diff --git a/lib/next_ls.ex b/lib/next_ls.ex
index 7ba9440d..11590ac9 100644
--- a/lib/next_ls.ex
+++ b/lib/next_ls.ex
@@ -661,6 +661,7 @@ defmodule NextLS do
              uri: uri,
              mix_env: lsp.assigns.init_opts.mix_env,
              mix_target: lsp.assigns.init_opts.mix_target,
+             elixir_exec: lsp.assigns.init_opts.elixir_exec,
              on_initialized: fn status ->
                if status == :ready do
                  Progress.stop(lsp, token, "NextLS runtime for folder #{name} has initialized!")
@@ -1117,6 +1118,7 @@ defmodule NextLS do
 
     defstruct mix_target: "host",
               mix_env: "dev",
+              elixir_exec: nil,
               experimental: %NextLS.InitOpts.Experimental{},
               extensions: %NextLS.InitOpts.Extensions{}
 
@@ -1126,6 +1128,7 @@ defmodule NextLS do
           schema(__MODULE__, %{
             optional(:mix_target) => str(),
             optional(:mix_env) => str(),
+            optional(:elixir_exec) => str(),
             optional(:experimental) =>
               schema(NextLS.InitOpts.Experimental, %{
                 optional(:completions) =>
diff --git a/lib/next_ls/runtime.ex b/lib/next_ls/runtime.ex
index 303e50bb..8264611d 100644
--- a/lib/next_ls/runtime.ex
+++ b/lib/next_ls/runtime.ex
@@ -111,7 +111,7 @@ defmodule NextLS.Runtime do
     new_path = String.replace(path, bindir <> ":", "")
 
     with dir when is_list(dir) <- :code.priv_dir(:next_ls),
-         elixir_exe when is_binary(elixir_exe) <- System.find_executable("elixir") do
+         elixir_exe when is_binary(elixir_exe) <- use_or_find_elixir_exec(opts) do
       exe =
         dir
         |> Path.join("cmd")
@@ -348,4 +348,16 @@ defmodule NextLS.Runtime do
       true
     end
   end
+
+  defp use_or_find_elixir_exec(opts) do
+    with path when is_binary(path) <- opts[:elixir_exec],
+         exec = Path.expand(path),
+         true <- File.exists?(exec),
+         {_, 0} <- System.cmd(exec, ["--version"]) do
+      exec
+    else
+      _ ->
+        System.find_executable("elixir")
+    end
+  end
 end
diff --git a/test/next_ls/runtime_test.exs b/test/next_ls/runtime_test.exs
index 310e6817..e83c18d7 100644
--- a/test/next_ls/runtime_test.exs
+++ b/test/next_ls/runtime_test.exs
@@ -253,6 +253,37 @@ defmodule NextLs.RuntimeTest do
     end
   end
 
+  test "supports using custom elixir_exec path", %{logger: logger, cwd: cwd, on_init: on_init} do
+    start_supervised!({Registry, keys: :duplicate, name: RuntimeTest.Registry})
+    tvisor = start_supervised!(Task.Supervisor)
+
+    # Create local Elixir shim
+    elixir_exec = Path.join(cwd, "elixir")
+    File.ln_s!(System.find_executable("elixir"), elixir_exec)
+    assert {_, 0} = System.cmd(elixir_exec, ["--version"])
+
+    pid =
+      start_supervised!(
+        {Runtime,
+         name: "my_proj",
+         on_initialized: on_init,
+         task_supervisor: tvisor,
+         working_dir: cwd,
+         uri: "file://#{cwd}",
+         parent: self(),
+         logger: logger,
+         db: :some_db,
+         mix_env: "dev",
+         mix_target: "host",
+         elixir_exec: elixir_exec,
+         registry: RuntimeTest.Registry}
+      )
+
+    Process.link(pid)
+
+    assert_receive :ready
+  end
+
   defp flush_messages do
     receive do
       _ -> flush_messages()