ -45,7 +45,7 @@
     "vscode-debugprotocol": "1.25.0",
     "vscode-ripgrep": "^0.7.1-patch.0",
     "vscode-textmate": "^3.2.0",
-    "vscode-xterm": "3.0.0-beta4",
+    "vscode-xterm": "3.0.0-beta8",
     "yauzl": "2.8.0"
   },
   "devDependencies": {
diff --git a/src/typings/vscode-xterm.d.ts b/src/typings/vscode-xterm.d.ts
index 72172715060..a8000eec916 100644
--- a/src/typings/vscode-xterm.d.ts
+++ b/src/typings/vscode-xterm.d.ts
@@ -72,6 +72,13 @@ declare module 'vscode-xterm' {
 		 */
 		rows?: number;
 
+		/**
+		 * Whether screen reader support is enabled. When on this will expose
+		 * supporting elements in the DOM to support NVDA on Windows and VoiceOver
+		 * on macOS.
+		 */
+		screenReaderMode?: boolean;
+
 		/**
 		 * The amount of scrollback in the terminal. Scrollback is the amount of rows
 		 * that are retained when lines are scrolled beyond the initial viewport.
diff --git a/src/vs/workbench/parts/terminal/common/terminal.ts b/src/vs/workbench/parts/terminal/common/terminal.ts
index 351a062f543..cd837dd9be5 100644
--- a/src/vs/workbench/parts/terminal/common/terminal.ts
+++ b/src/vs/workbench/parts/terminal/common/terminal.ts
@@ -337,6 +337,12 @@ export interface ITerminalInstance {
 	 */
 	updateConfig(): void;
 
+	/**
+	 * Updates the accessibility support state of the terminal instance.
+	 * @param isEnabled Whether it's enabled.
+	 */
+	updateAccessibilitySupport(isEnabled: boolean): void;
+
 	/**
 	 * Configure the dimensions of the terminal instance.
 	 *
diff --git a/src/vs/workbench/parts/terminal/common/terminalService.ts b/src/vs/workbench/parts/terminal/common/terminalService.ts
index d838902de0a..4683d7a6250 100644
--- a/src/vs/workbench/parts/terminal/common/terminalService.ts
+++ b/src/vs/workbench/parts/terminal/common/terminalService.ts
@@ -12,6 +12,7 @@ import { IPartService } from 'vs/workbench/services/part/common/partService';
 import { IConfigurationService } from 'vs/platform/configuration/common/configuration';
 import { ITerminalService, ITerminalInstance, IShellLaunchConfig, ITerminalConfigHelper, KEYBINDING_CONTEXT_TERMINAL_FOCUS, KEYBINDING_CONTEXT_TERMINAL_FIND_WIDGET_VISIBLE, TERMINAL_PANEL_ID } from 'vs/workbench/parts/terminal/common/terminal';
 import { TPromise } from 'vs/base/common/winjs.base';
+import { IEditorOptions } from 'vs/editor/common/config/editorOptions';
 
 export abstract class TerminalService implements ITerminalService {
 	public _serviceBrand: any;
@@ -63,6 +64,9 @@ export abstract class TerminalService implements ITerminalService {
 			if (e.affectsConfiguration('terminal.integrated')) {
 				this.updateConfig();
 			}
+			if (e.affectsConfiguration('editor.accessibilitySupport')) {
+				this.updateAccessibilitySupport();
+			}
 		});
 		lifecycleService.onWillShutdown(event => event.veto(this._onWillShutdown()));
 		lifecycleService.onShutdown(() => this._onShutdown());
@@ -240,6 +244,11 @@ export abstract class TerminalService implements ITerminalService {
 		this.terminalInstances.forEach(instance => instance.updateConfig());
 	}
 
+	public updateAccessibilitySupport(): void {
+		const isEnabled = this._configurationService.getValue<IEditorOptions>('editor').accessibilitySupport === 'on';
+		this.terminalInstances.forEach(instance => instance.updateAccessibilitySupport(isEnabled));
+	}
+
 	public setWorkspaceShellAllowed(isAllowed: boolean): void {
 		this.configHelper.setWorkspaceShellAllowed(isAllowed);
 	}
diff --git a/src/vs/workbench/parts/terminal/electron-browser/media/xterm.css b/src/vs/workbench/parts/terminal/electron-browser/media/xterm.css
index 31206060c2b..aadbf436fc4 100644
--- a/src/vs/workbench/parts/terminal/electron-browser/media/xterm.css
+++ b/src/vs/workbench/parts/terminal/electron-browser/media/xterm.css
@@ -126,3 +126,24 @@
 .xterm:not(.enable-mouse-events) {
 	cursor: text;
 }
+
+.xterm .accessibility {
+	position: absolute;
+	left: 0;
+	top: 0;
+	bottom: 0;
+	right: 0;
+	z-index: 100;
+}
+
+.xterm .accessibility-tree {
+	color: transparent;
+}
+
+.xterm .live-region {
+	position: absolute;
+	left: -9999px;
+	width: 1px;
+	height: 1px;
+	overflow: hidden;
+}
diff --git a/src/vs/workbench/parts/terminal/electron-browser/terminalInstance.ts b/src/vs/workbench/parts/terminal/electron-browser/terminalInstance.ts
index e0f79021139..1b9729cf302 100644
--- a/src/vs/workbench/parts/terminal/electron-browser/terminalInstance.ts
+++ b/src/vs/workbench/parts/terminal/electron-browser/terminalInstance.ts
@@ -37,6 +37,8 @@ import { ansiColorIdentifiers, TERMINAL_BACKGROUND_COLOR, TERMINAL_FOREGROUND_CO
 import { PANEL_BACKGROUND } from 'vs/workbench/common/theme';
 import { IConfigurationResolverService } from 'vs/workbench/services/configurationResolver/common/configurationResolver';
 import { IWorkspaceContextService, IWorkspaceFolder } from 'vs/platform/workspace/common/workspace';
+import { IConfigurationService } from 'vs/platform/configuration/common/configuration';
+import { IEditorOptions } from 'vs/editor/common/config/editorOptions';
 
 /** The amount of time to consider terminal errors to be related to the launch */
 const LAUNCHING_DURATION = 500;
@@ -125,7 +127,8 @@ export class TerminalInstance implements ITerminalInstance {
 		@IHistoryService private _historyService: IHistoryService,
 		@IThemeService private _themeService: IThemeService,
 		@IConfigurationResolverService private _configurationResolverService: IConfigurationResolverService,
-		@IWorkspaceContextService private _workspaceContextService: IWorkspaceContextService
+		@IWorkspaceContextService private _workspaceContextService: IWorkspaceContextService,
+		@IConfigurationService private _configurationService: IConfigurationService
 	) {
 		this._instanceDisposables = [];
 		this._processDisposables = [];
@@ -260,6 +263,7 @@ export class TerminalInstance implements ITerminalInstance {
 			// Enable the winpty compatibility addon which will simulate wraparound mode
 			Terminal.applyAddon(require.__$__nodeRequire('vscode-xterm/lib/addons/winptyCompat/winptyCompat'));
 		}
+		const accessibilitySupport = this._configurationService.getValue<IEditorOptions>('editor').accessibilitySupport;
 		const font = this._configHelper.getFont(true);
 		this._xterm = new Terminal({
 			scrollback: this._configHelper.config.scrollback,
@@ -268,7 +272,8 @@ export class TerminalInstance implements ITerminalInstance {
 			fontSize: font.fontSize,
 			lineHeight: font.lineHeight,
 			enableBold: this._configHelper.config.enableBold,
-			bellStyle: this._configHelper.config.enableBell ? 'sound' : 'none'
+			bellStyle: this._configHelper.config.enableBell ? 'sound' : 'none',
+			screenReaderMode: accessibilitySupport === 'on'
 		});
 		if (this._shellLaunchConfig.initialText) {
 			this._xterm.writeln(this._shellLaunchConfig.initialText);
@@ -963,6 +968,10 @@ export class TerminalInstance implements ITerminalInstance {
 		this._setEnableBell(this._configHelper.config.enableBell);
 	}
 
+	public updateAccessibilitySupport(isEnabled: boolean): void {
+		this._xterm.setOption('screenReaderMode', isEnabled);
+	}
+
 	private _setCursorBlink(blink: boolean): void {
 		if (this._xterm && this._xterm.getOption('cursorBlink') !== blink) {
 			this._xterm.setOption('cursorBlink', blink);
diff --git a/yarn.lock b/yarn.lock
index 329be0de8ee..42e334c53da 100644
--- a/yarn.lock
+++ b/yarn.lock
@@ -5808,9 +5808,9 @@ vscode-textmate@^3.2.0:
     fast-plist "^0.1.2"
     oniguruma "^6.0.1"
 
-vscode-xterm@3.0.0-beta4:
-  version "3.0.0-beta4"
-  resolved "https://registry.yarnpkg.com/vscode-xterm/-/vscode-xterm-3.0.0-beta4.tgz#011b580c3ac91181ed70d46a8a33a63a84a17938"
+vscode-xterm@3.0.0-beta8:
+  version "3.0.0-beta8"
+  resolved "https://registry.yarnpkg.com/vscode-xterm/-/vscode-xterm-3.0.0-beta8.tgz#7e7d5f399d76992e07e5099aea9a1732ad40f7c1"
 
 vso-node-api@^6.1.2-preview:
   version "6.1.2-preview"