diff --git a/change/@office-iss-react-native-win32-7fd6b7f9-9ded-4985-87b5-70b02f87b6c1.json b/change/@office-iss-react-native-win32-7fd6b7f9-9ded-4985-87b5-70b02f87b6c1.json
new file mode 100644
index 00000000000..f1a2dccfe31
--- /dev/null
+++ b/change/@office-iss-react-native-win32-7fd6b7f9-9ded-4985-87b5-70b02f87b6c1.json
@@ -0,0 +1,7 @@
+{
+  "type": "prerelease",
+  "comment": "fix a11yState and add support for aria-required and -multiselectable",
+  "packageName": "@office-iss/react-native-win32",
+  "email": "krsiler@microsoft.com",
+  "dependentChangeType": "patch"
+}
diff --git a/packages/@office-iss/react-native-win32-tester/src/js/examples-win32/Accessibility/AccessibilityExampleWin32.tsx b/packages/@office-iss/react-native-win32-tester/src/js/examples-win32/Accessibility/AccessibilityExampleWin32.tsx
index 904d615b7b8..6938fddca55 100644
--- a/packages/@office-iss/react-native-win32-tester/src/js/examples-win32/Accessibility/AccessibilityExampleWin32.tsx
+++ b/packages/@office-iss/react-native-win32-tester/src/js/examples-win32/Accessibility/AccessibilityExampleWin32.tsx
@@ -181,7 +181,7 @@ class MultiSelectionExample extends React.Component<{}, IMultiSelectionExampleSt
 
   public render() {
     return (
-      <ViewWin32 accessible accessibilityRole="tablist" accessibilityState={{multiselectable: true}}>
+      <ViewWin32 accessible accessibilityRole="tablist" aria-required aria-multiselectable>
         <SelectionItemComponent
           value={1}
           color="#aee8fcff"
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Components/Button.win32.js b/packages/@office-iss/react-native-win32/src/Libraries/Components/Button.win32.js
index 4cf2d0b3cfb..3a7d0c3d6b8 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Components/Button.win32.js
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Components/Button.win32.js
@@ -163,6 +163,8 @@ type ButtonProps = $ReadOnly<{|
   'aria-disabled'?: ?boolean,
   'aria-expanded'?: ?boolean,
   'aria-selected'?: ?boolean,
+  'aria-multiselectable'?: ?boolean, // Win32
+  'aria-required'?: ?boolean, // Win32
 
   /**
    * [Android] Controlling if a view fires accessibility events and if it is reported to accessibility services.
@@ -293,6 +295,8 @@ class Button extends React.Component<ButtonProps> {
       'aria-disabled': ariaDisabled,
       'aria-expanded': ariaExpanded,
       'aria-label': ariaLabel,
+      'aria-multiselectable': ariaMultiselectable, // Win32
+      'aria-required': ariaRequired, // Win32
       'aria-selected': ariaSelected,
       importantForAccessibility,
       color,
@@ -327,6 +331,9 @@ class Button extends React.Component<ButtonProps> {
       checked: ariaChecked ?? accessibilityState?.checked,
       disabled: ariaDisabled ?? accessibilityState?.disabled,
       expanded: ariaExpanded ?? accessibilityState?.expanded,
+      multiselectable:
+        ariaMultiselectable ?? accessibilityState?.multiselectable, // Win32
+      required: ariaRequired ?? accessibilityState?.required, // Win32
       selected: ariaSelected ?? accessibilityState?.selected,
     };
 
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Components/Pressable/Pressable.win32.js b/packages/@office-iss/react-native-win32/src/Libraries/Components/Pressable/Pressable.win32.js
index 77ad107b53c..0ea26fa93ec 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Components/Pressable/Pressable.win32.js
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Components/Pressable/Pressable.win32.js
@@ -74,6 +74,8 @@ type Props = $ReadOnly<{|
   'aria-disabled'?: ?boolean,
   'aria-expanded'?: ?boolean,
   'aria-selected'?: ?boolean,
+  'aria-multiselectable'?: ?boolean, // Win32
+  'aria-required'?: ?boolean, // Win32
   /**
    * A value indicating whether the accessibility elements contained within
    * this accessibility element are hidden.
@@ -257,6 +259,8 @@ function Pressable(props: Props, forwardedRef): React.Node {
     'aria-disabled': ariaDisabled,
     'aria-expanded': ariaExpanded,
     'aria-label': ariaLabel,
+    'aria-multiselectable': ariaMultiselectable, // Win32
+    'aria-required': ariaRequired, // Win32
     'aria-selected': ariaSelected,
     cancelable,
     children,
@@ -297,6 +301,8 @@ function Pressable(props: Props, forwardedRef): React.Node {
     checked: ariaChecked ?? accessibilityState?.checked,
     disabled: ariaDisabled ?? accessibilityState?.disabled,
     expanded: ariaExpanded ?? accessibilityState?.expanded,
+    multiselectable: ariaMultiselectable ?? accessibilityState?.multiselectable, // Win32
+    required: ariaRequired ?? accessibilityState?.required, // Win32
     selected: ariaSelected ?? accessibilityState?.selected,
   };
 
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/View.win32.js b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/View.win32.js
index f1530e4d6b1..674c9a1441d 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/View.win32.js
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/View.win32.js
@@ -50,6 +50,8 @@ const View: React.AbstractComponent<
       'aria-label': ariaLabel,
       'aria-labelledby': ariaLabelledBy,
       'aria-live': ariaLive,
+      'aria-multiselectable': ariaMultiselectable, // Win32
+      'aria-required': ariaRequired, // Win32
       'aria-selected': ariaSelected,
       'aria-valuemax': ariaValueMax,
       'aria-valuemin': ariaValueMin,
@@ -76,6 +78,8 @@ const View: React.AbstractComponent<
       ariaChecked != null ||
       ariaDisabled != null ||
       ariaExpanded != null ||
+      ariaMultiselectable != null ||
+      ariaRequired != null ||
       ariaSelected != null
     ) {
       _accessibilityState = {
@@ -83,6 +87,9 @@ const View: React.AbstractComponent<
         checked: ariaChecked ?? accessibilityState?.checked,
         disabled: ariaDisabled ?? accessibilityState?.disabled,
         expanded: ariaExpanded ?? accessibilityState?.expanded,
+        multiselectable:
+          ariaMultiselectable ?? accessibilityState?.multiselectable, // Win32
+        required: ariaRequired ?? accessibilityState?.required, // Win32
         selected: ariaSelected ?? accessibilityState?.selected,
       };
     }
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.d.ts b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.d.ts
index b4f96106833..c216c8544ab 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.d.ts
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.d.ts
@@ -57,6 +57,8 @@ export interface AccessibilityProps
   'aria-checked'?: boolean | 'mixed' | undefined;
   'aria-disabled'?: boolean | undefined;
   'aria-expanded'?: boolean | undefined;
+  'aria-multiselectable'?: boolean | undefined; // Win32
+  'aria-required'?: boolean | undefined; // Win32
   'aria-selected'?: boolean | undefined;
 
   /**
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.win32.js b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.win32.js
index 535fa29e56e..6736dd38e6e 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.win32.js
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewAccessibility.win32.js
@@ -152,6 +152,8 @@ export type AccessibilityState = {
   checked?: ?boolean | 'mixed',
   busy?: boolean,
   expanded?: boolean,
+  multiselectable?: boolean, // Win32
+  required?: boolean, // Win32
   ...
 };
 
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewPropTypes.win32.js b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewPropTypes.win32.js
index 1688dff7adb..4af78ef0c1f 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewPropTypes.win32.js
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Components/View/ViewPropTypes.win32.js
@@ -467,7 +467,8 @@ type WindowsViewProps = $ReadOnly<{|
 
   accessibilityPosInSet?: ?number,
   accessibilitySetSize?: ?number,
-
+  'aria-multiselectable'?: ?boolean,
+  'aria-required'?: ?boolean,
   /**
    * Specifies if the control should show System focus visuals
    */
diff --git a/packages/@office-iss/react-native-win32/src/Libraries/Image/Image.win32.js b/packages/@office-iss/react-native-win32/src/Libraries/Image/Image.win32.js
index 5ca5f4e5e9b..c15c6f90c7a 100644
--- a/packages/@office-iss/react-native-win32/src/Libraries/Image/Image.win32.js
+++ b/packages/@office-iss/react-native-win32/src/Libraries/Image/Image.win32.js
@@ -173,6 +173,8 @@ const BaseImage = (props: ImagePropsType, forwardedRef) => {
     'aria-checked': ariaChecked,
     'aria-disabled': ariaDisabled,
     'aria-expanded': ariaExpanded,
+    'aria-multiselectable': ariaMultiselectable, // Win32
+    'aria-required': ariaRequired, // Win32
     'aria-selected': ariaSelected,
     height,
     src,
@@ -185,6 +187,9 @@ const BaseImage = (props: ImagePropsType, forwardedRef) => {
     checked: ariaChecked ?? props.accessibilityState?.checked,
     disabled: ariaDisabled ?? props.accessibilityState?.disabled,
     expanded: ariaExpanded ?? props.accessibilityState?.expanded,
+    multiselectable:
+      ariaMultiselectable ?? props.accessibilityState?.multiselectable, // Win32
+    required: ariaRequired ?? props.accessibilityState?.required, // Win32
     selected: ariaSelected ?? props.accessibilityState?.selected,
   };
   const accessibilityLabel = props['aria-label'] ?? props.accessibilityLabel;