diff --git a/packages/SystemUI/accessibility/accessibilitymenu/Android.bp b/packages/SystemUI/accessibility/accessibilitymenu/Android.bp
index 2c0463031b1f3..140c10da922e4 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/Android.bp
+++ b/packages/SystemUI/accessibility/accessibilitymenu/Android.bp
@@ -24,6 +24,7 @@ android_app {
     static_libs: [
         "androidx.coordinatorlayout_coordinatorlayout",
         "androidx.core_core",
+        "androidx.preference_preference",
         "androidx.viewpager_viewpager",
         "SettingsLibDisplayUtils",
     ],
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/AndroidManifest.xml b/packages/SystemUI/accessibility/accessibilitymenu/AndroidManifest.xml
index 77412d993dff9..82ddf38bb1bfa 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/AndroidManifest.xml
+++ b/packages/SystemUI/accessibility/accessibilitymenu/AndroidManifest.xml
@@ -33,5 +33,27 @@
                 android:name="android.accessibilityservice"
                 android:resource="@xml/accessibilitymenu_service"/>
         </service>
+
+        <!-- Accessibility Menu Settings -->
+        <activity
+            android:name="com.android.systemui.accessibility.accessibilitymenu.activity.A11yMenuSettingsActivity"
+            android:exported="true"
+            android:label="@string/accessibility_menu_settings_name"
+            android:launchMode="singleTop"
+            android:theme="@style/AccessibilityMenuSettings">
+            <intent-filter>
+                <action android:name="android.intent.action.MAIN"/>
+
+                <category android:name="android.accessibilityservice.SERVICE_SETTINGS"/>
+            </intent-filter>
+        </activity>
     </application>
+
+    <queries>
+        <intent>
+            <action android:name="android.intent.action.VIEW" />
+            <category android:name="android.intent.category.BROWSABLE" />
+            <data android:scheme="https" />
+        </intent>
+    </queries>
 </manifest>
\ No newline at end of file
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/res/values/donottranslate.xml b/packages/SystemUI/accessibility/accessibilitymenu/res/values/donottranslate.xml
index 0c25ec4353a5d..01758e87e5bba 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/res/values/donottranslate.xml
+++ b/packages/SystemUI/accessibility/accessibilitymenu/res/values/donottranslate.xml
@@ -1,11 +1,5 @@
 <?xml version="1.0" encoding="utf-8"?>
 <resources>
-  <!-- user customized shortcuts preference -->
-  <string name="pref_user_shortcuts">accessibility_menu_user_shortcuts</string>
-  <!-- key for user customized shortcuts -->
-  <string name="pref_user_shortcuts_key">pref_user_shortcuts_key</string>
-  <!-- value for empty shortcut -->
-  <string name="pref_user_shortcuts_value_empty">[]</string>
   <!-- empty string for shortcut label -->
   <string name="empty_content"></string>
 
@@ -14,4 +8,6 @@
   <!-- key for Help&feedback settings [CHAR_LIMIT=NONE] -->
   <string name="pref_help">pref_help</string>
 
+  <!-- url for help page -->
+  <string name="help_url">https://support.google.com/accessibility/android/answer/9078941</string>
 </resources>
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/res/values/styles.xml b/packages/SystemUI/accessibility/accessibilitymenu/res/values/styles.xml
index a2cf26730960e..2009cd1df4e55 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/res/values/styles.xml
+++ b/packages/SystemUI/accessibility/accessibilitymenu/res/values/styles.xml
@@ -17,7 +17,7 @@
 
 <resources>
   <!--The theme is for preference CollapsingToolbarBaseActivity settings-->
-  <style name="AccessibilityMenuSettings" parent="android:Theme.DeviceDefault.Light" />
+  <style name="AccessibilityMenuSettings" parent="android:Theme.DeviceDefault.DayNight" />
 
   <!--Adds the theme to support SnackBar component and user configurable theme. -->
   <style name="ServiceTheme" parent="android:Theme.DeviceDefault.Light">
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_preferences.xml b/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_preferences.xml
new file mode 100644
index 0000000000000..3b79287ad2021
--- /dev/null
+++ b/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_preferences.xml
@@ -0,0 +1,33 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!--
+  ~ Copyright (C) 2023 The Android Open Source Project
+  ~
+  ~ Licensed under the Apache License, Version 2.0 (the "License");
+  ~ you may not use this file except in compliance with the License.
+  ~ You may obtain a copy of the License at
+  ~
+  ~      http://www.apache.org/licenses/LICENSE-2.0
+  ~
+  ~ Unless required by applicable law or agreed to in writing, software
+  ~ distributed under the License is distributed on an "AS IS" BASIS,
+  ~ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+  ~ See the License for the specific language governing permissions and
+  ~ limitations under the License.
+  -->
+
+<androidx.preference.PreferenceScreen
+    xmlns:android="http://schemas.android.com/apk/res/android"
+    xmlns:app="http://schemas.android.com/apk/res-auto">
+
+    <SwitchPreference
+        android:defaultValue="false"
+        android:key="@string/pref_large_buttons"
+        android:persistent="true"
+        android:summary="@string/accessibility_menu_large_buttons_summary"
+        android:title="@string/accessibility_menu_large_buttons_title"/>
+
+    <Preference
+        android:key="@string/pref_help"
+        android:title="@string/pref_help_and_feedback_title"/>
+
+</androidx.preference.PreferenceScreen>
\ No newline at end of file
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_service.xml b/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_service.xml
index 3dbbb1a658c9d..569de3dfe6b5b 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_service.xml
+++ b/packages/SystemUI/accessibility/accessibilitymenu/res/xml/accessibilitymenu_service.xml
@@ -21,4 +21,5 @@
     android:intro="@string/accessibility_menu_intro"
     android:animatedImageDrawable="@drawable/a11ymenu_intro"
     android:isAccessibilityTool="true"
+    android:settingsActivity="com.android.systemui.accessibility.accessibilitymenu.activity.A11yMenuSettingsActivity"
 />
\ No newline at end of file
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/AccessibilityMenuService.java b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/AccessibilityMenuService.java
index ca6c332579e1e..216c2dca9bc1c 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/AccessibilityMenuService.java
+++ b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/AccessibilityMenuService.java
@@ -22,6 +22,8 @@ import android.content.BroadcastReceiver;
 import android.content.Context;
 import android.content.Intent;
 import android.content.IntentFilter;
+import android.content.SharedPreferences;
+import android.content.SharedPreferences.OnSharedPreferenceChangeListener;
 import android.content.pm.PackageManager;
 import android.content.pm.ResolveInfo;
 import android.content.res.Configuration;
@@ -38,6 +40,8 @@ import android.view.MotionEvent;
 import android.view.View;
 import android.view.accessibility.AccessibilityEvent;
 
+import androidx.preference.PreferenceManager;
+
 import com.android.settingslib.display.BrightnessUtils;
 import com.android.systemui.accessibility.accessibilitymenu.model.A11yMenuShortcut.ShortcutId;
 import com.android.systemui.accessibility.accessibilitymenu.view.A11yMenuOverlayLayout;
@@ -62,6 +66,7 @@ public class AccessibilityMenuService extends AccessibilityService
     public static final long BUTTON_CLICK_TIMEOUT = 200;
 
     private A11yMenuOverlayLayout mA11yMenuLayout;
+    private SharedPreferences mPrefs;
 
     private static boolean sInitialized = false;
 
@@ -90,6 +95,25 @@ public class AccessibilityMenuService extends AccessibilityService
         }
     };
 
+    final BroadcastReceiver mBroadcastReceiver = new BroadcastReceiver() {
+        @Override
+        public void onReceive(Context context, Intent intent) {
+            mA11yMenuLayout.hideMenu();
+        }
+    };
+
+    /**
+     * Update a11y menu layout when large button setting is changed.
+     */
+    private final OnSharedPreferenceChangeListener mSharedPreferenceChangeListener =
+            (SharedPreferences prefs, String key) -> {
+                {
+                    if (key.equals(getString(R.string.pref_large_buttons))) {
+                        mA11yMenuLayout.configureLayout();
+                    }
+                }
+            };
+
     // Update layout.
     private final Handler mHandler = new Handler(Looper.getMainLooper());
     private final Runnable mOnConfigChangedRunnable = new Runnable() {
@@ -147,12 +171,11 @@ public class AccessibilityMenuService extends AccessibilityService
     protected void onServiceConnected() {
         mA11yMenuLayout = new A11yMenuOverlayLayout(this);
 
-        registerReceiver(new BroadcastReceiver() {
-            @Override
-            public void onReceive(Context context, Intent intent) {
-                mA11yMenuLayout.hideMenu();
-            }}, new IntentFilter(Intent.ACTION_SCREEN_OFF)
-        );
+        registerReceiver(mBroadcastReceiver, new IntentFilter(Intent.ACTION_SCREEN_OFF));
+
+        mPrefs = PreferenceManager.getDefaultSharedPreferences(this);
+        mPrefs.registerOnSharedPreferenceChangeListener(mSharedPreferenceChangeListener);
+
 
         mDisplayManager = getSystemService(DisplayManager.class);
         mDisplayManager.registerDisplayListener(mDisplayListener, null);
@@ -285,6 +308,14 @@ public class AccessibilityMenuService extends AccessibilityService
     public void onInterrupt() {
     }
 
+    @Override
+    public boolean onUnbind(Intent intent) {
+        unregisterReceiver(mBroadcastReceiver);
+        mPrefs.unregisterOnSharedPreferenceChangeListener(mSharedPreferenceChangeListener);
+        sInitialized = false;
+        return super.onUnbind(intent);
+    }
+
     @Override
     protected boolean onKeyEvent(KeyEvent event) {
         if (event.getKeyCode() == KeyEvent.KEYCODE_BACK) {
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/activity/A11yMenuSettingsActivity.java b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/activity/A11yMenuSettingsActivity.java
new file mode 100644
index 0000000000000..8f2934882edef
--- /dev/null
+++ b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/activity/A11yMenuSettingsActivity.java
@@ -0,0 +1,97 @@
+/*
+ * Copyright (C) 2023 The Android Open Source Project
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package com.android.systemui.accessibility.accessibilitymenu.activity;
+
+import android.content.Context;
+import android.content.Intent;
+import android.content.SharedPreferences;
+import android.content.pm.PackageManager;
+import android.net.Uri;
+import android.os.Bundle;
+import android.provider.Browser;
+import android.provider.Settings;
+
+import androidx.fragment.app.FragmentActivity;
+import androidx.preference.Preference;
+import androidx.preference.PreferenceFragmentCompat;
+import androidx.preference.PreferenceManager;
+
+import com.android.systemui.accessibility.accessibilitymenu.R;
+
+/**
+ * Settings activity for AccessibilityMenu.
+ */
+public class A11yMenuSettingsActivity extends FragmentActivity {
+
+    @Override
+    protected void onCreate(Bundle savedInstanceState) {
+        super.onCreate(savedInstanceState);
+        getSupportFragmentManager()
+                .beginTransaction()
+                .replace(android.R.id.content, new A11yMenuPreferenceFragment())
+                .commit();
+    }
+
+    /**
+     * Settings/preferences fragment for AccessibilityMenu.
+     */
+    public static class A11yMenuPreferenceFragment extends PreferenceFragmentCompat {
+        @Override
+        public void onCreatePreferences(Bundle bundle, String s) {
+            setPreferencesFromResource(R.xml.accessibilitymenu_preferences, s);
+            initializeHelpAndFeedbackPreference();
+        }
+
+        /**
+         * Returns large buttons settings state.
+         *
+         * @param context The parent context
+         * @return {@code true} large button is enabled; {@code false} large button is disabled
+         */
+        public static boolean isLargeButtonsEnabled(Context context) {
+            SharedPreferences prefs = PreferenceManager.getDefaultSharedPreferences(context);
+            String key = context.getResources().getString(R.string.pref_large_buttons);
+            return prefs.getBoolean(key, false);
+        }
+
+        private void initializeHelpAndFeedbackPreference() {
+            final Preference prefHelp = findPreference(getString(R.string.pref_help));
+            if (prefHelp != null) {
+                prefHelp.setTitle(R.string.pref_help_title);
+
+                // Do not allow access to web during setup.
+                if (Settings.Secure.getInt(
+                        getContext().getContentResolver(),
+                        Settings.Secure.USER_SETUP_COMPLETE, 0) != 1) {
+                    return;
+                }
+
+                // Configure preference to open the help page in the default web browser.
+                // If the system has no browser, hide the preference.
+                Uri uri = Uri.parse(getResources().getString(R.string.help_url));
+                Intent intent = new Intent(Intent.ACTION_VIEW, uri);
+                intent.putExtra(Browser.EXTRA_APPLICATION_ID, getContext().getPackageName());
+                if (getActivity().getPackageManager().queryIntentActivities(
+                        intent, PackageManager.ResolveInfoFlags.of(0)).isEmpty()) {
+                    prefHelp.setVisible(false);
+                    return;
+                }
+                prefHelp.setIntent(intent);
+            }
+        }
+    }
+}
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuAdapter.java b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuAdapter.java
index 337814e84368f..6f0fe374d6f61 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuAdapter.java
+++ b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuAdapter.java
@@ -27,6 +27,7 @@ import android.widget.TextView;
 
 import com.android.systemui.accessibility.accessibilitymenu.AccessibilityMenuService;
 import com.android.systemui.accessibility.accessibilitymenu.R;
+import com.android.systemui.accessibility.accessibilitymenu.activity.A11yMenuSettingsActivity.A11yMenuPreferenceFragment;
 import com.android.systemui.accessibility.accessibilitymenu.model.A11yMenuShortcut;
 import com.android.systemui.accessibility.accessibilitymenu.utils.ShortcutDrawableUtils;
 
@@ -124,7 +125,12 @@ public class A11yMenuAdapter extends BaseAdapter {
         ImageButton shortcutIconButton = convertView.findViewById(R.id.shortcutIconBtn);
         TextView shortcutLabel = convertView.findViewById(R.id.shortcutLabel);
 
-        // TODO: Enlarge shortcut icon & label when large button setting is on.
+        if (A11yMenuPreferenceFragment.isLargeButtonsEnabled(mService)) {
+            ViewGroup.LayoutParams params = shortcutIconButton.getLayoutParams();
+            params.width = (int) (params.width * LARGE_BUTTON_SCALE);
+            params.height = (int) (params.height * LARGE_BUTTON_SCALE);
+            shortcutLabel.setTextSize(android.util.TypedValue.COMPLEX_UNIT_PX, mLargeTextSize);
+        }
 
         if (shortcutItem.getId() == A11yMenuShortcut.ShortcutId.UNSPECIFIED_ID_VALUE.ordinal()) {
             // Sets empty shortcut icon and label when the shortcut is ADD_ITEM.
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuOverlayLayout.java b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuOverlayLayout.java
index 7bdb8f9a00d28..2a1b3c9d53008 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuOverlayLayout.java
+++ b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuOverlayLayout.java
@@ -43,6 +43,7 @@ import androidx.annotation.NonNull;
 
 import com.android.systemui.accessibility.accessibilitymenu.AccessibilityMenuService;
 import com.android.systemui.accessibility.accessibilitymenu.R;
+import com.android.systemui.accessibility.accessibilitymenu.activity.A11yMenuSettingsActivity.A11yMenuPreferenceFragment;
 import com.android.systemui.accessibility.accessibilitymenu.model.A11yMenuShortcut;
 
 import java.util.ArrayList;
@@ -71,6 +72,24 @@ public class A11yMenuOverlayLayout {
         A11yMenuShortcut.ShortcutId.ID_SCREENSHOT_VALUE.ordinal()
     };
 
+    /** Predefined default shortcuts when large button setting is on. */
+    private static final int[] LARGE_SHORTCUT_LIST_DEFAULT = {
+            A11yMenuShortcut.ShortcutId.ID_ASSISTANT_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_A11YSETTING_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_POWER_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_RECENT_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_VOLUME_DOWN_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_VOLUME_UP_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_BRIGHTNESS_DOWN_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_BRIGHTNESS_UP_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_LOCKSCREEN_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_QUICKSETTING_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_NOTIFICATION_VALUE.ordinal(),
+            A11yMenuShortcut.ShortcutId.ID_SCREENSHOT_VALUE.ordinal()
+    };
+
+
+
     private final AccessibilityMenuService mService;
     private final WindowManager mWindowManager;
     private ViewGroup mLayout;
@@ -153,7 +172,10 @@ public class A11yMenuOverlayLayout {
      */
     private List<A11yMenuShortcut> createShortcutList() {
         List<A11yMenuShortcut> shortcutList = new ArrayList<>();
-        for (int shortcutId : SHORTCUT_LIST_DEFAULT) {
+
+        for (int shortcutId :
+                (A11yMenuPreferenceFragment.isLargeButtonsEnabled(mService)
+                        ? LARGE_SHORTCUT_LIST_DEFAULT : SHORTCUT_LIST_DEFAULT)) {
             shortcutList.add(new A11yMenuShortcut(shortcutId));
         }
         return shortcutList;
diff --git a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuViewPager.java b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuViewPager.java
index cec503c39cbaa..0a349e5322c25 100644
--- a/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuViewPager.java
+++ b/packages/SystemUI/accessibility/accessibilitymenu/src/com/android/systemui/accessibility/accessibilitymenu/view/A11yMenuViewPager.java
@@ -33,6 +33,7 @@ import androidx.viewpager.widget.ViewPager;
 
 import com.android.systemui.accessibility.accessibilitymenu.AccessibilityMenuService;
 import com.android.systemui.accessibility.accessibilitymenu.R;
+import com.android.systemui.accessibility.accessibilitymenu.activity.A11yMenuSettingsActivity.A11yMenuPreferenceFragment;
 import com.android.systemui.accessibility.accessibilitymenu.model.A11yMenuShortcut;
 import com.android.systemui.accessibility.accessibilitymenu.view.A11yMenuFooter.A11yMenuFooterCallBack;
 
@@ -65,9 +66,6 @@ public class A11yMenuViewPager {
         /** The number of columns in the grid view when large button settings is on. */
         public static final int LARGE_GRID_COLUMN_COUNT = 2;
 
-        /** Temporary measure to test both item types. */
-        private static final boolean USE_LARGE_ITEMS = false;
-
         /**
          * Returns the number of items in the grid view.
          *
@@ -75,7 +73,7 @@ public class A11yMenuViewPager {
          * @return Grid item count
          */
         public static int getGridItemCount(Context context) {
-            return USE_LARGE_ITEMS
+            return A11yMenuPreferenceFragment.isLargeButtonsEnabled(context)
                    ? LARGE_GRID_ITEM_COUNT
                    : GRID_ITEM_COUNT;
         }
@@ -87,7 +85,7 @@ public class A11yMenuViewPager {
          * @return Grid column count
          */
         public static int getGridColumnCount(Context context) {
-            return USE_LARGE_ITEMS
+            return A11yMenuPreferenceFragment.isLargeButtonsEnabled(context)
                    ? LARGE_GRID_COLUMN_COUNT
                    : GRID_COLUMN_COUNT;
         }
@@ -99,7 +97,7 @@ public class A11yMenuViewPager {
          * @return Grid row count
          */
         public static int getGridRowCount(Context context) {
-            return USE_LARGE_ITEMS
+            return A11yMenuPreferenceFragment.isLargeButtonsEnabled(context)
                    ? (LARGE_GRID_ITEM_COUNT / LARGE_GRID_COLUMN_COUNT)
                    : (GRID_ITEM_COUNT / GRID_COLUMN_COUNT);
         }