diff --git a/Sources/RemindCore/EventKitStore.swift b/Sources/RemindCore/EventKitStore.swift
index e44dc89..382f7fc 100644
--- a/Sources/RemindCore/EventKitStore.swift
+++ b/Sources/RemindCore/EventKitStore.swift
@@ -102,6 +102,16 @@ public actor RemindersStore {
     reminder.priority = draft.priority.eventKitValue
     if let dueDate = draft.dueDate {
       reminder.dueDateComponents = calendarComponents(from: dueDate)
+      // Add alarm if urgent flag is set
+      if draft.urgent {
+        // Set priority to high for urgent reminders
+        reminder.priority = 1  // High priority
+        
+        // Add alarm with sound
+        let alarm = EKAlarm(absoluteDate: dueDate)
+        alarm.soundName = "Alarm"  // System alarm sound
+        reminder.addAlarm(alarm)
+      }
     }
     try eventStore.save(reminder, commit: true)
     return ReminderItem(
@@ -112,6 +122,7 @@ public actor RemindersStore {
       completionDate: reminder.completionDate,
       priority: ReminderPriority(eventKitValue: Int(reminder.priority)),
       dueDate: date(from: reminder.dueDateComponents),
+      hasAlarm: reminder.hasAlarms,
       listID: reminder.calendar.calendarIdentifier,
       listName: reminder.calendar.title
     )
@@ -153,6 +164,7 @@ public actor RemindersStore {
       completionDate: reminder.completionDate,
       priority: ReminderPriority(eventKitValue: Int(reminder.priority)),
       dueDate: date(from: reminder.dueDateComponents),
+      hasAlarm: reminder.hasAlarms,
       listID: reminder.calendar.calendarIdentifier,
       listName: reminder.calendar.title
     )
@@ -173,6 +185,7 @@ public actor RemindersStore {
           completionDate: reminder.completionDate,
           priority: ReminderPriority(eventKitValue: Int(reminder.priority)),
           dueDate: date(from: reminder.dueDateComponents),
+          hasAlarm: reminder.hasAlarms,
           listID: reminder.calendar.calendarIdentifier,
           listName: reminder.calendar.title
         )
@@ -212,6 +225,7 @@ public actor RemindersStore {
       let completionDate: Date?
       let priority: Int
       let dueDateComponents: DateComponents?
+      let hasAlarm: Bool
       let listID: String
       let listName: String
     }
@@ -228,6 +242,7 @@ public actor RemindersStore {
             completionDate: reminder.completionDate,
             priority: Int(reminder.priority),
             dueDateComponents: reminder.dueDateComponents,
+            hasAlarm: reminder.hasAlarms,
             listID: reminder.calendar.calendarIdentifier,
             listName: reminder.calendar.title
           )
@@ -245,6 +260,7 @@ public actor RemindersStore {
         completionDate: data.completionDate,
         priority: ReminderPriority(eventKitValue: data.priority),
         dueDate: date(from: data.dueDateComponents),
+        hasAlarm: data.hasAlarm,
         listID: data.listID,
         listName: data.listName
       )
@@ -284,6 +300,7 @@ public actor RemindersStore {
       completionDate: reminder.completionDate,
       priority: ReminderPriority(eventKitValue: Int(reminder.priority)),
       dueDate: date(from: reminder.dueDateComponents),
+      hasAlarm: reminder.hasAlarms,
       listID: reminder.calendar.calendarIdentifier,
       listName: reminder.calendar.title
     )
diff --git a/Sources/RemindCore/Models.swift b/Sources/RemindCore/Models.swift
index 5f4fe90..1f9eb6a 100644
--- a/Sources/RemindCore/Models.swift
+++ b/Sources/RemindCore/Models.swift
@@ -51,6 +51,7 @@ public struct ReminderItem: Identifiable, Codable, Sendable, Equatable {
   public let completionDate: Date?
   public let priority: ReminderPriority
   public let dueDate: Date?
+  public let hasAlarm: Bool
   public let listID: String
   public let listName: String
 
@@ -62,6 +63,7 @@ public struct ReminderItem: Identifiable, Codable, Sendable, Equatable {
     completionDate: Date?,
     priority: ReminderPriority,
     dueDate: Date?,
+    hasAlarm: Bool = false,
     listID: String,
     listName: String
   ) {
@@ -72,6 +74,7 @@ public struct ReminderItem: Identifiable, Codable, Sendable, Equatable {
     self.completionDate = completionDate
     self.priority = priority
     self.dueDate = dueDate
+    self.hasAlarm = hasAlarm
     self.listID = listID
     self.listName = listName
   }
@@ -82,12 +85,14 @@ public struct ReminderDraft: Sendable {
   public let notes: String?
   public let dueDate: Date?
   public let priority: ReminderPriority
+  public let urgent: Bool
 
-  public init(title: String, notes: String?, dueDate: Date?, priority: ReminderPriority) {
+  public init(title: String, notes: String?, dueDate: Date?, priority: ReminderPriority, urgent: Bool = false) {
     self.title = title
     self.notes = notes
     self.dueDate = dueDate
     self.priority = priority
+    self.urgent = urgent
   }
 }
 
diff --git a/Sources/remindctl/Commands/AddCommand.swift b/Sources/remindctl/Commands/AddCommand.swift
index 571bc25..791f8de 100644
--- a/Sources/remindctl/Commands/AddCommand.swift
+++ b/Sources/remindctl/Commands/AddCommand.swift
@@ -24,6 +24,9 @@ enum AddCommand {
               help: "none|low|medium|high",
               parsing: .singleValue
             ),
+          ],
+          flags: [
+            .make(label: "urgent", names: [.short("u"), .long("urgent")], help: "Set alarm at due time (requires --due)"),
           ]
         )
       ),
@@ -31,6 +34,7 @@ enum AddCommand {
         "remindctl add \"Buy milk\"",
         "remindctl add --title \"Call mom\" --list Personal --due tomorrow",
         "remindctl add \"Review docs\" --priority high",
+        "remindctl add \"Meeting\" --due \"2026-02-01 14:00\" --urgent",
       ]
     ) { values, runtime in
       let titleOption = values.option("title")
@@ -56,10 +60,16 @@ enum AddCommand {
       let notes = values.option("notes")
       let dueValue = values.option("due")
       let priorityValue = values.option("priority")
+      let urgent = values.flag("urgent")
 
       let dueDate = try dueValue.map(CommandHelpers.parseDueDate)
       let priority = try priorityValue.map(CommandHelpers.parsePriority) ?? .none
 
+      // Urgent requires a due date
+      if urgent && dueDate == nil {
+        throw RemindCoreError.operationFailed("--urgent requires --due to be set")
+      }
+
       let store = RemindersStore()
       try await store.requestAccess()
 
@@ -73,7 +83,7 @@ enum AddCommand {
         throw RemindCoreError.operationFailed("No default list found. Specify --list.")
       }
 
-      let draft = ReminderDraft(title: title, notes: notes, dueDate: dueDate, priority: priority)
+      let draft = ReminderDraft(title: title, notes: notes, dueDate: dueDate, priority: priority, urgent: urgent)
       let reminder = try await store.createReminder(draft, listName: targetList)
       OutputRenderer.printReminder(reminder, format: runtime.outputFormat)
     }