diff --git a/cranelift/codegen/src/isa/aarch64/inst.isle b/cranelift/codegen/src/isa/aarch64/inst.isle
index f4248d5f94..46e8e842d4 100644
--- a/cranelift/codegen/src/isa/aarch64/inst.isle
+++ b/cranelift/codegen/src/isa/aarch64/inst.isle
@@ -2235,7 +2235,14 @@
       (let ((dst WritableReg (temp_writable_reg $I64)))
         (ConsumesFlags.ConsumesFlagsReturnsReg (MInst.CSet dst cond) dst)))
 
-;; Helper for constructing `csetm` instructions.
+;; Helper for constructing `cset` instructions, when the flags producer will
+;; also return a value.
+(decl cset_paired (Cond) ConsumesFlags)
+(rule (cset_paired cond)
+      (let ((dst WritableReg (temp_writable_reg $I64)))
+        (ConsumesFlags.ConsumesFlagsReturnsResultWithProducer (MInst.CSet dst cond) dst)))
+
+;; Helper for constructing `csetm` instructions. 
 (decl csetm (Cond) ConsumesFlags)
 (rule (csetm cond)
       (let ((dst WritableReg (temp_writable_reg $I64)))
@@ -2280,6 +2287,9 @@
 (decl add_extend (Type Reg ExtendedValue) Reg)
 (rule (add_extend ty x y) (alu_rr_extend_reg (ALUOp.Add) ty x y))
 
+(decl add_extend_op (Type Reg Reg ExtendOp) Reg)
+(rule (add_extend_op ty x y extend) (alu_rrr_extend (ALUOp.Add) ty x y extend))
+
 (decl add_shift (Type Reg Reg ShiftOpAndAmt) Reg)
 (rule (add_shift ty x y z) (alu_rrr_shift (ALUOp.Add) ty x y z))
 
@@ -3442,11 +3452,11 @@
        (vec_cmp rn rm in_ty cond)))
 
 ;; Determines the appropriate extend op given the value type and whether it is signed.
-(decl lower_icmp_extend (Type bool) ExtendOp)
-(rule (lower_icmp_extend $I8 $true) (ExtendOp.SXTB))
-(rule (lower_icmp_extend $I16 $true) (ExtendOp.SXTH))
-(rule (lower_icmp_extend $I8 $false) (ExtendOp.UXTB))
-(rule (lower_icmp_extend $I16 $false) (ExtendOp.UXTH))
+(decl lower_extend_op (Type bool) ExtendOp)
+(rule (lower_extend_op $I8 $true) (ExtendOp.SXTB))
+(rule (lower_extend_op $I16 $true) (ExtendOp.SXTH))
+(rule (lower_extend_op $I8 $false) (ExtendOp.UXTB))
+(rule (lower_extend_op $I16 $false) (ExtendOp.UXTH))
 
 ;; Integers <= 64-bits.
 (rule -2 (lower_icmp_into_reg cond rn rm in_ty out_ty)
@@ -3457,13 +3467,13 @@
 (rule 1 (lower_icmp cond rn rm (fits_in_16 ty))
       (if (signed_cond_code cond))
       (let ((rn Reg (put_in_reg_sext32 rn)))
-      (flags_and_cc (cmp_extend (operand_size ty) rn rm (lower_icmp_extend ty $true)) cond)))
+      (flags_and_cc (cmp_extend (operand_size ty) rn rm (lower_extend_op ty $true)) cond)))
 (rule -1 (lower_icmp cond rn (imm12_from_value rm) (fits_in_16 ty))
       (let ((rn Reg (put_in_reg_zext32 rn)))
       (flags_and_cc (cmp_imm (operand_size ty) rn rm) cond)))
 (rule -2 (lower_icmp cond rn rm (fits_in_16 ty))
       (let ((rn Reg (put_in_reg_zext32 rn)))
-      (flags_and_cc (cmp_extend (operand_size ty) rn rm (lower_icmp_extend ty $false)) cond)))
+      (flags_and_cc (cmp_extend (operand_size ty) rn rm (lower_extend_op ty $false)) cond)))
 (rule -3 (lower_icmp cond rn (u64_from_iconst c) ty)
       (if (ty_int_ref_scalar_64 ty))
       (lower_icmp_const cond rn c ty))
diff --git a/cranelift/codegen/src/isa/aarch64/lower.isle b/cranelift/codegen/src/isa/aarch64/lower.isle
index 24fabee6a2..45d7c38651 100644
--- a/cranelift/codegen/src/isa/aarch64/lower.isle
+++ b/cranelift/codegen/src/isa/aarch64/lower.isle
@@ -2366,6 +2366,43 @@
        (add_with_flags ty a b)
        (invalid_reg)))
 
+;;; Rules for `iadd_cout` ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
+
+;; For values smaller than a register, we do a normal `add` with both arguments
+;; sign extended. We then check if the output sign bit has flipped.
+(rule 0 (lower (has_type (fits_in_16 ty) (iadd_cout a b)))
+      (let ((extend ExtendOp (lower_extend_op ty $true))
+            
+            ;; Instead of emitting two `sxt{b,h}` we do one as an instruction and
+            ;; the other as an extend operation in the `add` instruction.
+            ;;
+            ;; sxtb    a_sext, a
+            ;; add     out, a_sext, b, sxtb
+            ;; cmp     out, out, sxtb
+            ;; cset    out_carry, ne
+            (a_sext Reg (put_in_reg_sext32 a))
+            (out Reg (add_extend_op ty a_sext b extend))
+            (out_carry Reg (with_flags_reg 
+                  (cmp_extend (OperandSize.Size32) out out extend)
+                  (cset (Cond.Ne)))))
+      (output_pair
+            (value_reg out)
+            (value_reg out_carry))))
+
+
+;; For register sized add's we just emit a adds+cset, without further masking.
+;;
+;; adds out, a, b
+;; cset carry, vs
+(rule 1 (lower (has_type (ty_32_or_64 ty) (iadd_cout a b)))
+      (let ((out ValueRegs
+              (with_flags
+                  (add_with_flags_paired ty a b)
+                  (cset_paired (Cond.Vs)))))
+      (output_pair
+            (value_regs_get out 0)
+            (value_regs_get out 1))))
+
 ;;; Rules for `uadd_overflow_trap` ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
 
 (rule (lower (has_type (fits_in_64 ty) (uadd_overflow_trap a b tc)))
diff --git a/cranelift/codegen/src/isa/aarch64/lower_inst.rs b/cranelift/codegen/src/isa/aarch64/lower_inst.rs
index 433db8407e..f99f946418 100644
--- a/cranelift/codegen/src/isa/aarch64/lower_inst.rs
+++ b/cranelift/codegen/src/isa/aarch64/lower_inst.rs
@@ -257,6 +257,8 @@ pub(crate) fn lower_insn_to_regs(
 
         Opcode::UaddOverflowTrap => implemented_in_isle(ctx),
 
+        Opcode::IaddCout => implemented_in_isle(ctx),
+
         Opcode::IaddImm
         | Opcode::ImulImm
         | Opcode::UdivImm
@@ -266,7 +268,6 @@ pub(crate) fn lower_insn_to_regs(
         | Opcode::IrsubImm
         | Opcode::IaddCin
         | Opcode::IaddIfcin
-        | Opcode::IaddCout
         | Opcode::IaddCarry
         | Opcode::IaddIfcarry
         | Opcode::IsubBin
diff --git a/cranelift/filetests/filetests/runtests/i128-iaddcout.clif b/cranelift/filetests/filetests/runtests/i128-iaddcout.clif
new file mode 100644
index 0000000000..ad0c885708
--- /dev/null
+++ b/cranelift/filetests/filetests/runtests/i128-iaddcout.clif
@@ -0,0 +1,29 @@
+test interpret
+; test run
+; set enable_llvm_abi_extensions=true
+; target aarch64
+; target s390x
+; target x86_64
+; target riscv64
+
+function %iaddcout_i128_v(i128, i128) -> i128 {
+block0(v0: i128, v1: i128):
+    v2, v3 = iadd_cout v0, v1
+    return v2
+}
+; run: %iaddcout_i128_v(0, 1) == 1
+; run: %iaddcout_i128_v(100, 27) == 127
+; run: %iaddcout_i128_v(100, 28) == 128
+; run: %iaddcout_i128_v(0x7FFFFFFF_FFFFFFFF_FFFFFFFF_FFFF0000, 0xFFFF) == 0x7FFFFFFF_FFFFFFFF_FFFFFFFF_FFFFFFFF
+; run: %iaddcout_i128_v(0x7FFFFFFF_FFFFFFFF_FFFFFFFF_FFFF0000, 0x10000) == 0x80000000_00000000_00000000_00000000
+
+function %iaddcout_i128_c(i128, i128) -> i8 {
+block0(v0: i128, v1: i128):
+    v2, v3 = iadd_cout v0, v1
+    return v3
+}
+; run: %iaddcout_i128_c(0, 1) == 0
+; run: %iaddcout_i128_c(100, 27) == 0
+; run: %iaddcout_i128_c(100, 28) == 0
+; run: %iaddcout_i128_c(0x7FFFFFFF_FFFFFFFF_FFFFFFFF_FFFF0000, 0xFFFF) == 0
+; run: %iaddcout_i128_c(0x7FFFFFFF_FFFFFFFF_FFFFFFFF_FFFF0000, 0x10000) == 1
diff --git a/cranelift/filetests/filetests/runtests/i128-isubbout.clif b/cranelift/filetests/filetests/runtests/i128-isubbout.clif
new file mode 100644
index 0000000000..11f99f6431
--- /dev/null
+++ b/cranelift/filetests/filetests/runtests/i128-isubbout.clif
@@ -0,0 +1,30 @@
+test interpret
+; test run
+; set enable_llvm_abi_extensions=true
+; target aarch64
+; target s390x
+; target x86_64
+; target riscv64
+
+
+function %isubbout_i128_v(i128, i128) -> i128 {
+block0(v0: i128, v1: i128):
+    v2, v3 = isub_bout v0, v1
+    return v2
+}
+; run: %isubbout_i128_v(0, 1) == -1
+; run: %isubbout_i128_v(100, 20) == 80
+; run: %isubbout_i128_v(100, -28) == 128
+; run: %isubbout_i128_v(-2147483640, 8) == -2147483648
+; run: %isubbout_i128_v(-2147483640, 9) == -2147483649
+
+function %isubbout_i128_c(i128, i128) -> i8 {
+block0(v0: i128, v1: i128):
+    v2, v3 = isub_bout v0, v1
+    return v3
+}
+; run: %isubbout_i128_c(0, 1) == 1
+; run: %isubbout_i128_c(100, 20) == 0
+; run: %isubbout_i128_c(100, -28) == 0
+; run: %isubbout_i128_c(-2147483640, 8) == 1
+; run: %isubbout_i128_c(-2147483640, 9) == 1
diff --git a/cranelift/filetests/filetests/runtests/iaddcout.clif b/cranelift/filetests/filetests/runtests/iaddcout.clif
index e03ae5a89a..26a91243fd 100644
--- a/cranelift/filetests/filetests/runtests/iaddcout.clif
+++ b/cranelift/filetests/filetests/runtests/iaddcout.clif
@@ -1,4 +1,9 @@
 test interpret
+test run
+target aarch64
+; target s390x
+; target x86_64
+; target riscv64
 
 function %iaddcout_i8_v(i8, i8) -> i8 {
 block0(v0: i8, v1: i8):
@@ -74,8 +79,8 @@ block0(v0: i64, v1: i64):
 ; run: %iaddcout_i64_v(0, 1) == 1
 ; run: %iaddcout_i64_v(100, 27) == 127
 ; run: %iaddcout_i64_v(100, 28) == 128
-; run: %iaddcout_i64_v(2000000000, 147483647) == 2147483647
-; run: %iaddcout_i64_v(2000000000, 147483648) == 2147483648
+; run: %iaddcout_i64_v(0x7FFFFFFF_FFFF0000, 0xFFFF) == 0x7FFFFFFF_FFFFFFFF
+; run: %iaddcout_i64_v(0x7FFFFFFF_FFFF0000, 0x10000) == 0x80000000_00000000
 
 function %iaddcout_i64_c(i64, i64) -> i8 {
 block0(v0: i64, v1: i64):
@@ -85,5 +90,5 @@ block0(v0: i64, v1: i64):
 ; run: %iaddcout_i64_c(0, 1) == 0
 ; run: %iaddcout_i64_c(100, 27) == 0
 ; run: %iaddcout_i64_c(100, 28) == 0
-; run: %iaddcout_i64_c(2000000000, 147483647) == 0
-; run: %iaddcout_i64_c(2000000000, 147483648) == 0
+; run: %iaddcout_i64_c(0x7FFFFFFF_FFFF0000, 0xFFFF) == 0
+; run: %iaddcout_i64_c(0x7FFFFFFF_FFFF0000, 0x10000) == 1
diff --git a/cranelift/filetests/filetests/runtests/isubbout.clif b/cranelift/filetests/filetests/runtests/isubbout.clif
index 9c43770d38..bbbf725560 100644
--- a/cranelift/filetests/filetests/runtests/isubbout.clif
+++ b/cranelift/filetests/filetests/runtests/isubbout.clif
@@ -1,4 +1,9 @@
 test interpret
+; test run
+; target aarch64
+; target s390x
+; target x86_64
+; target riscv64
 
 function %isubbout_i8_v(i8, i8) -> i8 {
 block0(v0: i8, v1: i8):
diff --git a/cranelift/fuzzgen/src/function_generator.rs b/cranelift/fuzzgen/src/function_generator.rs
index b1af0ca062..4872b4e8b1 100644
--- a/cranelift/fuzzgen/src/function_generator.rs
+++ b/cranelift/fuzzgen/src/function_generator.rs
@@ -273,6 +273,18 @@ const OPCODE_SIGNATURES: &'static [(
     (Opcode::Iadd, &[I32, I32], &[I32], insert_opcode),
     (Opcode::Iadd, &[I64, I64], &[I64], insert_opcode),
     (Opcode::Iadd, &[I128, I128], &[I128], insert_opcode),
+    // IaddCout
+    // IaddCout not implemented in x64
+    #[cfg(not(target_arch = "x86_64"))]
+    (Opcode::IaddCout, &[I8, I8], &[I8, I8], insert_opcode),
+    #[cfg(not(target_arch = "x86_64"))]
+    (Opcode::IaddCout, &[I16, I16], &[I16, I8], insert_opcode),
+    #[cfg(not(target_arch = "x86_64"))]
+    (Opcode::IaddCout, &[I32, I32], &[I32, I8], insert_opcode),
+    #[cfg(not(target_arch = "x86_64"))]
+    (Opcode::IaddCout, &[I64, I64], &[I64, I8], insert_opcode),
+    #[cfg(not(any(target_arch = "x86_64", target_arch = "aarch64")))]
+    (Opcode::IaddCout, &[I128, I128], &[I128, I8], insert_opcode),
     // Isub
     (Opcode::Isub, &[I8, I8], &[I8], insert_opcode),
     (Opcode::Isub, &[I16, I16], &[I16], insert_opcode),