diff --git a/python-pytest-sphinx.changes b/python-pytest-sphinx.changes
index 29fe80d..84f8656 100644
--- a/python-pytest-sphinx.changes
+++ b/python-pytest-sphinx.changes
@@ -1,3 +1,10 @@
+-------------------------------------------------------------------
+Thu Dec 12 04:44:11 UTC 2024 - Steve Kowalik <steven.kowalik@suse.com>
+
+- Add patch support-python-313.patch:
+  * Support Python 3.13 doctest changes.
+- Switch to autosetup macro.
+
 -------------------------------------------------------------------
 Wed Aug 14 14:54:31 UTC 2024 - Dirk Müller <dmueller@suse.com>
 
diff --git a/python-pytest-sphinx.spec b/python-pytest-sphinx.spec
index 350b199..85064ef 100644
--- a/python-pytest-sphinx.spec
+++ b/python-pytest-sphinx.spec
@@ -24,6 +24,7 @@ Summary:        Doctest plugin for pytest with support for Sphinx-specific docte
 License:        BSD-3-Clause
 URL:            https://github.com/thisch/pytest-sphinx
 Source:         https://github.com/thisch/pytest-sphinx/archive/v%{version}.tar.gz#/pytest-sphinx-%{version}.tar.gz
+Patch0:         support-python-313.patch
 BuildRequires:  %{python_module base >= 3.8}
 BuildRequires:  %{python_module pip}
 BuildRequires:  %{python_module setuptools}
@@ -42,7 +43,7 @@ BuildRequires:  %{python_module pytest >= 8.1.1}
 Doctest plugin for pytest with support for Sphinx-specific doctest-directives.
 
 %prep
-%setup -q -n pytest-sphinx-%{version}
+%autosetup -p1 -n pytest-sphinx-%{version}
 
 %build
 %pyproject_wheel
diff --git a/support-python-313.patch b/support-python-313.patch
new file mode 100644
index 0000000..d6668d5
--- /dev/null
+++ b/support-python-313.patch
@@ -0,0 +1,104 @@
+Index: pytest-sphinx-0.6.3/src/pytest_sphinx.py
+===================================================================
+--- pytest-sphinx-0.6.3.orig/src/pytest_sphinx.py
++++ pytest-sphinx-0.6.3/src/pytest_sphinx.py
+@@ -495,7 +495,12 @@ class SphinxDocTestRunner(doctest.DebugR
+         self.optionflags = original_optionflags
+ 
+         # Record and return the number of failures and tries.
+-        self._DocTestRunner__record_outcome(test, failures, tries)  # type:ignore
++        # And for Python 3.13 and above, also pass the number of skips, which
++        # is always zero if we got here.
++        if sys.version_info[:2] >= (3, 13):
++            self._DocTestRunner__record_outcome(test, failures, tries, 0)  # type:ignore
++        else:
++            self._DocTestRunner__record_outcome(test, failures, tries)  # type:ignore
+         return doctest.TestResults(failures, tries)
+ 
+ 
+Index: pytest-sphinx-0.6.3/tests/test_sphinx_doctest.py
+===================================================================
+--- pytest-sphinx-0.6.3.orig/tests/test_sphinx_doctest.py
++++ pytest-sphinx-0.6.3/tests/test_sphinx_doctest.py
+@@ -3,6 +3,7 @@
+ import logging
+ import os
+ import subprocess
++import sys
+ import textwrap
+ from pathlib import Path
+ from typing import Iterator
+@@ -14,6 +15,10 @@ from _pytest.legacypath import Testdir
+ 
+ logger = logging.getLogger(__name__)
+ 
++testoutput = "1 items passed all tests"
++if sys.version_info[:2] >= (3, 13):
++    testoutput = "Testing of doctests in the sources finished"
++
+ 
+ class SphinxDoctestRunner:
+     def __init__(self, tmp_path: Path) -> None:
+@@ -106,7 +111,7 @@ def test_simple_doctest_success(sphinx_t
+         6
+         """
+     )
+-    assert "1 items passed all tests" in output
++    assert testoutput in output
+ 
+ 
+ class TestDirectives:
+@@ -124,7 +129,7 @@ class TestDirectives:
+             """
+ 
+         sphinx_output = sphinx_tester(code)
+-        assert "1 items passed all tests" in sphinx_output
++        assert testoutput in sphinx_output
+ 
+         plugin_result = testdir.runpytest("--doctest-glob=index.rst").stdout
+         plugin_result.fnmatch_lines(["*=== 1 passed in *"])
+@@ -140,7 +145,7 @@ class TestDirectives:
+             """
+ 
+         sphinx_output = sphinx_tester(code)
+-        assert "1 items passed all tests" in sphinx_output
++        assert testoutput in sphinx_output
+ 
+         plugin_result = testdir.runpytest("--doctest-glob=index.rst").stdout
+         plugin_result.fnmatch_lines(["*=== 1 passed in *"])
+@@ -171,7 +176,7 @@ class TestDirectives:
+             """
+ 
+         sphinx_output = sphinx_tester(code)
+-        assert "1 items passed all tests" in sphinx_output
++        assert testoutput in sphinx_output
+ 
+         plugin_result = testdir.runpytest("--doctest-glob=index.rst").stdout
+         plugin_result.fnmatch_lines(["*=== 1 passed in *"])
+@@ -204,7 +209,7 @@ class TestDirectives:
+             assert "1 failure in tests" in sphinx_output
+             plugin_output.fnmatch_lines(["*=== 1 failed in *"])
+         else:
+-            assert "1 items passed all tests" in sphinx_output
++            assert testoutput in sphinx_output
+             plugin_output.fnmatch_lines(["*=== 1 passed in *"])
+ 
+     @pytest.mark.parametrize(
+@@ -235,7 +240,7 @@ class TestDirectives:
+             assert "1 failure in tests" in sphinx_output
+             plugin_output.fnmatch_lines(["*=== 1 failed in *"])
+         else:
+-            assert "1 items passed all tests" in sphinx_output
++            assert testoutput in sphinx_output
+             plugin_output.fnmatch_lines(["*=== 1 passed in *"])
+ 
+     @pytest.mark.parametrize("wrong_output_assertion", [True, False])
+@@ -279,7 +284,7 @@ class TestDirectives:
+             assert "1 failure in tests" in sphinx_output
+             plugin_output.fnmatch_lines(["*=== 1 failed in *"])
+         else:
+-            assert "1 items passed all tests" in sphinx_output
++            assert testoutput in sphinx_output
+             plugin_output.fnmatch_lines(["*=== 1 passed in *"])
+ 
+     @pytest.mark.parametrize("testcode", ["raise RuntimeError", "pass", "print(1234)"])