diff --git a/.changeset/eighty-timers-march.md b/.changeset/eighty-timers-march.md
new file mode 100644
index 0000000000..2920ae1a57
--- /dev/null
+++ b/.changeset/eighty-timers-march.md
@@ -0,0 +1,5 @@
+---
+"@clerk/astro": minor
+---
+
+Add support for custom menu items in the `<UserButton />` Astro component.
diff --git a/integration/presets/astro.ts b/integration/presets/astro.ts
index f9a437e864..a34a07e477 100644
--- a/integration/presets/astro.ts
+++ b/integration/presets/astro.ts
@@ -9,7 +9,10 @@ const astroNode = applicationConfig()
   .setName('astro-node')
   .useTemplate(templates['astro-node'])
   .setEnvFormatter('public', key => `PUBLIC_${key}`)
-  .addScript('setup', 'npm i')
+  // When creating symlinks, the Astro vite plugin is unable to process `<script>` tags.
+  // Without `--install-link`, it throws this error:
+  // https://github.com/withastro/astro/blob/cb98b74881355de9ec9d90a613a3f1d27d154463/packages/astro/src/vite-plugin-astro/index.ts#L114
+  .addScript('setup', 'npm i --install-links')
   .addScript('dev', 'npm run dev')
   .addScript('build', 'npm run build')
   .addScript('serve', 'npm run preview')
diff --git a/integration/templates/astro-node/src/components/CustomUserButton.astro b/integration/templates/astro-node/src/components/CustomUserButton.astro
new file mode 100644
index 0000000000..e2d26f48a9
--- /dev/null
+++ b/integration/templates/astro-node/src/components/CustomUserButton.astro
@@ -0,0 +1,26 @@
+---
+import { UserButton } from '@clerk/astro/components';
+---
+
+<UserButton afterSignOutUrl="/">
+    <UserButton.MenuItems>
+        <UserButton.Action label="signOut" />
+        <UserButton.Action label="manageAccount" />
+        <UserButton.Link label="Custom link" href="/user">
+            <div slot="label-icon">Icon</div>
+        </UserButton.Link>
+        <UserButton.Action label="Custom action" open="terms">
+            <div slot="label-icon">Icon</div>
+        </UserButton.Action>
+        <UserButton.Action label="Custom click" clickIdentifier="custom_click">
+            <div slot="label-icon">Icon</div>
+        </UserButton.Action>
+    </UserButton.MenuItems>
+    <UserButton.UserProfilePage label="Terms" url="terms">
+        <div slot="label-icon">Icon</div>
+        <div>
+            <h1>Custom Terms Page</h1>
+            <p>This is the custom terms page</p>
+        </div>
+    </UserButton.UserProfilePage>
+</UserButton>
diff --git a/integration/templates/astro-node/src/layouts/Layout.astro b/integration/templates/astro-node/src/layouts/Layout.astro
index f7c71edd9b..8abf409371 100644
--- a/integration/templates/astro-node/src/layouts/Layout.astro
+++ b/integration/templates/astro-node/src/layouts/Layout.astro
@@ -5,8 +5,9 @@ interface Props {
 
 const { title } = Astro.props;
 
-import { SignedIn, SignedOut, UserButton } from "@clerk/astro/components";
+import { SignedIn, SignedOut } from "@clerk/astro/components";
 import { LanguagePicker } from "../components/LanguagePicker";
+import CustomUserButton from "../components/CustomUserButton.astro";
 ---
 
 <!doctype html>
@@ -64,7 +65,7 @@ import { LanguagePicker } from "../components/LanguagePicker";
             <LanguagePicker client:idle />
 
             <SignedIn>
-              <UserButton afterSignOutUrl="/" />
+              <CustomUserButton />
             </SignedIn>
 
             <SignedOut>
diff --git a/integration/tests/astro/components.test.ts b/integration/tests/astro/components.test.ts
index 02b816d117..7ddba1bdc3 100644
--- a/integration/tests/astro/components.test.ts
+++ b/integration/tests/astro/components.test.ts
@@ -57,7 +57,7 @@ testAgainstRunningApps({ withPattern: ['astro.node.withCustomRoles'] })('basic f
     await u.po.expect.toBeSignedIn();
   });
 
-  test('render user button', async ({ page, context }) => {
+  test('renders user button', async ({ page, context }) => {
     const u = createTestUtils({ app, page, context });
     await u.page.goToRelative('/sign-in');
     await u.po.signIn.waitForMounted();
@@ -77,6 +77,72 @@ testAgainstRunningApps({ withPattern: ['astro.node.withCustomRoles'] })('basic f
     await expect(u.page.getByText(/profile details/i)).toBeVisible();
   });
 
+  test('renders user button with custom menu items', async ({ page, context }) => {
+    const u = createTestUtils({ app, page, context });
+    await u.page.goToRelative('/sign-in');
+    await u.po.signIn.waitForMounted();
+    await u.po.signIn.signInWithEmailAndInstantPassword({ email: fakeAdmin.email, password: fakeAdmin.password });
+    await u.page.waitForAppUrl('/');
+    await u.po.expect.toBeSignedIn();
+
+    await u.po.userButton.waitForMounted();
+    await u.po.userButton.toggleTrigger();
+    await u.po.userButton.waitForPopover();
+
+    // Check if custom menu items are visible
+    await u.po.userButton.toHaveVisibleMenuItems([/Custom link/i, /Custom action/i, /Custom click/i]);
+
+    // Click custom action and check for custom page availbility
+    await u.page.getByRole('menuitem', { name: /Custom action/i }).click();
+    await u.po.userProfile.waitForUserProfileModal();
+    await expect(u.page.getByRole('heading', { name: 'Custom Terms Page' })).toBeVisible();
+
+    // Close the modal and trigger the popover again
+    await u.page.locator('.cl-modalCloseButton').click();
+    await u.po.userButton.toggleTrigger();
+    await u.po.userButton.waitForPopover();
+
+    // Click custom action with click handler
+    const eventPromise = u.page.evaluate(() => {
+      return new Promise<string>(resolve => {
+        document.addEventListener(
+          'clerk:menu-item-click',
+          (e: CustomEvent<string>) => {
+            resolve(e.detail);
+          },
+          { once: true },
+        );
+      });
+    });
+    await u.page.getByRole('menuitem', { name: /Custom click/i }).click();
+    expect(await eventPromise).toBe('custom_click');
+
+    // Trigger the popover again
+    await u.po.userButton.toggleTrigger();
+    await u.po.userButton.waitForPopover();
+
+    // Click custom link and check navigation
+    await u.page.getByRole('menuitem', { name: /Custom link/i }).click();
+    await u.page.waitForAppUrl('/user');
+  });
+
+  test('reorders default user button menu items and functions as expected', async ({ page, context }) => {
+    const u = createTestUtils({ app, page, context });
+    await u.page.goToRelative('/sign-in');
+    await u.po.signIn.waitForMounted();
+    await u.po.signIn.signInWithEmailAndInstantPassword({ email: fakeAdmin.email, password: fakeAdmin.password });
+    await u.page.waitForAppUrl('/');
+    await u.po.expect.toBeSignedIn();
+
+    await u.po.userButton.waitForMounted();
+    await u.po.userButton.toggleTrigger();
+    await u.po.userButton.waitForPopover();
+
+    // First item should now be the sign out button
+    await u.page.getByRole('menuitem').first().click();
+    await u.po.expect.toBeSignedOut();
+  });
+
   test('render user profile with streamed data', async ({ page, context }) => {
     const u = createTestUtils({ app, page, context });
     await u.page.goToRelative('/sign-in');
diff --git a/packages/astro/.eslintrc.cjs b/packages/astro/.eslintrc.cjs
index 0dff74e748..7288f46d3b 100644
--- a/packages/astro/.eslintrc.cjs
+++ b/packages/astro/.eslintrc.cjs
@@ -4,7 +4,7 @@ module.exports = {
   rules: {
     'import/no-unresolved': ['error', { ignore: ['^#'] }],
   },
-  ignorePatterns: ['src/astro-components/index.ts'],
+  ignorePatterns: ['src/astro-components/index.ts', 'src/astro-components/interactive/UserButton/index.ts'],
   overrides: [
     {
       files: ['./env.d.ts'],
diff --git a/packages/astro/src/astro-components/index.ts b/packages/astro/src/astro-components/index.ts
index f9714851fb..e78da856ec 100644
--- a/packages/astro/src/astro-components/index.ts
+++ b/packages/astro/src/astro-components/index.ts
@@ -18,7 +18,7 @@ export { default as SignOutButton } from './unstyled/SignOutButton.astro';
  */
 export { default as SignIn } from './interactive/SignIn.astro';
 export { default as SignUp } from './interactive/SignUp.astro';
-export { default as UserButton } from './interactive/UserButton.astro';
+export { UserButton } from './interactive/UserButton';
 export { default as UserProfile } from './interactive/UserProfile.astro';
 export { default as OrganizationProfile } from './interactive/OrganizationProfile.astro';
 export { default as OrganizationSwitcher } from './interactive/OrganizationSwitcher.astro';
diff --git a/packages/astro/src/astro-components/interactive/InternalUIComponentRenderer.astro b/packages/astro/src/astro-components/interactive/InternalUIComponentRenderer.astro
index 32482beaea..d7facd1f9a 100644
--- a/packages/astro/src/astro-components/interactive/InternalUIComponentRenderer.astro
+++ b/packages/astro/src/astro-components/interactive/InternalUIComponentRenderer.astro
@@ -1,14 +1,15 @@
 ---
 interface Props {
   [key: string]: unknown
+  id?: string
   component: 'sign-in' | 'sign-up' | 'organization-list' | 'organization-profile' | 'organization-switcher' | 'user-button' | 'user-profile' | 'google-one-tap'
 }
 
 import { generateSafeId } from '@clerk/astro/internal';
 
-const safeId = generateSafeId();
+const { component, id, ...props } = Astro.props
 
-const { component, ...props } = Astro.props
+const safeId = id || generateSafeId();
 ---
 
 <div data-clerk-id={`clerk-${component}-${safeId}`}></div>
diff --git a/packages/astro/src/astro-components/interactive/UserButton.astro b/packages/astro/src/astro-components/interactive/UserButton.astro
deleted file mode 100644
index acda2cd925..0000000000
--- a/packages/astro/src/astro-components/interactive/UserButton.astro
+++ /dev/null
@@ -1,8 +0,0 @@
----
-import type { UserButtonProps } from "@clerk/types";
-type Props = UserButtonProps
-
-import InternalUIComponentRenderer from './InternalUIComponentRenderer.astro'
----
-
-<InternalUIComponentRenderer {...Astro.props} component="user-button" />
diff --git a/packages/astro/src/astro-components/interactive/UserButton/MenuItemRenderer.astro b/packages/astro/src/astro-components/interactive/UserButton/MenuItemRenderer.astro
new file mode 100644
index 0000000000..e15f594b0d
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/MenuItemRenderer.astro
@@ -0,0 +1,83 @@
+---
+type Props = {
+  label: string
+  href?: string
+  open?: string
+  clickIdentifier?: string
+  parent?: string
+}
+
+const { label, href, open, clickIdentifier, parent } = Astro.props
+
+let labelIcon = '';
+
+if (Astro.slots.has('label-icon')) {
+  labelIcon = await Astro.slots.render('label-icon');
+}
+
+const isDevMode = import.meta.env.DEV;
+---
+
+<script is:inline define:vars={{ label, href, open, clickIdentifier, labelIcon, isDevMode, parent }}>
+const parentElement = document.currentScript.parentElement;
+
+// We used a web component in the `<UserButton.MenuItems>` component.
+const hasParentMenuItem = parentElement.tagName.toLowerCase() === 'clerk-user-button-menu-items';
+if (!hasParentMenuItem) {
+  if (isDevMode) {
+    throw new Error(
+      `Clerk: <UserButton.MenuItems /> component can only accept <UserButton.Action /> and <UserButton.Link /> as its children. Any other provided component will be ignored.`
+    );
+  }
+  return
+}
+
+// Get the user button map from window that we set in the `<InternalUIComponentRenderer />`.
+const userButtonComponentMap = window.__astro_clerk_component_props.get('user-button');
+
+let userButton
+if (parent) {
+  userButton = document.querySelector(`[data-clerk-id="clerk-user-button-${parent}"]`);
+} else {
+  userButton = document.querySelector('[data-clerk-id^="clerk-user-button"]');
+}
+
+const safeId = userButton.getAttribute('data-clerk-id');
+const currentOptions = userButtonComponentMap.get(safeId);
+
+const reorderItemsLabels = ['manageAccount', 'signOut'];
+const isReorderItem = reorderItemsLabels.includes(label);
+
+let newMenuItem = {
+  label,
+}
+
+if (!isReorderItem) {
+  newMenuItem = {
+    ...newMenuItem,
+    mountIcon: (el) => {
+      el.innerHTML = labelIcon
+    },
+    unmountIcon: () => { /* What to clean up? */}
+  }
+
+  if (href) {
+    newMenuItem.href = href;
+  } else if (open) {
+    newMenuItem.open = open.startsWith('/') ? open : `/${open}`;
+  } else if (clickIdentifier) {
+    const clickEvent = new CustomEvent('clerk:menu-item-click', { detail: clickIdentifier });
+    newMenuItem.onClick = () => {
+      document.dispatchEvent(clickEvent);
+    }
+  }
+}
+
+userButtonComponentMap.set(safeId, {
+  ...currentOptions,
+  customMenuItems: [
+    ...(currentOptions?.customMenuItems ?? []),
+    newMenuItem,
+  ]
+})
+</script>
diff --git a/packages/astro/src/astro-components/interactive/UserButton/UserButton.astro b/packages/astro/src/astro-components/interactive/UserButton/UserButton.astro
new file mode 100644
index 0000000000..669e35aa04
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/UserButton.astro
@@ -0,0 +1,29 @@
+---
+import type { UserButtonProps, UserProfileProps, Without } from "@clerk/types";
+
+type Props = Without<UserButtonProps, 'userProfileProps'> & {
+  userProfileProps?: Pick<UserProfileProps, 'additionalOAuthScopes' | 'appearance'>;
+  /**
+   * If you have more than one UserButton on a page, providing a custom ID is required
+   * to properly scope menu items to the correct button.
+   *
+   * Example usage:
+   * ```tsx
+   * <UserButton id="someId">
+   *     <UserButton.MenuItems>
+   *         <UserButton.Link parent="someId" label="User" href="/user">
+   *             <Icon slot="label-icon" />
+   *         </UserButton.Link>
+   *     </UserButton.MenuItems>
+   * </UserButton>
+   * ```
+   */
+  id?: string;
+}
+
+import InternalUIComponentRenderer from '../InternalUIComponentRenderer.astro'
+---
+
+<InternalUIComponentRenderer {...Astro.props} component="user-button" />
+
+<slot />
diff --git a/packages/astro/src/astro-components/interactive/UserButton/UserButtonAction.astro b/packages/astro/src/astro-components/interactive/UserButton/UserButtonAction.astro
new file mode 100644
index 0000000000..d95566d303
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/UserButtonAction.astro
@@ -0,0 +1,24 @@
+---
+import MenuItemRenderer from './MenuItemRenderer.astro';
+
+type ReorderItemsLabels = 'manageAccount' | 'signOut'
+
+type Props<Label extends string> = {
+  label: Label
+  parent?: string
+} & (Label extends ReorderItemsLabels
+  ? {
+      open?: string
+    }
+  : (
+      | { open: string; clickIdentifier?: string }
+      | { open?: string; clickIdentifier: string }
+    )
+)
+
+const { label, open, clickIdentifier, parent } = Astro.props
+---
+
+<MenuItemRenderer label={label} open={open} clickIdentifier={clickIdentifier} parent={parent}>
+  <slot name="label-icon" slot="label-icon" />
+</MenuItemRenderer>
diff --git a/packages/astro/src/astro-components/interactive/UserButton/UserButtonLink.astro b/packages/astro/src/astro-components/interactive/UserButton/UserButtonLink.astro
new file mode 100644
index 0000000000..24d0faa495
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/UserButtonLink.astro
@@ -0,0 +1,15 @@
+---
+import MenuItemRenderer from './MenuItemRenderer.astro';
+
+interface Props {
+  label: string
+  href: string
+  parent?: string
+}
+
+const { label, href, parent } = Astro.props
+---
+
+<MenuItemRenderer label={label} href={href} parent={parent}>
+    <slot name="label-icon" slot="label-icon" />
+</MenuItemRenderer>
diff --git a/packages/astro/src/astro-components/interactive/UserButton/UserButtonMenuItems.astro b/packages/astro/src/astro-components/interactive/UserButton/UserButtonMenuItems.astro
new file mode 100644
index 0000000000..41aeec7e57
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/UserButtonMenuItems.astro
@@ -0,0 +1,18 @@
+<clerk-user-button-menu-items>
+ <slot />
+</clerk-user-button-menu-items>
+
+<script>
+/**
+ * In the React version, menu items need to be wrapped in a `<UserButton.MenuItems>` component.
+ * We are trying to replicate that behavior here by adding a wrapper component
+ * and check if it exists inside the menu items components.
+ */
+class ClerkUserButtonMenuItems extends HTMLElement {
+  constructor() {
+    super();
+  }
+}
+
+customElements.define('clerk-user-button-menu-items', ClerkUserButtonMenuItems);
+</script>
diff --git a/packages/astro/src/astro-components/interactive/UserButton/UserButtonUserProfilePage.astro b/packages/astro/src/astro-components/interactive/UserButton/UserButtonUserProfilePage.astro
new file mode 100644
index 0000000000..81284108b3
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/UserButtonUserProfilePage.astro
@@ -0,0 +1,58 @@
+---
+interface Props {
+  url: string
+  label: string
+  parent?: string
+}
+
+const { url, label, parent } = Astro.props
+
+let labelIcon = '';
+let content = ''
+
+if (Astro.slots.has('label-icon')) {
+  labelIcon = await Astro.slots.render('label-icon');
+}
+
+if (Astro.slots.has('default')) {
+  content = await Astro.slots.render('default');
+}
+---
+
+<script is:inline define:vars={{ url, label, content, labelIcon, parent }}>
+// Get the user button map from window that we set in the `<InternalUIComponentRenderer />`.
+const userButtonComponentMap = window.__astro_clerk_component_props.get('user-button');
+
+let userButton
+if (parent) {
+  userButton = document.querySelector(`[data-clerk-id="clerk-user-button-${parent}"]`);
+} else {
+  userButton = document.querySelector('[data-clerk-id^="clerk-user-button"]');
+}
+
+const safeId = userButton.getAttribute('data-clerk-id');
+const currentOptions = userButtonComponentMap.get(safeId);
+
+const newCustomPage = {
+  label,
+  url,
+  mountIcon: (el) => {
+    el.innerHTML = labelIcon
+  },
+  unmountIcon: () => { /* What to clean up? */},
+  mount: (el) => {
+    el.innerHTML = content
+  },
+  unmount: () => { /* What to clean up? */},
+}
+
+userButtonComponentMap.set(safeId, {
+  ...currentOptions,
+  userProfileProps: {
+    customPages: [
+      ...(currentOptions?.userProfileProps?.customPages ?? []),
+      newCustomPage,
+    ]
+  }
+})
+</script>
diff --git a/packages/astro/src/astro-components/interactive/UserButton/index.ts b/packages/astro/src/astro-components/interactive/UserButton/index.ts
new file mode 100644
index 0000000000..10f83b9f0e
--- /dev/null
+++ b/packages/astro/src/astro-components/interactive/UserButton/index.ts
@@ -0,0 +1,12 @@
+import _UserButton from './UserButton.astro';
+import UserButtonLink from './UserButtonLink.astro';
+import UserButtonAction from './UserButtonAction.astro';
+import UserButtonMenuItems from './UserButtonMenuItems.astro';
+import UserButtonUserProfilePage from './UserButtonUserProfilePage.astro';
+
+export const UserButton = Object.assign(_UserButton, {
+  MenuItems: UserButtonMenuItems,
+  Link: UserButtonLink,
+  Action: UserButtonAction,
+  UserProfilePage: UserButtonUserProfilePage,
+});
