diff --git a/.changeset/small-toys-move.md b/.changeset/small-toys-move.md
new file mode 100644
index 00000000..0993e01c
--- /dev/null
+++ b/.changeset/small-toys-move.md
@@ -0,0 +1,5 @@
+---
+"@clack/prompts": patch
+---
+
+add `vertical` arrangement option to `confirm` prompt
diff --git a/.gitignore b/.gitignore
index 0947dace..67634e43 100644
--- a/.gitignore
+++ b/.gitignore
@@ -124,6 +124,9 @@ dist
 # Stores VSCode versions used for testing VSCode extensions
 .vscode-test
 
+# JetBrains IDEA
+.idea
+
 # yarn v2
 .yarn/cache
 .yarn/unplugged
diff --git a/packages/prompts/src/confirm.ts b/packages/prompts/src/confirm.ts
index 9aee83f5..7e940625 100644
--- a/packages/prompts/src/confirm.ts
+++ b/packages/prompts/src/confirm.ts
@@ -14,6 +14,7 @@ export interface ConfirmOptions extends CommonOptions {
 	active?: string;
 	inactive?: string;
 	initialValue?: boolean;
+	vertical?: boolean;
 }
 export const confirm = (opts: ConfirmOptions) => {
 	const active = opts.active ?? 'Yes';
@@ -26,7 +27,7 @@ export const confirm = (opts: ConfirmOptions) => {
 		output: opts.output,
 		initialValue: opts.initialValue ?? true,
 		render() {
-			const hasGuide = (opts.withGuide ?? settings.withGuide) !== false;
+			const hasGuide = opts.withGuide ?? settings.withGuide;
 			const title = `${hasGuide ? `${color.gray(S_BAR)}\n` : ''}${symbol(this.state)}  ${opts.message}\n`;
 			const value = this.value ? active : inactive;
 
@@ -48,7 +49,7 @@ export const confirm = (opts: ConfirmOptions) => {
 						this.value
 							? `${color.green(S_RADIO_ACTIVE)} ${active}`
 							: `${color.dim(S_RADIO_INACTIVE)} ${color.dim(active)}`
-					} ${color.dim('/')} ${
+					}${opts.vertical ? (hasGuide ? `\n${color.cyan(S_BAR)}  ` : '\n') : ` ${color.dim('/')} `}${
 						!this.value
 							? `${color.green(S_RADIO_ACTIVE)} ${inactive}`
 							: `${color.dim(S_RADIO_INACTIVE)} ${color.dim(inactive)}`
diff --git a/packages/prompts/test/__snapshots__/confirm.test.ts.snap b/packages/prompts/test/__snapshots__/confirm.test.ts.snap
index 6f7f7bf8..8b880f9d 100644
--- a/packages/prompts/test/__snapshots__/confirm.test.ts.snap
+++ b/packages/prompts/test/__snapshots__/confirm.test.ts.snap
@@ -156,6 +156,26 @@ exports[`confirm (isCI = false) > renders message with choices 1`] = `
 ]
 `;
 
+exports[`confirm (isCI = false) > renders options in vertical alignment 1`] = `
+[
+  "<cursor.hide>",
+  "│
+◆  foo
+│  ● Yes
+│  ○ No
+└
+",
+  "<cursor.backward count=999><cursor.up count=5>",
+  "<cursor.down count=1>",
+  "<erase.down>",
+  "◇  foo
+│  Yes",
+  "
+",
+  "<cursor.show>",
+]
+`;
+
 exports[`confirm (isCI = false) > right arrow moves to next choice 1`] = `
 [
   "<cursor.hide>",
@@ -353,6 +373,26 @@ exports[`confirm (isCI = true) > renders message with choices 1`] = `
 ]
 `;
 
+exports[`confirm (isCI = true) > renders options in vertical alignment 1`] = `
+[
+  "<cursor.hide>",
+  "│
+◆  foo
+│  ● Yes
+│  ○ No
+└
+",
+  "<cursor.backward count=999><cursor.up count=5>",
+  "<cursor.down count=1>",
+  "<erase.down>",
+  "◇  foo
+│  Yes",
+  "
+",
+  "<cursor.show>",
+]
+`;
+
 exports[`confirm (isCI = true) > right arrow moves to next choice 1`] = `
 [
   "<cursor.hide>",
diff --git a/packages/prompts/test/confirm.test.ts b/packages/prompts/test/confirm.test.ts
index 6f7e311b..3483e25c 100644
--- a/packages/prompts/test/confirm.test.ts
+++ b/packages/prompts/test/confirm.test.ts
@@ -74,6 +74,22 @@ describe.each(['true', 'false'])('confirm (isCI = %s)', (isCI) => {
 		expect(output.buffer).toMatchSnapshot();
 	});
 
+	test('renders options in vertical alignment', async () => {
+		const result = prompts.confirm({
+			message: 'foo',
+			vertical: true,
+			input,
+			output,
+		});
+
+		input.emit('keypress', '', { name: 'return' });
+
+		const value = await result;
+
+		expect(value).toBe(true);
+		expect(output.buffer).toMatchSnapshot();
+	});
+
 	test('right arrow moves to next choice', async () => {
 		const result = prompts.confirm({
 			message: 'foo',