diff --git a/extensions/debug-server-ready/package.json b/extensions/debug-server-ready/package.json
index fdfe45b73b8..65efcdc09f3 100644
--- a/extensions/debug-server-ready/package.json
+++ b/extensions/debug-server-ready/package.json
@@ -158,6 +158,50 @@
                         "default": false
                       }
                     }
+                  },
+                  {
+                    "type": "object",
+                    "additionalProperties": false,
+                    "markdownDescription": "%debug.server.ready.serverReadyAction.description%",
+                    "default": {
+                      "action": "startDebugging",
+                      "config": {
+                        "type": "node",
+                        "request": "launch"
+                      },
+                      "killOnServerStop": false
+                    },
+                    "required": [
+                      "config"
+                    ],
+                    "properties": {
+                      "action": {
+                        "type": "string",
+                        "enum": [
+                          "startDebugging"
+                        ],
+                        "enumDescriptions": [
+                          "%debug.server.ready.action.startDebugging.description%"
+                        ],
+                        "markdownDescription": "%debug.server.ready.action.description%",
+                        "default": "startDebugging"
+                      },
+                      "pattern": {
+                        "type": "string",
+                        "markdownDescription": "%debug.server.ready.pattern.description%",
+                        "default": "listening on port ([0-9]+)"
+                      },
+                      "config": {
+                        "type": "object",
+                        "markdownDescription": "%debug.server.ready.debugConfig.description%",
+                        "default": {}
+                      },
+                      "killOnServerStop": {
+                        "type": "boolean",
+                        "markdownDescription": "%debug.server.ready.killOnServerStop.description%",
+                        "default": false
+                      }
+                    }
                   }
                 ]
               }
diff --git a/extensions/debug-server-ready/package.nls.json b/extensions/debug-server-ready/package.nls.json
index 45169b0095b..6fa9d3a7630 100644
--- a/extensions/debug-server-ready/package.nls.json
+++ b/extensions/debug-server-ready/package.nls.json
@@ -8,6 +8,7 @@
 	"debug.server.ready.action.debugWithChrome.description": "Start debugging with the 'Debugger for Chrome'.",
 	"debug.server.ready.action.startDebugging.description": "Run another launch configuration.",
 	"debug.server.ready.pattern.description": "Server is ready if this pattern appears on the debug console. The first capture group must include a URI or a port number.",
+	"debug.server.ready.debugConfig.description": "The debug configuration to run.",
 	"debug.server.ready.uriFormat.description": "A format string used when constructing the URI from a port number. The first '%s' is substituted with the port number.",
 	"debug.server.ready.webRoot.description": "Value passed to the debug configuration for the 'Debugger for Chrome'.",
 	"debug.server.ready.killOnServerStop.description": "Stop the child session when the parent session stopped.",
diff --git a/extensions/debug-server-ready/src/extension.ts b/extensions/debug-server-ready/src/extension.ts
index df5c8521c09..b3525281111 100644
--- a/extensions/debug-server-ready/src/extension.ts
+++ b/extensions/debug-server-ready/src/extension.ts
@@ -18,6 +18,7 @@ interface ServerReadyAction {
 	uriFormat?: string;
 	webRoot?: string;
 	name?: string;
+	config?: vscode.DebugConfiguration;
 	killOnServerStop?: boolean;
 }
 
@@ -194,7 +195,11 @@ class ServerReadyDetector extends vscode.Disposable {
 				break;
 
 			case 'startDebugging':
-				await this.startNamedDebugSession(session, args.name || 'unspecified');
+				if (args.config) {
+					await this.startDebugSession(session, args.config.name, args.config);
+				} else {
+					await this.startDebugSession(session, args.name || 'unspecified');
+				}
 				break;
 
 			default:
@@ -246,17 +251,24 @@ class ServerReadyDetector extends vscode.Disposable {
 		});
 	}
 
-	private async startNamedDebugSession(session: vscode.DebugSession, name: string) {
+	/**
+	 * Starts a debug session given a debug configuration name (saved in launch.json) or a debug configuration object.
+	 *
+	 * @param session The parent debugSession
+	 * @param name The name of the configuration to launch. If config it set, it assumes it is the same as config.name.
+	 * @param config [Optional] Instead of starting a debug session by debug configuration name, use a debug configuration object instead.
+	 */
+	private async startDebugSession(session: vscode.DebugSession, name: string, config?: vscode.DebugConfiguration) {
 		const args = session.configuration.serverReadyAction as ServerReadyAction;
 		if (!args.killOnServerStop) {
-			await vscode.debug.startDebugging(session.workspaceFolder, name);
+			await vscode.debug.startDebugging(session.workspaceFolder, config ?? name);
 			return;
 		}
 
 		const cts = new vscode.CancellationTokenSource();
 		const newSessionPromise = this.catchStartedDebugSession(x => x.name === name, cts.token);
 
-		if (!await vscode.debug.startDebugging(session.workspaceFolder, name)) {
+		if (!await vscode.debug.startDebugging(session.workspaceFolder, config ?? name)) {
 			cts.cancel();
 			cts.dispose();
 			return;