diff --git a/doc/agentic.txt b/doc/agentic.txt
index d7f54a2f..cd7d14b5 100644
--- a/doc/agentic.txt
+++ b/doc/agentic.txt
@@ -303,6 +303,14 @@ settings ~
                        window after submitting a prompt.
                        Default: `true`.
 
+                                          *agentic-config-provider-switcher*
+provider_switcher ~
+  Type: `table`
+
+  `hide_unhealthy_providers`  Hide providers whose command is not installed
+                       from the provider switcher UI.
+                       Default: `false`.
+
                                           *agentic-config-hooks*
 hooks ~
   Type: `table`
diff --git a/lua/agentic/config_default.lua b/lua/agentic/config_default.lua
index 2e6e209c..89000a58 100644
--- a/lua/agentic/config_default.lua
+++ b/lua/agentic/config_default.lua
@@ -177,6 +177,10 @@
 --- @field on_session_update? fun(data: agentic.UserConfig.SessionUpdateData): nil
 --- @field on_file_edit? fun(data: agentic.UserConfig.FileEditData): nil
 
+--- Provider switcher UI behavior
+--- @class agentic.UserConfig.ProviderSwitcher
+--- @field hide_unhealthy_providers boolean Hide providers whose command is not installed
+
 --- Control various behaviors and features of the plugin
 --- @class agentic.UserConfig.Settings
 --- @field move_cursor_to_chat_on_submit boolean Automatically move cursor to chat window after submitting a prompt
@@ -201,6 +205,7 @@
 --- @class (partial) agentic.PartialUserConfig.DiffPreview: agentic.UserConfig.DiffPreview
 --- @class (partial) agentic.PartialUserConfig.Folding.ToolCalls: agentic.UserConfig.Folding.ToolCalls
 --- @class (partial) agentic.PartialUserConfig.Settings: agentic.UserConfig.Settings
+--- @class (partial) agentic.PartialUserConfig.ProviderSwitcher: agentic.UserConfig.ProviderSwitcher
 
 --- Windows partial with nested type overrides
 --- @class (partial) agentic.PartialUserConfig.Windows: agentic.UserConfig.Windows
@@ -232,6 +237,7 @@
 --- @field diff_preview? agentic.PartialUserConfig.DiffPreview
 --- @field folding? agentic.PartialUserConfig.Folding
 --- @field settings? agentic.PartialUserConfig.Settings
+--- @field provider_switcher? agentic.PartialUserConfig.ProviderSwitcher
 
 --- @class agentic.UserConfig
 --- @field debug boolean Enable printing debug messages which can be read via `:messages`
@@ -253,6 +259,7 @@
 --- @field hooks agentic.UserConfig.Hooks
 --- @field headers agentic.UserConfig.Headers
 --- @field settings agentic.UserConfig.Settings
+--- @field provider_switcher agentic.UserConfig.ProviderSwitcher
 local ConfigDefault = {
     debug = false,
 
@@ -491,6 +498,10 @@ local ConfigDefault = {
     settings = {
         move_cursor_to_chat_on_submit = true,
     },
+
+    provider_switcher = {
+        hide_unhealthy_providers = false,
+    },
 }
 
 return ConfigDefault
diff --git a/lua/agentic/session_registry.lua b/lua/agentic/session_registry.lua
index 1e47a6f4..9dd1a963 100644
--- a/lua/agentic/session_registry.lua
+++ b/lua/agentic/session_registry.lua
@@ -106,7 +106,14 @@ function SessionRegistry.select_provider(on_selected)
         end
     end
 
-    vim.list_extend(sorted_providers, not_installed)
+    if not Config.provider_switcher.hide_unhealthy_providers then
+        vim.list_extend(sorted_providers, not_installed)
+    elseif #sorted_providers == 0 then
+        Logger.notify(
+            "No healthy providers found. Showing unavailable providers."
+        )
+        vim.list_extend(sorted_providers, not_installed)
+    end
 
     vim.ui.select(sorted_providers, {
         prompt = "Select an ACP provider for the new session:",
diff --git a/lua/agentic/session_registry.test.lua b/lua/agentic/session_registry.test.lua
index ae945c26..b885c646 100644
--- a/lua/agentic/session_registry.test.lua
+++ b/lua/agentic/session_registry.test.lua
@@ -59,6 +59,9 @@ describe("agentic.SessionRegistry", function()
             ["claude-acp"] = { command = "claude-code-acp" },
             ["gemini-acp"] = { command = "gemini" },
         },
+        provider_switcher = {
+            hide_unhealthy_providers = true,
+        },
     }
 
     default_config_mock = {
@@ -105,6 +108,9 @@ describe("agentic.SessionRegistry", function()
             ["claude-acp"] = { command = "claude-code-acp" },
             ["gemini-acp"] = { command = "gemini" },
         }
+        config_mock.provider_switcher = {
+            hide_unhealthy_providers = true,
+        }
         default_config_mock.provider = "claude-acp"
 
         session_manager_mock.new = function(_, tab_page_id)
@@ -487,6 +493,47 @@ describe("agentic.SessionRegistry", function()
             assert.is_nil(result)
         end)
 
+        describe("hide_unhealthy_providers", function()
+            before_each(function()
+                acp_health_mock.get_default_provider_names = function()
+                    return { "claude-acp", "gemini-acp" }
+                end
+                acp_health_mock.is_command_available = function(cmd)
+                    return cmd == "claude-code-acp"
+                end
+            end)
+
+            it(
+                "excludes not-installed providers when hide_unhealthy_providers is true",
+                function()
+                    config_mock.provider_switcher =
+                        { hide_unhealthy_providers = true }
+
+                    SessionRegistry.select_provider(function() end)
+
+                    assert.equal(1, #captured_items)
+                    assert.equal("claude-acp", captured_items[1].name)
+                    assert.is_true(captured_items[1].installed)
+                end
+            )
+
+            it(
+                "includes not-installed providers when hide_unhealthy_providers is false",
+                function()
+                    config_mock.provider_switcher =
+                        { hide_unhealthy_providers = false }
+
+                    SessionRegistry.select_provider(function() end)
+
+                    assert.equal(2, #captured_items)
+                    assert.equal("claude-acp", captured_items[1].name)
+                    assert.is_true(captured_items[1].installed)
+                    assert.equal("gemini-acp", captured_items[2].name)
+                    assert.is_false(captured_items[2].installed)
+                end
+            )
+        end)
+
         describe("format_item labels", function()
             before_each(function()
                 acp_health_mock.get_default_provider_names = function()