diff --git a/packages/core/src/shared/ui/common/regionSubmenu.ts b/packages/core/src/shared/ui/common/regionSubmenu.ts
index fde9f0545e4..c8c054c57ea 100644
--- a/packages/core/src/shared/ui/common/regionSubmenu.ts
+++ b/packages/core/src/shared/ui/common/regionSubmenu.ts
@@ -5,11 +5,13 @@
 import * as vscode from 'vscode'
 import globals from '../../extensionGlobals'
 import { isValidResponse, StepEstimator } from '../../wizards/wizard'
-import { createQuickPick, ExtendedQuickPickOptions, ItemLoadTypes } from '../pickerPrompter'
+import { createQuickPick, DataQuickPickItem, ExtendedQuickPickOptions, ItemLoadTypes } from '../pickerPrompter'
 import { Prompter, PromptResult } from '../prompter'
 import { createRegionPrompter } from './region'
 import { QuickPickPrompter } from '../pickerPrompter'
 import { Region } from '../../regions/endpoints'
+import { createRefreshButton } from '../buttons'
+import { getLogger } from '../../logger'
 
 const switchRegion = Symbol('switchRegion')
 
@@ -22,6 +24,23 @@ export class RegionSubmenu<T> extends Prompter<RegionSubmenuResponse<T>> {
     private currentState: 'data' | 'region' = 'data'
     private steps?: [current: number, total: number]
     public activePrompter?: QuickPickPrompter<typeof switchRegion | T> | QuickPickPrompter<Region>
+    private readonly defaultItems: DataQuickPickItem<typeof switchRegion | T>[] = [
+        {
+            label: 'Actions',
+            kind: vscode.QuickPickItemKind.Separator,
+            data: undefined,
+        },
+        {
+            label: 'Switch Region',
+            data: switchRegion,
+            description: `current region: ${this.currentRegion}`,
+        },
+        {
+            label: this.separatorLabel,
+            kind: vscode.QuickPickItemKind.Separator,
+            data: undefined,
+        },
+    ]
 
     public constructor(
         private readonly itemsProvider: (region: string) => ItemLoadTypes<T>,
@@ -33,30 +52,32 @@ export class RegionSubmenu<T> extends Prompter<RegionSubmenuResponse<T>> {
         super()
     }
 
+    public refresh(prompter: QuickPickPrompter<T | typeof switchRegion>): void {
+        // This method cannot be async due to onClick() specifications. Thus we are forced to use .then, .catch as workaround.
+        const activeBefore = prompter.quickPick.activeItems
+        prompter
+            .clearAndLoadItems(this.itemsProvider(this.currentRegion))
+            .then(() => {
+                prompter.quickPick.items = [...this.defaultItems, ...prompter.quickPick.items]
+                prompter.quickPick.activeItems = activeBefore
+            })
+            .catch((e) => {
+                getLogger().error('clearAndLoadItems failed: %s', (e as Error).message)
+            })
+    }
+
     private createMenuPrompter() {
-        const prompter = createQuickPick<T | typeof switchRegion>(
-            this.itemsProvider(this.currentRegion),
-            this.dataOptions as ExtendedQuickPickOptions<T | typeof switchRegion>
-        )
-
-        prompter.quickPick.items = [
-            {
-                label: 'Actions',
-                kind: vscode.QuickPickItemKind.Separator,
-                data: undefined,
-            },
-            {
-                label: 'Switch Region',
-                data: switchRegion,
-                description: `current region: ${this.currentRegion}`,
-            },
-            {
-                label: this.separatorLabel,
-                kind: vscode.QuickPickItemKind.Separator,
-                data: undefined,
-            },
-            ...prompter.quickPick.items,
-        ]
+        const refreshButton = createRefreshButton()
+        const items = this.itemsProvider(this.currentRegion)
+        const prompter = createQuickPick<T | typeof switchRegion>(items, {
+            ...this.dataOptions,
+            buttons: [...(this.dataOptions?.buttons ?? []), refreshButton],
+        } as ExtendedQuickPickOptions<T | typeof switchRegion>)
+
+        prompter.quickPick.items = [...this.defaultItems, ...prompter.quickPick.items]
+
+        refreshButton.onClick = () => this.refresh(prompter)
+
         return prompter
     }
 
diff --git a/packages/core/src/test/shared/ui/prompters/regionSubmenu.test.ts b/packages/core/src/test/shared/ui/prompters/regionSubmenu.test.ts
index c0b2613d268..10b9ceb1d90 100644
--- a/packages/core/src/test/shared/ui/prompters/regionSubmenu.test.ts
+++ b/packages/core/src/test/shared/ui/prompters/regionSubmenu.test.ts
@@ -4,6 +4,7 @@
  */
 
 import assert from 'assert'
+import * as sinon from 'sinon'
 import { RegionSubmenu } from '../../../../shared/ui/common/regionSubmenu'
 import { DataQuickPickItem, QuickPickPrompter } from '../../../../shared/ui/pickerPrompter'
 import { createQuickPickPrompterTester } from '../../../shared/ui/testUtils'
@@ -12,7 +13,7 @@ describe('regionSubmenu', function () {
     let submenuPrompter: RegionSubmenu<string>
 
     const region1Data = ['option1a', 'option2a', 'option3a']
-    const region2Data = ['option1b', 'option2b', 'option3b']
+    let region2Data = ['option1b', 'option2b', 'option3b']
 
     before(async function () {
         const mockDataProvider = function (regionCode: string) {
@@ -64,4 +65,34 @@ describe('regionSubmenu', function () {
             data: 'option2b',
         })
     })
+
+    it('only has a refresh button', function () {
+        const activeButtons = submenuPrompter.activePrompter!.quickPick.buttons
+        assert.strictEqual(activeButtons.length, 1)
+    })
+
+    it('refresh button calls refresh once onClick', function () {
+        const refreshButton = submenuPrompter.activePrompter!.quickPick.buttons[0]
+        const refreshStub = sinon.stub(RegionSubmenu.prototype, 'refresh')
+        refreshButton.onClick!()
+        sinon.assert.calledOnce(refreshStub)
+        sinon.restore()
+    })
+
+    it('refresh reloads items', async function () {
+        const itemsBeforeLabels = submenuPrompter.activePrompter!.quickPick.items.map((i) => i.label)
+        region2Data = ['option1c', 'option2c', 'option3c']
+
+        // Note that onDidChangeBusy event fires with busy=false when we load new items in.
+        // Since regionSubmenu retroactively adds the default items, they won't be there yet.
+        // So we don't check for them in test to avoid looking at implementation level details.
+        submenuPrompter.activePrompter!.onDidChangeBusy((b: boolean) => {
+            if (!b) {
+                const itemsAfterLabels = submenuPrompter.activePrompter!.quickPick.items.map((i) => i.label)
+                region2Data.forEach((item) => assert(itemsAfterLabels.includes(item)))
+                assert.notStrictEqual(itemsBeforeLabels, itemsAfterLabels)
+            }
+        })
+        submenuPrompter.refresh(submenuPrompter.activePrompter! as QuickPickPrompter<any>)
+    })
 })
diff --git a/packages/toolkit/.changes/next-release/Feature-8f11662c-6a2c-45cf-82e4-bb85e0b3adb0.json b/packages/toolkit/.changes/next-release/Feature-8f11662c-6a2c-45cf-82e4-bb85e0b3adb0.json
new file mode 100644
index 00000000000..8c51547a599
--- /dev/null
+++ b/packages/toolkit/.changes/next-release/Feature-8f11662c-6a2c-45cf-82e4-bb85e0b3adb0.json
@@ -0,0 +1,4 @@
+{
+	"type": "Feature",
+	"description": "UI: region-related quickpicks now have a refresh button"
+}