diff --git a/CHANGELOG.md b/CHANGELOG.md
index cb699aa9..ed88ba34 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -4,6 +4,7 @@
 
 ### 🎉 New features
 
+- Add accessibility support to grabber view with VoiceOver/TalkBack actions and state descriptions. ([#587](https://github.com/lodev09/react-native-true-sheet/pull/587) by [@lodev09](https://github.com/lodev09))
 - Add `scrollingExpandsSheet` option to `scrollableOptions`. ([#585](https://github.com/lodev09/react-native-true-sheet/pull/585) by [@lodev09](https://github.com/lodev09))
 
 ### 🐛 Bug fixes
diff --git a/android/src/main/java/com/lodev09/truesheet/TrueSheetViewController.kt b/android/src/main/java/com/lodev09/truesheet/TrueSheetViewController.kt
index 774d08a2..181e3ee7 100644
--- a/android/src/main/java/com/lodev09/truesheet/TrueSheetViewController.kt
+++ b/android/src/main/java/com/lodev09/truesheet/TrueSheetViewController.kt
@@ -476,6 +476,20 @@ class TrueSheetViewController(private val reactContext: ThemedReactContext) :
     }
   }
 
+  override fun bottomSheetViewDidAccessibilityIncrement() {
+    if (currentDetentIndex < detents.size - 1) {
+      setStateForDetentIndex(currentDetentIndex + 1)
+    }
+  }
+
+  override fun bottomSheetViewDidAccessibilityDecrement() {
+    if (currentDetentIndex > 0) {
+      setStateForDetentIndex(currentDetentIndex - 1)
+    } else if (dismissible) {
+      dismiss(animated = true)
+    }
+  }
+
   // =============================================================================
   // MARK: - BottomSheetCallback
   // =============================================================================
@@ -576,6 +590,7 @@ class TrueSheetViewController(private val reactContext: ThemedReactContext) :
           currentDetentIndex = detentInfo.index
           setupDimmedBackground()
           delegate?.viewControllerDidChangeDetent(detentInfo.index, detentInfo.position, detent)
+          this@TrueSheetViewController.sheetView?.updateGrabberAccessibilityValue(detentInfo.index, detents.size)
         }
 
         interactionState = InteractionState.Idle
@@ -588,6 +603,7 @@ class TrueSheetViewController(private val reactContext: ThemedReactContext) :
             val detent = detentCalculator.getDetentValueForIndex(detentInfo.index)
             delegate?.viewControllerDidChangeDetent(detentInfo.index, detentInfo.position, detent)
           }
+          this@TrueSheetViewController.sheetView?.updateGrabberAccessibilityValue(detentInfo.index, detents.size)
         }
       }
     }
@@ -776,6 +792,7 @@ class TrueSheetViewController(private val reactContext: ThemedReactContext) :
     delegate?.viewControllerDidPresent(index, position, detent)
     parentSheetView?.viewControllerDidBlur()
     delegate?.viewControllerDidFocus()
+    sheetView?.updateGrabberAccessibilityValue(index, detents.size)
 
     presentPromise?.invoke()
     presentPromise = null
diff --git a/android/src/main/java/com/lodev09/truesheet/core/TrueSheetBottomSheetView.kt b/android/src/main/java/com/lodev09/truesheet/core/TrueSheetBottomSheetView.kt
index 918c6309..11f43c21 100644
--- a/android/src/main/java/com/lodev09/truesheet/core/TrueSheetBottomSheetView.kt
+++ b/android/src/main/java/com/lodev09/truesheet/core/TrueSheetBottomSheetView.kt
@@ -14,6 +14,7 @@ import android.view.View
 import android.view.ViewOutlineProvider
 import android.widget.FrameLayout
 import androidx.coordinatorlayout.widget.CoordinatorLayout
+import androidx.core.view.ViewCompat
 import com.facebook.react.uimanager.PixelUtil.dpToPx
 import com.facebook.react.uimanager.ThemedReactContext
 import com.google.android.material.bottomsheet.BottomSheetBehavior
@@ -32,6 +33,8 @@ interface TrueSheetBottomSheetViewDelegate {
   val grabberOptions: GrabberOptions?
   val draggable: Boolean
   fun bottomSheetViewDidTapGrabber()
+  fun bottomSheetViewDidAccessibilityIncrement()
+  fun bottomSheetViewDidAccessibilityDecrement()
 }
 
 /**
@@ -75,6 +78,8 @@ class TrueSheetBottomSheetView(private val reactContext: ThemedReactContext) : F
     // Allow content to extend beyond bounds (for footer positioning)
     clipChildren = false
     clipToPadding = false
+
+    ViewCompat.setAccessibilityPaneTitle(this, "Bottom sheet")
   }
 
   override fun setTranslationY(translationY: Float) {
@@ -196,11 +201,17 @@ class TrueSheetBottomSheetView(private val reactContext: ThemedReactContext) : F
 
     val grabberView = TrueSheetGrabberView(reactContext, delegate?.grabberOptions).apply {
       tag = GRABBER_TAG
+      onAccessibilityIncrement = { delegate?.bottomSheetViewDidAccessibilityIncrement() }
+      onAccessibilityDecrement = { delegate?.bottomSheetViewDidAccessibilityDecrement() }
     }
 
     addView(grabberView)
   }
 
+  fun updateGrabberAccessibilityValue(index: Int, detentCount: Int) {
+    findViewWithTag<TrueSheetGrabberView>(GRABBER_TAG)?.updateAccessibilityValue(index, detentCount)
+  }
+
   // =============================================================================
   // MARK: - Grabber Tap Detection
   // =============================================================================
diff --git a/android/src/main/java/com/lodev09/truesheet/core/TrueSheetDimView.kt b/android/src/main/java/com/lodev09/truesheet/core/TrueSheetDimView.kt
index 64621d8e..14ebb91c 100644
--- a/android/src/main/java/com/lodev09/truesheet/core/TrueSheetDimView.kt
+++ b/android/src/main/java/com/lodev09/truesheet/core/TrueSheetDimView.kt
@@ -29,7 +29,7 @@ interface TrueSheetDimViewDelegate {
  * This implements the "dimmedDetentIndex" equivalent functionality:
  * the view only becomes interactive when the sheet is at or above the dimmed detent.
  */
-@SuppressLint("ViewConstructor", "ClickableViewAccessibility")
+@SuppressLint("ViewConstructor")
 class TrueSheetDimView(private val reactContext: ThemedReactContext) :
   View(reactContext),
   ReactPointerEventsView {
@@ -60,6 +60,8 @@ class TrueSheetDimView(private val reactContext: ThemedReactContext) :
     setOnClickListener {
       delegate?.dimViewDidTap()
     }
+
+    importantForAccessibility = IMPORTANT_FOR_ACCESSIBILITY_NO
   }
 
   // =============================================================================
diff --git a/android/src/main/java/com/lodev09/truesheet/core/TrueSheetGrabberView.kt b/android/src/main/java/com/lodev09/truesheet/core/TrueSheetGrabberView.kt
index 570a1513..a53b0963 100644
--- a/android/src/main/java/com/lodev09/truesheet/core/TrueSheetGrabberView.kt
+++ b/android/src/main/java/com/lodev09/truesheet/core/TrueSheetGrabberView.kt
@@ -5,8 +5,10 @@ import android.content.Context
 import android.content.res.Configuration
 import android.graphics.Color
 import android.graphics.drawable.GradientDrawable
+import android.os.Bundle
 import android.view.Gravity
 import android.view.View
+import android.view.accessibility.AccessibilityNodeInfo
 import android.widget.FrameLayout
 import androidx.core.graphics.ColorUtils
 import com.facebook.react.uimanager.PixelUtil.dpToPx
@@ -58,6 +60,9 @@ class TrueSheetGrabberView(context: Context, private val options: GrabberOptions
   private val grabberColor: Int
     get() = if (isAdaptive) getAdaptiveColor(options?.color) else options?.color ?: DEFAULT_COLOR
 
+  var onAccessibilityIncrement: (() -> Unit)? = null
+  var onAccessibilityDecrement: (() -> Unit)? = null
+
   init {
     val hitboxWidth = grabberWidth + (HITBOX_PADDING_HORIZONTAL * 2)
     val hitboxHeight = grabberHeight + (HITBOX_PADDING_VERTICAL * 2)
@@ -86,6 +91,51 @@ class TrueSheetGrabberView(context: Context, private val options: GrabberOptions
     }
 
     addView(pillView)
+
+    isFocusable = true
+    contentDescription = "Sheet Grabber"
+
+    accessibilityDelegate = object : View.AccessibilityDelegate() {
+      override fun onInitializeAccessibilityNodeInfo(host: View, info: AccessibilityNodeInfo) {
+        super.onInitializeAccessibilityNodeInfo(host, info)
+        info.addAction(
+          AccessibilityNodeInfo.AccessibilityAction(
+            AccessibilityNodeInfo.ACTION_SCROLL_FORWARD,
+            "Expand"
+          )
+        )
+        info.addAction(
+          AccessibilityNodeInfo.AccessibilityAction(
+            AccessibilityNodeInfo.ACTION_SCROLL_BACKWARD,
+            "Collapse"
+          )
+        )
+        info.className = "android.widget.SeekBar"
+      }
+
+      override fun performAccessibilityAction(host: View, action: Int, args: Bundle?): Boolean {
+        return when (action) {
+          AccessibilityNodeInfo.ACTION_SCROLL_FORWARD -> {
+            onAccessibilityIncrement?.invoke()
+            true
+          }
+          AccessibilityNodeInfo.ACTION_SCROLL_BACKWARD -> {
+            onAccessibilityDecrement?.invoke()
+            true
+          }
+          else -> super.performAccessibilityAction(host, action, args)
+        }
+      }
+    }
+  }
+
+  fun updateAccessibilityValue(index: Int, detentCount: Int) {
+    stateDescription = when {
+      index < 0 || detentCount <= 0 -> null
+      index >= detentCount - 1 -> "Expanded"
+      index == 0 -> "Collapsed"
+      else -> "Detent ${index + 1} of $detentCount"
+    }
   }
 
   private fun getAdaptiveColor(baseColor: Int? = null): Int {
diff --git a/ios/TrueSheetViewController.mm b/ios/TrueSheetViewController.mm
index 342e775d..9f2cc2c5 100644
--- a/ios/TrueSheetViewController.mm
+++ b/ios/TrueSheetViewController.mm
@@ -236,6 +236,7 @@ - (void)viewDidAppear:(BOOL)animated {
       [self.delegate viewControllerDidPresentAtIndex:index position:self.currentPosition detent:detent];
       [self.delegate viewControllerDidFocus];
 
+      [_grabberView updateAccessibilityValueWithIndex:index detentCount:_detents.count];
       [self emitChangePositionDelegateWithPosition:self.currentPosition realtime:NO debug:@"did present"];
     });
 
@@ -328,6 +329,7 @@ - (void)viewDidLayoutSubviews {
       [self learnOffsetForDetentIndex:pendingIndex];
       CGFloat detent = [self detentValueForIndex:pendingIndex];
       [self.delegate viewControllerDidChangeDetent:pendingIndex position:self.currentPosition detent:detent];
+      [self->_grabberView updateAccessibilityValueWithIndex:pendingIndex detentCount:self->_detents.count];
       [self emitChangePositionDelegateWithPosition:self.currentPosition realtime:NO debug:@"pending detent change"];
     });
   }
@@ -402,7 +404,9 @@ - (void)handlePanGesture:(UIPanGestureRecognizer *)gesture {
     case UIGestureRecognizerStateCancelled: {
       if (!_isTransitioning) {
         dispatch_async(dispatch_get_main_queue(), ^{
-          [self learnOffsetForDetentIndex:self.currentDetentIndex];
+          NSInteger index = self.currentDetentIndex;
+          [self learnOffsetForDetentIndex:index];
+          [self->_grabberView updateAccessibilityValueWithIndex:index detentCount:self->_detents.count];
           [self emitChangePositionDelegateWithPosition:self.currentPosition realtime:NO debug:@"drag end"];
         });
       }
@@ -763,12 +767,37 @@ - (void)setupGrabber {
     _grabberView.onTap = ^{
       [weakSelf handleGrabberTap];
     };
+    _grabberView.onIncrement = ^{
+      __strong __typeof(weakSelf) strongSelf = weakSelf;
+      if (!strongSelf) return;
+      NSInteger current = strongSelf.currentDetentIndex;
+      NSInteger count = strongSelf->_detents.count;
+      if (current >= 0 && current < count - 1) {
+        [strongSelf.sheet animateChanges:^{
+          [strongSelf resizeToDetentIndex:current + 1];
+        }];
+      }
+    };
+    _grabberView.onDecrement = ^{
+      __strong __typeof(weakSelf) strongSelf = weakSelf;
+      if (!strongSelf) return;
+      NSInteger current = strongSelf.currentDetentIndex;
+      if (current > 0) {
+        [strongSelf.sheet animateChanges:^{
+          [strongSelf resizeToDetentIndex:current - 1];
+        }];
+      } else if (strongSelf.dismissible) {
+        [strongSelf.presentingViewController dismissViewControllerAnimated:YES completion:nil];
+      }
+    };
 
     [self.view bringSubviewToFront:_grabberView];
   } else {
     self.sheet.prefersGrabberVisible = showGrabber;
     _grabberView.hidden = YES;
     _grabberView.onTap = nil;
+    _grabberView.onIncrement = nil;
+    _grabberView.onDecrement = nil;
   }
 }
 
diff --git a/ios/core/TrueSheetGrabberView.h b/ios/core/TrueSheetGrabberView.h
index f3d94c18..cad6afa3 100644
--- a/ios/core/TrueSheetGrabberView.h
+++ b/ios/core/TrueSheetGrabberView.h
@@ -48,12 +48,21 @@ NS_ASSUME_NONNULL_BEGIN
 /// Called when the grabber is tapped
 @property (nonatomic, copy, nullable) void (^onTap)(void);
 
+/// Called when VoiceOver user swipes up (expand)
+@property (nonatomic, copy, nullable) void (^onIncrement)(void);
+
+/// Called when VoiceOver user swipes down (collapse)
+@property (nonatomic, copy, nullable) void (^onDecrement)(void);
+
 /// Adds the grabber view to a parent view with proper constraints
 - (void)addToView:(UIView *)parentView;
 
 /// Applies the current configuration to the grabber view
 - (void)applyConfiguration;
 
+/// Updates the accessibility value based on the current detent position
+- (void)updateAccessibilityValueWithIndex:(NSInteger)index detentCount:(NSInteger)count;
+
 @end
 
 NS_ASSUME_NONNULL_END
diff --git a/ios/core/TrueSheetGrabberView.mm b/ios/core/TrueSheetGrabberView.mm
index 598eed1d..cb24e9c1 100644
--- a/ios/core/TrueSheetGrabberView.mm
+++ b/ios/core/TrueSheetGrabberView.mm
@@ -22,6 +22,8 @@ - (instancetype)init {
 static const CGFloat kDefaultGrabberWidth = 36.0;
 static const CGFloat kDefaultGrabberHeight = 5.0;
 static const CGFloat kDefaultGrabberTopMargin = 5.0;
+static const CGFloat kHitPaddingHorizontal = 20.0;
+static const CGFloat kHitPaddingVertical = 10.0;
 
 @implementation TrueSheetGrabberView {
   UIVisualEffectView *_vibrancyView;
@@ -62,17 +64,19 @@ - (BOOL)isAdaptive {
 #pragma mark - Setup
 
 - (void)setupView {
-  self.clipsToBounds = YES;
+  self.clipsToBounds = NO;
+  self.isAccessibilityElement = YES;
+  self.accessibilityLabel = @"Sheet Grabber";
+  self.accessibilityTraits = UIAccessibilityTraitAdjustable | UIAccessibilityTraitButton;
+  self.accessibilityHint = @"Double-tap to expand. Swipe up or down to resize the sheet";
 
   UITapGestureRecognizer *tap = [[UITapGestureRecognizer alloc] initWithTarget:self action:@selector(handleTap)];
   [self addGestureRecognizer:tap];
 
   _vibrancyView = [[UIVisualEffectView alloc] initWithEffect:nil];
-  _vibrancyView.autoresizingMask = UIViewAutoresizingFlexibleWidth | UIViewAutoresizingFlexibleHeight;
   [self addSubview:_vibrancyView];
 
   _fillView = [[UIView alloc] init];
-  _fillView.autoresizingMask = UIViewAutoresizingFlexibleWidth | UIViewAutoresizingFlexibleHeight;
   _fillView.backgroundColor = [UIColor.darkGrayColor colorWithAlphaComponent:0.7];
   [_vibrancyView.contentView addSubview:_fillView];
 }
@@ -85,8 +89,35 @@ - (void)handleTap {
   }
 }
 
+- (void)accessibilityIncrement {
+  if (_onIncrement) {
+    _onIncrement();
+  }
+}
+
+- (void)accessibilityDecrement {
+  if (_onDecrement) {
+    _onDecrement();
+  }
+}
+
 #pragma mark - Public
 
+- (void)updateAccessibilityValueWithIndex:(NSInteger)index detentCount:(NSInteger)count {
+  if (index < 0 || count <= 0) {
+    self.accessibilityValue = nil;
+    return;
+  }
+
+  if (index >= count - 1) {
+    self.accessibilityValue = @"Expanded";
+  } else if (index == 0) {
+    self.accessibilityValue = @"Collapsed";
+  } else {
+    self.accessibilityValue = [NSString stringWithFormat:@"Detent %ld of %ld", (long)(index + 1), (long)count];
+  }
+}
+
 - (void)addToView:(UIView *)parentView {
   if (self.superview == parentView) {
     return;
@@ -98,17 +129,22 @@ - (void)addToView:(UIView *)parentView {
 }
 
 - (void)applyConfiguration {
-  CGFloat width = [self effectiveWidth];
-  CGFloat height = [self effectiveHeight];
+  CGFloat pillWidth = [self effectiveWidth];
+  CGFloat pillHeight = [self effectiveHeight];
   CGFloat topMargin = [self effectiveTopMargin];
   CGFloat parentWidth = self.superview ? self.superview.bounds.size.width : UIScreen.mainScreen.bounds.size.width;
 
-  // Position the grabber: centered horizontally, with top margin
-  self.frame = CGRectMake((parentWidth - width) / 2.0, topMargin, width, height);
-  self.layer.cornerRadius = [self effectiveCornerRadius];
+  CGFloat frameWidth = pillWidth + kHitPaddingHorizontal * 2;
+  CGFloat frameHeight = pillHeight + kHitPaddingVertical * 2;
+  CGFloat frameY = topMargin - kHitPaddingVertical;
+
+  self.frame = CGRectMake((parentWidth - frameWidth) / 2.0, frameY, frameWidth, frameHeight);
+  self.backgroundColor = UIColor.clearColor;
 
-  // Update vibrancy and fill view frames
-  _vibrancyView.frame = self.bounds;
+  CGRect pillRect = CGRectMake(kHitPaddingHorizontal, kHitPaddingVertical, pillWidth, pillHeight);
+  _vibrancyView.frame = pillRect;
+  _vibrancyView.layer.cornerRadius = [self effectiveCornerRadius];
+  _vibrancyView.clipsToBounds = YES;
   _fillView.frame = _vibrancyView.contentView.bounds;
 
   if (self.isAdaptive) {
@@ -119,9 +155,8 @@ - (void)applyConfiguration {
     _fillView.hidden = NO;
   } else {
     _vibrancyView.effect = nil;
-    _vibrancyView.backgroundColor = nil;
     _fillView.hidden = YES;
-    self.backgroundColor = _color ?: [UIColor.darkGrayColor colorWithAlphaComponent:0.7];
+    _vibrancyView.backgroundColor = _color ?: [UIColor.darkGrayColor colorWithAlphaComponent:0.7];
   }
 }