diff --git a/.changeset/large-cherries-cheat.md b/.changeset/large-cherries-cheat.md
new file mode 100644
index 00000000..cbde7665
--- /dev/null
+++ b/.changeset/large-cherries-cheat.md
@@ -0,0 +1,5 @@
+---
+"eslint-plugin-primer-react": minor
+---
+
+Make `use-styled-react-import` rule configurable
diff --git a/docs/rules/use-styled-react-import.md b/docs/rules/use-styled-react-import.md
index 78a06128..526b5d0f 100644
--- a/docs/rules/use-styled-react-import.md
+++ b/docs/rules/use-styled-react-import.md
@@ -121,7 +121,55 @@ const Component2 = () => <StyledButton sx={{color: 'red'}}>Styled me</StyledButt
 
 ## Options
 
-This rule has no options.
+This rule accepts an optional configuration object with the following properties:
+
+- `styledComponents` (array of strings): Components that should be imported from `@primer/styled-react` when used with `sx` prop. Defaults to the list shown above.
+- `styledTypes` (array of strings): Types that should always be imported from `@primer/styled-react`. Defaults to `['BoxProps', 'SxProp', 'BetterSystemStyleObject']`.
+- `styledUtilities` (array of strings): Utilities that should always be imported from `@primer/styled-react`. Defaults to `['sx']`.
+
+### Example Configuration
+
+```json
+{
+  "rules": {
+    "@primer/primer-react/use-styled-react-import": [
+      "error",
+      {
+        "styledComponents": ["Button", "Box", "CustomComponent"],
+        "styledTypes": ["BoxProps", "CustomProps"],
+        "styledUtilities": ["sx", "customSx"]
+      }
+    ]
+  }
+}
+```
+
+### Configuration Examples
+
+#### ❌ Incorrect with custom configuration
+
+```jsx
+// With styledComponents: ["CustomButton"]
+import {CustomButton} from '@primer/react'
+
+const Component = () => <CustomButton sx={{color: 'red'}}>Click me</CustomButton>
+```
+
+#### ✅ Correct with custom configuration
+
+```jsx
+// With styledComponents: ["CustomButton"]
+import {CustomButton} from '@primer/styled-react'
+
+const Component = () => <CustomButton sx={{color: 'red'}}>Click me</CustomButton>
+```
+
+```jsx
+// Box is not in custom styledComponents list, so it can be used with sx from @primer/react
+import {Box} from '@primer/react'
+
+const Component = () => <Box sx={{color: 'red'}}>Content</Box>
+```
 
 ## When Not To Use It
 
diff --git a/src/rules/__tests__/use-styled-react-import.test.js b/src/rules/__tests__/use-styled-react-import.test.js
index bd11ae7d..860f473c 100644
--- a/src/rules/__tests__/use-styled-react-import.test.js
+++ b/src/rules/__tests__/use-styled-react-import.test.js
@@ -249,3 +249,64 @@ import { Button as StyledButton, Link } from '@primer/styled-react'
     },
   ],
 })
+
+// Test configuration options
+ruleTester.run('use-styled-react-import with custom configuration', rule, {
+  valid: [
+    // Valid: Custom component not in default list
+    {
+      code: `import { CustomButton } from '@primer/react'
+             const Component = () => <CustomButton sx={{ color: 'red' }}>Click me</CustomButton>`,
+      options: [{}], // Using default configuration
+    },
+
+    // Valid: Custom component in custom list used without sx prop
+    {
+      code: `import { CustomButton } from '@primer/react'
+             const Component = () => <CustomButton>Click me</CustomButton>`,
+      options: [{styledComponents: ['CustomButton']}],
+    },
+
+    // Valid: Custom component with sx prop imported from styled-react
+    {
+      code: `import { CustomButton } from '@primer/styled-react'
+             const Component = () => <CustomButton sx={{ color: 'red' }}>Click me</CustomButton>`,
+      options: [{styledComponents: ['CustomButton']}],
+    },
+
+    // Valid: Box not in custom list, so sx usage is allowed from @primer/react
+    {
+      code: `import { Box } from '@primer/react'
+             const Component = () => <Box sx={{ color: 'red' }}>Content</Box>`,
+      options: [{styledComponents: ['CustomButton']}], // Box not included
+    },
+  ],
+  invalid: [
+    // Invalid: Custom component with sx prop should be from styled-react
+    {
+      code: `import { CustomButton } from '@primer/react'
+             const Component = () => <CustomButton sx={{ color: 'red' }}>Click me</CustomButton>`,
+      output: `import { CustomButton } from '@primer/styled-react'
+             const Component = () => <CustomButton sx={{ color: 'red' }}>Click me</CustomButton>`,
+      options: [{styledComponents: ['CustomButton']}],
+      errors: [
+        {
+          messageId: 'useStyledReactImport',
+          data: {componentName: 'CustomButton'},
+        },
+      ],
+    },
+    // Invalid: Custom utility should be from styled-react
+    {
+      code: `import { customSx } from '@primer/react'`,
+      output: `import { customSx } from '@primer/styled-react'`,
+      options: [{styledUtilities: ['customSx']}],
+      errors: [
+        {
+          messageId: 'moveToStyledReact',
+          data: {importName: 'customSx'},
+        },
+      ],
+    },
+  ],
+})
diff --git a/src/rules/use-styled-react-import.js b/src/rules/use-styled-react-import.js
index b4ba55bd..136ff644 100644
--- a/src/rules/use-styled-react-import.js
+++ b/src/rules/use-styled-react-import.js
@@ -3,8 +3,8 @@
 const url = require('../url')
 const {getJSXOpeningElementName} = require('../utils/get-jsx-opening-element-name')
 
-// Components that should be imported from @primer/styled-react when used with sx prop
-const styledComponents = new Set([
+// Default components that should be imported from @primer/styled-react when used with sx prop
+const defaultStyledComponents = [
   'ActionList',
   'ActionMenu',
   'Box',
@@ -23,13 +23,13 @@ const styledComponents = new Set([
   'Truncate',
   'Octicon',
   'Dialog',
-])
+]
 
-// Types that should be imported from @primer/styled-react
-const styledTypes = new Set(['BoxProps', 'SxProp', 'BetterSystemStyleObject'])
+// Default types that should be imported from @primer/styled-react
+const defaultStyledTypes = ['BoxProps', 'SxProp', 'BetterSystemStyleObject']
 
-// Utilities that should be imported from @primer/styled-react
-const styledUtilities = new Set(['sx'])
+// Default utilities that should be imported from @primer/styled-react
+const defaultStyledUtilities = ['sx']
 
 /**
  * @type {import('eslint').Rule.RuleModule}
@@ -43,7 +43,29 @@ module.exports = {
       url: url(module),
     },
     fixable: 'code',
-    schema: [],
+    schema: [
+      {
+        type: 'object',
+        properties: {
+          styledComponents: {
+            type: 'array',
+            items: {type: 'string'},
+            description: 'Components that should be imported from @primer/styled-react when used with sx prop',
+          },
+          styledTypes: {
+            type: 'array',
+            items: {type: 'string'},
+            description: 'Types that should be imported from @primer/styled-react',
+          },
+          styledUtilities: {
+            type: 'array',
+            items: {type: 'string'},
+            description: 'Utilities that should be imported from @primer/styled-react',
+          },
+        },
+        additionalProperties: false,
+      },
+    ],
     messages: {
       useStyledReactImport: 'Import {{ componentName }} from "@primer/styled-react" when using with sx prop',
       useStyledReactImportWithAlias:
@@ -54,6 +76,11 @@ module.exports = {
     },
   },
   create(context) {
+    // Get configuration options or use defaults
+    const options = context.options[0] || {}
+    const styledComponents = new Set(options.styledComponents || defaultStyledComponents)
+    const styledTypes = new Set(options.styledTypes || defaultStyledTypes)
+    const styledUtilities = new Set(options.styledUtilities || defaultStyledUtilities)
     const componentsWithSx = new Set()
     const componentsWithoutSx = new Set() // Track components used without sx
     const allUsedComponents = new Set() // Track all used components