diff --git a/Sources/Markdown/Walker/Walkers/MarkupFormatter.swift b/Sources/Markdown/Walker/Walkers/MarkupFormatter.swift
index 67db4f4f..d0e9da18 100644
--- a/Sources/Markdown/Walker/Walkers/MarkupFormatter.swift
+++ b/Sources/Markdown/Walker/Walkers/MarkupFormatter.swift
@@ -33,6 +33,21 @@ fileprivate extension Markup {
         }
         return nil
     }
+
+    /// Previous sibling of this element in its parent, or `nil` if it's the first child.
+    var previousSibling: Markup? {
+        guard let parent, indexInParent > 0 else {
+            return nil
+        }
+
+        return parent.child(at: indexInParent - 1)
+    }
+
+    /// Whether this element is a Doxygen command.
+    var isDoxygenCommand: Bool {
+        return self is DoxygenDiscussion || self is DoxygenNote || self is DoxygenAbstract
+            || self is DoxygenParameter || self is DoxygenReturns
+    }
 }
 
 fileprivate extension String {
@@ -239,6 +254,15 @@ public struct MarkupFormatter: MarkupWalker {
             case at = "@"
         }
 
+        /// The spacing to use when formatting adjacent Doxygen commands.
+        public enum AdjacentDoxygenCommandsSpacing: String, CaseIterable {
+            /// Separate adjacent Doxygen commands with a single newline.
+            case singleNewline = "single-newline"
+
+            /// Keep a blank line between adjacent Doxygen commands creating separate paragraphs.
+            case separateParagraphs = "separate-paragraphs"
+        }
+
         // MARK: Option Properties
 
         var orderedListNumerals: OrderedListNumerals
@@ -253,6 +277,7 @@ public struct MarkupFormatter: MarkupWalker {
         var preferredLineLimit: PreferredLineLimit?
         var customLinePrefix: String
         var doxygenCommandPrefix: DoxygenCommandPrefix
+        var adjacentDoxygenCommandsSpacing: AdjacentDoxygenCommandsSpacing
 
         /**
          Create a set of formatting options to use when printing an element.
@@ -270,6 +295,7 @@ public struct MarkupFormatter: MarkupWalker {
             - preferredLineLimit: The preferred maximum line length and method for splitting ``Text`` elements in an attempt to maintain that line length.
             - customLinePrefix: An addition prefix to print at the start of each line, useful for adding documentation comment markers.
             - doxygenCommandPrefix: The command command prefix, which defaults to ``DoxygenCommandPrefix/backslash``.
+            - adjacentDoxygenCommandsSpacing: The spacing to use when formatting adjacent Doxygen commands.
          */
         public init(unorderedListMarker: UnorderedListMarker = .dash,
                     orderedListNumerals: OrderedListNumerals = .allSame(1),
@@ -282,7 +308,8 @@ public struct MarkupFormatter: MarkupWalker {
                     preferredHeadingStyle: PreferredHeadingStyle = .atx,
                     preferredLineLimit: PreferredLineLimit? = nil,
                     customLinePrefix: String = "",
-                    doxygenCommandPrefix: DoxygenCommandPrefix = .backslash) {
+                    doxygenCommandPrefix: DoxygenCommandPrefix = .backslash,
+                    adjacentDoxygenCommandsSpacing: AdjacentDoxygenCommandsSpacing = .singleNewline) {
             self.unorderedListMarker = unorderedListMarker
             self.orderedListNumerals = orderedListNumerals
             self.useCodeFence = useCodeFence
@@ -297,6 +324,7 @@ public struct MarkupFormatter: MarkupWalker {
             self.thematicBreakLength = max(3, thematicBreakLength)
             self.customLinePrefix = customLinePrefix
             self.doxygenCommandPrefix = doxygenCommandPrefix
+            self.adjacentDoxygenCommandsSpacing = adjacentDoxygenCommandsSpacing
         }
 
         /// The default set of formatting options.
@@ -1173,28 +1201,47 @@ public struct MarkupFormatter: MarkupWalker {
         print(formattingOptions.doxygenCommandPrefix.rawValue + name + " ", for: element)
     }
 
+    private mutating func ensureDoxygenCommandPrecedingNewline(for element: Markup) {
+        guard let previousSibling = element.previousSibling else {
+            return
+        }
+
+        guard formattingOptions.adjacentDoxygenCommandsSpacing == .singleNewline else {
+            ensurePrecedingNewlineCount(atLeast: 2)
+            return
+        }
+
+        let newlineCount = previousSibling.isDoxygenCommand ? 1 : 2
+        ensurePrecedingNewlineCount(atLeast: newlineCount)
+    }
+
     public mutating func visitDoxygenDiscussion(_ doxygenDiscussion: DoxygenDiscussion) {
+        ensureDoxygenCommandPrecedingNewline(for: doxygenDiscussion)
         printDoxygenStart("discussion", for: doxygenDiscussion)
         descendInto(doxygenDiscussion)
     }
 
     public mutating func visitDoxygenAbstract(_ doxygenAbstract: DoxygenAbstract) {
+        ensureDoxygenCommandPrecedingNewline(for: doxygenAbstract)
         printDoxygenStart("abstract", for: doxygenAbstract)
         descendInto(doxygenAbstract)
     }
 
     public mutating func visitDoxygenNote(_ doxygenNote: DoxygenNote) {
+        ensureDoxygenCommandPrecedingNewline(for: doxygenNote)
         printDoxygenStart("note", for: doxygenNote)
         descendInto(doxygenNote)
     }
 
     public mutating func visitDoxygenParameter(_ doxygenParam: DoxygenParameter) {
+        ensureDoxygenCommandPrecedingNewline(for: doxygenParam)
         printDoxygenStart("param", for: doxygenParam)
         print("\(doxygenParam.name) ", for: doxygenParam)
         descendInto(doxygenParam)
     }
 
     public mutating func visitDoxygenReturns(_ doxygenReturns: DoxygenReturns) {
+        ensureDoxygenCommandPrecedingNewline(for: doxygenReturns)
         // FIXME: store the actual command name used in the original markup
         printDoxygenStart("returns", for: doxygenReturns)
         descendInto(doxygenReturns)
diff --git a/Tests/MarkdownTests/Visitors/MarkupFormatterTests.swift b/Tests/MarkdownTests/Visitors/MarkupFormatterTests.swift
index dc26ee35..210de561 100644
--- a/Tests/MarkdownTests/Visitors/MarkupFormatterTests.swift
+++ b/Tests/MarkdownTests/Visitors/MarkupFormatterTests.swift
@@ -1626,4 +1626,58 @@ class MarkupFormatterMixedContentTests: XCTestCase {
         ]
         zip(expected, printed).forEach { XCTAssertEqual($0, $1) }
     }
+
+    func testDoxygenCommandsPrecedingNewlinesWithSingleNewline() {
+        let expected = #"""
+            Does something.
+
+            \abstract abstract
+            \param x first param
+            \returns result
+            \note note
+            \discussion discussion
+            """#
+
+        let formattingOptions = MarkupFormatter.Options(
+            adjacentDoxygenCommandsSpacing: .singleNewline)
+        let printed = Document(
+            Paragraph(Text("Does something.")),
+            DoxygenAbstract(children: Paragraph(Text("abstract"))),
+            DoxygenParameter(name: "x", children: Paragraph(Text("first param"))),
+            DoxygenReturns(children: Paragraph(Text("result"))),
+            DoxygenNote(children: Paragraph(Text("note"))),
+            DoxygenDiscussion(children: Paragraph(Text("discussion")))
+        ).format(options: formattingOptions)
+
+        XCTAssertEqual(expected, printed)
+    }
+
+    func testDoxygenCommandsPrecedingNewlinesAsSeparateParagraphs() {
+        let expected = #"""
+            Does something.
+
+            \abstract abstract
+
+            \param x first param
+
+            \returns result
+
+            \note note
+
+            \discussion discussion
+            """#
+
+        let formattingOptions = MarkupFormatter.Options(
+            adjacentDoxygenCommandsSpacing: .separateParagraphs)
+        let printed = Document(
+            Paragraph(Text("Does something.")),
+            DoxygenAbstract(children: Paragraph(Text("abstract"))),
+            DoxygenParameter(name: "x", children: Paragraph(Text("first param"))),
+            DoxygenReturns(children: Paragraph(Text("result"))),
+            DoxygenNote(children: Paragraph(Text("note"))),
+            DoxygenDiscussion(children: Paragraph(Text("discussion")))
+        ).format(options: formattingOptions)
+
+        XCTAssertEqual(expected, printed)
+    }
 }