diff --git a/internal/core/format.go b/internal/core/format.go
index 36593771..0d499dc8 100755
--- a/internal/core/format.go
+++ b/internal/core/format.go
@@ -58,6 +58,7 @@ var FormatByExtension = map[string][]string{
 	`\.(?:css)$`:                             {".css", "code"},
 	`\.(?:cs|csx)$`:                          {".c", "code"},
 	`\.(?:dita)$`:                            {".dita", "markup"},
+	`\.(?:ex|exs)$`:                          {".ex", "code"},
 	`\.(?:go)$`:                              {".go", "code"},
 	`\.(?:hs)$`:                              {".hs", "code"},
 	`\.(?:html|htm|shtml|xhtml)$`:            {".html", "markup"},
diff --git a/internal/lint/code/comments_test.go b/internal/lint/code/comments_test.go
index 1a075391..98da593c 100644
--- a/internal/lint/code/comments_test.go
+++ b/internal/lint/code/comments_test.go
@@ -71,3 +71,50 @@ func TestComments(t *testing.T) {
 		}
 	}
 }
+
+// TestPredicateOnlyCapture covers the underscore convention: a capture that
+// exists for a predicate to test is not itself linted.
+//
+// Without it, testing one node and extracting another is impossible -- the
+// only testable node is the one you extract -- which is what the Elixir doc
+// attributes need (the attribute name decides, the heredoc is the prose).
+func TestPredicateOnlyCapture(t *testing.T) {
+	source := []byte("defmodule M do\n  @moduledoc \"Prose.\"\nend\n")
+
+	lang, err := GetLanguageFromExt(".ex")
+	if err != nil {
+		t.Fatal(err)
+	}
+
+	comments, err := GetComments(source, lang)
+	if err != nil {
+		t.Fatal(err)
+	}
+
+	if len(comments) != 1 {
+		t.Fatalf("got %d comments, want 1: %v", len(comments), comments)
+	} else if comments[0].Text != "Prose." {
+		t.Errorf("got %q, want %q", comments[0].Text, "Prose.")
+	}
+}
+
+// TestDocAttributesWithoutProse covers the attributes that hold no prose:
+// `@doc false` hides a function and `@doc since:` is metadata. Neither has a
+// string argument, so neither is extracted.
+func TestDocAttributesWithoutProse(t *testing.T) {
+	source := []byte("defmodule M do\n  @doc false\n  @doc since: \"1.0.0\"\n  def f, do: :ok\nend\n")
+
+	lang, err := GetLanguageFromExt(".ex")
+	if err != nil {
+		t.Fatal(err)
+	}
+
+	comments, err := GetComments(source, lang)
+	if err != nil {
+		t.Fatal(err)
+	}
+
+	if len(comments) != 0 {
+		t.Errorf("got %d comments, want 0: %v", len(comments), comments)
+	}
+}
diff --git a/internal/lint/code/ex.go b/internal/lint/code/ex.go
new file mode 100644
index 00000000..0170de8d
--- /dev/null
+++ b/internal/lint/code/ex.go
@@ -0,0 +1,54 @@
+package code
+
+import (
+	"regexp"
+
+	"github.com/errata-ai/vale/v3/internal/core"
+	"github.com/smacker/go-tree-sitter/elixir"
+)
+
+// Elixir extracts `#` comments and the prose held by the `@moduledoc`,
+// `@doc`, `@typedoc` and `@shortdoc` attributes.
+//
+// The attributes are the point. Elixir has no documentation comment syntax:
+// its API documentation lives in module attributes holding a string or a
+// heredoc, and that is what `mix docs` publishes and what a reader of the
+// module reads first. A comment-only pass sees the asides and none of the
+// documentation.
+//
+// They are given a `doc` meta scope -- `text.comment.doc.line` and
+// `text.comment.doc.block` -- so that published documentation can be held to
+// a different standard than an implementation note, or excluded on its own.
+//
+// The queries capture `quoted_content`, the body of the string, rather than
+// the string itself. That leaves the delimiters out of the extracted text
+// without a `Delims` pattern having to take them off, which matters for the
+// single-quoted form: stripping its `"` with a regex would also strip any
+// quote written inside the prose. `@doc false` and `@doc since: "1.0"` carry
+// no prose, and neither matches a query that requires a string or sigil.
+func Elixir() *Language {
+	return &Language{
+		Delims: regexp.MustCompile(`#`),
+		Parser: elixir.GetLanguage(),
+		Queries: []core.Scope{
+			{Name: "", Expr: `(comment) @comment`, Type: ""},
+			// `@` applied to a call whose target names a documentation
+			// attribute and whose argument is a string or sigil.
+			//
+			// The attribute name is tested through `@_attr`, a
+			// predicate-only capture, so that the prose can be captured on
+			// its own.
+			{Name: "doc", Expr: `((unary_operator
+  operand: (call
+    target: (identifier) @_attr
+    (arguments [
+      (string (quoted_content) @comment)
+      (sigil (quoted_content) @comment)
+    ])))
+ (#match? @_attr "^(module|type|short)?doc$"))`, Type: ""},
+		},
+		Padding: func(s string) int {
+			return computePadding(s, []string{"#"})
+		},
+	}
+}
diff --git a/internal/lint/code/lang.go b/internal/lint/code/lang.go
index 7ed28f4b..4686e955 100644
--- a/internal/lint/code/lang.go
+++ b/internal/lint/code/lang.go
@@ -45,6 +45,8 @@ func GetLanguageFromExt(ext string) (*Language, error) {
 		return Python(), nil
 	case ".rb":
 		return Ruby(), nil
+	case ".ex":
+		return Elixir(), nil
 	case ".cpp":
 		return Cpp(), nil
 	case ".c":
diff --git a/internal/lint/code/query.go b/internal/lint/code/query.go
index 4fc9df4e..b630678e 100644
--- a/internal/lint/code/query.go
+++ b/internal/lint/code/query.go
@@ -50,6 +50,16 @@ func (qe *QueryEngine) run(meta string, q *sitter.Query, source []byte) []Commen
 
 		m = qc.FilterPredicates(m, source)
 		for _, c := range m.Captures {
+			// A capture named with a leading underscore exists for a
+			// predicate to test, not to be linted -- the convention
+			// tree-sitter itself uses for internal captures. Without this,
+			// the only way to test one node and extract another is to test
+			// the node you extract, which forces a query to capture more
+			// than the prose it wants.
+			if strings.HasPrefix(q.CaptureNameForId(uint32(c.Index)), "_") {
+				continue
+			}
+
 			rText := c.Node.Content(source)
 			row := int(c.Node.StartPoint().Row)
 			offset := int(c.Node.StartPoint().Column)
diff --git a/testdata/comments/in/8.ex b/testdata/comments/in/8.ex
new file mode 100644
index 00000000..84f8cdc9
--- /dev/null
+++ b/testdata/comments/in/8.ex
@@ -0,0 +1,29 @@
+defmodule Test do
+  @moduledoc """
+  NOTE: a heredoc doc attribute.
+
+      iex> Test.run()
+      :ok
+
+  FIXME: indented content keeps its indentation.
+  """
+
+  # NOTE: a line comment
+  # XXX: continued on the next line
+
+  @doc "TODO: a single-quoted doc attribute."
+  def run, do: :ok
+
+  @doc false
+  def hidden, do: :ok
+
+  @typedoc ~S"""
+  XXX: a sigil doc attribute.
+  """
+  @type t :: term()
+
+  def code do
+    _ = "TODO: a string, not a comment"
+    :ok  # FIXME: a trailing comment
+  end
+end
diff --git a/testdata/comments/in/9.exs b/testdata/comments/in/9.exs
new file mode 100644
index 00000000..f2824d89
--- /dev/null
+++ b/testdata/comments/in/9.exs
@@ -0,0 +1,8 @@
+# A script's leading comment.
+Mix.install([:jason])
+
+defmodule Script do
+  @moduledoc "One line of documentation."
+  @doc since: "1.0.0"
+  def run, do: :ok
+end
diff --git a/testdata/comments/out/8.json b/testdata/comments/out/8.json
new file mode 100644
index 00000000..2bfdda05
--- /dev/null
+++ b/testdata/comments/out/8.json
@@ -0,0 +1,37 @@
+[
+    {
+        "Text": "NOTE: a heredoc doc attribute.\n\n    iex\u003e Test.run()\n    :ok\n\nFIXME: indented content keeps its indentation.\n\n",
+        "Source": "NOTE: a heredoc doc attribute.\n\n      iex\u003e Test.run()\n      :ok\n\n  FIXME: indented content keeps its indentation.\n  ",
+        "Line": 3,
+        "Offset": 2,
+        "Scope": "text.comment.doc.block"
+    },
+    {
+        "Text": "NOTE: a line comment\nXXX: continued on the next line\n",
+        "Source": "# NOTE: a line comment\n# XXX: continued on the next line\n",
+        "Line": 11,
+        "Offset": 2,
+        "Scope": "text.comment.line"
+    },
+    {
+        "Text": "TODO: a single-quoted doc attribute.",
+        "Source": "TODO: a single-quoted doc attribute.",
+        "Line": 14,
+        "Offset": 8,
+        "Scope": "text.comment.doc.line"
+    },
+    {
+        "Text": "XXX: a sigil doc attribute.\n  \n",
+        "Source": "XXX: a sigil doc attribute.\n  ",
+        "Line": 21,
+        "Offset": 2,
+        "Scope": "text.comment.doc.block"
+    },
+    {
+        "Text": "FIXME: a trailing comment",
+        "Source": "# FIXME: a trailing comment",
+        "Line": 27,
+        "Offset": 9,
+        "Scope": "text.comment.line"
+    }
+]
\ No newline at end of file
diff --git a/testdata/comments/out/9.json b/testdata/comments/out/9.json
new file mode 100644
index 00000000..80089fa7
--- /dev/null
+++ b/testdata/comments/out/9.json
@@ -0,0 +1,16 @@
+[
+    {
+        "Text": "A script's leading comment.",
+        "Source": "# A script's leading comment.",
+        "Line": 1,
+        "Offset": 0,
+        "Scope": "text.comment.line"
+    },
+    {
+        "Text": "One line of documentation.",
+        "Source": "One line of documentation.",
+        "Line": 5,
+        "Offset": 14,
+        "Scope": "text.comment.doc.line"
+    }
+]
\ No newline at end of file
diff --git a/testdata/e2e/lint.yaml b/testdata/e2e/lint.yaml
index aaef90cc..b80b896c 100644
--- a/testdata/e2e/lint.yaml
+++ b/testdata/e2e/lint.yaml
@@ -1222,6 +1222,18 @@ cases:
       test.lua:9:6:vale.Annotations:'XXX' left in text
       test.lua:15:4:vale.Annotations:'TODO' left in text
 
+  - name: elixir
+    args: test.ex
+    exit: 0
+    want: |
+      test.ex:3:3:vale.Annotations:'NOTE' left in text
+      test.ex:8:3:vale.Annotations:'FIXME' left in text
+      test.ex:11:5:vale.Annotations:'NOTE' left in text
+      test.ex:12:5:vale.Annotations:'XXX' left in text
+      test.ex:14:9:vale.Annotations:'TODO' left in text
+      test.ex:21:3:vale.Annotations:'XXX' left in text
+      test.ex:27:12:vale.Annotations:'FIXME' left in text
+
   - name: haskell
     args: test.hs
     exit: 0
diff --git a/testdata/fixtures/formats/test.ex b/testdata/fixtures/formats/test.ex
new file mode 100644
index 00000000..84f8cdc9
--- /dev/null
+++ b/testdata/fixtures/formats/test.ex
@@ -0,0 +1,29 @@
+defmodule Test do
+  @moduledoc """
+  NOTE: a heredoc doc attribute.
+
+      iex> Test.run()
+      :ok
+
+  FIXME: indented content keeps its indentation.
+  """
+
+  # NOTE: a line comment
+  # XXX: continued on the next line
+
+  @doc "TODO: a single-quoted doc attribute."
+  def run, do: :ok
+
+  @doc false
+  def hidden, do: :ok
+
+  @typedoc ~S"""
+  XXX: a sigil doc attribute.
+  """
+  @type t :: term()
+
+  def code do
+    _ = "TODO: a string, not a comment"
+    :ok  # FIXME: a trailing comment
+  end
+end