diff --git a/doc/api/util.md b/doc/api/util.md
index 9cae613bc9faa2..1ef7ca7f2e8cf9 100644
--- a/doc/api/util.md
+++ b/doc/api/util.md
@@ -1991,6 +1991,10 @@ added:
   - v18.3.0
   - v16.17.0
 changes:
+  - version:
+    - REPLACEME
+    pr-url: https://github.com/nodejs/node/pull/58875
+    description: Add support for help text in options and general help text.
   - version:
     - v22.4.0
     - v20.16.0
@@ -2031,6 +2035,7 @@ changes:
       `true`, it must be an array. No default value is applied when the option
       does appear in the arguments to be parsed, even if the provided value
       is falsy.
+    * `help` {string} Descriptive text to display in help output for this option.
   * `strict` {boolean} Should an error be thrown when unknown arguments
     are encountered, or when arguments are passed that do not match the
     `type` configured in `options`.
@@ -2045,11 +2050,13 @@ changes:
     the built-in behavior, from adding additional checks through to reprocessing
     the tokens in different ways.
     **Default:** `false`.
+  * `help` {string} General help text to display at the beginning of help output.
 
 * Returns: {Object} The parsed command line arguments:
   * `values` {Object} A mapping of parsed option names with their {string}
     or {boolean} values.
   * `positionals` {string\[]} Positional arguments.
+  * `helpText` {string | undefined} Formatted help text for all options provided.
   * `tokens` {Object\[] | undefined} See [parseArgs tokens](#parseargs-tokens)
     section. Only returned if `config` includes `tokens: true`.
 
@@ -2097,6 +2104,85 @@ console.log(values, positionals);
 // Prints: [Object: null prototype] { foo: true, bar: 'b' } []
 ```
 
+### `parseArgs` help text
+
+`parseArgs` supports automatic formatted help text generation for command-line options. When
+general help text is provided, a help option is automatically added unless already present.
+
+#### Simple usage
+
+By default, providing general help text automatically adds a help option (`-h, --help`) and
+returns formatted help text in `result.helpText`:
+
+```mjs
+import { parseArgs } from 'node:util';
+
+const options = {
+  foo: {
+    type: 'boolean',
+    short: 'f',
+    help: 'use the foo filter',
+  },
+  bar: {
+    type: 'string',
+    help: 'use the specified bar filter',
+  },
+};
+
+const result = parseArgs({
+  help: 'utility to control filters',
+  options,
+});
+
+if (result.values.help) {
+  console.log(result.helpText);
+  // Prints:
+  // utility to control filters
+  // -f, --foo                     use the foo filter
+  // --bar <arg>                   use the specified bar filter
+  // -h, --help                    Show help
+}
+```
+
+#### Custom help option
+
+You can override the auto-added help option by defining your own:
+
+```mjs
+import { parseArgs } from 'node:util';
+
+const options = {
+  foo: {
+    type: 'boolean',
+    short: 'f',
+    help: 'use the foo filter',
+  },
+  bar: {
+    type: 'string',
+    help: 'use the specified bar filter',
+  },
+  help: {
+    type: 'boolean',
+    short: '?',
+    help: 'display help',
+  },
+};
+
+const result = parseArgs({
+  help: 'utility to control filters',
+  options,
+});
+
+if (result.values.help) {
+  console.log(result.helpText);
+  // Prints:
+  // utility to control filters
+  // -f, --foo                     use the foo filter
+  // --bar <arg>                   use the specified bar filter
+  // -?, --help                    display help
+}
+```
+
 ### `parseArgs` `tokens`
 
 Detailed parse information is available for adding custom behaviors by
diff --git a/lib/internal/util/parse_args/parse_args.js b/lib/internal/util/parse_args/parse_args.js
index 95420ac830d9a3..faf42df1d3b294 100644
--- a/lib/internal/util/parse_args/parse_args.js
+++ b/lib/internal/util/parse_args/parse_args.js
@@ -13,6 +13,7 @@ const {
   ObjectPrototypeHasOwnProperty: ObjectHasOwn,
   StringPrototypeCharAt,
   StringPrototypeIndexOf,
+  StringPrototypePadEnd,
   StringPrototypeSlice,
   StringPrototypeStartsWith,
 } = primordials;
@@ -305,13 +306,63 @@ function argsToTokens(args, options) {
   return tokens;
 }
 
+/**
+ * Format help text for printing.
+ * @param {string} longOption - long option name e.g. 'foo'
+ * @param {object} optionConfig - option config from parseArgs({ options })
+ * @returns {string} formatted help text for printing
+ * @example
+ * formatHelpTextForPrint('foo', { type: 'string', help: 'help text' })
+ * // returns '--foo <arg>                   help text'
+ */
+function formatHelpTextForPrint(longOption, optionConfig) {
+  const layoutSpacing = 30;
+
+  const shortOption = objectGetOwn(optionConfig, 'short');
+  const type = objectGetOwn(optionConfig, 'type');
+  const help = objectGetOwn(optionConfig, 'help');
+
+  let helpTextForPrint = '';
+  if (shortOption) {
+    helpTextForPrint += `-${shortOption}, `;
+  }
+  helpTextForPrint += `--${longOption}`;
+  if (type === 'string') {
+    helpTextForPrint += ' <arg>';
+  }
+
+  if (help) {
+    if (helpTextForPrint.length > layoutSpacing) {
+      helpTextForPrint += `\n${StringPrototypePadEnd('', layoutSpacing)}${help}`;
+    } else {
+      helpTextForPrint = `${StringPrototypePadEnd(helpTextForPrint, layoutSpacing)}${help}`;
+    }
+  }
+
+  return helpTextForPrint;
+}
+
 const parseArgs = (config = kEmptyObject) => {
   const args = objectGetOwn(config, 'args') ?? getMainArgs();
   const strict = objectGetOwn(config, 'strict') ?? true;
   const allowPositionals = objectGetOwn(config, 'allowPositionals') ?? !strict;
   const returnTokens = objectGetOwn(config, 'tokens') ?? false;
   const allowNegative = objectGetOwn(config, 'allowNegative') ?? false;
-  const options = objectGetOwn(config, 'options') ?? { __proto__: null };
+  let options = objectGetOwn(config, 'options') ?? { __proto__: null };
+  const help = objectGetOwn(config, 'help') ?? '';
+
+  const hasGenerateHelp = help.length > 0;
+  if (hasGenerateHelp && !ObjectHasOwn(options, 'help')) {
+    options = {
+      ...options,
+      __proto__: null,
+      help: {
+        type: 'boolean',
+        short: 'h',
+        help: 'Show help',
+      },
+    };
+  }
   // Bundle these up for passing to strict-mode checks.
   const parseConfig = { args, strict, options, allowPositionals, allowNegative };
 
@@ -322,11 +373,11 @@ const parseArgs = (config = kEmptyObject) => {
   validateBoolean(returnTokens, 'tokens');
   validateBoolean(allowNegative, 'allowNegative');
   validateObject(options, 'options');
+  validateString(help, 'help');
   ArrayPrototypeForEach(
     ObjectEntries(options),
     ({ 0: longOption, 1: optionConfig }) => {
       validateObject(optionConfig, `options.${longOption}`);
-
       // type is required
       const optionType = objectGetOwn(optionConfig, 'type');
       validateUnion(optionType, `options.${longOption}.type`, ['string', 'boolean']);
@@ -362,6 +413,11 @@ const parseArgs = (config = kEmptyObject) => {
         }
         validator(defaultValue, `options.${longOption}.default`);
       }
+
+      const helpOption = objectGetOwn(optionConfig, 'help');
+      if (ObjectHasOwn(optionConfig, 'help')) {
+        validateString(helpOption, `options.${longOption}.help`);
+      }
     },
   );
 
@@ -404,6 +460,23 @@ const parseArgs = (config = kEmptyObject) => {
     }
   });
 
+  // Phase 4: generate print usage for each option
+  let printUsage = '';
+  if (help) {
+    printUsage += help;
+  }
+  ArrayPrototypeForEach(ObjectEntries(options), ({ 0: longOption, 1: optionConfig }) => {
+    const helpTextForPrint = formatHelpTextForPrint(longOption, optionConfig);
+
+    if (printUsage.length > 0) {
+      printUsage += '\n';
+    }
+    printUsage += helpTextForPrint;
+  });
+
+  if (help && printUsage.length > 0) {
+    result.helpText = printUsage;
+  }
 
   return result;
 };
diff --git a/test/parallel/test-parse-args.mjs b/test/parallel/test-parse-args.mjs
index e79434bdc6bbbf..f040b546d230d0 100644
--- a/test/parallel/test-parse-args.mjs
+++ b/test/parallel/test-parse-args.mjs
@@ -1062,3 +1062,156 @@ test('auto-detect --no-foo as negated when strict:false and allowNegative', () =
   process.argv = holdArgv;
   process.execArgv = holdExecArgv;
 });
+
+// Test help option
+{
+  test('help arg value config must be a string', () => {
+    const args = ['-f', 'bar'];
+    const options = { foo: { type: 'string', short: 'f', help: 'help text' } };
+    const help = true;
+    assert.throws(() => {
+      parseArgs({ args, options, help });
+    }, /The "help" argument must be of type string/
+    );
+  });
+
+  test('help value for option must be a string', () => {
+    const args = [];
+    const options = { alpha: { type: 'string', help: true } };
+    assert.throws(() => {
+      parseArgs({ args, options });
+    }, /"options\.alpha\.help" property must be of type string/
+    );
+  });
+
+  test('when option has help text values but help arg value is not provided, then no help value appear', () => {
+    const args = ['-f', 'bar'];
+    const options = { foo: { type: 'string', short: 'f', help: 'help text' } };
+    const expected = { values: { __proto__: null, foo: 'bar' }, positionals: [] };
+    const result = parseArgs({ args, options, allowPositionals: true });
+    assert.deepStrictEqual(result, expected);
+  });
+
+  test('when option has short and long flags, then both appear in usage with help option', () => {
+    const args = ['-f', 'bar'];
+    const options = { foo: { type: 'string', short: 'f', help: 'help text' } };
+    const help = 'Description for some awesome stuff:';
+    const printUsage = help + '\n-f, --foo <arg>               help text\n-h, --help                    Show help';
+    const expected = { helpText: printUsage, values: { __proto__: null, foo: 'bar' }, positionals: [] };
+    const result = parseArgs({ args, options, allowPositionals: true, help });
+    assert.deepStrictEqual(result, expected);
+  });
+
+  test('when options has short group flags, then both appear in usage with help option', () => {
+    const args = ['-fm', 'bar'];
+    const options = { foo: { type: 'boolean', short: 'f', help: 'help text' },
+                      moo: { type: 'string', short: 'm', help: 'help text' } };
+    const help = 'Description for some awesome stuff:';
+    const printUsage = help + '\n-f, --foo                     help text\n' +
+               '-m, --moo <arg>               help text\n' +
+               '-h, --help                    Show help';
+    const expected = { helpText: printUsage, values: { __proto__: null, foo: true, moo: 'bar' }, positionals: [] };
+    const result = parseArgs({ args, options, allowPositionals: true, help });
+    assert.deepStrictEqual(result, expected);
+  });
+
+  test('when options has short flag with value, then both appear in usage with help option', () => {
+    const args = ['-fFILE'];
+    const options = { foo: { type: 'string', short: 'f', help: 'help text' } };
+    const help = 'Description for some awesome stuff:';
+    const printUsage = help + '\n-f, --foo <arg>               help text\n-h, --help                    Show help';
+    const expected = { helpText: printUsage, values: { __proto__: null, foo: 'FILE' }, positionals: [] };
+    const result = parseArgs({ args, options, allowPositionals: true, help });
+    assert.deepStrictEqual(result, expected);
+  });
+
+  test('when options has long flag, then it appear in usage with help option', () => {
+    const args = ['--foo', 'bar'];
+    const options = { foo: { type: 'string', help: 'help text' } };
+    const help = 'Description for some awesome stuff:';
+    const printUsage = help + '\n--foo <arg>                   help text\n-h, --help                    Show help';
+    const expected = { helpText: printUsage, values: { __proto__: null, foo: 'bar' }, positionals: [] };
+    const result = parseArgs({ args, options, allowPositionals: true, help });
+    assert.deepStrictEqual(result, expected);
+  });
+
+  test('when options has long flag with value, then both appear in usage with help option', () => {
+    const args = ['--foo=bar'];
+    const options = { foo: { type: 'string', help: 'help text' } };
+    const help = 'Description for some awesome stuff:';
+    const printUsage = help + '\n--foo <arg>                   help text\n-h, --help                    Show help';
+    const expected = { helpText: printUsage, values: { __proto__: null, foo: 'bar' }, positionals: [] };
+    const result = parseArgs({ args, options, allowPositionals: true, help });
+    assert.deepStrictEqual(result, expected);
+  });
+
+  test('when options has help values with and without explicit texts, then all appear in usage', () => {
+    const args = [
+      '-h', '-a', 'val1',
+    ];
+    const options = {
+      help: { type: 'boolean', short: 'h', help: 'Prints command line options' },
+      alpha: { type: 'string', short: 'a', help: 'Alpha option help' },
+      beta: { type: 'boolean', short: 'b', help: 'Beta option help' },
+      charlie: { type: 'string', short: 'c' },
+      delta: { type: 'string', help: 'Delta option help' },
+      echo: { type: 'boolean', short: 'e', help: 'Echo option help' },
+      foxtrot: { type: 'string', help: 'Foxtrot option help' },
+      golf: { type: 'boolean', help: 'Golf option help' },
+      hotel: { type: 'string', help: 'Hotel option help' },
+      india: { type: 'string' },
+      juliet: { type: 'boolean', short: 'j', help: 'Juliet option help' },
+      looooooooooooooongHelpText: {
+        type: 'string',
+        short: 'L',
+        help: 'Very long option help text for demonstration purposes'
+      }
+    };
+    const help = 'Description for some awesome stuff:';
+
+    const result = parseArgs({ args, options, help });
+    const printUsage =
+    'Description for some awesome stuff:\n' +
+    '-h, --help                    Prints command line options\n' +
+    '-a, --alpha <arg>             Alpha option help\n' +
+    '-b, --beta                    Beta option help\n' +
+    '-c, --charlie <arg>\n' +
+    '--delta <arg>                 Delta option help\n' +
+    '-e, --echo                    Echo option help\n' +
+    '--foxtrot <arg>               Foxtrot option help\n' +
+    '--golf                        Golf option help\n' +
+    '--hotel <arg>                 Hotel option help\n' +
+    '--india <arg>\n' +
+    '-j, --juliet                  Juliet option help\n' +
+    '-L, --looooooooooooooongHelpText <arg>\n' +
+    '                              Very long option help text for demonstration purposes';
+
+    assert.strictEqual(result.helpText, printUsage);
+  });
+
+  test('when general help text and options with no help values, then all appear in usage', () => {
+    const args = ['-a', 'val1', '--help'];
+    const help = 'Description for some awesome stuff:';
+    const options = { alpha: { type: 'string', short: 'a' }, help: { type: 'boolean' } };
+    const printUsage =
+      'Description for some awesome stuff:\n' +
+      '-a, --alpha <arg>\n' +
+      '--help';
+
+    const result = parseArgs({ args, options, help });
+
+    assert.strictEqual(result.helpText, printUsage);
+  });
+
+  test('auto-injects help option when no existing help option', () => {
+    const args = ['--foo', 'bar'];
+    const options = { foo: { type: 'string', help: 'use the foo filter' } };
+    const help = 'utility to control filters';
+
+    const result = parseArgs({ args, options, help });
+
+    assert.ok(result.helpText.includes('-h, --help                    Show help'));
+    const resultWithHelp = parseArgs({ args: ['--help'], options, help });
+    assert.strictEqual(resultWithHelp.values.help, true);
+  });
+}