diff --git a/package.json b/package.json
index 107e0641..ba783cb5 100644
--- a/package.json
+++ b/package.json
@@ -366,6 +366,17 @@
               "xdebugCloudToken": {
                 "type": "string",
                 "description": "Xdebug Could token"
+              },
+              "stream": {
+                "type": "object",
+                "description": "Xdebug stream settings",
+                "properties": {
+                  "stdout": {
+                    "type": "number",
+                    "description": "Redirect stdout stream: 0 (disable), 1 (copy), 2 (redirect)",
+                    "default": 0
+                  }
+                }
               }
             }
           }
diff --git a/src/phpDebug.ts b/src/phpDebug.ts
index a04eed72..5fc152f2 100644
--- a/src/phpDebug.ts
+++ b/src/phpDebug.ts
@@ -98,6 +98,10 @@ export interface LaunchRequestArguments extends VSCodeDebugProtocol.LaunchReques
     maxConnections?: number
     /** Xdebug cloud token */
     xdebugCloudToken?: string
+    /** Xdebug stream settings */
+    stream?: {
+        stdout?: 0 | 1 | 2
+    }
 
     // CLI options
 
@@ -561,6 +565,15 @@ class PhpDebugSession extends vscode.DebugSession {
             throw new Error(`Error applying xdebugSettings: ${String(error instanceof Error ? error.message : error)}`)
         }
 
+        const stdout =
+            this._args.stream?.stdout === undefined ? (this._args.externalConsole ? 1 : 0) : this._args.stream.stdout
+        if (stdout) {
+            await connection.sendStdout(stdout)
+            connection.on('stream', (stream: xdebug.Stream) =>
+                this.sendEvent(new vscode.OutputEvent(stream.value, 'stdout'))
+            )
+        }
+
         this.sendEvent(new vscode.ThreadEvent('started', connection.id))
 
         // wait for all breakpoints
diff --git a/src/test/adapter.ts b/src/test/adapter.ts
index c4c8ad9f..f343b03a 100644
--- a/src/test/adapter.ts
+++ b/src/test/adapter.ts
@@ -5,7 +5,8 @@ import { DebugClient } from '@vscode/debugadapter-testsupport'
 import { DebugProtocol } from '@vscode/debugprotocol'
 import * as semver from 'semver'
 import * as net from 'net'
-import { describe, it, beforeEach, afterEach } from 'mocha'
+import * as childProcess from 'child_process'
+import { describe, it, beforeEach, afterEach, after } from 'mocha'
 chai.use(chaiAsPromised)
 const assert = chai.assert
 
@@ -822,6 +823,20 @@ describe('PHP Debug Adapter', () => {
         })
     })
 
+    describe('stream tests', () => {
+        const program = path.join(TEST_PROJECT, 'output.php')
+
+        it('listen with externalConsole', async () => {
+            // this is how we can currently turn on stdout redirect
+            await Promise.all([client.launch({ stream: { stdout: '1' } }), client.configurationSequence()])
+
+            const script = childProcess.spawn('php', [program])
+            after(() => script.kill())
+            await client.assertOutput('stdout', 'stdout output 1')
+            await client.assertOutput('stdout', 'stdout output 2')
+        })
+    })
+
     describe('special adapter tests', () => {
         it('max connections', async () => {
             await Promise.all([client.launch({ maxConnections: 1, log: true }), client.configurationSequence()])
diff --git a/src/xdebugConnection.ts b/src/xdebugConnection.ts
index f1908a4b..1df7e760 100644
--- a/src/xdebugConnection.ts
+++ b/src/xdebugConnection.ts
@@ -179,6 +179,24 @@ export class UserNotify extends Notify {
     }
 }
 
+export class Stream {
+    /** Type of stream */
+    type: string
+    /** Data of the stream */
+    value: string
+
+    /** Constructs a stream object from an XML node from a Xdebug response */
+    constructor(document: XMLDocument) {
+        this.type = document.documentElement.getAttribute('type')!
+        const encoding = document.documentElement.getAttribute('encoding')
+        if (encoding) {
+            this.value = iconv.encode(document.documentElement.textContent!, encoding).toString()
+        } else {
+            this.value = document.documentElement.textContent!
+        }
+    }
+}
+
 export type BreakpointType = 'line' | 'call' | 'return' | 'exception' | 'conditional' | 'watch'
 export type BreakpointState = 'enabled' | 'disabled'
 export type BreakpointResolved = 'resolved' | 'unresolved'
@@ -745,6 +763,7 @@ export declare interface Connection extends DbgpConnection {
     on(event: 'log', listener: (text: string) => void): this
     on(event: 'notify_user', listener: (notify: UserNotify) => void): this
     on(event: 'notify_breakpoint_resolved', listener: (notify: BreakpointResolvedNotify) => void): this
+    on(event: 'stream', listener: (stream: Stream) => void): this
 }
 
 /**
@@ -809,6 +828,9 @@ export class Connection extends DbgpConnection {
             } else if (response.documentElement.nodeName === 'notify') {
                 const n = Notify.fromXml(response, this)
                 this.emit('notify_' + n.name, n)
+            } else if (response.documentElement.nodeName === 'stream') {
+                const s = new Stream(response)
+                this.emit('stream', s)
             } else {
                 const transactionId = parseInt(response.documentElement.getAttribute('transaction_id')!)
                 if (this._pendingCommands.has(transactionId)) {
@@ -1109,4 +1131,14 @@ export class Connection extends DbgpConnection {
     public async sendEvalCommand(expression: string): Promise<EvalResponse> {
         return new EvalResponse(await this._enqueueCommand('eval', undefined, expression), this)
     }
+
+    // ------------------------------ stream ----------------------------------------
+
+    public async sendStdout(mode: 0 | 1 | 2): Promise<Response> {
+        return new Response(await this._enqueueCommand('stdout', `-c ${mode}`), this)
+    }
+
+    public async sendStderr(mode: 0 | 1 | 2): Promise<Response> {
+        return new Response(await this._enqueueCommand('stderr', `-c ${mode}`), this)
+    }
 }