diff --git a/agent/agent_runtime_helpers.py b/agent/agent_runtime_helpers.py
index c4018d20af..6f94189bf0 100644
--- a/agent/agent_runtime_helpers.py
+++ b/agent/agent_runtime_helpers.py
@@ -3858,10 +3858,22 @@ _INTERRUPTED_PLACEHOLDER = "[response interrupted]"
 
 # Repeated heals of the same poisoned transcript used to WARNING on every
 # send (#96870). Escalate once per session window, then stay quiet.
-_EMPTY_HEAL_ESCALATE_AFTER = 5
+# ``_EMPTY_HEAL_ESCALATE_AFTER`` is the built-in default; deployments tune it
+# via ``agent.sanitizer_heal_escalation_threshold`` in config.yaml (<= 0
+# disables escalation entirely — WARNINGs still fire per window).
+_EMPTY_HEAL_ESCALATE_AFTER = 3
 _EMPTY_HEAL_WINDOW_S = 600.0
 _empty_heal_log_state: Dict[str, Dict[str, Any]] = {}
 _empty_heal_log_lock = threading.Lock()
+# Session keys that already received the one-time user notice. Separate from
+# the windowed log state so a new 10-minute window never re-notifies: the
+# user is told ONCE per session, ever (#96870 — out-of-band, delivery
+# channel only, never injected into conversation context).
+_empty_heal_user_notified: set = set()
+# One-shot pending notices keyed by session, drained by the conversation
+# loop through ``consume_pending_sanitizer_heal_notice`` and delivered via
+# the status/warning callback (the normal delivery channel).
+_empty_heal_pending_notice: Dict[str, str] = {}
 
 
 def _msg_has_payload(msg: Dict[str, Any]) -> bool:
@@ -3941,25 +3953,106 @@ def _session_id_for_heal_log() -> str:
         return ""
 
 
+def _heal_escalation_threshold() -> int:
+    """Resolve the escalation threshold: config override, else the default.
+
+    ``agent.sanitizer_heal_escalation_threshold`` in config.yaml. Fail-safe:
+    any read error falls back to the module default so the sanitiser can
+    never be broken by a bad config file.
+    """
+    try:
+        from hermes_cli.config import load_config_readonly
+
+        raw = (load_config_readonly().get("agent", {}) or {}).get(
+            "sanitizer_heal_escalation_threshold"
+        )
+        if raw is not None:
+            return int(raw)
+    except Exception:
+        pass
+    return _EMPTY_HEAL_ESCALATE_AFTER
+
+
+def consume_pending_sanitizer_heal_notice() -> Optional[str]:
+    """Drain the one-time user notice for the current session, if any.
+
+    Called by the conversation loop right after the pre-send sanitizer pass;
+    the returned text is delivered through the status/warning callback (the
+    normal out-of-band delivery channel: gateway status message, CLI stderr
+    print). It is NEVER appended to the conversation context, so prompt
+    caching and role alternation are untouched. Returns at most one notice
+    per session for its whole lifetime.
+    """
+    key = _session_id_for_heal_log() or "-"
+    with _empty_heal_log_lock:
+        return _empty_heal_pending_notice.pop(key, None)
+
+
+def get_sanitizer_heal_stats() -> Dict[str, Dict[str, Any]]:
+    """Read-only snapshot of per-session sanitiser heal counters.
+
+    Surfaced by diagnostics (``hermes doctor`` / debug share callers) so
+    repeated silent repairs are visible outside errors.log. Keys are session
+    ids; values carry ``heal_events`` (sanitizer invocations that healed at
+    least one message), ``messages_healed`` (total substituted turns) and
+    ``escalated`` (whether the ERROR + user notice fired).
+    """
+    with _empty_heal_log_lock:
+        return {
+            k: {
+                "heal_events": v.get("total_events", v.get("count", 0)),
+                "messages_healed": v.get("total_healed", 0),
+                "escalated": k in _empty_heal_user_notified,
+            }
+            for k, v in _empty_heal_log_state.items()
+        }
+
+
 def _log_empty_non_final_heal(healed: int) -> None:
     """WARNING on the first heals in a window; one ERROR at the threshold.
 
     Further heals in the same session window stay silent so a poisoned
     transcript cannot flood ``errors.log`` (dozens of identical WARNINGs
-    per hour with no user-visible signal — #96870).
+    per hour with no user-visible signal — #96870). At the threshold the
+    escalation also queues a ONE-TIME out-of-band user notice (drained by
+    ``consume_pending_sanitizer_heal_notice``) pointing at ``/debug share``
+    / ``hermes doctor`` — once per session, never re-armed by a new window.
     """
     key = _session_id_for_heal_log() or "-"
+    threshold = _heal_escalation_threshold()
     now = time.monotonic()
     with _empty_heal_log_lock:
         state = _empty_heal_log_state.get(key)
         if state is None or (now - state["window_start"]) > _EMPTY_HEAL_WINDOW_S:
-            state = {"count": 0, "window_start": now, "escalated": False}
+            prior_events = state.get("total_events", 0) if state else 0
+            prior_healed = state.get("total_healed", 0) if state else 0
+            state = {
+                "count": 0,
+                "window_start": now,
+                "escalated": False,
+                "total_events": prior_events,
+                "total_healed": prior_healed,
+            }
             _empty_heal_log_state[key] = state
         state["count"] += 1
+        state["total_events"] = state.get("total_events", 0) + 1
+        state["total_healed"] = state.get("total_healed", 0) + healed
         count = state["count"]
-        if count >= _EMPTY_HEAL_ESCALATE_AFTER and not state["escalated"]:
+        total_events = state["total_events"]
+        total_healed = state["total_healed"]
+        if threshold > 0 and count >= threshold and not state["escalated"]:
             state["escalated"] = True
             level = "error"
+            if key not in _empty_heal_user_notified:
+                _empty_heal_user_notified.add(key)
+                _empty_heal_pending_notice[key] = (
+                    "⚠️ Your session transcript required repeated repair "
+                    f"({total_events} heal passes so far). Replies keep "
+                    "working, but a corrupted turn is stuck in this "
+                    "session's history — run /debug share or `hermes "
+                    "doctor` to capture diagnostics, or /new to start a "
+                    "clean session."
+                )
         elif state["escalated"]:
             level = "silent"
         else:
@@ -3969,11 +4062,17 @@ def _log_empty_non_final_heal(healed: int) -> None:
         return
     if level == "error":
         _ra().logger.error(
-            "Pre-call sanitizer: healed %d empty non-final message(s) "
-            "(%d heals in this session window). The transcript is being "
-            "repaired on every send; /new drops the poisoned turns.",
+            "Pre-call sanitizer: repeated-heal escalation for session %s — "
+            "healed %d empty non-final message(s) this send; heal pattern: "
+            "%d heal events / %d messages healed this session "
+            "(%d in the current session window, threshold %d). The transcript "
+            "is being repaired on every send; /new drops the poisoned turns.",
+            key,
             healed,
+            total_events,
+            total_healed,
             count,
+            threshold,
         )
         return
     _ra().logger.warning(
diff --git a/agent/conversation_loop.py b/agent/conversation_loop.py
index 7cb1346f38..5d2ac2688e 100644
--- a/agent/conversation_loop.py
+++ b/agent/conversation_loop.py
@@ -2570,6 +2570,24 @@ def run_conversation(
         # manual message manipulation are always caught.
         api_messages = agent._sanitize_api_messages(api_messages)
 
+        # One-time repeated-heal escalation notice (#96870): if the sanitizer
+        # above just crossed the per-session heal threshold, deliver the
+        # queued notice through the status/warning callback — the normal
+        # out-of-band delivery channel (gateway status message / CLI print).
+        # NEVER appended to messages/api_messages: conversation context and
+        # the cached prompt prefix stay byte-identical.
+        try:
+            from agent.agent_runtime_helpers import (
+                consume_pending_sanitizer_heal_notice,
+            )
+
+            _heal_notice = consume_pending_sanitizer_heal_notice()
+            if _heal_notice:
+                agent._emit_warning(_heal_notice)
+        except Exception:
+            # A notice hiccup must never break the send path.
+            logger.debug("sanitizer heal notice delivery failed", exc_info=True)
+
         # Drop thinking-only assistant turns (reasoning but no visible
         # output and no tool_calls) and merge any adjacent user messages
         # left behind. Prevents Anthropic 400s ("The final block in an
diff --git a/cli-config.yaml.example b/cli-config.yaml.example
index 575a03e5c5..c4025dc2b3 100644
--- a/cli-config.yaml.example
+++ b/cli-config.yaml.example
@@ -1055,6 +1055,16 @@ agent:
   # the turn (see gateway_timeout). 0 = disable. Default 300.
   # session_stall_timeout: 300
 
+  # Transcript-sanitiser repeated-heal escalation (#96870). The pre-send
+  # sanitiser silently repairs empty non-final turns on the wire copy; after
+  # this many heal passes within a 10-minute session window Hermes logs one
+  # ERROR (with session id + heal pattern) and sends a ONE-TIME out-of-band
+  # notice to the user suggesting /debug share or `hermes doctor`. The notice
+  # goes through the status channel only — conversation context and prompt
+  # caching are untouched. Set 0 to disable escalation (per-window WARNINGs
+  # still fire). Default 3.
+  # sanitizer_heal_escalation_threshold: 3
+
   # Related in-agent compression timeouts (they live under the top-level
   # compression: block, shown here for discoverability next to the stall
   # watchdog they complement — a hung compression is a common stall cause):
diff --git a/hermes_cli/config_defaults.py b/hermes_cli/config_defaults.py
index 7990d88ad2..8c1733d551 100644
--- a/hermes_cli/config_defaults.py
+++ b/hermes_cli/config_defaults.py
@@ -297,6 +297,14 @@ DEFAULT_CONFIG = {
         # from gateway_timeout (which kills the turn) and
         # gateway_notify_interval ("still working" heartbeats). 0 = disable.
         "session_stall_timeout": 300,
+        # Transcript-sanitiser repeated-heal escalation threshold (#96870).
+        # After this many pre-send heal passes within a 10-minute session
+        # window, log one ERROR (session id + heal pattern) and queue a
+        # ONE-TIME out-of-band user notice pointing at /debug share or
+        # `hermes doctor`. Delivered via the status channel only —
+        # conversation context / prompt caching untouched. 0 = disable
+        # escalation (per-window WARNINGs still fire).
+        "sanitizer_heal_escalation_threshold": 3,
         # Long-lived reconnect-loop escalation (seconds). A platform that has
         # been continuously failing/reconnecting for this long gets
         # needs_attention flagged in gateway runtime status (visible in
diff --git a/hermes_cli/debug.py b/hermes_cli/debug.py
index f633df62f2..947562ecff 100644
--- a/hermes_cli/debug.py
+++ b/hermes_cli/debug.py
@@ -607,6 +607,26 @@ def collect_debug_report(
     if log_snapshots is None:
         log_snapshots = _capture_default_log_snapshots(log_lines)
 
+    # ── Sanitiser heal counters (#96870) ─────────────────────────────────
+    # In-process, in-memory counters: populated when this report is built
+    # inside a process that ran agent turns (gateway /debug share); empty
+    # from a fresh CLI process, where the errors.log tail below carries the
+    # same escalation lines instead.
+    try:
+        from agent.agent_runtime_helpers import get_sanitizer_heal_stats
+
+        heal_stats = get_sanitizer_heal_stats()
+        if heal_stats:
+            buf.write("\n\n--- transcript sanitiser heal counters ---\n")
+            for sess, st in sorted(heal_stats.items()):
+                buf.write(
+                    f"session {sess}: {st['heal_events']} heal events, "
+                    f"{st['messages_healed']} messages healed, "
+                    f"escalated={st['escalated']}\n"
+                )
+    except Exception:
+        pass
+
     # ── Recent log tails (summary only) ──────────────────────────────────
     buf.write("\n\n")
     buf.write(f"--- agent.log (last {log_lines} lines) ---\n")
diff --git a/hermes_cli/dump.py b/hermes_cli/dump.py
index c00d55f12f..c7399f39f8 100644
--- a/hermes_cli/dump.py
+++ b/hermes_cli/dump.py
@@ -237,6 +237,7 @@ def _config_overrides(config: dict) -> dict[str, str]:
         ("agent", "max_turns"),
         ("agent", "gateway_timeout"),
         ("agent", "session_stall_timeout"),
+        ("agent", "sanitizer_heal_escalation_threshold"),
         ("agent", "tool_use_enforcement"),
         ("agent", "execution_guidance"),
         ("terminal", "backend"),
diff --git a/tests/run_agent/test_sanitiser_escalation.py b/tests/run_agent/test_sanitiser_escalation.py
index 2aab5e7c21..d75be6ece2 100644
--- a/tests/run_agent/test_sanitiser_escalation.py
+++ b/tests/run_agent/test_sanitiser_escalation.py
@@ -16,7 +16,11 @@ import pytest
 from agent.agent_runtime_helpers import (
     _INTERRUPTED_PLACEHOLDER,
     _empty_heal_log_state,
+    _empty_heal_pending_notice,
+    _empty_heal_user_notified,
+    consume_pending_sanitizer_heal_notice,
     fill_empty_non_final_wire_payload,
+    get_sanitizer_heal_stats,
     repair_empty_non_final_messages,
 )
 from hermes_logging import clear_session_context, set_session_context
@@ -25,9 +29,13 @@ from hermes_logging import clear_session_context, set_session_context
 @pytest.fixture(autouse=True)
 def _reset_heal_log():
     _empty_heal_log_state.clear()
+    _empty_heal_pending_notice.clear()
+    _empty_heal_user_notified.clear()
     clear_session_context()
     yield
     _empty_heal_log_state.clear()
+    _empty_heal_pending_notice.clear()
+    _empty_heal_user_notified.clear()
     clear_session_context()
 
 
@@ -83,7 +91,7 @@ class TestHealLogEscalation:
     def test_warning_then_one_error_then_silence(self, monkeypatch, caplog):
         import agent.agent_runtime_helpers as arh
 
-        monkeypatch.setattr(arh, "_EMPTY_HEAL_ESCALATE_AFTER", 3)
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 3)
         set_session_context("sess-heal")
         durable = _poisoned_rows()
 
@@ -106,7 +114,7 @@ class TestHealLogEscalation:
     def test_sessions_do_not_share_heal_counters(self, monkeypatch, caplog):
         import agent.agent_runtime_helpers as arh
 
-        monkeypatch.setattr(arh, "_EMPTY_HEAL_ESCALATE_AFTER", 3)
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 3)
         with caplog.at_level(logging.WARNING, logger="run_agent"):
             set_session_context("sess-a")
             repair_empty_non_final_messages([dict(m) for m in _poisoned_rows()])
@@ -126,6 +134,132 @@ class TestHealLogEscalation:
         assert out is not durable
 
 
+class TestOneTimeUserNotice:
+    def _heal_n(self, n):
+        for _ in range(n):
+            repair_empty_non_final_messages(
+                [dict(m) for m in _poisoned_rows()]
+            )
+
+    def test_notice_queued_once_at_threshold(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 3)
+        set_session_context("sess-notice")
+
+        self._heal_n(2)
+        assert consume_pending_sanitizer_heal_notice() is None
+
+        self._heal_n(1)  # crosses threshold
+        notice = consume_pending_sanitizer_heal_notice()
+        assert notice is not None
+        assert "repeated repair" in notice
+        assert "/debug share" in notice
+        assert "hermes doctor" in notice
+
+        # drained: never delivered twice
+        assert consume_pending_sanitizer_heal_notice() is None
+
+    def test_notice_never_rearms_in_new_window(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 2)
+        set_session_context("sess-rearm")
+
+        self._heal_n(2)
+        assert consume_pending_sanitizer_heal_notice() is not None
+
+        # Simulate window expiry: force a fresh window, cross threshold again.
+        arh._empty_heal_log_state["sess-rearm"]["window_start"] -= (
+            arh._EMPTY_HEAL_WINDOW_S + 1
+        )
+        self._heal_n(2)
+        assert consume_pending_sanitizer_heal_notice() is None
+
+    def test_notice_scoped_to_session(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 2)
+        set_session_context("sess-x")
+        self._heal_n(2)
+        set_session_context("sess-y")
+        # sess-y never escalated; its consume must not steal sess-x's notice
+        assert consume_pending_sanitizer_heal_notice() is None
+        set_session_context("sess-x")
+        assert consume_pending_sanitizer_heal_notice() is not None
+
+    def test_threshold_zero_disables_escalation(self, monkeypatch, caplog):
+        import agent.agent_runtime_helpers as arh
+
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 0)
+        set_session_context("sess-off")
+        with caplog.at_level(logging.WARNING, logger="run_agent"):
+            self._heal_n(6)
+        assert consume_pending_sanitizer_heal_notice() is None
+        assert not [r for r in caplog.records if r.levelno == logging.ERROR]
+
+    def test_threshold_read_from_config(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+
+        monkeypatch.setattr(
+            "hermes_cli.config.load_config_readonly",
+            lambda: {"agent": {"sanitizer_heal_escalation_threshold": 7}},
+        )
+        assert arh._heal_escalation_threshold() == 7
+
+    def test_threshold_defaults_when_config_unreadable(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+
+        def _boom():
+            raise RuntimeError("no config")
+
+        monkeypatch.setattr("hermes_cli.config.load_config_readonly", _boom)
+        assert (
+            arh._heal_escalation_threshold() == arh._EMPTY_HEAL_ESCALATE_AFTER
+        )
+
+
+class TestHealStatsSurface:
+    def test_counters_visible_and_escalation_flagged(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 3)
+        set_session_context("sess-stats")
+        for _ in range(4):
+            repair_empty_non_final_messages(
+                [dict(m) for m in _poisoned_rows()]
+            )
+
+        stats = get_sanitizer_heal_stats()
+        assert stats["sess-stats"]["heal_events"] == 4
+        assert stats["sess-stats"]["messages_healed"] == 4
+        assert stats["sess-stats"]["escalated"] is True
+
+    def test_debug_report_includes_heal_counters(self, monkeypatch):
+        import agent.agent_runtime_helpers as arh
+        from hermes_cli.debug import collect_debug_report, LogSnapshot
+
+        monkeypatch.setattr(arh, "_heal_escalation_threshold", lambda: 2)
+        set_session_context("sess-report")
+        for _ in range(2):
+            repair_empty_non_final_messages(
+                [dict(m) for m in _poisoned_rows()]
+            )
+
+        empty = LogSnapshot(path=None, tail_text="", full_text="")
+        report = collect_debug_report(
+            log_lines=5,
+            dump_text="dump",
+            log_snapshots={
+                k: empty
+                for k in ("agent", "errors", "gateway", "gui", "desktop")
+            },
+        )
+        assert "transcript sanitiser heal counters" in report
+        assert "sess-report: 2 heal events" in report
+        assert "escalated=True" in report
+
+
 class TestProjectionStopsReheal:
     def _loop_agent(self):
         from unittest.mock import MagicMock, patch
@@ -209,3 +343,53 @@ class TestProjectionStopsReheal:
         assert wire_assistants[0]["content"] == _INTERRUPTED_PLACEHOLDER
         assert history[1]["content"] == ""
         assert "api_content" not in history[1]
+
+    def test_pending_notice_delivered_out_of_band_not_in_context(self):
+        """A queued escalation notice is emitted through _emit_warning (the
+        status/delivery channel) and NEVER appears in the wire messages or
+        the durable history — message-flow / caching invariants (#96870)."""
+        from unittest.mock import patch
+
+        import agent.agent_runtime_helpers as _arh
+        from tests.run_agent.test_run_agent import _mock_response
+
+        agent = self._loop_agent()
+        agent.client.chat.completions.create.side_effect = [
+            _mock_response(content="ok", finish_reason="stop"),
+        ]
+
+        set_session_context("sess-loop-notice")
+        # The turn re-binds the log session context to the agent's own
+        # session id at turn start, so queue the notice under that key —
+        # exactly where the escalation path would have put it mid-session.
+        _live_key = str(getattr(agent, "session_id", None) or "-")
+        with _arh._empty_heal_log_lock:
+            _arh._empty_heal_user_notified.add(_live_key)
+            _arh._empty_heal_pending_notice[_live_key] = (
+                "⚠️ Your session transcript required repeated repair — "
+                "run /debug share or `hermes doctor`."
+            )
+
+        warned = []
+        history = [
+            {"role": "user", "content": "start"},
+            {"role": "assistant", "content": "earlier", "finish_reason": "stop"},
+        ]
+        with (
+            patch.object(agent, "_flush_messages_to_session_db"),
+            patch.object(agent, "_persist_session"),
+            patch.object(agent, "_save_trajectory"),
+            patch.object(agent, "_cleanup_task_resources"),
+            patch.object(agent, "_emit_warning", side_effect=warned.append),
+        ):
+            agent.run_conversation("next", conversation_history=history)
+
+        assert warned and "repeated repair" in warned[0]
+        # one-time: drained after delivery
+        assert _arh._empty_heal_pending_notice == {}
+        # never injected into the wire copy or durable history
+        wire = agent.client.chat.completions.create.call_args.kwargs["messages"]
+        assert all("repeated repair" not in str(m.get("content")) for m in wire)
+        assert all(
+            "repeated repair" not in str(m.get("content")) for m in history
+        )