diff --git a/package.json b/package.json
index b509dae..031ad75 100644
--- a/package.json
+++ b/package.json
@@ -92,6 +92,16 @@
 				"command": "op-vscode.openLogs",
 				"title": "Open logs",
 				"category": "1Password"
+			},
+			{
+				"command": "op-vscode.ignorePattern",
+				"title": "Ignore pattern",
+				"category": "1Password"
+			},
+			{
+				"command": "op-vscode.createCustomPattern",
+				"title": "Create custom pattern",
+				"category": "1Password"
 			}
 		],
 		"configuration": [
@@ -129,6 +139,38 @@
 						"type": "boolean",
 						"default": false,
 						"description": "Log debugger data. Reload required."
+					},
+					"1password.patterns.disabled": {
+						"order": 6,
+						"type": "array",
+						"items": {
+							"type": "string"
+						},
+						"default": [],
+						"description": "Patterns that have been disabled from being suggested."
+					},
+					"1password.patterns.custom": {
+						"order": 7,
+						"type": "array",
+						"items": {
+							"type": "object",
+							"properties": {
+								"item": {
+									"type": ["string", "null"],
+									"description": "The name associated with the pattern."
+								},
+								"field": {
+									"type": ["string", "null"],
+									"description": "The field that the pattern detects (e.g., password, API token...)."
+								},
+								"pattern": {
+									"type": "string",
+									"description": "The pattern to detect."
+								}
+							}
+						},
+						"default": [],
+						"description": "User-made patterns to be detected and suggested."
 					}
 				}
 			}
diff --git a/src/configuration.ts b/src/configuration.ts
index 1a61952..82bf4d1 100644
--- a/src/configuration.ts
+++ b/src/configuration.ts
@@ -8,6 +8,8 @@ export enum ConfigKey {
 	ItemsUseSecretReferences = "items.useSecretReferences",
 	EditorSuggestStorage = "editor.suggestStorage",
 	DebugEnabled = "debug.enabled",
+	PatternsDisabled = "patterns.disabled",
+	PatternsCustom = "patterns.custom",
 }
 
 interface ConfigItems {
@@ -16,6 +18,8 @@ interface ConfigItems {
 	[ConfigKey.ItemsUseSecretReferences]: boolean;
 	[ConfigKey.EditorSuggestStorage]: boolean;
 	[ConfigKey.DebugEnabled]: boolean;
+	[ConfigKey.PatternsDisabled]: string[];
+	[ConfigKey.PatternsCustom]: object[];
 }
 
 class Config {
diff --git a/src/constants.ts b/src/constants.ts
index d5a8773..9c486b6 100644
--- a/src/constants.ts
+++ b/src/constants.ts
@@ -15,6 +15,8 @@ export const COMMANDS = {
 	INJECT_SECRETS: makeCommand("injectSecrets"),
 	CREATE_PASSWORD: makeCommand("createPassword"),
 	OPEN_LOGS: makeCommand("openLogs"),
+	IGNORE_PATTERN: makeCommand("ignorePattern"),
+	CREATE_CUSTOM_PATTERN: makeCommand("createCustomPattern"),
 };
 
 // This is only internal in that it is not exposed to the
diff --git a/src/core.ts b/src/core.ts
index 2356021..7cb3c02 100644
--- a/src/core.ts
+++ b/src/core.ts
@@ -9,6 +9,7 @@ import { Items } from "./items";
 import { logger } from "./logger";
 import { Setup } from "./setup";
 import { createOpenOPHandler, OpvsUriHandler } from "./url-utils";
+import { patterns } from "./secret-detection/patterns";
 
 export class Core {
 	public cli: CLI;
@@ -26,6 +27,14 @@ export class Core {
 			commands.registerCommand(INTERNAL_COMMANDS.AUTHENTICATE, async () =>
 				this.authenticate(),
 			),
+			commands.registerCommand(
+				COMMANDS.IGNORE_PATTERN,
+				async (id) => await patterns.disablePattern(id),
+			),
+			commands.registerCommand(
+				COMMANDS.CREATE_CUSTOM_PATTERN,
+				async () => await patterns.addCustomPattern(),
+			),
 		);
 
 		this.cli = new CLI();
diff --git a/src/language-providers/code-lens.test.ts b/src/language-providers/code-lens.test.ts
index 1156153..9a693c9 100644
--- a/src/language-providers/code-lens.test.ts
+++ b/src/language-providers/code-lens.test.ts
@@ -5,6 +5,7 @@ import GenericParser, * as genericParser from "../secret-detection/parsers/gener
 import JsonParser, * as jsonParser from "../secret-detection/parsers/json";
 import YamlParser, * as yamlParser from "../secret-detection/parsers/yaml";
 import { documentMatcher, provideCodeLenses } from "./code-lens";
+import { patterns } from "../secret-detection/patterns";
 
 describe("documentMatcher", () => {
 	const languageDocument = createDocument([], "properties", "test.js");
@@ -33,6 +34,28 @@ describe("provideCodeLenses", () => {
 		expect(codeLenses).toBeUndefined();
 	});
 
+	it("retrieves custom patterns", () => {
+		const getCustomPatternsSpy = jest
+			.spyOn(patterns, "getCustomPatterns")
+			.mockReturnValue([]);
+		jest.spyOn(config, "get").mockReturnValue(true);
+		provideCodeLenses(createDocument([]));
+		expect(getCustomPatternsSpy).toHaveBeenCalled();
+	});
+
+	it("ignores disabled patterns", () => {
+		jest.spyOn(patterns, "getDisabledPatterns").mockReturnValue(["ccard"]);
+		jest.spyOn(config, "get").mockReturnValue(true);
+		const codeLenses = provideCodeLenses(
+			createDocument([
+				"Visa 4012888888881881",
+				"MasterCard 5555555555554444",
+				"Amex 371449635398431",
+			]),
+		);
+		expect(codeLenses).toHaveLength(0);
+	});
+
 	it("uses the generic parser for an unmatched language", () => {
 		const genericParserSpy = jest
 			.spyOn(genericParser, "default")
diff --git a/src/language-providers/code-lens.ts b/src/language-providers/code-lens.ts
index 63e73c4..c555981 100644
--- a/src/language-providers/code-lens.ts
+++ b/src/language-providers/code-lens.ts
@@ -7,6 +7,8 @@ import DotEnvParser from "../secret-detection/parsers/dotenv";
 import GenericParser from "../secret-detection/parsers/generic";
 import JsonParser from "../secret-detection/parsers/json";
 import YamlParser from "../secret-detection/parsers/yaml";
+import { PatternSuggestion } from "../secret-detection/suggestion";
+import { patterns } from "../secret-detection/patterns";
 
 export const documentMatcher =
 	(document: TextDocument) => (ids: string[], exts: string[]) =>
@@ -31,19 +33,47 @@ export const provideCodeLenses = (document: TextDocument): CodeLens[] => {
 		parser = new GenericParser(document);
 	}
 
-	return parser
+	const matches = parser
 		.getMatches()
 		.filter(
 			// Ignore values within secret template variables
 			({ range, fieldValue, suggestion }) =>
 				!new RegExp(/\${{(.*?)}}/).test(fieldValue),
 		)
-		.map(
+		.filter((match) => patterns.patternsFilter(match.suggestion));
+
+	const customPatternsResult: PatternSuggestion[] =
+		patterns.getCustomPatterns();
+	const customPatterns: string[] = Array.isArray(customPatternsResult)
+		? customPatternsResult.map((suggestion) => suggestion.pattern)
+		: [];
+
+	return [
+		...matches.map(
 			({ range, fieldValue, suggestion }) =>
 				new CodeLens(range, {
 					title: "$(lock) Save in 1Password",
 					command: COMMANDS.SAVE_VALUE_TO_ITEM,
 					arguments: [[{ location: range, fieldValue, suggestion }]],
 				}),
-		);
+		),
+		...matches
+			// Don't give the option to ignore custom patterns,
+			// as they can just be deleted from the settings.json file.
+			.filter(
+				(match) =>
+					match.suggestion !== undefined &&
+					!customPatterns.includes(
+						(match.suggestion as PatternSuggestion).pattern,
+					),
+			)
+			.map(
+				({ range, fieldValue, suggestion }) =>
+					new CodeLens(range, {
+						title: "Ignore pattern",
+						command: COMMANDS.IGNORE_PATTERN,
+						arguments: [(suggestion as PatternSuggestion).id],
+					}),
+			),
+	];
 };
diff --git a/src/secret-detection/parsers/index.test.ts b/src/secret-detection/parsers/index.test.ts
index 01e3fa3..26384d4 100644
--- a/src/secret-detection/parsers/index.test.ts
+++ b/src/secret-detection/parsers/index.test.ts
@@ -5,7 +5,7 @@ import {
 	validValueIsolation,
 } from ".";
 import { sample } from "../../../test/utils";
-import { getPatternSuggestion } from "../patterns";
+import { patterns, getPatternSuggestion } from "../patterns";
 import { BRANDS } from "../suggestion";
 
 describe("findBrand", () => {
@@ -68,6 +68,14 @@ describe("matchFromRegexp", () => {
 			suggestion,
 		});
 	});
+
+	it("retrieves custom patterns", () => {
+		const customPatternsSpy = jest
+			.spyOn(patterns, "getCustomPatterns")
+			.mockReturnValue([]);
+		matchFromRegexp("test");
+		expect(customPatternsSpy).toHaveBeenCalled();
+	});
 });
 
 describe("suggestionFromKey", () => {
diff --git a/src/secret-detection/parsers/index.ts b/src/secret-detection/parsers/index.ts
index 1d1c596..07128c5 100644
--- a/src/secret-detection/parsers/index.ts
+++ b/src/secret-detection/parsers/index.ts
@@ -1,8 +1,13 @@
 import { FieldAssignmentType } from "@1password/op-js";
 import { Range, TextDocument } from "vscode";
 import { combineRegexp } from "../../utils";
-import { getPatternSuggestion, VALUE_PATTERNS } from "../patterns";
-import { BRANDS, SECRET_KEY_HINT, Suggestion } from "../suggestion";
+import { patterns, getPatternSuggestion, VALUE_PATTERNS } from "../patterns";
+import {
+	BRANDS,
+	PatternSuggestion,
+	SECRET_KEY_HINT,
+	Suggestion,
+} from "../suggestion";
 
 export interface ParserMatch {
 	range: Range;
@@ -35,6 +40,7 @@ export const patternSuggestions = [
 	...VALUE_PATTERNS,
 	getPatternSuggestion("ccard"),
 ];
+
 const patternsRegex = combineRegexp(
 	...patternSuggestions.map((detection) => new RegExp(detection.pattern)),
 );
@@ -66,7 +72,12 @@ export const matchFromRegexp = (
 	input: string,
 	partial = false,
 ): MatchDetail | undefined => {
-	const patternMatch = patternsRegex.exec(input);
+	const customPatterns: PatternSuggestion[] = patterns.getCustomPatterns();
+	const allPatternsRegex = combineRegexp(
+		patternsRegex,
+		...customPatterns.map((suggestion) => new RegExp(suggestion.pattern)),
+	);
+	const patternMatch = allPatternsRegex.exec(input);
 	if (!patternMatch) {
 		return;
 	}
@@ -84,7 +95,8 @@ export const matchFromRegexp = (
 
 	// We know that the value matches one of the patterns,
 	// now let's find out which one
-	for (const patternSuggestion of patternSuggestions) {
+	const allPatternSuggestions = [...patternSuggestions, ...customPatterns];
+	for (const patternSuggestion of allPatternSuggestions) {
 		if (new RegExp(patternSuggestion.pattern).test(value)) {
 			suggestion = patternSuggestion;
 
diff --git a/src/secret-detection/patterns.test.ts b/src/secret-detection/patterns.test.ts
index 20505ef..41bd258 100644
--- a/src/secret-detection/patterns.test.ts
+++ b/src/secret-detection/patterns.test.ts
@@ -1,5 +1,10 @@
 import testData from "./pattern-test-data.json";
-import { FIELD_TYPE_PATTERNS, getPatternSuggestion } from "./patterns";
+import {
+	FIELD_TYPE_PATTERNS,
+	getPatternSuggestion,
+	patterns,
+} from "./patterns";
+import { ConfigKey, config } from "../configuration";
 
 describe("getPatternSuggestion", () => {
 	it("should return a pattern suggestion", () => {
@@ -69,3 +74,24 @@ describe("VALUE_PATTERNS", () => {
 		expect(value).toMatchRegExp(new RegExp(patternSuggestion.pattern));
 	});
 });
+
+describe("patterns", () => {
+	describe("getDisabledPatterns", () => {
+		it("should return an empty array if no disabled patterns are set", () => {
+			expect(patterns.getDisabledPatterns()).toEqual([]);
+		});
+	});
+	describe("getCustomPatterns", () => {
+		it("should return an empty array if no custom patterns are set", () => {
+			expect(patterns.getCustomPatterns()).toEqual([]);
+		});
+	});
+	describe("patternsFilter", () => {
+		it("should filter out disabled patterns", () => {
+			jest.spyOn(patterns, "getDisabledPatterns").mockReturnValue(["ccard"]);
+			expect(
+				patterns.patternsFilter(getPatternSuggestion("ccard")),
+			).toBeFalsy();
+		});
+	});
+});
diff --git a/src/secret-detection/patterns.ts b/src/secret-detection/patterns.ts
index a816de8..4abe2f1 100644
--- a/src/secret-detection/patterns.ts
+++ b/src/secret-detection/patterns.ts
@@ -1,4 +1,68 @@
-import { PatternSuggestion } from "./suggestion";
+import { PatternSuggestion, Suggestion } from "./suggestion";
+import { window } from "vscode";
+import { config, ConfigKey } from "../configuration";
+
+export class Patterns {
+	public getCustomPatterns(): PatternSuggestion[] {
+		return config.get<PatternSuggestion[]>(ConfigKey.PatternsCustom) || [];
+	}
+
+	public getDisabledPatterns(): string[] {
+		return config.get<string[]>(ConfigKey.PatternsDisabled) || [];
+	}
+
+	public async disablePattern(id: string): Promise<void> {
+		const newDisabledPatterns = [...this.getDisabledPatterns(), id];
+		await config.set(ConfigKey.PatternsDisabled, newDisabledPatterns).then(
+			() => window.showInformationMessage(`Pattern ${id} disabled.`),
+			() => window.showErrorMessage(`Could not disable pattern.`),
+		);
+	}
+
+	public async addCustomPattern(): Promise<void> {
+		const regex = await window.showInputBox({
+			title: "Enter a regex pattern.",
+			ignoreFocusOut: true,
+		});
+
+		if (!regex || regex.length === 0) {
+			return;
+		}
+
+		const item = await window.showInputBox({
+			title: "Enter an item name (optional).",
+			ignoreFocusOut: true,
+		});
+
+		const field = await window.showInputBox({
+			title: "Enter a field name (optional).",
+			ignoreFocusOut: true,
+		});
+
+		const newPattern = {
+			item,
+			field,
+			pattern: regex,
+		};
+
+		const customPatterns = [...this.getCustomPatterns(), newPattern];
+		await config.set(ConfigKey.PatternsCustom, customPatterns).then(
+			() => window.showInformationMessage(`Custom pattern added`),
+			() => window.showErrorMessage(`Could not add custom pattern.`),
+		);
+	}
+
+	public patternsFilter(suggestion: Suggestion) {
+		// If the suggestion is not a PatternSuggestion or the suggestion is not disabled
+		return (
+			suggestion === undefined ||
+			(suggestion as PatternSuggestion).id === undefined ||
+			!this.getDisabledPatterns().includes((suggestion as PatternSuggestion).id)
+		);
+	}
+}
+
+export const patterns = new Patterns();
 
 export const getPatternSuggestion = (id: string): PatternSuggestion =>
 	[...FIELD_TYPE_PATTERNS, ...VALUE_PATTERNS].find(
@@ -248,4 +312,5 @@ export const VALUE_PATTERNS: PatternSuggestion[] = [
 		pattern: "https://chat.twilio.com/v2/Services/[A-Z0-9]{32}",
 	},
 ];
+
 /* eslint-enable sonarjs/no-duplicate-string */