diff --git a/.changeset/purple-bees-warn.md b/.changeset/purple-bees-warn.md
new file mode 100644
index 00000000000..1e55fd81730
--- /dev/null
+++ b/.changeset/purple-bees-warn.md
@@ -0,0 +1,5 @@
+---
+"@primer/react": patch
+---
+
+Fix focus styles in ActionList Item to support more than focus-visible
diff --git a/packages/react/src/ActionList/Item.tsx b/packages/react/src/ActionList/Item.tsx
index a5736755e67..b574bef6a01 100644
--- a/packages/react/src/ActionList/Item.tsx
+++ b/packages/react/src/ActionList/Item.tsx
@@ -170,7 +170,7 @@ export const Item = React.forwardRef<HTMLLIElement, ActionListItemProps>(
           color: getVariantStyles(variant, disabled, inactive).hoverColor,
           boxShadow: `inset 0 0 0 max(1px, 0.0625rem) ${theme?.colors.actionListItem.default.activeBorder}`,
         },
-        '&:focus-visible, > a:focus-visible': {
+        '&:focus-visible, > a:focus-visible, &:focus.focus-visible': {
           outline: 'none',
           border: `2 solid`,
           boxShadow: `0 0 0 2px ${theme?.colors.accent.emphasis}`,
diff --git a/packages/react/src/NavList/__snapshots__/NavList.test.tsx.snap b/packages/react/src/NavList/__snapshots__/NavList.test.tsx.snap
index e672d3964c0..1d86fc61fcb 100644
--- a/packages/react/src/NavList/__snapshots__/NavList.test.tsx.snap
+++ b/packages/react/src/NavList/__snapshots__/NavList.test.tsx.snap
@@ -261,7 +261,8 @@ exports[`NavList renders a simple list 1`] = `
   }
 
   .c2:focus-visible,
-  .c2 > a:focus-visible {
+  .c2 > a:focus-visible,
+  .c2:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -287,7 +288,8 @@ exports[`NavList renders a simple list 1`] = `
   }
 
   .c7:focus-visible,
-  .c7 > a:focus-visible {
+  .c7 > a:focus-visible,
+  .c7:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -685,7 +687,8 @@ exports[`NavList renders with groups 1`] = `
   }
 
   .c6:focus-visible,
-  .c6 > a:focus-visible {
+  .c6 > a:focus-visible,
+  .c6:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -711,7 +714,8 @@ exports[`NavList renders with groups 1`] = `
   }
 
   .c11:focus-visible,
-  .c11 > a:focus-visible {
+  .c11 > a:focus-visible,
+  .c11:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -1150,7 +1154,8 @@ exports[`NavList.Item with NavList.SubNav does not have active styles if SubNav
   }
 
   .c11:focus-visible,
-  .c11 > a:focus-visible {
+  .c11 > a:focus-visible,
+  .c11:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -1176,7 +1181,8 @@ exports[`NavList.Item with NavList.SubNav does not have active styles if SubNav
   }
 
   .c4:focus-visible,
-  .c4 > a:focus-visible {
+  .c4 > a:focus-visible,
+  .c4:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -1629,7 +1635,8 @@ exports[`NavList.Item with NavList.SubNav has active styles if SubNav contains t
   }
 
   .c11:focus-visible,
-  .c11 > a:focus-visible {
+  .c11 > a:focus-visible,
+  .c11:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -1663,7 +1670,8 @@ exports[`NavList.Item with NavList.SubNav has active styles if SubNav contains t
   }
 
   .c4:focus-visible,
-  .c4 > a:focus-visible {
+  .c4 > a:focus-visible,
+  .c4:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
diff --git a/packages/react/src/__tests__/__snapshots__/Autocomplete.test.tsx.snap b/packages/react/src/__tests__/__snapshots__/Autocomplete.test.tsx.snap
index eb4f351e329..147764080bd 100644
--- a/packages/react/src/__tests__/__snapshots__/Autocomplete.test.tsx.snap
+++ b/packages/react/src/__tests__/__snapshots__/Autocomplete.test.tsx.snap
@@ -747,7 +747,8 @@ exports[`snapshots renders a menu that contains an item to add to the menu 1`] =
   }
 
   .c3:focus-visible,
-  .c3 > a:focus-visible {
+  .c3 > a:focus-visible,
+  .c3:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -1489,7 +1490,8 @@ exports[`snapshots renders a multiselect input 1`] = `
   }
 
   .c3:focus-visible,
-  .c3 > a:focus-visible {
+  .c3 > a:focus-visible,
+  .c3:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -2290,7 +2292,8 @@ exports[`snapshots renders a multiselect input with selected menu items 1`] = `
   }
 
   .c3:focus-visible,
-  .c3 > a:focus-visible {
+  .c3 > a:focus-visible,
+  .c3:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -2316,7 +2319,8 @@ exports[`snapshots renders a multiselect input with selected menu items 1`] = `
   }
 
   .c8:focus-visible,
-  .c8 > a:focus-visible {
+  .c8 > a:focus-visible,
+  .c8:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -2955,7 +2959,8 @@ exports[`snapshots renders a single select input 1`] = `
   }
 
   .c3:focus-visible,
-  .c3 > a:focus-visible {
+  .c3 > a:focus-visible,
+  .c3:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));
@@ -3408,7 +3413,8 @@ exports[`snapshots renders with a custom text input component 1`] = `
   }
 
   .c3:focus-visible,
-  .c3 > a:focus-visible {
+  .c3 > a:focus-visible,
+  .c3:focus.focus-visible {
     outline: none;
     border: 2 solid;
     box-shadow: 0 0 0 2px var(--bgColor-accent-emphasis,var(--color-accent-emphasis,#0969da));