diff --git a/packages/types/src/provider-settings.ts b/packages/types/src/provider-settings.ts
index be74ae6bb4..b971e73834 100644
--- a/packages/types/src/provider-settings.ts
+++ b/packages/types/src/provider-settings.ts
@@ -107,6 +107,7 @@ const bedrockSchema = apiModelIdProviderModelSchema.extend({
 	awsSecretKey: z.string().optional(),
 	awsSessionToken: z.string().optional(),
 	awsRegion: z.string().optional(),
+	awsCustomRegion: z.string().optional(),
 	awsUseCrossRegionInference: z.boolean().optional(),
 	awsUsePromptCache: z.boolean().optional(),
 	awsProfile: z.string().optional(),
diff --git a/packages/types/src/providers/bedrock.ts b/packages/types/src/providers/bedrock.ts
index 58e860dd94..be686ce844 100644
--- a/packages/types/src/providers/bedrock.ts
+++ b/packages/types/src/providers/bedrock.ts
@@ -405,4 +405,10 @@ export const BEDROCK_REGIONS = [
 	{ value: "sa-east-1", label: "sa-east-1" },
 	{ value: "us-gov-east-1", label: "us-gov-east-1" },
 	{ value: "us-gov-west-1", label: "us-gov-west-1" },
-].sort((a, b) => a.value.localeCompare(b.value))
+	{ value: "custom", label: "Custom region..." },
+].sort((a, b) => {
+	// Keep "Custom region..." at the end
+	if (a.value === "custom") return 1
+	if (b.value === "custom") return -1
+	return a.value.localeCompare(b.value)
+})
diff --git a/webview-ui/src/components/settings/providers/Bedrock.tsx b/webview-ui/src/components/settings/providers/Bedrock.tsx
index 1839298f9b..86bb225111 100644
--- a/webview-ui/src/components/settings/providers/Bedrock.tsx
+++ b/webview-ui/src/components/settings/providers/Bedrock.tsx
@@ -18,12 +18,18 @@ type BedrockProps = {
 export const Bedrock = ({ apiConfiguration, setApiConfigurationField, selectedModelInfo }: BedrockProps) => {
 	const { t } = useAppTranslation()
 	const [awsEndpointSelected, setAwsEndpointSelected] = useState(!!apiConfiguration?.awsBedrockEndpointEnabled)
+	const [customRegionSelected, setCustomRegionSelected] = useState(apiConfiguration?.awsRegion === "custom")
 
 	// Update the endpoint enabled state when the configuration changes
 	useEffect(() => {
 		setAwsEndpointSelected(!!apiConfiguration?.awsBedrockEndpointEnabled)
 	}, [apiConfiguration?.awsBedrockEndpointEnabled])
 
+	// Update the custom region state when the configuration changes
+	useEffect(() => {
+		setCustomRegionSelected(apiConfiguration?.awsRegion === "custom")
+	}, [apiConfiguration?.awsRegion])
+
 	const handleInputChange = useCallback(
 		<K extends keyof ProviderSettings, E>(
 			field: K,
@@ -89,7 +95,14 @@ export const Bedrock = ({ apiConfiguration, setApiConfigurationField, selectedMo
 				<label className="block font-medium mb-1">{t("settings:providers.awsRegion")}</label>
 				<Select
 					value={apiConfiguration?.awsRegion || ""}
-					onValueChange={(value) => setApiConfigurationField("awsRegion", value)}>
+					onValueChange={(value) => {
+						setApiConfigurationField("awsRegion", value)
+						setCustomRegionSelected(value === "custom")
+						// Clear custom region when switching to a standard region
+						if (value !== "custom") {
+							setApiConfigurationField("awsCustomRegion", "")
+						}
+					}}>
 					<SelectTrigger className="w-full">
 						<SelectValue placeholder={t("settings:common.select")} />
 					</SelectTrigger>
@@ -102,6 +115,23 @@ export const Bedrock = ({ apiConfiguration, setApiConfigurationField, selectedMo
 					</SelectContent>
 				</Select>
 			</div>
+			{customRegionSelected && (
+				<>
+					<VSCodeTextField
+						value={apiConfiguration?.awsCustomRegion || ""}
+						style={{ width: "100%", marginTop: 3, marginBottom: 5 }}
+						onInput={handleInputChange("awsCustomRegion")}
+						placeholder={t("settings:placeholders.customRegion")}
+						data-testid="custom-region-input"
+					/>
+					<div className="text-sm text-vscode-descriptionForeground ml-6 mt-1 mb-3">
+						{t("settings:providers.awsCustomRegion.examples")}
+						<div className="ml-2">• us-west-3</div>
+						<div className="ml-2">• eu-central-3</div>
+						<div className="ml-2">• ap-southeast-3</div>
+					</div>
+				</>
+			)}
 			<Checkbox
 				checked={apiConfiguration?.awsUseCrossRegionInference || false}
 				onChange={handleInputChange("awsUseCrossRegionInference", noTransform)}>
diff --git a/webview-ui/src/components/settings/providers/__tests__/Bedrock.spec.tsx b/webview-ui/src/components/settings/providers/__tests__/Bedrock.spec.tsx
index b5bb16e975..80c1c4fd90 100644
--- a/webview-ui/src/components/settings/providers/__tests__/Bedrock.spec.tsx
+++ b/webview-ui/src/components/settings/providers/__tests__/Bedrock.spec.tsx
@@ -425,4 +425,215 @@ describe("Bedrock Component", () => {
 			expect(screen.getByTestId("vpc-endpoint-input")).toHaveValue("https://updated-endpoint.aws.com")
 		})
 	})
+
+	// Test Scenario 6: Custom Region Tests
+	describe("Custom Region", () => {
+		it("should show custom region input when 'Custom region...' is selected", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "",
+				awsUseProfile: true,
+			}
+
+			render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Custom region input should not be visible initially
+			expect(screen.queryByTestId("custom-region-input")).not.toBeInTheDocument()
+
+			// Mock the Select component to simulate selecting "custom"
+			// Since we're mocking the Select component, we need to simulate the onValueChange call
+			const selectComponent = screen.getByRole("combobox", { hidden: true })
+			if (selectComponent) {
+				// Simulate selecting "custom" region
+				const onValueChange = (selectComponent as any).onValueChange || (() => {})
+				onValueChange("custom")
+			}
+
+			// Verify that setApiConfigurationField was called with "custom"
+			expect(mockSetApiConfigurationField).toHaveBeenCalledWith("awsRegion", "custom")
+		})
+
+		it("should hide custom region input when switching from custom to standard region", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "us-west-3",
+				awsUseProfile: true,
+			}
+
+			render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Custom region input should be visible initially
+			expect(screen.getByTestId("custom-region-input")).toBeInTheDocument()
+			expect(screen.getByTestId("custom-region-input")).toHaveValue("us-west-3")
+
+			// Mock selecting a standard region
+			const selectComponent = screen.getByRole("combobox", { hidden: true })
+			if (selectComponent) {
+				const onValueChange = (selectComponent as any).onValueChange || (() => {})
+				onValueChange("us-east-1")
+			}
+
+			// Verify that both awsRegion and awsCustomRegion were updated
+			expect(mockSetApiConfigurationField).toHaveBeenCalledWith("awsRegion", "us-east-1")
+			expect(mockSetApiConfigurationField).toHaveBeenCalledWith("awsCustomRegion", "")
+		})
+
+		it("should handle custom region input changes", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "",
+				awsUseProfile: true,
+			}
+
+			render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Find the custom region input field
+			const customRegionInput = screen.getByTestId("custom-region-input")
+			expect(customRegionInput).toBeInTheDocument()
+
+			// Enter a custom region
+			fireEvent.change(customRegionInput, { target: { value: "us-west-3" } })
+
+			// Verify the configuration field was updated
+			expect(mockSetApiConfigurationField).toHaveBeenCalledWith("awsCustomRegion", "us-west-3")
+		})
+
+		it("should display example regions when custom region is selected", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "us-west-3",
+				awsUseProfile: true,
+			}
+
+			render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Check that the custom region input is visible
+			expect(screen.getByTestId("custom-region-input")).toBeInTheDocument()
+
+			// Check for the example regions section
+			expect(screen.getByText("settings:providers.awsCustomRegion.examples")).toBeInTheDocument()
+			expect(screen.getByText("• us-west-3")).toBeInTheDocument()
+			expect(screen.getByText("• eu-central-3")).toBeInTheDocument()
+			expect(screen.getByText("• ap-southeast-3")).toBeInTheDocument()
+		})
+
+		it("should preserve custom region value when toggling between custom and standard regions", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "us-west-3",
+				awsUseProfile: true,
+			}
+
+			const { rerender } = render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Initial state: custom region selected with value
+			expect(screen.getByTestId("custom-region-input")).toBeInTheDocument()
+			expect(screen.getByTestId("custom-region-input")).toHaveValue("us-west-3")
+
+			// Switch to standard region
+			const updatedConfig: Partial<ProviderSettings> = {
+				awsRegion: "us-east-1",
+				awsCustomRegion: "", // This would be cleared by the component logic
+				awsUseProfile: true,
+			}
+
+			rerender(
+				<Bedrock
+					apiConfiguration={updatedConfig as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Custom region input should be hidden
+			expect(screen.queryByTestId("custom-region-input")).not.toBeInTheDocument()
+
+			// Switch back to custom region with preserved value
+			const backToCustomConfig: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "us-west-3", // Value preserved in parent state
+				awsUseProfile: true,
+			}
+
+			rerender(
+				<Bedrock
+					apiConfiguration={backToCustomConfig as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Custom region input should be visible again with preserved value
+			expect(screen.getByTestId("custom-region-input")).toBeInTheDocument()
+			expect(screen.getByTestId("custom-region-input")).toHaveValue("us-west-3")
+		})
+
+		it("should handle empty custom region input", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "us-west-3",
+				awsUseProfile: true,
+			}
+
+			render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Find the custom region input field
+			const customRegionInput = screen.getByTestId("custom-region-input")
+
+			// Clear the field
+			fireEvent.change(customRegionInput, { target: { value: "" } })
+
+			// Verify the configuration field was updated with empty string
+			expect(mockSetApiConfigurationField).toHaveBeenCalledWith("awsCustomRegion", "")
+		})
+
+		it("should initialize with correct state when custom region is pre-selected", () => {
+			const apiConfiguration: Partial<ProviderSettings> = {
+				awsRegion: "custom",
+				awsCustomRegion: "eu-central-3",
+				awsUseProfile: true,
+			}
+
+			render(
+				<Bedrock
+					apiConfiguration={apiConfiguration as ProviderSettings}
+					setApiConfigurationField={mockSetApiConfigurationField}
+				/>,
+			)
+
+			// Verify custom region input is visible and has correct value
+			expect(screen.getByTestId("custom-region-input")).toBeInTheDocument()
+			expect(screen.getByTestId("custom-region-input")).toHaveValue("eu-central-3")
+
+			// Verify examples are shown
+			expect(screen.getByText("settings:providers.awsCustomRegion.examples")).toBeInTheDocument()
+		})
+	})
 })