diff --git a/packages/effect-acp/src/client.test.ts b/packages/effect-acp/src/client.test.ts
index 3a0b262e6e22..5d1bd1d3ac94 100644
--- a/packages/effect-acp/src/client.test.ts
+++ b/packages/effect-acp/src/client.test.ts
@@ -778,3 +778,150 @@ it.layer(NodeServices.layer)("effect-acp client", (it) => {
       }),
   );
 });
+
+const elicitationForm = {
+  sessionId: "session-1",
+  mode: "form" as const,
+  message: "Continue?",
+  requestedSchema: {
+    type: "object" as const,
+    properties: { choice: { type: "string" as const } },
+    required: ["choice"],
+  },
+};
+const decodeWireResponse = Schema.decodeEffect(Schema.fromJsonString(Schema.Unknown));
+const decodeWireError = Schema.decodeEffect(
+  Schema.fromJsonString(Schema.Struct({ error: Schema.Struct({ code: Schema.Finite }) })),
+);
+
+it.effect.each(["accept", "decline", "cancel"] as const)(
+  "returns a flat %s action to the SDK and preserves the legacy response",
+  (action) =>
+    Effect.gen(function* () {
+      for (const method of ["elicitation/create", "session/elicitation"]) {
+        const { stdio, input, output } = yield* makeInMemoryStdio();
+        const acp = yield* AcpClient.make(stdio);
+        const answer = action === "accept" ? { action, content: { choice: "yes" } } : { action };
+        const response = { action: answer, _meta: { trace: "fixture" } };
+        yield* acp.handleElicitation((request) => {
+          assert.deepEqual(request, elicitationForm);
+          return Effect.succeed(response);
+        });
+        yield* Queue.offer(
+          input,
+          yield* encodeJsonl(jsonRpcRequest(method, AcpSchema.ElicitationRequest), {
+            jsonrpc: "2.0",
+            id: 71,
+            headers: [],
+            method,
+            params: elicitationForm,
+          }),
+        );
+        const received = yield* decodeWireResponse(yield* Queue.take(output));
+        assert.deepEqual(received, {
+          jsonrpc: "2.0",
+          id: 71,
+          result: method === "elicitation/create" ? { ...answer, _meta: response._meta } : response,
+        });
+      }
+    }).pipe(Effect.scoped),
+);
+
+it.effect("dispatches SDK URL elicitation to the same registered handler", () =>
+  Effect.gen(function* () {
+    const { stdio, input, output } = yield* makeInMemoryStdio();
+    const acp = yield* AcpClient.make(stdio);
+    const params = {
+      sessionId: "session-1",
+      mode: "url" as const,
+      message: "Sign in",
+      elicitationId: "elicitation-1",
+      url: "https://example.test/sign-in",
+    };
+    yield* acp.handleElicitation((request) => {
+      assert.deepEqual(request, params);
+      return Effect.succeed({ action: { action: "accept" as const } });
+    });
+    yield* Queue.offer(
+      input,
+      yield* encodeJsonl(jsonRpcRequest("elicitation/create", AcpSchema.ElicitationRequest), {
+        jsonrpc: "2.0",
+        id: 72,
+        headers: [],
+        method: "elicitation/create",
+        params,
+      }),
+    );
+    assert.deepEqual(yield* decodeWireResponse(yield* Queue.take(output)), {
+      jsonrpc: "2.0",
+      id: 72,
+      result: { action: "accept" },
+    });
+  }).pipe(Effect.scoped),
+);
+
+it.effect.each(["elicitation/complete", "session/elicitation/complete"])(
+  "delivers %s notifications to the completion handler",
+  (method) =>
+    Effect.gen(function* () {
+      const { stdio, input } = yield* makeInMemoryStdio();
+      const acp = yield* AcpClient.make(stdio);
+      const received = yield* Deferred.make<AcpSchema.ElicitationCompleteNotification>();
+      yield* acp.handleElicitationComplete((notification) =>
+        Deferred.succeed(received, notification).pipe(Effect.asVoid),
+      );
+      yield* Queue.offer(
+        input,
+        yield* encodeJsonl(jsonRpcNotification(method, AcpSchema.ElicitationCompleteNotification), {
+          jsonrpc: "2.0",
+          method,
+          params: { elicitationId: "elicitation-1" },
+        }),
+      );
+      assert.deepEqual(yield* Deferred.await(received), { elicitationId: "elicitation-1" });
+    }).pipe(Effect.scoped),
+);
+
+it.effect("rejects malformed SDK elicitation without calling the question handler", () =>
+  Effect.gen(function* () {
+    const { stdio, input, output } = yield* makeInMemoryStdio();
+    const acp = yield* AcpClient.make(stdio);
+    let calls = 0;
+    yield* acp.handleElicitation(() => {
+      calls++;
+      return Effect.succeed({ action: { action: "cancel" as const } });
+    });
+    yield* Queue.offer(
+      input,
+      yield* encodeJsonl(jsonRpcRequest("elicitation/create", Schema.Unknown), {
+        jsonrpc: "2.0",
+        id: 73,
+        headers: [],
+        method: "elicitation/create",
+        params: { ...elicitationForm, message: 123 },
+      }),
+    );
+    const response = yield* decodeWireError(yield* Queue.take(output));
+    assert.equal(response.error.code, -32602);
+    assert.equal(calls, 0);
+  }).pipe(Effect.scoped),
+);
+
+it.effect("returns method-not-found when SDK elicitation has no question handler", () =>
+  Effect.gen(function* () {
+    const { stdio, input, output } = yield* makeInMemoryStdio();
+    yield* AcpClient.make(stdio);
+    yield* Queue.offer(
+      input,
+      yield* encodeJsonl(jsonRpcRequest("elicitation/create", AcpSchema.ElicitationRequest), {
+        jsonrpc: "2.0",
+        id: 74,
+        headers: [],
+        method: "elicitation/create",
+        params: elicitationForm,
+      }),
+    );
+    const response = yield* decodeWireError(yield* Queue.take(output));
+    assert.equal(response.error.code, -32601);
+  }).pipe(Effect.scoped),
+);
diff --git a/packages/effect-acp/src/client.ts b/packages/effect-acp/src/client.ts
index b3bcf3cd2433..27203c20c627 100644
--- a/packages/effect-acp/src/client.ts
+++ b/packages/effect-acp/src/client.ts
@@ -22,6 +22,8 @@ import {
 } from "./_internal/shared.ts";
 import { makeChildStdio, makeTerminationError } from "./_internal/stdio.ts";
 
+const decodeElicitationRequest = Schema.decodeUnknownEffect(AcpSchema.ElicitationRequest);
+
 export interface AcpClientOptions {
   readonly logIncoming?: boolean;
   readonly logOutgoing?: boolean;
@@ -151,7 +153,7 @@ export class AcpClient extends Context.Service<
       ) => Effect.Effect<AcpSchema.RequestPermissionResponse, AcpError.AcpError>,
     ) => Effect.Effect<void>;
     /**
-     * Registers a handler for `session/elicitation`.
+     * Registers a handler for `session/elicitation` and `elicitation/create`.
      * @see https://agentclientprotocol.com/protocol/schema#session/elicitation
      */
     readonly handleElicitation: (
@@ -232,7 +234,7 @@ export class AcpClient extends Context.Service<
       ) => Effect.Effect<void, AcpError.AcpError>,
     ) => Effect.Effect<void>;
     /**
-     * Registers a handler for `session/elicitation/complete`.
+     * Registers a handler for `session/elicitation/complete` and `elicitation/complete`.
      * @see https://agentclientprotocol.com/protocol/schema#session/elicitation/complete
      */
     readonly handleElicitationComplete: (
@@ -431,6 +433,22 @@ export const make = Effect.fn("effect-acp/AcpClient.make")(function* (
         ),
       [CLIENT_METHODS.session_elicitation]: (payload) =>
         runHandler(coreHandlers.elicitation, payload, CLIENT_METHODS.session_elicitation),
+      "elicitation/create": (payload) =>
+        decodeElicitationRequest(payload).pipe(
+          Effect.mapError((cause) =>
+            AcpError.AcpRequestError.invalidExtensionPayload(
+              "elicitation/create",
+              cause,
+            ).toProtocolError(),
+          ),
+          Effect.flatMap((request) =>
+            runHandler(coreHandlers.elicitation, request, "elicitation/create"),
+          ),
+          Effect.map(({ action, _meta }) => ({
+            ...action,
+            ...(_meta !== undefined ? { _meta } : {}),
+          })),
+        ),
       [CLIENT_METHODS.fs_read_text_file]: (payload) =>
         runHandler(coreHandlers.readTextFile, payload, CLIENT_METHODS.fs_read_text_file),
       [CLIENT_METHODS.fs_write_text_file]: (payload) =>
diff --git a/packages/effect-acp/src/protocol.ts b/packages/effect-acp/src/protocol.ts
index cd6043f2db00..f74a8ea29e37 100644
--- a/packages/effect-acp/src/protocol.ts
+++ b/packages/effect-acp/src/protocol.ts
@@ -34,7 +34,7 @@ export type AcpIncomingNotification =
     }
   | {
       readonly _tag: "ElicitationComplete";
-      readonly method: typeof CLIENT_METHODS.session_elicitation_complete;
+      readonly method: typeof CLIENT_METHODS.session_elicitation_complete | "elicitation/complete";
       readonly params: AcpSchema.ElicitationCompleteNotification;
     }
   | {
@@ -316,20 +316,24 @@ export const makeAcpPatchedProtocol = Effect.fn("makeAcpPatchedProtocol")(functi
           Effect.flatMap(dispatchNotification),
         );
       }
-      if (message.tag === CLIENT_METHODS.session_elicitation_complete) {
+      if (
+        message.tag === CLIENT_METHODS.session_elicitation_complete ||
+        message.tag === "elicitation/complete"
+      ) {
+        const method = message.tag;
         return decodeElicitationComplete(message.payload).pipe(
           Effect.map(
             (params) =>
               ({
                 _tag: "ElicitationComplete",
-                method: CLIENT_METHODS.session_elicitation_complete,
+                method,
                 params,
               }) satisfies AcpIncomingNotification,
           ),
           Effect.mapError((cause) =>
             AcpError.AcpProtocolParseError.fromSchemaError(
               "decode-notification-payload",
-              CLIENT_METHODS.session_elicitation_complete,
+              method,
               cause,
             ),
           ),
diff --git a/packages/effect-acp/src/rpc.ts b/packages/effect-acp/src/rpc.ts
index 5026645374eb..118e5e377659 100644
--- a/packages/effect-acp/src/rpc.ts
+++ b/packages/effect-acp/src/rpc.ts
@@ -1,5 +1,6 @@
 import * as Rpc from "effect/unstable/rpc/Rpc";
 import * as RpcGroup from "effect/unstable/rpc/RpcGroup";
+import * as Schema from "effect/Schema";
 
 import * as AcpSchema from "./_generated/schema.gen.ts";
 import { AGENT_METHODS, CLIENT_METHODS } from "./_generated/meta.gen.ts";
@@ -100,6 +101,20 @@ const ElicitationRpc = Rpc.make(CLIENT_METHODS.session_elicitation, {
   error: AcpSchema.Error,
 });
 
+// The pinned v0.11.3 schema predates the SDK's method name and flat response.
+// Keep its RPC for existing peers and translate the SDK alias at the boundary.
+const CreateElicitationRpc = Rpc.make("elicitation/create", {
+  payload: Schema.Unknown,
+  success: Schema.Struct({
+    action: Schema.Literals(["accept", "decline", "cancel"]),
+    content: Schema.optionalKey(
+      Schema.NullOr(Schema.Record(Schema.String, AcpSchema.ElicitationContentValue)),
+    ),
+    _meta: AcpSchema.ElicitationResponse.fields._meta,
+  }),
+  error: AcpSchema.Error,
+});
+
 const CreateTerminalRpc = Rpc.make(CLIENT_METHODS.terminal_create, {
   payload: AcpSchema.CreateTerminalRequest,
   success: AcpSchema.CreateTerminalResponse,
@@ -150,6 +165,7 @@ export const ClientRpcs = RpcGroup.make(
   WriteTextFileRpc,
   RequestPermissionRpc,
   ElicitationRpc,
+  CreateElicitationRpc,
   CreateTerminalRpc,
   TerminalOutputRpc,
   ReleaseTerminalRpc,