diff --git a/devservices/config.yml b/devservices/config.yml
index 514bb94432d7..8bfa916cfe5f 100644
--- a/devservices/config.yml
+++ b/devservices/config.yml
@@ -400,9 +400,9 @@ x-programs:
   devserver:
     command: sentry devserver
   taskworker:
-    command: sentry run taskworker
+    command: sentry run taskworker --autoreload
   taskworker-sentry:
-    command: sentry run taskworker --rpc-host localhost:50052
+    command: sentry run taskworker --autoreload --rpc-host localhost:50052
   taskworker-scheduler:
     command: sentry run taskworker-scheduler
   ingest-events:
diff --git a/src/sentry/runner/commands/devserver.py b/src/sentry/runner/commands/devserver.py
index b218b58c25e5..0e524fab267d 100644
--- a/src/sentry/runner/commands/devserver.py
+++ b/src/sentry/runner/commands/devserver.py
@@ -39,6 +39,13 @@ def _get_daemon(name: str) -> tuple[str, list[str]]:
     return name, _DEFAULT_DAEMONS[name]
 
 
+def _get_taskworker_daemon(reload: bool) -> tuple[str, list[str]]:
+    name, command = _get_daemon("taskworker")
+    if reload:
+        command = [*command, "--autoreload"]
+    return name, command
+
+
 @click.command()
 @click.option(
     "--reload/--no-reload",
@@ -303,7 +310,7 @@ def devserver(
                     "Disable TASKWORKER_ALWAYS_EAGER in your settings file to spawn workers."
                 )
 
-            daemons.append(_get_daemon("taskworker"))
+            daemons.append(_get_taskworker_daemon(reload))
 
             from sentry import eventstream
 
@@ -504,7 +511,10 @@ def devserver(
                 control_services.append("taskworker-scheduler")
 
             for service in control_services:
-                name, cmd = _get_daemon(service)
+                if service == "taskworker":
+                    name, cmd = _get_taskworker_daemon(reload)
+                else:
+                    name, cmd = _get_daemon(service)
                 name = f"control.{name}"
                 quiet = bool(
                     name not in (settings.DEVSERVER_LOGS_ALLOWLIST or ())
diff --git a/src/sentry/runner/commands/run.py b/src/sentry/runner/commands/run.py
index fef6376bbb29..1cd92f0afedd 100644
--- a/src/sentry/runner/commands/run.py
+++ b/src/sentry/runner/commands/run.py
@@ -1,10 +1,13 @@
 from __future__ import annotations
 
 import logging
+import multiprocessing
 import os
 import random
 import signal
+import threading
 import time
+from multiprocessing.synchronize import Event
 from typing import Any
 
 import click
@@ -234,6 +237,12 @@ def taskworker_scheduler(redis_cluster: str, **options: Any) -> None:
     default=None,
     type=int,
 )
+@click.option(
+    "--autoreload",
+    is_flag=True,
+    default=False,
+    help="Restart the worker when Python files change. For local development only.",
+)
 @log_options()
 @configuration
 def taskworker(**options: Any) -> None:
@@ -241,8 +250,71 @@ def taskworker(**options: Any) -> None:
     Run a taskworker worker
     """
     os.environ["GRPC_ENABLE_FORK_SUPPORT"] = "0"
-    # TODO(mark) restore autoreload
-    run_taskworker(**options)
+    if options.pop("autoreload"):
+        _run_taskworker_with_autoreload(**options)
+    else:
+        run_taskworker(**options)
+
+
+def _run_taskworker_with_autoreload(**options: Any) -> None:
+    # watchfiles pulls in anyio, which CLI startup must not import.
+    import watchfiles
+
+    import sentry
+    from sentry.runner.settings import discover_configs
+
+    # Run the worker in its own process so its signal handlers get the main thread.
+    # Known gap: a task still running 5s after SIGINT orphans its child and gets redelivered.
+    ready = multiprocessing.get_context("spawn").Event()
+    try:
+        watchfiles.run_process(
+            os.path.dirname(sentry.__file__),
+            discover_configs()[0],
+            target=_run_reloaded_taskworker,
+            kwargs={"ready": ready, **options},
+            callback=lambda _: _wait_for_reloaded_taskworker(ready),
+            watch_filter=watchfiles.PythonFilter(),
+        )
+    except KeyboardInterrupt:
+        # Stopped while waiting on a restart. watchfiles has already stopped
+        # the worker on its way out.
+        pass
+
+
+def _wait_for_reloaded_taskworker(ready: Event) -> None:
+    # A SIGINT before the worker registers its handler skips the shutdown that
+    # stops its children, which are then orphaned when watchfiles kills it.
+    # So hold off restarting until the handler is in place.
+    while not ready.wait(timeout=0.1):
+        if not multiprocessing.active_children():
+            break
+    ready.clear()
+
+
+def _run_reloaded_taskworker(ready: Event, **options: Any) -> None:
+    # Runs in a fresh spawned process, which has to configure Sentry again.
+    from sentry.runner import configure
+
+    threading.Thread(
+        target=_set_when_sigint_handled,
+        args=(ready, signal.getsignal(signal.SIGINT)),
+        daemon=True,
+    ).start()
+    try:
+        configure()
+        run_taskworker(**options)
+    except KeyboardInterrupt:
+        # A Ctrl-C arrived before the worker registered its SIGINT handler.
+        # Ignore the second SIGINT watchfiles sends while we exit.
+        signal.signal(signal.SIGINT, signal.SIG_IGN)
+
+
+def _set_when_sigint_handled(ready: Event, initial_handler: Any) -> None:
+    # The worker registers its handler deep inside start(), with no hook to
+    # tell us, so watch for it to replace the initial one.
+    while signal.getsignal(signal.SIGINT) is initial_handler:
+        time.sleep(0.05)
+    ready.set()
 
 
 def run_taskworker(