diff --git a/src/compiler/checker.ts b/src/compiler/checker.ts
index cfad47b65336f..d14efb247e106 100644
--- a/src/compiler/checker.ts
+++ b/src/compiler/checker.ts
@@ -33681,9 +33681,33 @@ namespace ts {
                     return grammarErrorOnNode(withMinus ? node.parent : node, diagnosticMessage, literal);
                 }
             }
+
+            // Realism (size) checking
+            checkNumericLiteralValueSize(node);
+
             return false;
         }
 
+        function checkNumericLiteralValueSize(node: NumericLiteral) {
+            // Scientific notation (e.g. 2e54 and 1e00000000010) can't be converted to bigint
+            // Literals with 15 or fewer characters aren't long enough to reach past 2^53 - 1
+            // Fractional numbers (e.g. 9000000000000000.001) are inherently imprecise anyway
+            if (node.numericLiteralFlags & TokenFlags.Scientific || node.text.length <= 15 || node.text.indexOf(".") !== -1) {
+                return;
+            }
+
+            // We can't rely on the runtime to accurately store and compare extremely large numeric values
+            // Even for internal use, we use getTextOfNode: https://github.com/microsoft/TypeScript/issues/33298
+            // Thus, if the runtime claims a too-large number is lower than Number.MAX_SAFE_INTEGER,
+            // it's likely addition operations on it will fail too
+            const apparentValue = +getTextOfNode(node);
+            if (apparentValue <= 2 ** 53 - 1 && apparentValue + 1 > apparentValue) {
+                return;
+            }
+
+            addErrorOrSuggestion(/*isError*/ false, createDiagnosticForNode(node, Diagnostics.Numeric_literals_with_absolute_values_equal_to_2_53_or_greater_are_too_large_to_be_represented_accurately_as_integers));
+        }
+
         function checkGrammarBigIntLiteral(node: BigIntLiteral): boolean {
             const literalType = isLiteralTypeNode(node.parent) ||
                 isPrefixUnaryExpression(node.parent) && isLiteralTypeNode(node.parent.parent);
diff --git a/src/compiler/diagnosticMessages.json b/src/compiler/diagnosticMessages.json
index b296c224d089d..188977298d827 100644
--- a/src/compiler/diagnosticMessages.json
+++ b/src/compiler/diagnosticMessages.json
@@ -4643,6 +4643,10 @@
         "category": "Suggestion",
         "code": 80007
     },
+    "Numeric literals with absolute values equal to 2^53 or greater are too large to be represented accurately as integers.": {
+        "category": "Suggestion",
+        "code": 80008
+    },
 
     "Add missing 'super()' call": {
         "category": "Message",
@@ -5124,6 +5128,14 @@
         "category": "Message",
         "code": 95090
     },
+    "Convert to a bigint numeric literal": {
+        "category": "Message",
+        "code": 95091
+    },
+    "Convert all to bigint numeric literals": {
+        "category": "Message",
+        "code": 95092
+    },
 
     "No value exists in scope for the shorthand property '{0}'. Either declare one or provide an initializer.": {
         "category": "Error",
diff --git a/src/services/codefixes/useBigintLiteral.ts b/src/services/codefixes/useBigintLiteral.ts
new file mode 100644
index 0000000000000..0749cc1a677b6
--- /dev/null
+++ b/src/services/codefixes/useBigintLiteral.ts
@@ -0,0 +1,33 @@
+/* @internal */
+namespace ts.codefix {
+    const fixId = "useBigintLiteral";
+    const errorCodes = [
+        Diagnostics.Numeric_literals_with_absolute_values_equal_to_2_53_or_greater_are_too_large_to_be_represented_accurately_as_integers.code,
+    ];
+
+    registerCodeFix({
+        errorCodes,
+        getCodeActions: context => {
+            const changes = textChanges.ChangeTracker.with(context, t => makeChange(t, context.sourceFile, context.span));
+            if (changes.length > 0) {
+                return [createCodeFixAction(fixId, changes, Diagnostics.Convert_to_a_bigint_numeric_literal, fixId, Diagnostics.Convert_all_to_bigint_numeric_literals)];
+            }
+        },
+        fixIds: [fixId],
+        getAllCodeActions: context => {
+            return codeFixAll(context, errorCodes, (changes, diag) => makeChange(changes, diag.file, diag));
+        },
+    });
+
+    function makeChange(changeTracker: textChanges.ChangeTracker, sourceFile: SourceFile, span: TextSpan) {
+        const numericLiteral = tryCast(getTokenAtPosition(sourceFile, span.start), isNumericLiteral);
+        if (!numericLiteral) {
+            return;
+        }
+
+        // We use .getText to overcome parser inaccuracies: https://github.com/microsoft/TypeScript/issues/33298
+        const newText = numericLiteral.getText(sourceFile) + "n";
+
+        changeTracker.replaceNode(sourceFile, numericLiteral, createBigIntLiteral(newText));
+    }
+}
diff --git a/src/services/tsconfig.json b/src/services/tsconfig.json
index 6b52393422c98..74495bc54f88b 100644
--- a/src/services/tsconfig.json
+++ b/src/services/tsconfig.json
@@ -79,6 +79,7 @@
         "codefixes/fixStrictClassInitialization.ts",
         "codefixes/requireInTs.ts",
         "codefixes/useDefaultImport.ts",
+        "codefixes/useBigintLiteral.ts",
         "codefixes/fixAddModuleReferTypeMissingTypeof.ts",
         "codefixes/convertToMappedObjectType.ts",
         "codefixes/removeUnnecessaryAwait.ts",
diff --git a/tests/cases/fourslash/codeFixUseBigIntLiteral.ts b/tests/cases/fourslash/codeFixUseBigIntLiteral.ts
new file mode 100644
index 0000000000000..dcdff381af332
--- /dev/null
+++ b/tests/cases/fourslash/codeFixUseBigIntLiteral.ts
@@ -0,0 +1,73 @@
+/// <reference path="fourslash.ts" />
+////9007199254740991;
+////-9007199254740991;
+////9007199254740992;
+////-9007199254740992;
+////9007199254740993;
+////-9007199254740993;
+////9007199254740994;
+////-9007199254740994;
+////0x19999999999998;
+////-0x19999999999998;
+////0x19999999999999;
+////-0x19999999999999;
+////0x20000000000000;
+////-0x20000000000000;
+////0x20000000000001;
+////-0x20000000000001;
+////2e52;
+////2e53;
+////2e54;
+////1e00000000010;
+
+verify.codeFix({
+  description: ts.Diagnostics.Convert_to_a_bigint_numeric_literal.message,
+  index: 0,
+  newFileContent:
+`9007199254740991;
+-9007199254740991;
+9007199254740992n;
+-9007199254740992;
+9007199254740993;
+-9007199254740993;
+9007199254740994;
+-9007199254740994;
+0x19999999999998;
+-0x19999999999998;
+0x19999999999999;
+-0x19999999999999;
+0x20000000000000;
+-0x20000000000000;
+0x20000000000001;
+-0x20000000000001;
+2e52;
+2e53;
+2e54;
+1e00000000010;`
+});
+
+verify.codeFixAll({
+  fixAllDescription: ts.Diagnostics.Convert_all_to_bigint_numeric_literals.message, 
+  fixId: "useBigintLiteral",
+  newFileContent:
+`9007199254740991;
+-9007199254740991;
+9007199254740992n;
+-9007199254740992n;
+9007199254740993n;
+-9007199254740993n;
+9007199254740994n;
+-9007199254740994n;
+0x19999999999998;
+-0x19999999999998;
+0x19999999999999;
+-0x19999999999999;
+0x20000000000000n;
+-0x20000000000000n;
+0x20000000000001n;
+-0x20000000000001n;
+2e52;
+2e53;
+2e54;
+1e00000000010;`
+});