diff --git a/doc/Rules.md b/doc/Rules.md
index 33e65389..a05282ed 100644
--- a/doc/Rules.md
+++ b/doc/Rules.md
@@ -59,7 +59,8 @@ Tags: headers
 
 Aliases: header-style
 
-Parameters: style ("consistent", "atx", "atx_closed", "setext", "setext_with_atx"; default "consistent")
+Parameters: style ("consistent", "atx", "atx_closed", "setext",
+"setext_with_atx", "setext_with_atx_closed"; default "consistent")
 
 This rule is triggered when different header styles (atx, setext, and 'closed'
 atx) are used in the same document:
@@ -77,8 +78,8 @@ Be consistent with the style of header used in a document:
 
     ## ATX style H2
 
-The setext_with_atx doc style allows atx-style headers of level 3 or more in
-documents with setext style headers:
+The setext_with_atx and settext_with_atx_closed doc styles allow atx-style
+headers of level 3 or more in documents with setext style headers:
 
     Setext style H1
     ===============
@@ -89,8 +90,8 @@ documents with setext style headers:
     ### ATX style H3
 
 Note: the configured header style can be a specific style to use (atx,
-atx_closed, setext, setext_with_atx), or simply require that the usage be
-consistent within the document.
+atx_closed, setext, setext_with_atx, setext_with_atx_closed), or simply require
+that the usage be consistent within the document.
 
 ## MD004 - Unordered list style
 
diff --git a/lib/rules.js b/lib/rules.js
index 6b0f300b..feaf24cc 100644
--- a/lib/rules.js
+++ b/lib/rules.js
@@ -196,11 +196,20 @@ module.exports = [
         if (style === "consistent") {
           style = styleForToken;
         }
-        if ((styleForToken !== style) &&
-            !((style === "setext_with_atx") &&
-              (/h[12]/.test(token.tag) && (styleForToken === "setext")) ||
-               (/h[^12]/.test(token.tag) && (styleForToken === "atx")))) {
-          errors.push(token.lineNumber);
+        if (styleForToken !== style) {
+          var h12 = /h[12]/.test(token.tag);
+          var hOther = /h[^12]/.test(token.tag);
+          var setextWithAtx =
+            (style === "setext_with_atx") &&
+             ((h12 && (styleForToken === "setext")) ||
+              (hOther && (styleForToken === "atx")));
+          var setextWithAtxClosed =
+            (style === "setext_with_atx_closed") &&
+             ((h12 && (styleForToken === "setext")) ||
+              (hOther && (styleForToken === "atx_closed")));
+          if (!setextWithAtx && !setextWithAtxClosed) {
+            errors.push(token.lineNumber);
+          }
         }
       });
     }
diff --git a/test/headers_good_setext_with_atx.md b/test/headers_good_setext_with_atx.md
index 726817f2..f3f276df 100644
--- a/test/headers_good_setext_with_atx.md
+++ b/test/headers_good_setext_with_atx.md
@@ -5,3 +5,5 @@ Header 2
 --------
 
 ### Header 3
+
+#### Header 4 {MD003} ####
diff --git a/test/headers_good_setext_with_atx_closed.json b/test/headers_good_setext_with_atx_closed.json
new file mode 100644
index 00000000..fad19527
--- /dev/null
+++ b/test/headers_good_setext_with_atx_closed.json
@@ -0,0 +1,6 @@
+{
+  "default": true,
+  "MD003": {
+    "style": "setext_with_atx_closed"
+  }
+}
diff --git a/test/headers_good_setext_with_atx_closed.md b/test/headers_good_setext_with_atx_closed.md
new file mode 100644
index 00000000..4cdd532a
--- /dev/null
+++ b/test/headers_good_setext_with_atx_closed.md
@@ -0,0 +1,9 @@
+Header 1
+========
+
+Header 2
+--------
+
+### Header 3 ###
+
+#### Header 4 {MD003}