diff --git a/src/Ast/PhpDoc/ParamOutTagValueNode.php b/src/Ast/PhpDoc/ParamOutTagValueNode.php
new file mode 100644
index 0000000..9f374bf
--- /dev/null
+++ b/src/Ast/PhpDoc/ParamOutTagValueNode.php
@@ -0,0 +1,35 @@
+<?php declare(strict_types = 1);
+
+namespace PHPStan\PhpDocParser\Ast\PhpDoc;
+
+use PHPStan\PhpDocParser\Ast\NodeAttributes;
+use PHPStan\PhpDocParser\Ast\Type\TypeNode;
+use function trim;
+
+class ParamOutTagValueNode implements PhpDocTagValueNode
+{
+
+	use NodeAttributes;
+
+	/** @var TypeNode */
+	public $type;
+
+	/** @var string */
+	public $parameterName;
+
+	/** @var string (may be empty) */
+	public $description;
+
+	public function __construct(TypeNode $type, string $parameterName, string $description)
+	{
+		$this->type = $type;
+		$this->parameterName = $parameterName;
+		$this->description = $description;
+	}
+
+	public function __toString(): string
+	{
+		return trim("{$this->type} {$this->parameterName} {$this->description}");
+	}
+
+}
diff --git a/src/Ast/PhpDoc/PhpDocNode.php b/src/Ast/PhpDoc/PhpDocNode.php
index 0c2f8f3..25f1939 100644
--- a/src/Ast/PhpDoc/PhpDocNode.php
+++ b/src/Ast/PhpDoc/PhpDocNode.php
@@ -341,6 +341,21 @@ class PhpDocNode implements Node
 		);
 	}
 
+
+	/**
+	 * @return ParamOutTagValueNode[]
+	 */
+	public function getParamOutTypeTagValues(string $tagName = '@param-out'): array
+	{
+		return array_filter(
+			array_column($this->getTagsByName($tagName), 'value'),
+			static function (PhpDocTagValueNode $value): bool {
+				return $value instanceof ParamOutTagValueNode;
+			}
+		);
+	}
+
+
 	public function __toString(): string
 	{
 		$children = array_map(
diff --git a/src/Parser/PhpDocParser.php b/src/Parser/PhpDocParser.php
index 8038778..cca8e9b 100644
--- a/src/Parser/PhpDocParser.php
+++ b/src/Parser/PhpDocParser.php
@@ -229,6 +229,12 @@ class PhpDocParser
 					$tagValue = $this->parseSelfOutTagValue($tokens);
 					break;
 
+				case '@param-out':
+				case '@phpstan-param-out':
+				case '@psalm-param-out':
+					$tagValue = $this->parseParamOutTagValue($tokens);
+					break;
+
 				default:
 					$tagValue = new Ast\PhpDoc\GenericTagValueNode($this->parseOptionalDescription($tokens));
 					break;
@@ -514,6 +520,15 @@ class PhpDocParser
 		return new Ast\PhpDoc\SelfOutTagValueNode($type, $description);
 	}
 
+	private function parseParamOutTagValue(TokenIterator $tokens): Ast\PhpDoc\ParamOutTagValueNode
+	{
+		$type = $this->typeParser->parse($tokens);
+		$parameterName = $this->parseRequiredVariableName($tokens);
+		$description = $this->parseOptionalDescription($tokens);
+
+		return new Ast\PhpDoc\ParamOutTagValueNode($type, $parameterName, $description);
+	}
+
 	private function parseOptionalVariableName(TokenIterator $tokens): string
 	{
 		if ($tokens->isCurrentTokenType(Lexer::TOKEN_VARIABLE)) {
diff --git a/tests/PHPStan/Parser/PhpDocParserTest.php b/tests/PHPStan/Parser/PhpDocParserTest.php
index 5010f0f..791e995 100644
--- a/tests/PHPStan/Parser/PhpDocParserTest.php
+++ b/tests/PHPStan/Parser/PhpDocParserTest.php
@@ -19,6 +19,7 @@ use PHPStan\PhpDocParser\Ast\PhpDoc\InvalidTagValueNode;
 use PHPStan\PhpDocParser\Ast\PhpDoc\MethodTagValueNode;
 use PHPStan\PhpDocParser\Ast\PhpDoc\MethodTagValueParameterNode;
 use PHPStan\PhpDocParser\Ast\PhpDoc\MixinTagValueNode;
+use PHPStan\PhpDocParser\Ast\PhpDoc\ParamOutTagValueNode;
 use PHPStan\PhpDocParser\Ast\PhpDoc\ParamTagValueNode;
 use PHPStan\PhpDocParser\Ast\PhpDoc\PhpDocNode;
 use PHPStan\PhpDocParser\Ast\PhpDoc\PhpDocTagNode;
@@ -92,6 +93,7 @@ class PhpDocParserTest extends TestCase
 	 * @dataProvider provideDescriptionWithOrWithoutHtml
 	 * @dataProvider provideTagsWithBackslash
 	 * @dataProvider provideSelfOutTagsData
+	 * @dataProvider provideParamOutTagsData
 	 */
 	public function testParse(
 		string $label,
@@ -4560,6 +4562,39 @@ Finder::findFiles('*.php')
 		];
 	}
 
+	public function provideParamOutTagsData(): Iterator
+	{
+		yield [
+			'OK param-out',
+			'/** @param-out string $s */',
+			new PhpDocNode([
+				new PhpDocTagNode(
+					'@param-out',
+					new ParamOutTagValueNode(
+						new IdentifierTypeNode('string'),
+						'$s',
+						''
+					)
+				),
+			]),
+		];
+
+		yield [
+			'OK param-out description',
+			'/** @param-out string $s description */',
+			new PhpDocNode([
+				new PhpDocTagNode(
+					'@param-out',
+					new ParamOutTagValueNode(
+						new IdentifierTypeNode('string'),
+						'$s',
+						'description'
+					)
+				),
+			]),
+		];
+	}
+
 	/**
 	 * @dataProvider dataParseTagValue
 	 * @param PhpDocNode $expectedPhpDocNode