diff --git a/docs/clientapi.md b/docs/clientapi.md
index cd0d4c86..9c6d09be 100644
--- a/docs/clientapi.md
+++ b/docs/clientapi.md
@@ -95,11 +95,13 @@ Ping the IRC server to show you're still alive.
 ##### `.changeNick(nick)`
 Attempt to change the clients nick on the network
 
-##### `.say(target, message [, tags])`
-Send a message to the target, optionally with tags.
+##### `.say(target, message [, tags [, options]])`
+Send a message to the target, optionally with tags. Pass `{ label: true }` as options
+to attach a labeled-response label (if the cap is enabled). The server's response will
+be emitted as a `labeled response` event.
 
-##### `.notice(target, message [, tags])`
-Send a notice to the target, optionally with tags.
+##### `.notice(target, message [, tags [, options]])`
+Send a notice to the target, optionally with tags. Accepts the same options as `.say()`.
 
 ##### `.tagmsg(target, tags)`
 Send a tagged message without content to the target
@@ -122,8 +124,10 @@ Send a CTCP request to target with any number of parameters.
 ##### `.ctcpResponse(target, type [, paramN])`
 Send a CTCP response to target with any number of parameters.
 
-##### `.action(target, message [, tags])`
-Send an action message (typically /me) to a target, optionally with tags.
+##### `.action(target, message [, tags [, options]])`
+Send an action message (typically /me) to a target, optionally with tags. Pass
+`{ label: true }` as options to attach a labeled-response label (if the cap is
+enabled). The server's response will be emitted as a `labeled response` event.
 
 ##### `.whois(nick [, cb])`
 Receive information about a user on the network if they exist. Optionally calls
diff --git a/docs/events.md b/docs/events.md
index caec0b75..892d023e 100644
--- a/docs/events.md
+++ b/docs/events.md
@@ -697,6 +697,26 @@ A `batch end <type>` event is also triggered.
 ~~~
 
 
+**labeled response**
+
+Emitted when a labeled-response is received from the server, correlating a response
+with a previously sent labeled command. The `label` property matches the label string
+returned by `say()`, `action()`, etc. when `{ label: true }` was passed.
+
+`type` will be one of `'ack'` (command produced no response), `'single'` (single message
+response), or `'batch'` (multi-message batched response).
+~~~javascript
+// ACK (no response needed)
+{ label: 'L1', type: 'ack' }
+
+// Single message response (eg. ERR_NOSUCHNICK)
+{ label: 'L2', type: 'single', command: IrcCommand }
+
+// Batched response (eg. WHOIS)
+{ label: 'L3', type: 'batch', batchType: 'labeled-response', commands: [...] }
+~~~
+
+
 **cap ls**, **cap ack**, **cap nak**, **cap list**, **cap new**, **cap del**
 
 Triggered for each `CAP` command, lists the sent capabilities list.
diff --git a/docs/ircv3.md b/docs/ircv3.md
index ebcb2121..ece20404 100644
--- a/docs/ircv3.md
+++ b/docs/ircv3.md
@@ -19,6 +19,7 @@
 * server-time
 * userhost-in-names
 * message-tags
+* labeled-response
 
 #### Extra notes
 * chghost
@@ -28,4 +29,7 @@
 * echo-message
 
   Only enabled if the client `enable_echomessage` option is `true`. Clients may not be expecting their own messages being echoed back by default so it must be enabled manually.
-  Until IRCv3 labelled replies are available, sent message confirmations will not be available. More information on the echo-message limitations can be found here https://github.com/ircv3/ircv3-specifications/pull/284/files
+
+* labeled-response
+
+  Automatically enabled when `enable_echomessage` is `true` (requires batch, which is always requested). Pass `{ label: true }` as options to `say()`, `notice()`, or `action()` to attach a label. The server's response will trigger a `labeled response` event on the client with the matching label. See [events.md](events.md) for the event format.
diff --git a/src/client.js b/src/client.js
index 628f4f76..9adb8480 100644
--- a/src/client.js
+++ b/src/client.js
@@ -73,6 +73,10 @@ module.exports = class IrcClient extends EventEmitter {
     createStructure() {
         const client = this;
 
+        // Labeled-response tracking
+        client._labelCounter = 0;
+        client._pendingLabels = new Map();
+
         // Provides middleware hooks for either raw IRC commands or the easier to use parsed commands
         client.raw_middleware = new MiddlewareHandler();
         client.parsed_middleware = new MiddlewareHandler();
@@ -121,6 +125,10 @@ module.exports = class IrcClient extends EventEmitter {
             client.network.cap.enabled = [];
             client.network.cap.available.clear();
 
+            // Clear any pending labeled-response entries from the previous connection
+            client._pendingLabels.clear();
+            client._labelCounter = 0;
+
             client.command_handler.resetCache();
         });
 
@@ -419,6 +427,42 @@ module.exports = class IrcClient extends EventEmitter {
         }
     }
 
+    /**
+     * ==== labeled-response support ====
+     */
+    _nextLabel() {
+        this._labelCounter = (this._labelCounter + 1) % 1000000;
+        return 'L' + this._labelCounter;
+    }
+
+    _applyLabel(tags) {
+        if (!this.network.cap.isEnabled('labeled-response')) {
+            return null;
+        }
+
+        const label = this._nextLabel();
+        tags.label = label;
+        this._pendingLabels.set(label, { time: Date.now() });
+        return label;
+    }
+
+    _resolvePendingLabel(label, data) {
+        const pending = this._pendingLabels.get(label);
+        if (pending) {
+            if (pending.timer) {
+                clearTimeout(pending.timer);
+            }
+            this._pendingLabels.delete(label);
+        }
+
+        const event = Object.assign({ label: label }, data);
+        this.emit('labeled response', event);
+    }
+
+    /**
+     * ==== end labeled-response support ====
+     */
+
     rawString(input) {
         let args;
 
@@ -451,7 +495,11 @@ module.exports = class IrcClient extends EventEmitter {
         this.raw('NICK', nick);
     }
 
-    sendMessage(commandName, target, message, tags) {
+    sendMessage(commandName, target, message, tags, options) {
+        const label_requested = options && options.label;
+        let label_applied = false;
+        const use_tags = label_requested || (tags && Object.keys(tags).length);
+
         const lines = message
             .split(/\r\n|\n|\r/)
             .filter(i => i);
@@ -469,9 +517,16 @@ module.exports = class IrcClient extends EventEmitter {
             ];
 
             blocks.forEach(block => {
-                if (tags && Object.keys(tags).length) {
+                if (use_tags) {
                     const msg = new IrcMessage(commandName, target, block);
-                    msg.tags = tags;
+                    msg.tags = Object.assign(Object.create(null), tags || {});
+
+                    // Servers respond once per label
+                    if (label_requested && !label_applied) {
+                        this._applyLabel(msg.tags);
+                        label_applied = true;
+                    }
+
                     this.raw(msg);
                 } else {
                     this.raw(commandName, target, block);
@@ -480,12 +535,12 @@ module.exports = class IrcClient extends EventEmitter {
         });
     }
 
-    say(target, message, tags) {
-        return this.sendMessage('PRIVMSG', target, message, tags);
+    say(target, message, tags, options) {
+        return this.sendMessage('PRIVMSG', target, message, tags, options);
     }
 
-    notice(target, message, tags) {
-        return this.sendMessage('NOTICE', target, message, tags);
+    notice(target, message, tags, options) {
+        return this.sendMessage('NOTICE', target, message, tags, options);
     }
 
     tagmsg(target, tags = {}) {
@@ -662,8 +717,11 @@ module.exports = class IrcClient extends EventEmitter {
         );
     }
 
-    action(target, message, tags) {
+    action(target, message, tags, options) {
         const that = this;
+        const label_requested = options && options.label;
+        let label_applied = false;
+        const has_tags = tags && Object.keys(tags).length;
 
         // Maximum length of target + message we can send to the IRC server is 500 characters
         // but we need to leave extra room for the sender prefix so the entire message can
@@ -677,10 +735,15 @@ module.exports = class IrcClient extends EventEmitter {
         const blocks = [...lineBreak(message, { bytes: blockLength, allowBreakingWords: true, allowBreakingGraphemes: true })];
 
         blocks.forEach(function(block) {
-            const ctcpBody = String.fromCharCode(1) + commandName + ' ' + block + String.fromCharCode(1);
-            if (tags && Object.keys(tags).length) {
+            const should_label = label_requested && !label_applied;
+            if (has_tags || should_label) {
+                const ctcpBody = String.fromCharCode(1) + commandName + ' ' + block + String.fromCharCode(1);
                 const msg = new IrcMessage('PRIVMSG', target, ctcpBody);
-                msg.tags = tags;
+                msg.tags = has_tags ? Object.assign(Object.create(null), tags) : Object.create(null);
+                if (should_label) {
+                    that._applyLabel(msg.tags);
+                    label_applied = true;
+                }
                 that.raw(msg);
             } else {
                 that.ctcpRequest(target, commandName, block);
diff --git a/src/commands/handler.js b/src/commands/handler.js
index 2cb46aff..db357a2c 100644
--- a/src/commands/handler.js
+++ b/src/commands/handler.js
@@ -49,6 +49,18 @@ module.exports = class IrcCommandHandler extends EventEmitter {
                 // has already sent the end batch command.
             }
         } else {
+            // Check for labeled-response on non-batched single-message responses.
+            // Batched labeled responses are handled in the BATCH end handler.
+            // ACK is handled in its own handler.
+            const label = irc_command.getTag('label');
+            if (label && irc_command.command !== 'BATCH' && irc_command.command !== 'ACK') {
+                irc_command.label = label;
+                this.client._resolvePendingLabel(label, {
+                    type: 'single',
+                    command: irc_command,
+                });
+            }
+
             this.executeCommand(irc_command);
         }
     }
diff --git a/src/commands/handlers/messaging.js b/src/commands/handlers/messaging.js
index afc967c9..ae5b71bc 100644
--- a/src/commands/handlers/messaging.js
+++ b/src/commands/handlers/messaging.js
@@ -44,7 +44,8 @@ const handlers = {
                 tags: command.tags,
                 time: time,
                 account: command.getTag('account'),
-                batch: command.batch
+                batch: command.batch,
+                label: command.label || command.getTag('label') || undefined,
             });
         }
     },
@@ -76,7 +77,8 @@ const handlers = {
                     tags: command.tags,
                     time: time,
                     account: command.getTag('account'),
-                    batch: command.batch
+                    batch: command.batch,
+                    label: command.label || command.getTag('label') || undefined,
                 });
             } else if (ctcp_command === 'VERSION' && handler.connection.options.version) {
                 handler.connection.write(util.format(
@@ -111,7 +113,8 @@ const handlers = {
                 tags: command.tags,
                 time: time,
                 account: command.getTag('account'),
-                batch: command.batch
+                batch: command.batch,
+                label: command.label || command.getTag('label') || undefined,
             });
         }
     },
diff --git a/src/commands/handlers/misc.js b/src/commands/handlers/misc.js
index f85e5c88..f6c7b537 100644
--- a/src/commands/handlers/misc.js
+++ b/src/commands/handlers/misc.js
@@ -306,6 +306,15 @@ const handlers = {
 
     NOTE: standardReply,
 
+    ACK: function(command, handler) {
+        const label = command.getTag('label');
+        if (label) {
+            handler.client._resolvePendingLabel(label, {
+                type: 'ack',
+            });
+        }
+    },
+
     BATCH: function(command, handler) {
         const batch_start = command.params[0].substr(0, 1) === '+';
         const batch_id = command.params[0].substr(1);
@@ -321,6 +330,14 @@ const handlers = {
             cache.type = command.params[1];
             cache.params = command.params.slice(2);
 
+            // If the batch start has a label tag, store it for resolution
+            // when the batch ends (per labeled-response spec, the label is
+            // on the BATCH + opener)
+            const label = command.getTag('label');
+            if (label) {
+                cache.label = label;
+            }
+
             return;
         }
 
@@ -336,13 +353,23 @@ const handlers = {
             id: batch_id,
             type: cache.type,
             params: cache.params,
-            commands: cache.commands
+            commands: cache.commands,
+            label: cache.label || null,
         };
 
         // Destroy the cache object before executing each command. If one
         // errors out then we don't have the cache object stuck in memory.
         cache.destroy();
 
+        // Resolve the pending labeled-response if this batch was labeled
+        if (emit_obj.label) {
+            handler.client._resolvePendingLabel(emit_obj.label, {
+                type: 'batch',
+                batchType: emit_obj.type,
+                commands: emit_obj.commands,
+            });
+        }
+
         handler.emit('batch start', emit_obj);
         handler.emit('batch start ' + emit_obj.type, emit_obj);
         emit_obj.commands.forEach((c) => {
@@ -351,6 +378,9 @@ const handlers = {
                 type: cache.type,
                 params: cache.params
             };
+            if (emit_obj.label) {
+                c.label = emit_obj.label;
+            }
             handler.executeCommand(c);
         });
         handler.emit('batch end', emit_obj);
diff --git a/src/commands/handlers/registration.js b/src/commands/handlers/registration.js
index 7d9daf97..7875bc84 100644
--- a/src/commands/handlers/registration.js
+++ b/src/commands/handlers/registration.js
@@ -169,6 +169,11 @@ const handlers = {
         if (handler.connection.options.enable_standardreplies) {
             want.push('standard-replies');
         }
+        if (handler.connection.options.enable_echomessage) {
+            // labeled-response requires batch and is most
+            // useful alongside echo-message for correlating sent messages
+            want.push('labeled-response');
+        }
 
         want = _.uniq(want.concat(handler.request_extra_caps));