diff --git a/CHANGELOG.md b/CHANGELOG.md
index 9040109d..6c70aad2 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -1,5 +1,11 @@
 # Changelog
 
+## [Unreleased]
+
+### Fixed
+
+- Fixed `snapshot_ui` returning empty accessibility hierarchy on iOS 26+ simulators by auto-enabling accessibility defaults at simulator boot ([#290](https://github.com/getsentry/XcodeBuildMCP/issues/290)).
+
 ## [2.3.2]
 
 ### Fixed
diff --git a/src/mcp/tools/simulator/__tests__/boot_sim.test.ts b/src/mcp/tools/simulator/__tests__/boot_sim.test.ts
index 1ad047db..29200af6 100644
--- a/src/mcp/tools/simulator/__tests__/boot_sim.test.ts
+++ b/src/mcp/tools/simulator/__tests__/boot_sim.test.ts
@@ -83,6 +83,36 @@ describe('boot_sim tool', () => {
       });
     });
 
+    it('should handle already-booted simulator and still enable accessibility', async () => {
+      const executorCalls: string[][] = [];
+      const mockExecutor = async (
+        command: string[],
+        description?: string,
+        allowStderr?: boolean,
+        opts?: { cwd?: string },
+        detached?: boolean,
+      ) => {
+        executorCalls.push(command);
+        void description;
+        void allowStderr;
+        void opts;
+        void detached;
+        if (command.includes('boot')) {
+          return createMockCommandResponse({
+            success: false,
+            error: 'Unable to boot device in current state: Booted',
+          });
+        }
+        return createMockCommandResponse({ success: true, output: '0' });
+      };
+
+      const result = await boot_simLogic({ simulatorId: 'test-uuid-123' }, mockExecutor);
+
+      expect(result.content[0].text).toBe('Simulator is already booted.');
+      // Should have called accessibility write after detecting already-booted
+      expect(executorCalls.some((cmd) => cmd.join(' ').includes('defaults write'))).toBe(true);
+    });
+
     it('should handle exception with Error object', async () => {
       const mockExecutor = async () => {
         throw new Error('Connection failed');
@@ -142,7 +172,8 @@ describe('boot_sim tool', () => {
 
       await boot_simLogic({ simulatorId: 'test-uuid-123' }, mockExecutor);
 
-      expect(calls).toHaveLength(1);
+      // First call is the boot command; subsequent calls are from ensureSimulatorAccessibility
+      expect(calls.length).toBeGreaterThanOrEqual(1);
       expect(calls[0]).toEqual({
         command: ['xcrun', 'simctl', 'boot', 'test-uuid-123'],
         description: 'Boot Simulator',
diff --git a/src/mcp/tools/simulator/boot_sim.ts b/src/mcp/tools/simulator/boot_sim.ts
index ba356254..f33cf6ee 100644
--- a/src/mcp/tools/simulator/boot_sim.ts
+++ b/src/mcp/tools/simulator/boot_sim.ts
@@ -7,6 +7,7 @@ import {
   createSessionAwareTool,
   getSessionAwareToolSchemaShape,
 } from '../../../utils/typed-tool-factory.ts';
+import { ensureSimulatorAccessibility } from '../../../utils/simulator-accessibility.ts';
 
 const baseSchemaObject = z.object({
   simulatorId: z
@@ -49,16 +50,37 @@ export async function boot_simLogic(
     const result = await executor(command, 'Boot Simulator', false);
 
     if (!result.success) {
+      // If the simulator is already booted, still ensure accessibility defaults
+      const alreadyBooted =
+        result.error?.includes('Unable to boot device in current state: Booted') ?? false;
+      if (alreadyBooted) {
+        await ensureSimulatorAccessibility(params.simulatorId, executor);
+      }
       return {
         content: [
           {
             type: 'text',
-            text: `Boot simulator operation failed: ${result.error}`,
+            text: alreadyBooted
+              ? 'Simulator is already booted.'
+              : `Boot simulator operation failed: ${result.error}`,
           },
         ],
+        ...(alreadyBooted && {
+          nextStepParams: {
+            open_sim: {},
+            install_app_sim: { simulatorId: params.simulatorId, appPath: 'PATH_TO_YOUR_APP' },
+            launch_app_sim: {
+              simulatorId: params.simulatorId,
+              bundleId: 'YOUR_APP_BUNDLE_ID',
+            },
+          },
+        }),
       };
     }
 
+    // Ensure accessibility defaults are enabled (required for UI hierarchy on iOS 26+)
+    await ensureSimulatorAccessibility(params.simulatorId, executor);
+
     return {
       content: [
         {
diff --git a/src/mcp/tools/simulator/build_run_sim.ts b/src/mcp/tools/simulator/build_run_sim.ts
index 08bd0136..356cf83f 100644
--- a/src/mcp/tools/simulator/build_run_sim.ts
+++ b/src/mcp/tools/simulator/build_run_sim.ts
@@ -22,6 +22,7 @@ import { determineSimulatorUuid } from '../../../utils/simulator-utils.ts';
 import { nullifyEmptyStrings } from '../../../utils/schema-helpers.ts';
 import { inferPlatform } from '../../../utils/infer-platform.ts';
 import { constructDestinationString } from '../../../utils/xcode.ts';
+import { ensureSimulatorAccessibility } from '../../../utils/simulator-accessibility.ts';
 
 // Unified schema: XOR between projectPath and workspacePath, and XOR between simulatorId and simulatorName
 const baseOptions = {
@@ -346,6 +347,9 @@ export async function build_run_simLogic(
       } else {
         log('info', `Simulator ${simulatorId} is already booted`);
       }
+
+      // Ensure accessibility defaults are enabled (required for UI hierarchy on iOS 26+)
+      await ensureSimulatorAccessibility(simulatorId, executor);
     } catch (error) {
       const errorMessage = error instanceof Error ? error.message : String(error);
       log('error', `Error checking/booting simulator: ${errorMessage}`);
diff --git a/src/utils/__tests__/simulator-accessibility.test.ts b/src/utils/__tests__/simulator-accessibility.test.ts
new file mode 100644
index 00000000..b51ffc51
--- /dev/null
+++ b/src/utils/__tests__/simulator-accessibility.test.ts
@@ -0,0 +1,120 @@
+import { describe, it, expect } from 'vitest';
+import {
+  createMockExecutor,
+  createCommandMatchingMockExecutor,
+  createMockCommandResponse,
+} from '../../test-utils/mock-executors.ts';
+import type { CommandExecutor } from '../execution/index.ts';
+import { ensureSimulatorAccessibility } from '../simulator-accessibility.ts';
+
+const SIM_UUID = '12345678-1234-4234-8234-123456789012';
+
+describe('ensureSimulatorAccessibility', () => {
+  it('should always write both accessibility flags', async () => {
+    const executorCalls: string[][] = [];
+    const mockExecutor = createCommandMatchingMockExecutor({
+      'defaults write': { success: true, output: '' },
+    });
+
+    const trackingExecutor: CommandExecutor = async (...args) => {
+      executorCalls.push(args[0] as string[]);
+      return mockExecutor(...args);
+    };
+
+    await ensureSimulatorAccessibility(SIM_UUID, trackingExecutor);
+
+    expect(executorCalls).toHaveLength(2);
+    expect(executorCalls[0].join(' ')).toContain('AccessibilityEnabled');
+    expect(executorCalls[0].join(' ')).toContain('defaults write');
+    expect(executorCalls[1].join(' ')).toContain('ApplicationAccessibilityEnabled');
+    expect(executorCalls[1].join(' ')).toContain('defaults write');
+  });
+
+  it('should not throw when executor throws', async () => {
+    const mockExecutor = createMockExecutor(new Error('spawn failed'));
+
+    // Should not throw
+    await ensureSimulatorAccessibility(SIM_UUID, mockExecutor);
+  });
+
+  it('should attempt second write even when first executor call throws', async () => {
+    const executorCalls: string[][] = [];
+    const callCount = { n: 0 };
+    const mockExecutor: CommandExecutor = async (command) => {
+      executorCalls.push(command as string[]);
+      callCount.n++;
+      if (callCount.n === 1) {
+        throw new Error('spawn failed');
+      }
+      return createMockCommandResponse({ success: true, output: '' });
+    };
+
+    await ensureSimulatorAccessibility(SIM_UUID, mockExecutor);
+
+    // Second write should still be attempted even when first throws
+    expect(executorCalls).toHaveLength(2);
+    expect(executorCalls[1].join(' ')).toContain('ApplicationAccessibilityEnabled');
+  });
+
+  it('should attempt both writes even when first write fails', async () => {
+    const executorCalls: string[][] = [];
+    const callCount = { n: 0 };
+    const mockExecutor: CommandExecutor = async (command) => {
+      executorCalls.push(command as string[]);
+      callCount.n++;
+      if (callCount.n === 1) {
+        return createMockCommandResponse({ success: false, error: 'write failed' });
+      }
+      return createMockCommandResponse({ success: true, output: '' });
+    };
+
+    await ensureSimulatorAccessibility(SIM_UUID, mockExecutor);
+
+    // Both writes should be attempted even when first fails
+    expect(executorCalls).toHaveLength(2);
+  });
+
+  it('should not throw when first write fails', async () => {
+    const mockExecutor = createCommandMatchingMockExecutor({
+      'AccessibilityEnabled -bool': { success: false, error: 'write failed' },
+    });
+
+    // Should not throw
+    await ensureSimulatorAccessibility(SIM_UUID, mockExecutor);
+  });
+
+  it('should pass correct simctl spawn commands', async () => {
+    const executorCalls: string[][] = [];
+    const mockExecutor: CommandExecutor = async (command) => {
+      executorCalls.push(command as string[]);
+      return createMockCommandResponse({ success: true, output: '' });
+    };
+
+    await ensureSimulatorAccessibility(SIM_UUID, mockExecutor);
+
+    expect(executorCalls[0]).toEqual([
+      'xcrun',
+      'simctl',
+      'spawn',
+      SIM_UUID,
+      'defaults',
+      'write',
+      'com.apple.Accessibility',
+      'AccessibilityEnabled',
+      '-bool',
+      'true',
+    ]);
+    expect(executorCalls[1]).toEqual([
+      'xcrun',
+      'simctl',
+      'spawn',
+      SIM_UUID,
+      'defaults',
+      'write',
+      'com.apple.Accessibility',
+      'ApplicationAccessibilityEnabled',
+      '-bool',
+      'true',
+    ]);
+  });
+});
diff --git a/src/utils/simulator-accessibility.ts b/src/utils/simulator-accessibility.ts
new file mode 100644
index 00000000..88db59d4
--- /dev/null
+++ b/src/utils/simulator-accessibility.ts
@@ -0,0 +1,82 @@
+import type { CommandExecutor } from './execution/index.ts';
+import { log } from './logging/index.ts';
+
+const LOG_PREFIX = '[Simulator]';
+
+/**
+ * Ensure accessibility defaults are enabled on a simulator.
+ * On iOS 26+ fresh simulators, AccessibilityEnabled and ApplicationAccessibilityEnabled
+ * default to 0, which prevents accessibility hierarchy queries from returning any elements.
+ *
+ * Both flags are written unconditionally on every call — defaults write is idempotent
+ * and avoids a partial-state problem where only checking one flag could skip the second.
+ * Failures are logged but never propagated — accessibility setup should not block boot.
+ */
+export async function ensureSimulatorAccessibility(
+  simulatorId: string,
+  executor: CommandExecutor,
+): Promise<void> {
+  let a11yOk = false;
+  let appA11yOk = false;
+
+  try {
+    const writeA11y = await executor(
+      [
+        'xcrun',
+        'simctl',
+        'spawn',
+        simulatorId,
+        'defaults',
+        'write',
+        'com.apple.Accessibility',
+        'AccessibilityEnabled',
+        '-bool',
+        'true',
+      ],
+      `${LOG_PREFIX}: enable AccessibilityEnabled`,
+    );
+    a11yOk = writeA11y.success;
+    if (!a11yOk) {
+      log('warn', `${LOG_PREFIX}: Failed to enable AccessibilityEnabled: ${writeA11y.error}`);
+    }
+  } catch (error) {
+    log(
+      'warn',
+      `${LOG_PREFIX}: Failed to enable AccessibilityEnabled: ${error instanceof Error ? error.message : String(error)}`,
+    );
+  }
+
+  try {
+    const writeAppA11y = await executor(
+      [
+        'xcrun',
+        'simctl',
+        'spawn',
+        simulatorId,
+        'defaults',
+        'write',
+        'com.apple.Accessibility',
+        'ApplicationAccessibilityEnabled',
+        '-bool',
+        'true',
+      ],
+      `${LOG_PREFIX}: enable ApplicationAccessibilityEnabled`,
+    );
+    appA11yOk = writeAppA11y.success;
+    if (!appA11yOk) {
+      log(
+        'warn',
+        `${LOG_PREFIX}: Failed to enable ApplicationAccessibilityEnabled: ${writeAppA11y.error}`,
+      );
+    }
+  } catch (error) {
+    log(
+      'warn',
+      `${LOG_PREFIX}: Failed to enable ApplicationAccessibilityEnabled: ${error instanceof Error ? error.message : String(error)}`,
+    );
+  }
+
+  if (a11yOk && appA11yOk) {
+    log('info', `${LOG_PREFIX}: Accessibility defaults enabled for simulator ${simulatorId}`);
+  }
+}