Abstract: Associations between symptoms of posttraumatic stress disorder (PTSD) and relationship distress are well-established in research examining veterans and their romantic partners. Partner accommodation of PTSD symptoms has been identified as an important construct that has ties to both veteran PTSD symptoms and relationship distress. However, our understanding of accommodation and PTSD has not been tested in couples who are seeking couples therapy. The present study sought to investigate the role of veterans’ PTSD symptoms, partners’ accommodation, and depression of both, in relationship satisfaction in 181 couples (male veterans and female partners) presenting for couples therapy at a VA Medical Center. Results suggest that in this sample, accommodation by partners of veterans is significantly negatively associated with their own and veterans’ relationship satisfaction. Depression of both members of the couple was also negatively associated with relationship satisfaction, while veterans’ PTSD symptoms were not consistently linked to relationship satisfaction of either partner. These Findings highlight the importance of assessing for accommodation in couples therapy. Integrating modification of accommodation behaviors into couples therapy may help improve couples therapy outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved) — The present study suggests that for male veterans with female partners seeking couples therapy, ways that partners accommodate symptoms of veterans’ posttraumatic stress disorder (PTSD) symptoms play an important role in relationship distress, while both partners’ depression symptoms also were problematic for the relationship. Surprisingly, veterans’ PTSD symptoms were not linked to relationship distress. Findings may inform couples therapy with veterans, specifically in the context of depression and/or PTSD. (PsycInfo Database Record (c) 2023 APA, all rights reserved)