diff --git a/packages/runtime-dom/__tests__/customElement.spec.ts b/packages/runtime-dom/__tests__/customElement.spec.ts
index df438d47eee..bffb5ff6e92 100644
--- a/packages/runtime-dom/__tests__/customElement.spec.ts
+++ b/packages/runtime-dom/__tests__/customElement.spec.ts
@@ -17,6 +17,7 @@ import {
   render,
   renderSlot,
   useHost,
+  useHostInternals,
   useShadowRoot,
 } from '../src'
 
@@ -1164,6 +1165,21 @@ describe('defineCustomElement', () => {
       const style = el.shadowRoot?.querySelector('style')!
       expect(style.textContent).toBe(`div { color: red; }`)
     })
+
+    // wait for jsdom to fix https://github.com/jsdom/jsdom/issues/3732
+    test.todo('useHostInternals', async () => {
+      const Foo = defineCustomElement({
+        setup() {
+          const internals = useHostInternals()!
+          internals.ariaLive = 'polite'
+          return () => h('div', 'hello')
+        },
+      })
+      customElements.define('my-el-use-host-internals', Foo)
+      container.innerHTML = `<my-el-use-host-internals>`
+      const el = container.childNodes[0] as VueElement
+      expect(el._internals?.ariaLive).toBe('polite')
+    })
   })
 
   describe('expose', () => {
@@ -1419,6 +1435,20 @@ describe('defineCustomElement', () => {
     expect(e.shadowRoot!.innerHTML).toBe(`false,boolean`)
   })
 
+  test('support attachInternals method', () => {
+    const E = defineCustomElement({
+      formAssociated: true,
+      render() {
+        return h('div', 'hello')
+      },
+    })
+    customElements.define('my-el-attach-internals', E)
+    container.innerHTML = `<my-el-attach-internals></my-el-attach-internals>`
+    const e = container.childNodes[0] as VueElement
+    expect(e.shadowRoot!.innerHTML).toBe(`<div>hello</div>`)
+    expect(e._internals).toBeTruthy()
+  })
+
   test('hyphenated attr removal', async () => {
     const E = defineCustomElement({
       props: {
diff --git a/packages/runtime-dom/src/apiCustomElement.ts b/packages/runtime-dom/src/apiCustomElement.ts
index aeeaeec9b9f..c6d000feeca 100644
--- a/packages/runtime-dom/src/apiCustomElement.ts
+++ b/packages/runtime-dom/src/apiCustomElement.ts
@@ -176,6 +176,8 @@ export function defineCustomElement(
   if (isPlainObject(Comp)) extend(Comp, extraOptions)
   class VueCustomElement extends VueElement {
     static def = Comp
+    static formAssociated = !!options.formAssociated
+
     constructor(initialProps?: Record<string, any>) {
       super(Comp, initialProps, _createApp)
     }
@@ -204,6 +206,7 @@ export class VueElement
   implements ComponentCustomElementInterface
 {
   _isVueCE = true
+  _internals: ElementInternals | null = null
   /**
    * @internal
    */
@@ -253,6 +256,9 @@ export class VueElement
     private _createApp: CreateAppFunction<Element> = createApp,
   ) {
     super()
+
+    if (this.attachInternals) this._internals = this.attachInternals()
+
     if (this.shadowRoot && _createApp !== createApp) {
       this._root = this.shadowRoot
     } else {
@@ -710,3 +716,12 @@ export function useShadowRoot(): ShadowRoot | null {
   const el = __DEV__ ? useHost('useShadowRoot') : useHost()
   return el && el.shadowRoot
 }
+
+/**
+ * Retrieve the ElementInternals of the current custom element. Only usable in setup()
+ * of a `defineCustomElement` component.
+ */
+export function useHostInternals(): ElementInternals | null {
+  const el = __DEV__ ? useHost('useHostInternals') : useHost()
+  return el && el._internals
+}
diff --git a/packages/runtime-dom/src/index.ts b/packages/runtime-dom/src/index.ts
index ca9a307dd98..b388eac11ec 100644
--- a/packages/runtime-dom/src/index.ts
+++ b/packages/runtime-dom/src/index.ts
@@ -256,6 +256,7 @@ export {
   defineSSRCustomElement,
   useShadowRoot,
   useHost,
+  useHostInternals,
   VueElement,
   type VueElementConstructor,
   type CustomElementOptions,