diff --git a/R/g_km.R b/R/g_km.R
index 3fab8a8ddf..326ca3f61e 100644
--- a/R/g_km.R
+++ b/R/g_km.R
@@ -536,7 +536,11 @@ g_km <- function(df,
 
   # add median survival time annotation table
   if (annot_surv_med) {
-    surv_med_tbl <- h_tbl_median_surv(fit_km = fit_km, armval = armval)
+    surv_med_tbl <- h_tbl_median_surv(
+      fit_km = fit_km,
+      armval = armval,
+      digits = control_annot_surv_med[["digits"]] %||% 4
+    )
     bg_fill <- if (isTRUE(control_annot_surv_med[["fill"]])) "#00000020" else control_annot_surv_med[["fill"]]
 
     gg_surv_med <- df2gg(surv_med_tbl, font_size = font_size, colwidths = c(1, 1, 2), bg_fill = bg_fill) +
diff --git a/R/h_km.R b/R/h_km.R
index bc7dd6b06d..78d56ee693 100644
--- a/R/h_km.R
+++ b/R/h_km.R
@@ -23,17 +23,22 @@ NULL
 #'   table can be added in [g_km()] by setting `annot_surv_med=TRUE`, and can be configured using the
 #'   `control_surv_med_annot()` function by setting it as the `control_annot_surv_med` argument.
 #'
+#' @param digits (`integer(1)`)\cr number of significant digits to use for rounding the
+#'   median survival time estimates and confidence interval values in the annotation table. Defaults to `4`.
+#'
 #' @examples
 #' control_surv_med_annot()
+#' control_surv_med_annot(digits = 2)
 #'
 #' @export
-control_surv_med_annot <- function(x = 0.8, y = 0.85, w = 0.32, h = 0.16, fill = TRUE) {
+control_surv_med_annot <- function(x = 0.8, y = 0.85, w = 0.32, h = 0.16, fill = TRUE, digits = 4) {
   assert_proportion_value(x)
   assert_proportion_value(y)
   assert_proportion_value(w)
   assert_proportion_value(h)
+  checkmate::assert_int(digits, lower = 1)
 
-  list(x = x, y = y, w = w, h = h, fill = fill)
+  list(x = x, y = y, w = w, h = h, fill = fill, digits = digits)
 }
 
 #' @describeIn control_annot Control function for formatting the Cox-PH annotation table. This annotation table can be
@@ -117,6 +122,8 @@ h_xticks <- function(data, xticks = NULL, max_time = NULL) {
 #' Transform a survival fit to a table with groups in rows characterized by N, median and confidence interval.
 #'
 #' @inheritParams h_data_plot
+#' @param digits (`integer(1)`)\cr number of significant digits to use for rounding the
+#'   median survival time estimates and confidence interval values. Defaults to `4`.
 #'
 #' @return A summary table with statistics `N`, `Median`, and `XX% CI` (`XX` taken from `fit_km`).
 #'
@@ -130,9 +137,12 @@ h_xticks <- function(data, xticks = NULL, max_time = NULL) {
 #'   data = adtte
 #' )
 #' h_tbl_median_surv(fit_km = fit)
+#' h_tbl_median_surv(fit_km = fit, digits = 2)
 #'
 #' @export
-h_tbl_median_surv <- function(fit_km, armval = "All") {
+h_tbl_median_surv <- function(fit_km, armval = "All", digits = 4) {
+  checkmate::assert_int(digits, lower = 1)
+
   y <- if (is.null(fit_km$strata)) {
     as.data.frame(t(summary(fit_km)$table), row.names = armval)
   } else {
@@ -141,11 +151,12 @@ h_tbl_median_surv <- function(fit_km, armval = "All") {
     rownames(tbl) <- matrix(unlist(rownames_lst), ncol = 2, byrow = TRUE)[, 2]
     as.data.frame(tbl)
   }
+
   conf.int <- summary(fit_km)$conf.int # nolint
   y$records <- round(y$records)
-  y$median <- signif(y$median, 4)
+  y$median <- signif(y$median, digits)
   y$`CI` <- paste0(
-    "(", signif(y[[paste0(conf.int, "LCL")]], 4), ", ", signif(y[[paste0(conf.int, "UCL")]], 4), ")"
+    "(", signif(y[[paste0(conf.int, "LCL")]], digits), ", ", signif(y[[paste0(conf.int, "UCL")]], digits), ")"
   )
   stats::setNames(
     y[c("records", "median", "CI")],
diff --git a/man/control_annot.Rd b/man/control_annot.Rd
index d6c7c5354f..dedb9ec610 100644
--- a/man/control_annot.Rd
+++ b/man/control_annot.Rd
@@ -6,7 +6,14 @@
 \alias{control_coxph_annot}
 \title{Control functions for Kaplan-Meier plot annotation tables}
 \usage{
-control_surv_med_annot(x = 0.8, y = 0.85, w = 0.32, h = 0.16, fill = TRUE)
+control_surv_med_annot(
+  x = 0.8,
+  y = 0.85,
+  w = 0.32,
+  h = 0.16,
+  fill = TRUE,
+  digits = 4
+)
 
 control_coxph_annot(
   x = 0.29,
@@ -29,6 +36,9 @@ control_coxph_annot(
 \item{fill}{(\code{flag} or \code{character})\cr whether the annotation table should have a background fill color.
 Can also be a color code to use as the background fill color. If \code{TRUE}, color code defaults to \code{"#00000020"}.}
 
+\item{digits}{(\code{integer(1)})\cr number of significant digits to use for rounding the
+median survival time estimates and confidence interval values in the annotation table. Defaults to \code{4}.}
+
 \item{ref_lbls}{(\code{flag})\cr whether the reference group should be explicitly printed in labels for the
 annotation table. If \code{FALSE} (default), only comparison groups will be printed in the table labels.}
 }
@@ -54,6 +64,7 @@ by setting it as the \code{control_annot_coxph} argument.
 }}
 \examples{
 control_surv_med_annot()
+control_surv_med_annot(digits = 2)
 
 control_coxph_annot()
 
diff --git a/man/h_tbl_median_surv.Rd b/man/h_tbl_median_surv.Rd
index 06ab4c1817..c38c35ba11 100644
--- a/man/h_tbl_median_surv.Rd
+++ b/man/h_tbl_median_surv.Rd
@@ -4,12 +4,15 @@
 \alias{h_tbl_median_surv}
 \title{Helper function for survival estimations}
 \usage{
-h_tbl_median_surv(fit_km, armval = "All")
+h_tbl_median_surv(fit_km, armval = "All", digits = 4)
 }
 \arguments{
 \item{fit_km}{(\code{survfit})\cr result of \code{\link[survival:survfit]{survival::survfit()}}.}
 
 \item{armval}{(\code{string})\cr used as strata name when treatment arm variable only has one level. Default is \code{"All"}.}
+
+\item{digits}{(\code{integer(1)})\cr number of significant digits to use for rounding the
+median survival time estimates and confidence interval values. Defaults to \code{4}.}
 }
 \value{
 A summary table with statistics \code{N}, \code{Median}, and \verb{XX\% CI} (\code{XX} taken from \code{fit_km}).
@@ -29,5 +32,6 @@ fit <- survfit(
   data = adtte
 )
 h_tbl_median_surv(fit_km = fit)
+h_tbl_median_surv(fit_km = fit, digits = 2)
 
 }
diff --git a/tests/testthat/test-h_km.R b/tests/testthat/test-h_km.R
index b8c51aa4ef..b3c7178c5b 100644
--- a/tests/testthat/test-h_km.R
+++ b/tests/testthat/test-h_km.R
@@ -11,6 +11,13 @@ testthat::test_that("control_surv_med_annot works with default settings", {
   testthat::expect_snapshot(res)
 })
 
+testthat::test_that("control_surv_med_annot works with custom digits", {
+  result <- control_surv_med_annot(digits = 2)
+
+  res <- testthat::expect_silent(result)
+  testthat::expect_snapshot(res)
+})
+
 testthat::test_that("control_coxph_annot works with default settings", {
   result <- control_coxph_annot()
 
@@ -84,6 +91,13 @@ testthat::test_that("h_tbl_median_surv estimates median survival time with CI",
   testthat::expect_snapshot(res)
 })
 
+testthat::test_that("h_tbl_median_surv respects digits parameter", {
+  result <- h_tbl_median_surv(fit_km = test_fit, digits = 2)
+
+  res <- testthat::expect_silent(result)
+  testthat::expect_snapshot(res)
+})
+
 testthat::test_that("h_tbl_coxph_pairwise estimates HR, CI and pvalue", {
   df <- tern_ex_adtte %>%
     filter(PARAMCD == "OS") %>%