diff --git a/packages/serverless-runtime-types/package.json b/packages/serverless-runtime-types/package.json
index 0eae7047..fb453de2 100644
--- a/packages/serverless-runtime-types/package.json
+++ b/packages/serverless-runtime-types/package.json
@@ -26,7 +26,7 @@
     "url": "https://github.com/twilio-labs/serverless-toolkit/issues"
   },
   "dependencies": {
-    "twilio": "^3.33.0"
+    "twilio": "^3.60.0"
   },
   "devDependencies": {
     "@types/express": "^4.17.11",
diff --git a/packages/twilio-run/README.md b/packages/twilio-run/README.md
index 67b476d2..b062e650 100644
--- a/packages/twilio-run/README.md
+++ b/packages/twilio-run/README.md
@@ -152,10 +152,32 @@ twilio-run --inspect
 # Exposes the Twilio functions via ngrok to share them
 twilio-run --ngrok
 
-# Exposes the Twilio functions via ngrok using a custom subdomain (requires a paid-for ngrok account)
+# Uses a custom project ngrok config and named tunnel to expose the functions via ngrok
+twilio-run --ngrok --ngrok-config=./ngrok.yml --ngrok-name=example
+```
+
+#### ngrok
+
+`twilio-run` lets you open a tunnel using [ngrok](https://ngrok.com/) (see the examples above). By default, just setting the `--ngrok` flag will use a randomly generated subdomain. If you have a paid for ngrok account, you can customise this experience.
+
+##### Custom ngrok subdomain
+
+Run the following command:
+
+```
 twilio-run --ngrok=subdomain
 ```
 
+This will start the `twilio-run` server and also tunnel to it over ngrok via the domain `subdomain.ngrok.io`.
+
+##### Custom ngrok config
+
+You can create an [ngrok config file](https://ngrok.com/docs#config-location) which allows you to name tunnels and include other settings for those named tunnels, such as the subdomain, auth, or host headers.
+
+You can choose to run a named tunnel with `twilio-run` by passing the `--ngrok-name` flag. This will find the named tunnel in your default config, over-ride the `proto` to http and the `addr` to the port your Twilio Functions are running on, otherwise keeping the rest of the settings.
+
+You can also choose to use a different config file by setting the `--ngrok-config` flag.
+
 ### `twilio-run deploy`
 
 Deploys your project to Twilio. It will read dependencies automatically from your `package.json`'s `dependencies` field and install them. It will also upload and set the variables that are specified in your `.env` file. You can point it against a different `.env` file via command-line flags.
diff --git a/packages/twilio-run/package.json b/packages/twilio-run/package.json
index b37afe33..76c3e933 100644
--- a/packages/twilio-run/package.json
+++ b/packages/twilio-run/package.json
@@ -69,14 +69,15 @@
     "serialize-error": "^7.0.1",
     "terminal-link": "^1.3.0",
     "title": "^3.4.1",
-    "twilio": "^3.43.1",
+    "twilio": "^3.60.0",
     "type-fest": "^0.15.1",
     "window-size": "^1.1.1",
     "wrap-ansi": "^5.1.0",
+    "yaml": "^1.10.0",
     "yargs": "^13.2.2"
   },
   "optionalDependencies": {
-    "ngrok": "^3.3.0"
+    "ngrok": "^4.0.1"
   },
   "devDependencies": {
     "@types/cheerio": "^0.22.12",
diff --git a/packages/twilio-run/src/commands/start.ts b/packages/twilio-run/src/commands/start.ts
index eead014d..da3a8839 100644
--- a/packages/twilio-run/src/commands/start.ts
+++ b/packages/twilio-run/src/commands/start.ts
@@ -159,6 +159,14 @@ export const cliInfo: CliInfo = {
       describe:
         'Uses ngrok to create a public url. Pass a string to set the subdomain (requires a paid-for ngrok account).',
     },
+    'ngrok-config': {
+      type: 'string',
+      describe: 'Path to custom ngrok config for project specific config.',
+    },
+    'ngrok-name': {
+      type: 'string',
+      describe: 'Name of ngrok tunnel config.',
+    },
     logs: {
       type: 'boolean',
       default: true,
diff --git a/packages/twilio-run/src/config/start.ts b/packages/twilio-run/src/config/start.ts
index e3c96331..ac841e91 100644
--- a/packages/twilio-run/src/config/start.ts
+++ b/packages/twilio-run/src/config/start.ts
@@ -1,7 +1,10 @@
 import { EnvironmentVariables } from '@twilio-labs/serverless-api';
 import dotenv from 'dotenv';
-import { readFileSync } from 'fs';
-import path, { resolve } from 'path';
+import { readFile } from 'fs';
+import { promisify } from 'util';
+const readFilePromise = promisify(readFile);
+import path, { resolve, join } from 'path';
+import { homedir } from 'os';
 import { Arguments } from 'yargs';
 import { ExternalCliOptions, SharedFlags } from '../commands/shared';
 import { CliInfo } from '../commands/types';
@@ -10,14 +13,11 @@ import { fileExists } from '../utils/fs';
 import { getDebugFunction, logger } from '../utils/logger';
 import { readSpecializedConfig } from './global';
 import { mergeFlagsAndConfig } from './utils/mergeFlagsAndConfig';
+import { Ngrok } from 'ngrok';
+import { parse } from 'yaml';
 
 const debug = getDebugFunction('twilio-run:cli:config');
 
-type NgrokConfig = {
-  addr: string | number;
-  subdomain?: string;
-};
-
 type InspectInfo = {
   hostPort: string;
   break: boolean;
@@ -47,6 +47,8 @@ export type StartCliFlags = Arguments<
     env?: string;
     port: string;
     ngrok?: string | boolean;
+    ngrokConfig?: string;
+    ngrokName?: string;
     logs: boolean;
     detailedLogs: boolean;
     live: boolean;
@@ -67,12 +69,73 @@ export async function getUrl(cli: StartCliFlags, port: string | number) {
   let url = `http://localhost:${port}`;
   if (typeof cli.ngrok !== 'undefined') {
     debug('Starting ngrok tunnel');
-    const ngrokConfig: NgrokConfig = { addr: port };
+    // Setup default ngrok config, setting the protocol and the port number to
+    // forward to.
+    const defaultConfig: Ngrok.Options = { addr: port, proto: 'http' };
+    let tunnelConfig = defaultConfig;
+    let ngrokConfig;
+    if (typeof cli.ngrokConfig === 'string') {
+      // If we set a config path then try to load that config. If the config
+      // fails to load then we'll try to load the default config instead.
+      const configPath = join(cli.cwd || process.cwd(), cli.ngrokConfig);
+      try {
+        ngrokConfig = parse(await readFilePromise(configPath, 'utf-8'));
+      } catch (err) {
+        logger.warn(`Could not find ngrok config file at ${configPath}`);
+      }
+    }
+    if (!ngrokConfig) {
+      // Try to load default config. If there is no default config file, set
+      // `ngrokConfig` to be an empty object.
+      const configPath = join(homedir(), '.ngrok2', 'ngrok.yml');
+      try {
+        ngrokConfig = parse(await readFilePromise(configPath, 'utf-8'));
+      } catch (err) {
+        ngrokConfig = {};
+      }
+    }
+    if (
+      typeof cli.ngrokName === 'string' &&
+      typeof ngrokConfig.tunnels === 'object'
+    ) {
+      // If we've asked for a named ngrok tunnel and there are available tunnels
+      // in the config, then set the `tunnelConfig` to the options from the
+      // config, overriding the addr and proto to the defaults.
+      tunnelConfig = { ...ngrokConfig.tunnels[cli.ngrokName], ...tunnelConfig };
+      if (!tunnelConfig) {
+        // If the config does not include the named tunnel, then set it back to
+        // the default options.
+        logger.warn(
+          `Could not find config for named tunnel "${cli.ngrokName}". Falling back to other options.`
+        );
+        tunnelConfig = defaultConfig;
+      }
+    }
+    if (typeof ngrokConfig.authtoken === 'string') {
+      // If there is an authtoken in the config, add it to the tunnel config.
+      tunnelConfig.authToken = ngrokConfig.authtoken;
+    }
     if (typeof cli.ngrok === 'string' && cli.ngrok.length > 0) {
-      ngrokConfig.subdomain = cli.ngrok;
+      // If we've asked for a custom subdomain, override the tunnel config with
+      // it.
+      tunnelConfig.subdomain = cli.ngrok;
+    }
+    const ngrok = require('ngrok');
+    try {
+      // Try to open the ngrok tunnel.
+      url = await ngrok.connect(tunnelConfig);
+    } catch (error) {
+      // If it fails, it is likely to be because the tunnel config we pass is
+      // not allowed (e.g. using a custom subdomain without an authtoken). The
+      // error message from ngrok itself should describe the issue.
+      logger.warn(error.message);
+      if (
+        typeof error.details !== 'undefined' &&
+        typeof error.details.err !== 'undefined'
+      ) {
+        logger.warn(error.details.err);
+      }
     }
-
-    url = await require('ngrok').connect(ngrokConfig);
     debug('ngrok tunnel URL: %s', url);
   }
 
@@ -106,7 +169,7 @@ export async function getEnvironment(
   if (await fileExists(fullEnvPath)) {
     try {
       debug(`Read .env file at "%s"`, fullEnvPath);
-      const envContent = readFileSync(fullEnvPath, 'utf8');
+      const envContent = await readFilePromise(fullEnvPath, 'utf8');
       const envValues = dotenv.parse(envContent);
       for (const [key, val] of Object.entries(envValues)) {
         env[key] = val;