diff --git a/src/components/basic_table/__snapshots__/basic_table.test.tsx.snap b/src/components/basic_table/__snapshots__/basic_table.test.tsx.snap
index 9a6fdad1183e..32cae7404862 100644
--- a/src/components/basic_table/__snapshots__/basic_table.test.tsx.snap
+++ b/src/components/basic_table/__snapshots__/basic_table.test.tsx.snap
@@ -1,5 +1,29 @@
 // Jest Snapshot v1, https://goo.gl/fbAQLP
 
+exports[`EuiBasicTable actions custom item actions 1`] = `
+<tr
+  class="euiTableRow euiTableRow-isSelectable euiTableRow-hasActions emotion-euiTableRow-mobile"
+>
+  <td
+    class="euiTableRowCell euiTableRowCell--hasActions emotion-euiTableRowCell-hasActions-middle-mobile-customActions"
+  >
+    <div
+      class="euiTableCellContent emotion-euiTableCellContent-wrapText-actions"
+    >
+      <div
+        class=""
+      >
+        <button
+          data-test-subj="customAction-1"
+        >
+          Custom action
+        </button>
+      </div>
+    </div>
+  </td>
+</tr>
+`;
+
 exports[`EuiBasicTable renders (bare-bones) 1`] = `
 <div
   aria-label="aria-label"
diff --git a/src/components/basic_table/basic_table.test.tsx b/src/components/basic_table/basic_table.test.tsx
index 3dde7863f66a..a213e9887c39 100644
--- a/src/components/basic_table/basic_table.test.tsx
+++ b/src/components/basic_table/basic_table.test.tsx
@@ -704,7 +704,6 @@ describe('EuiBasicTable', () => {
       const props: EuiBasicTableProps<BasicItem> = {
         items: basicItems,
         columns: [
-          ...basicColumns,
           {
             name: 'Actions',
             actions: [
@@ -729,9 +728,21 @@ describe('EuiBasicTable', () => {
       expect(queryByTestSubject('customAction-2')).toBeInTheDocument();
       expect(queryByTestSubject('customAction-3')).not.toBeInTheDocument();
 
+      // TODO: These assertions should ideally be visual regression snapshots instead
       expect(
         container.querySelector('.euiTableRowCell--hasActions')!.className
       ).toContain('-customActions');
+      expect(
+        container.querySelector(
+          '.euiTableRowCell--hasActions .euiTableCellContent'
+        )!.className
+      ).not.toContain('-actions-mobile');
+      expect(
+        container.querySelector('.euiTableRow-hasActions')!.className
+      ).not.toContain('-hasRightColumn');
+      expect(
+        container.querySelector('.euiTableRow-hasActions')
+      ).toMatchSnapshot();
     });
 
     describe('are disabled on selection', () => {
diff --git a/src/components/basic_table/basic_table.tsx b/src/components/basic_table/basic_table.tsx
index 2b060f158318..b486d9409db2 100644
--- a/src/components/basic_table/basic_table.tsx
+++ b/src/components/basic_table/basic_table.tsx
@@ -987,18 +987,26 @@ export class EuiBasicTable<T extends object = any> extends Component<
       rowSelectionDisabled = !!isDisabled;
     }
 
-    let hasActions;
+    let hasActions: 'custom' | boolean = false;
     columns.forEach((column: EuiBasicTableColumn<T>, columnIndex: number) => {
-      if ((column as EuiTableActionsColumnType<T>).actions) {
+      const columnActions = (column as EuiTableActionsColumnType<T>).actions;
+
+      if (columnActions) {
+        const hasCustomActions = columnActions.some(
+          (action) => !!(action as CustomItemAction<T>).render
+        );
         cells.push(
           this.renderItemActionsCell(
             itemId,
             item,
             column as EuiTableActionsColumnType<T>,
-            columnIndex
+            columnIndex,
+            hasCustomActions
           )
         );
-        hasActions = true;
+        // A table theoretically could have both custom and default action items
+        // If it has both, default action mobile row styles take precedence over custom
+        hasActions = !hasActions && hasCustomActions ? 'custom' : true;
       } else if ((column as EuiTableFieldDataColumnType<T>).field) {
         const fieldDataColumn = column as EuiTableFieldDataColumnType<T>;
         cells.push(
@@ -1122,15 +1130,12 @@ export class EuiBasicTable<T extends object = any> extends Component<
     itemId: ItemIdResolved,
     item: T,
     column: EuiTableActionsColumnType<T>,
-    columnIndex: number
+    columnIndex: number,
+    hasCustomActions: boolean
   ) {
     // Disable all actions if any row(s) are selected
     const allDisabled = this.state.selection.length > 0;
 
-    const hasCustomActions = column.actions.some(
-      (action: Action<T>) => !!(action as CustomItemAction<T>).render
-    );
-
     let actualActions = column.actions.filter(
       (action: Action<T>) => !action.available || action.available(item)
     );
diff --git a/src/components/table/_table_cell_content.tsx b/src/components/table/_table_cell_content.tsx
index 887f2414b39d..2abc04b5f48b 100644
--- a/src/components/table/_table_cell_content.tsx
+++ b/src/components/table/_table_cell_content.tsx
@@ -43,9 +43,13 @@ export const EuiTableCellContent: FunctionComponent<
     !isResponsive && styles[align], // On mobile, always align cells to the left
     truncateText === true && styles.truncateText,
     truncateText === false && styles.wrapText,
-    hasActions && styles.hasActions.actions,
-    hasActions &&
-      (isResponsive ? styles.hasActions.mobile : styles.hasActions.desktop),
+    ...(hasActions
+      ? [
+          styles.hasActions.actions,
+          !isResponsive && styles.hasActions.desktop,
+          isResponsive && hasActions !== 'custom' && styles.hasActions.mobile,
+        ]
+      : []),
   ];
 
   const classes = classNames('euiTableCellContent', className);
diff --git a/src/components/table/table_row.tsx b/src/components/table/table_row.tsx
index 05830f379243..73d48abf76ab 100644
--- a/src/components/table/table_row.tsx
+++ b/src/components/table/table_row.tsx
@@ -38,7 +38,7 @@ export interface EuiTableRowProps {
    * Indicates if the table has a dedicated column for actions
    * (used for mobile styling and desktop action hover behavior)
    */
-  hasActions?: boolean;
+  hasActions?: boolean | 'custom';
   /**
    * Indicates if the row will have an expanded row
    */
@@ -75,7 +75,7 @@ export const EuiTableRow: FunctionComponent<Props> = ({
         styles.mobile.mobile,
         isSelected && styles.mobile.selected,
         isExpandedRow && styles.mobile.expanded,
-        (hasActions || isExpandable || isExpandedRow) &&
+        (hasActions === true || isExpandable || isExpandedRow) &&
           styles.mobile.hasRightColumn,
         hasSelection && styles.mobile.hasLeftColumn,
       ]