diff --git a/extensions/typescript-language-features/package.json b/extensions/typescript-language-features/package.json
index c88445d67cc..45c1318ee12 100644
--- a/extensions/typescript-language-features/package.json
+++ b/extensions/typescript-language-features/package.json
@@ -1030,6 +1030,22 @@
           "markdownDescription": "%typescript.preferences.autoImportFileExcludePatterns%",
           "scope": "resource"
         },
+        "typescript.preferences.autoImportSpecifierExcludeRegexes": {
+          "type": "array",
+          "items": {
+            "type": "string"
+          },
+          "markdownDescription": "%typescript.preferences.autoImportSpecifierExcludeRegexes%",
+          "scope": "resource"
+        },
+        "javascript.preferences.autoImportSpecifierExcludeRegexes": {
+          "type": "array",
+          "items": {
+            "type": "string"
+          },
+          "markdownDescription": "%typescript.preferences.autoImportSpecifierExcludeRegexes%",
+          "scope": "resource"
+        },
         "typescript.preferences.preferTypeOnlyAutoImports": {
           "type": "boolean",
           "default": false,
diff --git a/extensions/typescript-language-features/package.nls.json b/extensions/typescript-language-features/package.nls.json
index 3067026fc75..6b1946b98ad 100644
--- a/extensions/typescript-language-features/package.nls.json
+++ b/extensions/typescript-language-features/package.nls.json
@@ -155,6 +155,7 @@
 	"typescript.preferences.includePackageJsonAutoImports.on": "Always search dependencies.",
 	"typescript.preferences.includePackageJsonAutoImports.off": "Never search dependencies.",
 	"typescript.preferences.autoImportFileExcludePatterns": "Specify glob patterns of files to exclude from auto imports. Relative paths are resolved relative to the workspace root. Patterns are evaluated using tsconfig.json [`exclude`](https://www.typescriptlang.org/tsconfig#exclude) semantics.",
+	"typescript.preferences.autoImportSpecifierExcludeRegexes": "Specify regular expressions to exclude auto imports with matching import specifiers. Examples:\n\n- `^node:`\n- `lib/internal` (slashes don't need to be escaped...)\n- `/lib\\/internal/i` (...unless including surrounding slashes for `i` or `u` flags)\n- `^lodash$` (only allow subpath imports from lodash)",
 	"typescript.preferences.preferTypeOnlyAutoImports": "Include the `type` keyword in auto-imports whenever possible. Requires using TypeScript 5.3+ in the workspace.",
 	"typescript.workspaceSymbols.excludeLibrarySymbols": "Exclude symbols that come from library files in Go to Symbol in Workspace results. Requires using TypeScript 5.3+ in the workspace.",
 	"typescript.updateImportsOnFileMove.enabled": "Enable/disable automatic updating of import paths when you rename or move a file in VS Code.",
diff --git a/extensions/typescript-language-features/src/languageFeatures/fileConfigurationManager.ts b/extensions/typescript-language-features/src/languageFeatures/fileConfigurationManager.ts
index 8101d92743a..484ea640295 100644
--- a/extensions/typescript-language-features/src/languageFeatures/fileConfigurationManager.ts
+++ b/extensions/typescript-language-features/src/languageFeatures/fileConfigurationManager.ts
@@ -191,6 +191,8 @@ export default class FileConfigurationManager extends Disposable {
 			includeCompletionsWithClassMemberSnippets: config.get<boolean>('suggest.classMemberSnippets.enabled', true),
 			includeCompletionsWithObjectLiteralMethodSnippets: config.get<boolean>('suggest.objectLiteralMethodSnippets.enabled', true),
 			autoImportFileExcludePatterns: this.getAutoImportFileExcludePatternsPreference(preferencesConfig, vscode.workspace.getWorkspaceFolder(document.uri)?.uri),
+			// @ts-expect-error until 5.6
+			autoImportSpecifierExcludeRegexes: preferencesConfig.get<string[]>('autoImportSpecifierExcludeRegexes'),
 			preferTypeOnlyAutoImports: preferencesConfig.get<boolean>('preferTypeOnlyAutoImports', false),
 			useLabelDetailsInCompletionEntries: true,
 			allowIncompleteCompletions: true,