diff --git a/packages/react-native/Libraries/Pressability/__tests__/Pressability-itest.js b/packages/react-native/Libraries/Pressability/__tests__/Pressability-itest.js
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+++ b/packages/react-native/Libraries/Pressability/__tests__/Pressability-itest.js
@@ -0,0 +1,253 @@
+/**
+ * Copyright (c) Meta Platforms, Inc. and affiliates.
+ *
+ * This source code is licensed under the MIT license found in the
+ * LICENSE file in the root directory of this source tree.
+ *
+ * @flow strict-local
+ * @format
+ * @oncall react_native
+ */
+
+import '@react-native/fantom/src/setUpDefaultReactNativeEnvironment';
+
+import type {PressabilityConfig} from '../Pressability';
+import type {HostInstance} from 'react-native';
+
+import usePressability from '../usePressability';
+import * as Fantom from '@react-native/fantom';
+import * as React from 'react';
+import {createRef} from 'react';
+import {View} from 'react-native';
+import ensureInstance from 'react-native/src/private/__tests__/utilities/ensureInstance';
+import ReactNativeElement from 'react-native/src/private/webapis/dom/nodes/ReactNativeElement';
+
+function PressabilityTestView({
+  config,
+  ...viewProps
+}: {
+  config: PressabilityConfig,
+  ref?: React.RefSetter<HostInstance>,
+  style?: {height: number},
+}) {
+  const eventHandlers = usePressability(config);
+  return <View {...viewProps} {...eventHandlers} />;
+}
+
+describe('Pressability', () => {
+  describe('usePressability', () => {
+    describe('onPress', () => {
+      it('fires onPress callback on click event', () => {
+        const onPress = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onPress}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        const element = ensureInstance(ref.current, ReactNativeElement);
+        Fantom.dispatchNativeEvent(element, 'click');
+
+        expect(onPress).toHaveBeenCalledTimes(1);
+      });
+
+      it('does not fire onPress when disabled is true', () => {
+        const onPress = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onPress, disabled: true}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        const element = ensureInstance(ref.current, ReactNativeElement);
+        Fantom.dispatchNativeEvent(element, 'click');
+
+        expect(onPress).toHaveBeenCalledTimes(0);
+      });
+
+      it('fires onPress after re-enabling (disabled true → false)', () => {
+        const onPress = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onPress, disabled: true}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        const element = ensureInstance(ref.current, ReactNativeElement);
+        Fantom.dispatchNativeEvent(element, 'click');
+        expect(onPress).toHaveBeenCalledTimes(0);
+
+        // Re-enable
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onPress, disabled: false}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        Fantom.dispatchNativeEvent(element, 'click');
+        expect(onPress).toHaveBeenCalledTimes(1);
+      });
+    });
+
+    describe('onFocus', () => {
+      it('fires onFocus callback on focus event', () => {
+        const onFocus = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onFocus}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        expect(onFocus).toHaveBeenCalledTimes(0);
+
+        Fantom.runOnUIThread(() => {
+          Fantom.enqueueNativeEvent(ref, 'focus');
+        });
+
+        Fantom.runWorkLoop();
+
+        expect(onFocus).toHaveBeenCalledTimes(1);
+      });
+    });
+
+    describe('onBlur', () => {
+      it('fires onBlur callback on blur event', () => {
+        const onBlur = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onBlur}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        expect(onBlur).toHaveBeenCalledTimes(0);
+
+        Fantom.runOnUIThread(() => {
+          Fantom.enqueueNativeEvent(ref, 'blur');
+        });
+
+        Fantom.runWorkLoop();
+
+        expect(onBlur).toHaveBeenCalledTimes(1);
+      });
+    });
+
+    describe('config updates', () => {
+      it('uses updated callbacks after re-render with new config', () => {
+        const onPressFirst = jest.fn();
+        const onPressSecond = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onPress: onPressFirst}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        const element = ensureInstance(ref.current, ReactNativeElement);
+        Fantom.dispatchNativeEvent(element, 'click');
+        expect(onPressFirst).toHaveBeenCalledTimes(1);
+        expect(onPressSecond).toHaveBeenCalledTimes(0);
+
+        // Re-render with new callback
+        Fantom.runTask(() => {
+          root.render(
+            <PressabilityTestView
+              ref={ref}
+              config={{onPress: onPressSecond}}
+              style={{height: 100}}
+            />,
+          );
+        });
+
+        Fantom.dispatchNativeEvent(element, 'click');
+        expect(onPressFirst).toHaveBeenCalledTimes(1);
+        expect(onPressSecond).toHaveBeenCalledTimes(1);
+      });
+    });
+
+    describe('cleanup on unmount', () => {
+      it('does not fire callbacks after component unmounts', () => {
+        const onPress = jest.fn();
+        const ref = createRef<HostInstance>();
+        const root = Fantom.createRoot();
+
+        function TestApp({showPressable}: {showPressable: boolean}) {
+          if (showPressable) {
+            return (
+              <PressabilityTestView
+                ref={ref}
+                config={{onPress}}
+                style={{height: 100}}
+              />
+            );
+          }
+          return <View />;
+        }
+
+        Fantom.runTask(() => {
+          root.render(<TestApp showPressable={true} />);
+        });
+
+        const element = ensureInstance(ref.current, ReactNativeElement);
+        Fantom.dispatchNativeEvent(element, 'click');
+        expect(onPress).toHaveBeenCalledTimes(1);
+
+        // Unmount the pressable component
+        Fantom.runTask(() => {
+          root.render(<TestApp showPressable={false} />);
+        });
+
+        // The element is no longer in the tree, but verify the config
+        // was reset by Pressability.reset() (called from the hook cleanup).
+        // Dispatching to a detached element won't reach the handler,
+        // so we verify that unmounting didn't throw and the callback
+        // count remains at 1.
+        expect(onPress).toHaveBeenCalledTimes(1);
+      });
+    });
+  });
+});