diff --git a/CHANGES.rst b/CHANGES.rst
index a992fc6bbf..bffdbdce80 100644
--- a/CHANGES.rst
+++ b/CHANGES.rst
@@ -1,7 +1,8 @@
 Version 3.1.0
 -------------
 
-Unreleased
+-   Provide a configuration option to control automatic option
+    responses. :pr:`5496`
 
 
 Version 3.0.3
diff --git a/docs/config.rst b/docs/config.rst
index 7828fb92a1..a10ab317a9 100644
--- a/docs/config.rst
+++ b/docs/config.rst
@@ -280,6 +280,12 @@ The following configuration values are used internally by Flask:
     ``4093``. Larger cookies may be silently ignored by browsers. Set to
     ``0`` to disable the warning.
 
+.. py.data:: PROVIDE_AUTOMATIC_OPTIONS
+
+    Set to ``False`` to disable the automatic addition of OPTIONS
+    responses. This can be overridden per route by altering the
+    ``provide_automatic_options`` attribute.
+
 .. versionadded:: 0.4
    ``LOGGER_NAME``
 
@@ -331,6 +337,10 @@ The following configuration values are used internally by Flask:
 .. versionchanged:: 2.3
     ``ENV`` was removed.
 
+.. versionadded:: 3.10
+    Added :data:`PROVIDE_AUTOMATIC_OPTIONS` to control the default
+    addition of autogenerated OPTIONS responses.
+
 
 Configuring from Python Files
 -----------------------------
diff --git a/src/flask/app.py b/src/flask/app.py
index 7622b5e838..5124233c72 100644
--- a/src/flask/app.py
+++ b/src/flask/app.py
@@ -198,6 +198,7 @@ class Flask(App):
             "PREFERRED_URL_SCHEME": "http",
             "TEMPLATES_AUTO_RELOAD": None,
             "MAX_COOKIE_SIZE": 4093,
+            "PROVIDE_AUTOMATIC_OPTIONS": True,
         }
     )
 
diff --git a/src/flask/sansio/app.py b/src/flask/sansio/app.py
index 01fd5dbfae..4c93c249af 100644
--- a/src/flask/sansio/app.py
+++ b/src/flask/sansio/app.py
@@ -638,7 +638,7 @@ def add_url_rule(
             )
 
         if provide_automatic_options is None:
-            if "OPTIONS" not in methods:
+            if "OPTIONS" not in methods and self.config["PROVIDE_AUTOMATIC_OPTIONS"]:
                 provide_automatic_options = True
                 required_methods.add("OPTIONS")
             else: