diff --git a/.changeset/flat-flowers-approve.md b/.changeset/flat-flowers-approve.md
new file mode 100644
index 0000000000..ae421bde69
--- /dev/null
+++ b/.changeset/flat-flowers-approve.md
@@ -0,0 +1,5 @@
+---
+'@sl-design-system/checkbox': patch
+---
+
+Fix NVDA accessibility issues, fix indeterminate state for screen readers.
diff --git a/packages/components/checkbox/src/checkbox.scss b/packages/components/checkbox/src/checkbox.scss
index d7e1d3f128..98df79f45f 100644
--- a/packages/components/checkbox/src/checkbox.scss
+++ b/packages/components/checkbox/src/checkbox.scss
@@ -117,6 +117,7 @@ $variants: default, valid, invalid;
   inline-size: 1px;
   opacity: 0;
   outline: 0;
+  pointer-events: none;
   position: absolute;
 }
 
diff --git a/packages/components/checkbox/src/checkbox.spec.ts b/packages/components/checkbox/src/checkbox.spec.ts
index f6acbe6669..8030be0c9c 100644
--- a/packages/components/checkbox/src/checkbox.spec.ts
+++ b/packages/components/checkbox/src/checkbox.spec.ts
@@ -29,7 +29,9 @@ describe('sl-checkbox', () => {
     it('should not be checked', () => {
       expect(el.checked).not.to.be.true;
       expect(input.checked).not.to.be.true;
-      expect(input).not.to.have.attribute('checked');
+      expect(input).to.have.attribute('aria-checked', 'false');
+      expect(input).not.to.match(':checked');
+      expect(input.checked).to.be.false;
     });
 
     it('should be checked when set', async () => {
@@ -37,7 +39,8 @@ describe('sl-checkbox', () => {
       await el.updateComplete;
 
       expect(el).to.have.attribute('checked');
-      expect(input).to.have.attribute('checked');
+      expect(input).to.have.attribute('aria-checked', 'true');
+      expect(input).to.match(':checked');
       expect(input.checked).to.be.true;
     });
 
@@ -57,7 +60,8 @@ describe('sl-checkbox', () => {
     it('should not be indeterminate', () => {
       expect(el).not.to.have.attribute('indeterminate');
       expect(el.indeterminate).not.to.be.true;
-      expect(input).not.to.have.attribute('indeterminate');
+      expect(input).not.to.match(':indeterminate');
+      expect(input.indeterminate).to.be.false;
     });
 
     it('should be indeterminate when set', async () => {
@@ -65,7 +69,9 @@ describe('sl-checkbox', () => {
       await el.updateComplete;
 
       expect(el).to.have.attribute('indeterminate');
-      expect(input).to.have.attribute('indeterminate');
+      expect(input).to.have.attribute('aria-checked', 'mixed');
+      expect(input).to.match(':indeterminate');
+      expect(input.indeterminate).to.be.true;
     });
 
     it('should not be required', () => {
@@ -142,7 +148,8 @@ describe('sl-checkbox', () => {
 
       expect(el).to.have.attribute('checked');
       expect(el.checked).to.be.true;
-      expect(input).to.have.attribute('checked');
+      expect(input).to.have.attribute('aria-checked', 'true');
+      expect(input).to.match(':checked');
       expect(input.checked).to.be.true;
 
       el.click();
@@ -150,8 +157,9 @@ describe('sl-checkbox', () => {
 
       expect(el).not.to.have.attribute('checked');
       expect(el.checked).to.be.false;
-      expect(input).not.to.have.attribute('checked');
-      expect(input.checked).not.to.be.true;
+      expect(input).to.have.attribute('aria-checked', 'false');
+      expect(input).not.to.match(':checked');
+      expect(input.checked).to.be.false;
     });
 
     it('should change the state to checked on when pressing enter', async () => {
@@ -161,7 +169,8 @@ describe('sl-checkbox', () => {
 
       expect(el).to.have.attribute('checked');
       expect(el.checked).to.be.true;
-      expect(input).to.have.attribute('checked');
+      expect(input).to.have.attribute('aria-checked', 'true');
+      expect(input).to.match(':checked');
       expect(input.checked).to.be.true;
     });
 
@@ -172,7 +181,8 @@ describe('sl-checkbox', () => {
 
       expect(el).to.have.attribute('checked');
       expect(el.checked).to.be.true;
-      expect(input).to.have.attribute('checked');
+      expect(input).to.have.attribute('aria-checked', 'true');
+      expect(input).to.match(':checked');
       expect(input.checked).to.be.true;
     });
 
diff --git a/packages/components/checkbox/src/checkbox.ts b/packages/components/checkbox/src/checkbox.ts
index eb075363a1..40a285cf72 100644
--- a/packages/components/checkbox/src/checkbox.ts
+++ b/packages/components/checkbox/src/checkbox.ts
@@ -114,7 +114,6 @@ export class Checkbox<T = unknown> extends FormControlMixin(LitElement) {
       this.append(style);
     }
 
-    this.setAttribute('role', 'checkbox');
     this.setFormControlElement(this.input);
 
     this.#onLabelSlotChange();
@@ -180,10 +179,14 @@ export class Checkbox<T = unknown> extends FormControlMixin(LitElement) {
       return;
     }
 
-    event.preventDefault();
+    if (event.target instanceof HTMLLabelElement) {
+      this.input.click();
+    }
+
     event.stopPropagation();
 
     this.checked = !this.checked;
+    this.input.checked = this.checked;
     this.changeEvent.emit(this.formValue);
     this.updateState({ dirty: true });
     this.updateValidity();
@@ -200,6 +203,8 @@ export class Checkbox<T = unknown> extends FormControlMixin(LitElement) {
 
   #onKeydown(event: KeyboardEvent): void {
     if (['Enter', ' '].includes(event.key)) {
+      event.preventDefault();
+      event.stopPropagation();
       this.#onClick(event);
     }
   }
@@ -249,8 +254,8 @@ export class Checkbox<T = unknown> extends FormControlMixin(LitElement) {
     input.id ||= `sl-checkbox-${nextUniqueId++}`;
     input.required = !!this.required;
 
-    input.toggleAttribute('checked', !!this.checked);
-    input.toggleAttribute('indeterminate', !!this.indeterminate);
-    this.setAttribute('aria-checked', this.checked ? 'true' : 'false');
+    input.checked = !!this.checked;
+    input.indeterminate = !!this.indeterminate;
+    input.setAttribute('aria-checked', this.indeterminate ? 'mixed' : this.checked ? 'true' : 'false');
   }
 }