diff --git a/Include/object.h b/Include/object.h
index dfeb43bda7d841..dd73da54ea73de 100644
--- a/Include/object.h
+++ b/Include/object.h
@@ -290,8 +290,14 @@ _Py_IsOwnedByCurrentThread(PyObject *ob)
 }
 #endif
 
+PyAPI_FUNC(Py_ssize_t) _Py_GetRefcnt(PyObject *ob);
+
 static inline Py_ssize_t Py_REFCNT(PyObject *ob) {
-#if !defined(Py_GIL_DISABLED)
+#if defined(Py_LIMITED_API) && Py_LIMITED_API+0 >= 0x030d0000
+    // Stable ABI implements Py_SET_REFCNT() as a function call
+    // on limited C API version 3.13 and newer.
+    return _Py_GetRefcnt(ob);
+#elif !defined(Py_GIL_DISABLED)
     return ob->ob_refcnt;
 #else
     uint32_t local = _Py_atomic_load_uint32_relaxed(&ob->ob_ref_local);
diff --git a/Lib/test/test_stable_abi_ctypes.py b/Lib/test/test_stable_abi_ctypes.py
index 4976ac3642bbe4..94ac9ef344102b 100644
--- a/Lib/test/test_stable_abi_ctypes.py
+++ b/Lib/test/test_stable_abi_ctypes.py
@@ -903,6 +903,7 @@ def test_windows_feature_macros(self):
     "_Py_DecRef",
     "_Py_EllipsisObject",
     "_Py_FalseStruct",
+    "_Py_GetRefcnt",
     "_Py_IncRef",
     "_Py_NoneStruct",
     "_Py_NotImplementedStruct",
diff --git a/Misc/NEWS.d/next/C API/2023-12-05-10-39-06.gh-issue-111506.gz90Ft.rst b/Misc/NEWS.d/next/C API/2023-12-05-10-39-06.gh-issue-111506.gz90Ft.rst
new file mode 100644
index 00000000000000..9a9706c2b339f1
--- /dev/null
+++ b/Misc/NEWS.d/next/C API/2023-12-05-10-39-06.gh-issue-111506.gz90Ft.rst	
@@ -0,0 +1,2 @@
+In the limited C API version 3.13, the :c:func:`Py_REFCNT` function is now
+implemented as an opaque function call. Patch by Victor Stinner.
diff --git a/Misc/stable_abi.toml b/Misc/stable_abi.toml
index 22b25dd0ec141f..ea5c87e635e4f3 100644
--- a/Misc/stable_abi.toml
+++ b/Misc/stable_abi.toml
@@ -2478,6 +2478,9 @@
     added = '3.13'
 [function.PySys_AuditTuple]
     added = '3.13'
+[function._Py_GetRefcnt]
+    added = '3.13'
+    abi_only = true
 [function._Py_SetRefcnt]
     added = '3.13'
     abi_only = true
diff --git a/Objects/object.c b/Objects/object.c
index d145674cb3ba34..2d9eb92f092ac3 100644
--- a/Objects/object.c
+++ b/Objects/object.c
@@ -2932,6 +2932,14 @@ int Py_IsFalse(PyObject *x)
 }
 
 
+// Py_REFCNT() implementation for stable ABI
+Py_ssize_t
+_Py_GetRefcnt(PyObject *ob)
+{
+    return Py_REFCNT(ob);
+}
+
+
 // Py_SET_REFCNT() implementation for stable ABI
 void
 _Py_SetRefcnt(PyObject *ob, Py_ssize_t refcnt)
diff --git a/PC/python3dll.c b/PC/python3dll.c
index 07aa84c91f9fc7..db2822bd41d17f 100755
--- a/PC/python3dll.c
+++ b/PC/python3dll.c
@@ -17,6 +17,7 @@ EXPORT_FUNC(_Py_BuildValue_SizeT)
 EXPORT_FUNC(_Py_CheckRecursiveCall)
 EXPORT_FUNC(_Py_Dealloc)
 EXPORT_FUNC(_Py_DecRef)
+EXPORT_FUNC(_Py_GetRefcnt)
 EXPORT_FUNC(_Py_IncRef)
 EXPORT_FUNC(_Py_NegativeRefcount)
 EXPORT_FUNC(_Py_SetRefcnt)