diff --git a/modules/programs/vscode/default.nix b/modules/programs/vscode/default.nix
index 4eba83784..5c89da6e5 100644
--- a/modules/programs/vscode/default.nix
+++ b/modules/programs/vscode/default.nix
@@ -114,6 +114,33 @@ let
 
   isPath = p: builtins.isPath p || lib.isStorePath p;
 
+  transformMcpServerForVscode =
+    name: server:
+    let
+      # Remove the disabled field from the server config
+      cleanServer = lib.filterAttrs (n: v: n != "disabled") server;
+    in
+    {
+      name = name;
+      value = {
+        enabled = !(server.disabled or false);
+      }
+      // (
+        if server ? url then
+          {
+            type = "http";
+          }
+          // cleanServer
+        else if server ? command then
+          {
+            type = "stdio";
+          }
+          // cleanServer
+        else
+          { }
+      );
+    };
+
   profileType = types.submodule {
     options = {
       userSettings = mkOption {
@@ -154,6 +181,20 @@ let
         '';
       };
 
+      enableMcpIntegration = mkOption {
+        type = lib.types.bool;
+        default = false;
+        description = ''
+          Whether to integrate the MCP servers config from
+          {option}`programs.mcp.servers` into
+          {option}`programs.vscode.profiles.<name>.userMcp`.
+
+          Note: Settings defined in {option}`programs.mcp.servers` are merged
+          with {option}`programs.vscode.profiles.<name>.userMcp`, with VSCode
+          settings taking precedence.
+        '';
+      };
+
       userMcp = mkOption {
         type = types.either types.path jsonFormat.type;
         default = { };
@@ -459,10 +500,31 @@ in
             if isPath v.userTasks then v.userTasks else jsonFormat.generate "vscode-user-tasks" v.userTasks;
         })
 
-        (mkIf (v.userMcp != { }) {
-          "${mcpFilePath n}".source =
-            if isPath v.userMcp then v.userMcp else jsonFormat.generate "vscode-user-mcp" v.userMcp;
-        })
+        (mkIf
+          (
+            v.userMcp != { }
+            || (v.enableMcpIntegration && config.programs.mcp.enable && config.programs.mcp.servers != { })
+          )
+          {
+            "${mcpFilePath n}".source =
+              if isPath v.userMcp then
+                v.userMcp
+              else
+                let
+                  transformedMcpServers =
+                    if v.enableMcpIntegration && config.programs.mcp.enable && config.programs.mcp.servers != { } then
+                      lib.listToAttrs (lib.mapAttrsToList transformMcpServerForVscode config.programs.mcp.servers)
+                    else
+                      { };
+                  # Merge MCP servers: transformed servers + user servers, with user servers taking precedence
+                  mergedServers = transformedMcpServers // ((v.userMcp.servers or { }));
+                  # Merge all MCP config
+                  mergedMcpConfig =
+                    v.userMcp // (lib.optionalAttrs (mergedServers != { }) { servers = mergedServers; });
+                in
+                jsonFormat.generate "vscode-user-mcp" mergedMcpConfig;
+          }
+        )
 
         (mkIf (v.keybindings != [ ]) {
           "${keybindingsFilePath n}".source =
diff --git a/tests/modules/programs/vscode/default.nix b/tests/modules/programs/vscode/default.nix
index 4db8b2c8a..a62521746 100644
--- a/tests/modules/programs/vscode/default.nix
+++ b/tests/modules/programs/vscode/default.nix
@@ -24,6 +24,8 @@ let
     keybindings = import ./keybindings.nix;
     tasks = import ./tasks.nix;
     mcp = import ./mcp.nix;
+    mcp-integration = import ./mcp-integration.nix;
+    mcp-integration-with-override = import ./mcp-integration-with-override.nix;
     update-checks = import ./update-checks.nix;
     snippets = import ./snippets.nix;
   };
diff --git a/tests/modules/programs/vscode/mcp-integration-default.json b/tests/modules/programs/vscode/mcp-integration-default.json
new file mode 100644
index 000000000..66e3dfd42
--- /dev/null
+++ b/tests/modules/programs/vscode/mcp-integration-default.json
@@ -0,0 +1,26 @@
+{
+  "servers": {
+    "context7": {
+      "enabled": true,
+      "headers": {
+        "CONTEXT7_API_KEY": "{env:CONTEXT7_API_KEY}"
+      },
+      "type": "http",
+      "url": "https://mcp.context7.com/mcp"
+    },
+    "disabled-server": {
+      "command": "echo",
+      "enabled": false,
+      "type": "stdio"
+    },
+    "everything": {
+      "args": [
+        "-y",
+        "@modelcontextprotocol/server-everything"
+      ],
+      "command": "npx",
+      "enabled": true,
+      "type": "stdio"
+    }
+  }
+}
diff --git a/tests/modules/programs/vscode/mcp-integration-test.json b/tests/modules/programs/vscode/mcp-integration-test.json
new file mode 100644
index 000000000..4f35aeaf1
--- /dev/null
+++ b/tests/modules/programs/vscode/mcp-integration-test.json
@@ -0,0 +1,7 @@
+{
+  "servers": {
+    "Github": {
+      "url": "https://api.githubcopilot.com/mcp/"
+    }
+  }
+}
diff --git a/tests/modules/programs/vscode/mcp-integration-with-override.json b/tests/modules/programs/vscode/mcp-integration-with-override.json
new file mode 100644
index 000000000..10772d0bf
--- /dev/null
+++ b/tests/modules/programs/vscode/mcp-integration-with-override.json
@@ -0,0 +1,25 @@
+{
+  "servers": {
+    "CustomServer": {
+      "type": "http",
+      "url": "https://example.com/mcp"
+    },
+    "context7": {
+      "enabled": true,
+      "headers": {
+        "CONTEXT7_API_KEY": "{env:CONTEXT7_API_KEY}"
+      },
+      "type": "http",
+      "url": "https://mcp.context7.com/mcp"
+    },
+    "everything": {
+      "args": [
+        "-y",
+        "@modelcontextprotocol/server-everything"
+      ],
+      "command": "custom-npx",
+      "enabled": false,
+      "type": "stdio"
+    }
+  }
+}
diff --git a/tests/modules/programs/vscode/mcp-integration-with-override.nix b/tests/modules/programs/vscode/mcp-integration-with-override.nix
new file mode 100644
index 000000000..a1d7371f0
--- /dev/null
+++ b/tests/modules/programs/vscode/mcp-integration-with-override.nix
@@ -0,0 +1,79 @@
+package:
+
+{
+  config,
+  pkgs,
+  lib,
+  ...
+}:
+
+let
+  cfg = config.programs.vscode;
+  willUseIfd = package.pname != "vscode";
+
+  mcpFilePath =
+    name:
+    if pkgs.stdenv.hostPlatform.isDarwin then
+      "Library/Application Support/${cfg.nameShort}/User/${
+        lib.optionalString (name != "default") "profiles/${name}/"
+      }mcp.json"
+    else
+      ".config/${cfg.nameShort}/User/${
+        lib.optionalString (name != "default") "profiles/${name}/"
+      }mcp.json";
+
+in
+
+lib.mkIf (willUseIfd -> config.test.enableLegacyIfd) {
+  programs.mcp = {
+    enable = true;
+    servers = {
+      everything = {
+        command = "npx";
+        args = [
+          "-y"
+          "@modelcontextprotocol/server-everything"
+        ];
+      };
+      context7 = {
+        url = "https://mcp.context7.com/mcp";
+        headers = {
+          CONTEXT7_API_KEY = "{env:CONTEXT7_API_KEY}";
+        };
+      };
+    };
+  };
+
+  programs.vscode = {
+    enable = true;
+    inherit package;
+    profiles = {
+      default = {
+        enableMcpIntegration = true;
+        # User MCP settings should override generated ones
+        userMcp = {
+          servers = {
+            everything = {
+              command = "custom-npx";
+              args = [
+                "-y"
+                "@modelcontextprotocol/server-everything"
+              ];
+              enabled = false;
+              type = "stdio";
+            };
+            CustomServer = {
+              type = "http";
+              url = "https://example.com/mcp";
+            };
+          };
+        };
+      };
+    };
+  };
+
+  nmt.script = ''
+    assertFileExists "home-files/${mcpFilePath "default"}"
+    assertFileContent "home-files/${mcpFilePath "default"}" ${./mcp-integration-with-override.json}
+  '';
+}
diff --git a/tests/modules/programs/vscode/mcp-integration.nix b/tests/modules/programs/vscode/mcp-integration.nix
new file mode 100644
index 000000000..e40056747
--- /dev/null
+++ b/tests/modules/programs/vscode/mcp-integration.nix
@@ -0,0 +1,73 @@
+package:
+
+{
+  config,
+  pkgs,
+  lib,
+  ...
+}:
+
+let
+  cfg = config.programs.vscode;
+  willUseIfd = package.pname != "vscode";
+
+  mcpFilePath =
+    name:
+    if pkgs.stdenv.hostPlatform.isDarwin then
+      "Library/Application Support/${cfg.nameShort}/User/${
+        lib.optionalString (name != "default") "profiles/${name}/"
+      }mcp.json"
+    else
+      ".config/${cfg.nameShort}/User/${
+        lib.optionalString (name != "default") "profiles/${name}/"
+      }mcp.json";
+
+in
+
+lib.mkIf (willUseIfd -> config.test.enableLegacyIfd) {
+  programs.mcp = {
+    enable = true;
+    servers = {
+      everything = {
+        command = "npx";
+        args = [
+          "-y"
+          "@modelcontextprotocol/server-everything"
+        ];
+      };
+      context7 = {
+        url = "https://mcp.context7.com/mcp";
+        headers = {
+          CONTEXT7_API_KEY = "{env:CONTEXT7_API_KEY}";
+        };
+      };
+      disabled-server = {
+        command = "echo";
+        disabled = true;
+      };
+    };
+  };
+
+  programs.vscode = {
+    enable = true;
+    inherit package;
+    profiles = {
+      default.enableMcpIntegration = true;
+      test.userMcp = {
+        servers = {
+          Github = {
+            url = "https://api.githubcopilot.com/mcp/";
+          };
+        };
+      };
+    };
+  };
+
+  nmt.script = ''
+    assertFileExists "home-files/${mcpFilePath "default"}"
+    assertFileContent "home-files/${mcpFilePath "default"}" ${./mcp-integration-default.json}
+
+    assertFileExists "home-files/${mcpFilePath "test"}"
+    assertFileContent "home-files/${mcpFilePath "test"}" ${./mcp-integration-test.json}
+  '';
+}