diff --git a/.changeset/rare-otters-deliver.md b/.changeset/rare-otters-deliver.md
new file mode 100644
index 00000000000..06187f96a42
--- /dev/null
+++ b/.changeset/rare-otters-deliver.md
@@ -0,0 +1,5 @@
+---
+"@primer/react": patch
+---
+
+Adjust ConfirmationDialog heading styling
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-colorblind-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-colorblind-linux.png
index 4f07fdd21f0..2ce16b95950 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-colorblind-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-colorblind-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-dimmed-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-dimmed-linux.png
index 0dd714251b6..660644002eb 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-dimmed-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-dimmed-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-high-contrast-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-high-contrast-linux.png
index 9b83f879f19..752eb94b778 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-high-contrast-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-high-contrast-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-linux.png
index 2aeed9dd30a..4240d5b9a10 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-tritanopia-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-tritanopia-linux.png
index 2aeed9dd30a..4240d5b9a10 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-tritanopia-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-dark-tritanopia-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-colorblind-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-colorblind-linux.png
index f5b6e25b789..a605120f364 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-colorblind-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-colorblind-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-dimmed-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-dimmed-linux.png
index 27fb2039ac6..60c4195f0a1 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-dimmed-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-dimmed-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-high-contrast-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-high-contrast-linux.png
index 9dad7bbe0e9..7ca9c401ad3 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-high-contrast-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-high-contrast-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-linux.png
index eee1463cda1..e3228856d2e 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-tritanopia-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-tritanopia-linux.png
index eee1463cda1..e3228856d2e 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-tritanopia-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-dark-tritanopia-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-colorblind-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-colorblind-linux.png
index fba366ef6c2..4166b99af49 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-colorblind-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-colorblind-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-high-contrast-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-high-contrast-linux.png
index a3e5deff406..9b63924e9e3 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-high-contrast-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-high-contrast-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-linux.png
index 8221f3c69f8..e86288853e7 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-tritanopia-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-tritanopia-linux.png
index 8221f3c69f8..e86288853e7 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-tritanopia-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-focus-light-tritanopia-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-colorblind-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-colorblind-linux.png
index 7d1668550b9..1c9fb90deec 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-colorblind-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-colorblind-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-high-contrast-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-high-contrast-linux.png
index 8f3ed25d857..d043033ea2b 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-high-contrast-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-high-contrast-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-linux.png
index c9acf5d9f9b..b8c4d83844a 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-linux.png differ
diff --git a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-tritanopia-linux.png b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-tritanopia-linux.png
index c9acf5d9f9b..b8c4d83844a 100644
Binary files a/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-tritanopia-linux.png and b/.playwright/snapshots/components/ConfirmationDialog.test.ts-snapshots/ConfirmationDialog-Playground-light-tritanopia-linux.png differ
diff --git a/packages/react/src/ConfirmationDialog/ConfirmationDialog.module.css b/packages/react/src/ConfirmationDialog/ConfirmationDialog.module.css
index 12fac66ad61..952a6439d2f 100644
--- a/packages/react/src/ConfirmationDialog/ConfirmationDialog.module.css
+++ b/packages/react/src/ConfirmationDialog/ConfirmationDialog.module.css
@@ -5,11 +5,6 @@
 
   > h1 {
     padding: var(--base-size-6) var(--base-size-8);
-
-    /* override default margin */
-    margin: 0;
-    font-size: var(--text-title-size-medium);
-    font-weight: var(--text-title-weight-medium);
     flex-grow: 1;
   }
 }
diff --git a/packages/react/src/ConfirmationDialog/ConfirmationDialog.tsx b/packages/react/src/ConfirmationDialog/ConfirmationDialog.tsx
index 19152d10254..86c2093a89b 100644
--- a/packages/react/src/ConfirmationDialog/ConfirmationDialog.tsx
+++ b/packages/react/src/ConfirmationDialog/ConfirmationDialog.tsx
@@ -9,6 +9,7 @@ import {Dialog} from '../Dialog/Dialog'
 import {useFocusZone} from '../hooks/useFocusZone'
 import BaseStyles from '../BaseStyles'
 import classes from './ConfirmationDialog.module.css'
+import Heading from '../Heading'
 
 /**
  * Props to customize the ConfirmationDialog.
@@ -89,7 +90,9 @@ const ConfirmationHeader: React.FC<React.PropsWithChildren<DialogHeaderProps>> =
 
   return (
     <div className={classes.ConfirmationHeader}>
-      <h1 id={dialogLabelId}>{title}</h1>
+      <Heading id={dialogLabelId} as="h1" variant="small">
+        {title}
+      </Heading>
       <Dialog.CloseButton onClose={onCloseClick} />
     </div>
   )