diff --git a/docx2everything/converters/markdown_converter.py b/docx2everything/converters/markdown_converter.py
index 0ff408f..c5a5067 100644
--- a/docx2everything/converters/markdown_converter.py
+++ b/docx2everything/converters/markdown_converter.py
@@ -395,6 +395,7 @@ def parse_table_to_markdown(tbl_elem, hyperlinks=None, images=None, img_dir=None
     
     markdown_rows = []
     num_cols = 0
+    vertical_merge_values = {}
     
     # First pass: determine number of columns and extract all rows
     col_alignments = []  # Track column alignments
@@ -408,12 +409,17 @@ def parse_table_to_markdown(tbl_elem, hyperlinks=None, images=None, img_dir=None
             tcPr = cell.find(qn('w:tcPr'))
             grid_span = 1
             cell_alignment = 'left'  # Default alignment
+            v_merge = None
             
             if tcPr is not None:
                 gridSpan_elem = tcPr.find(qn('w:gridSpan'))
                 if gridSpan_elem is not None:
                     grid_span = int(gridSpan_elem.get('{http://schemas.openxmlformats.org/wordprocessingml/2006/main}val', 1))
                 
+                vMerge_elem = tcPr.find(qn('w:vMerge'))
+                if vMerge_elem is not None:
+                    v_merge = vMerge_elem.get('{http://schemas.openxmlformats.org/wordprocessingml/2006/main}val', 'continue')
+                
                 # Check for cell alignment
                 jc_elem = tcPr.find(qn('w:jc'))
                 if jc_elem is not None:
@@ -433,6 +439,14 @@ def parse_table_to_markdown(tbl_elem, hyperlinks=None, images=None, img_dir=None
                     cell_text += p_text + ' '
             
             cell_text = cell_text.strip().replace('\n', ' ').replace('|', '\\|')
+            col_idx = len(row_data)
+            
+            if v_merge == 'restart':
+                vertical_merge_values[col_idx] = cell_text
+            elif v_merge == 'continue':
+                cell_text = vertical_merge_values.get(col_idx, cell_text)
+            else:
+                vertical_merge_values.pop(col_idx, None)
             
             # Add merged cells
             row_data.append(cell_text)
diff --git a/tests/test_markdown_table_vmerge.py b/tests/test_markdown_table_vmerge.py
new file mode 100644
index 0000000..a3cb2e2
--- /dev/null
+++ b/tests/test_markdown_table_vmerge.py
@@ -0,0 +1,61 @@
+import xml.etree.ElementTree as ET
+
+from docx2everything.converters.markdown_converter import parse_table_to_markdown
+
+
+W_NS = "http://schemas.openxmlformats.org/wordprocessingml/2006/main"
+
+
+def test_vertical_merge_continuation_repeats_restart_cell_text():
+    table = ET.fromstring(f"""
+    <w:tbl xmlns:w="{W_NS}">
+      <w:tr>
+        <w:tc>
+          <w:tcPr><w:vMerge w:val="restart"/></w:tcPr>
+          <w:p><w:r><w:t>Merged</w:t></w:r></w:p>
+        </w:tc>
+        <w:tc><w:p><w:r><w:t>Header</w:t></w:r></w:p></w:tc>
+      </w:tr>
+      <w:tr>
+        <w:tc>
+          <w:tcPr><w:vMerge/></w:tcPr>
+          <w:p/>
+        </w:tc>
+        <w:tc><w:p><w:r><w:t>Value</w:t></w:r></w:p></w:tc>
+      </w:tr>
+    </w:tbl>
+    """)
+
+    markdown = parse_table_to_markdown(table)
+
+    assert markdown == "\n".join([
+        "| Merged | Header |",
+        "| --- | --- |",
+        "| Merged | Value |",
+    ])
+
+
+def test_vertical_merge_does_not_affect_later_normal_cells():
+    table = ET.fromstring(f"""
+    <w:tbl xmlns:w="{W_NS}">
+      <w:tr>
+        <w:tc>
+          <w:tcPr><w:vMerge w:val="restart"/></w:tcPr>
+          <w:p><w:r><w:t>Merged</w:t></w:r></w:p>
+        </w:tc>
+        <w:tc><w:p><w:r><w:t>Header</w:t></w:r></w:p></w:tc>
+      </w:tr>
+      <w:tr>
+        <w:tc><w:p><w:r><w:t>Normal</w:t></w:r></w:p></w:tc>
+        <w:tc><w:p><w:r><w:t>Value</w:t></w:r></w:p></w:tc>
+      </w:tr>
+    </w:tbl>
+    """)
+
+    markdown = parse_table_to_markdown(table)
+
+    assert markdown == "\n".join([
+        "| Merged | Header |",
+        "| --- | --- |",
+        "| Normal | Value |",
+    ])