diff --git a/crates/rust-analyzer/src/cli/load_cargo.rs b/crates/rust-analyzer/src/cli/load_cargo.rs
index f70d92c7f4..dfda488fb8 100644
--- a/crates/rust-analyzer/src/cli/load_cargo.rs
+++ b/crates/rust-analyzer/src/cli/load_cargo.rs
@@ -70,7 +70,7 @@ pub(crate) fn load_cargo(
         })
         .collect::<FxHashMap<_, _>>();
 
-    let proc_macro_client = if with_proc_macro {
+    let proc_macro_client = if !with_proc_macro {
         ProcMacroClient::dummy()
     } else {
         ProcMacroClient::extern_process(Path::new("ra_proc_macro_srv")).unwrap()
diff --git a/crates/rust-analyzer/src/config.rs b/crates/rust-analyzer/src/config.rs
index 4734df16ac..46a89b37ed 100644
--- a/crates/rust-analyzer/src/config.rs
+++ b/crates/rust-analyzer/src/config.rs
@@ -131,6 +131,14 @@ impl Config {
         set(value, "/cargo/allFeatures", &mut self.cargo.all_features);
         set(value, "/cargo/features", &mut self.cargo.features);
         set(value, "/cargo/loadOutDirsFromCheck", &mut self.cargo.load_out_dirs_from_check);
+
+        match get::<bool>(value, "/procMacro/enabled") {
+            Some(true) => {
+                set(value, "/procMacro/serverPath", &mut self.proc_macro_srv);
+            }
+            _ => self.proc_macro_srv = None,
+        }
+
         match get::<Vec<String>>(value, "/rustfmt/overrideCommand") {
             Some(mut args) if !args.is_empty() => {
                 let command = args.remove(0);
diff --git a/crates/rust-analyzer/src/world.rs b/crates/rust-analyzer/src/world.rs
index 6c42e1d760..b7142e83ba 100644
--- a/crates/rust-analyzer/src/world.rs
+++ b/crates/rust-analyzer/src/world.rs
@@ -64,6 +64,7 @@ pub struct WorldState {
     pub latest_requests: Arc<RwLock<LatestRequests>>,
     pub flycheck: Option<Flycheck>,
     pub diagnostics: DiagnosticCollection,
+    pub proc_macro_client: ProcMacroClient,
 }
 
 /// An immutable snapshot of the world's state at a point in time.
@@ -192,6 +193,7 @@ impl WorldState {
             latest_requests: Default::default(),
             flycheck,
             diagnostics: Default::default(),
+            proc_macro_client,
         }
     }
 
diff --git a/editors/code/package.json b/editors/code/package.json
index 5f73c8d838..d39a9b6d88 100644
--- a/editors/code/package.json
+++ b/editors/code/package.json
@@ -388,6 +388,16 @@
                     "description": "Enable logging of VS Code extensions itself",
                     "type": "boolean",
                     "default": false
+                },
+                "rust-analyzer.procMacro.enabled": {
+                    "description": "Enable Proc macro support, cargo.loadOutDirsFromCheck must be enabled.",
+                    "type": "boolean",
+                    "default": false
+                },
+                "rust-analyzer.procMacro.serverPath": {
+                    "description": "Proc macro server path",
+                    "type": "string",
+                    "default": "ra_proc_macro_srv"
                 }
             }
         },
diff --git a/editors/code/src/config.ts b/editors/code/src/config.ts
index 35a05131c8..3b2eec8baa 100644
--- a/editors/code/src/config.ts
+++ b/editors/code/src/config.ts
@@ -12,6 +12,7 @@ export class Config {
     private readonly requiresReloadOpts = [
         "serverPath",
         "cargo",
+        "procMacro",
         "files",
         "highlighting",
         "updates.channel",