diff --git a/ChangeLog.md b/ChangeLog.md
index a12952d30a..19f6e128ad 100644
--- a/ChangeLog.md
+++ b/ChangeLog.md
@@ -11,6 +11,7 @@ and this project adheres to [Semantic Versioning](https://semver.org/spec/v2.0.0
 
 - Add social card ([#1212](https://github.com/dotnet/roslynator/pull/1212)).
 - Add nullable annotation to public API ([#1198](https://github.com/JosefPihrt/Roslynator/pull/1198)).
+- Add refactoring "Remove directive (including content)" ([#1224](https://github.com/dotnet/roslynator/pull/1224)).
 
 ### Changed
 
diff --git a/src/CSharp.Workspaces/CSharp/Extensions/WorkspaceExtensions.cs b/src/CSharp.Workspaces/CSharp/Extensions/WorkspaceExtensions.cs
index b9feed7f21..a4da0d04a3 100644
--- a/src/CSharp.Workspaces/CSharp/Extensions/WorkspaceExtensions.cs
+++ b/src/CSharp.Workspaces/CSharp/Extensions/WorkspaceExtensions.cs
@@ -2,6 +2,7 @@
 
 using System;
 using System.Collections.Generic;
+using System.Linq;
 using System.Threading;
 using System.Threading.Tasks;
 using Microsoft.CodeAnalysis;
@@ -281,6 +282,7 @@ public static async Task<Document> RemovePreprocessorDirectivesAsync(
     internal static async Task<Document> RemovePreprocessorDirectivesAsync(
         this Document document,
         IEnumerable<DirectiveTriviaSyntax> directives,
+        PreprocessorDirectiveRemoveOptions options,
         CancellationToken cancellationToken = default)
     {
         if (document is null)
@@ -291,7 +293,9 @@ internal static async Task<Document> RemovePreprocessorDirectivesAsync(
 
         SourceText sourceText = await document.GetTextAsync(cancellationToken).ConfigureAwait(false);
 
-        SourceText newSourceText = sourceText.WithChanges(GetTextChanges());
+        SourceText newSourceText = ((options & PreprocessorDirectiveRemoveOptions.IncludeContent) != 0)
+            ? RemovePreprocessorDirectivesIncludingContent(sourceText, directives)
+            : sourceText.WithChanges(GetTextChanges());
 
         return document.WithText(newSourceText);
 
@@ -308,6 +312,38 @@ IEnumerable<TextChange> GetTextChanges()
         }
     }
 
+    private static SourceText RemovePreprocessorDirectivesIncludingContent(
+        SourceText sourceText,
+        IEnumerable<DirectiveTriviaSyntax> directives)
+    {
+        SourceText newSourceText = sourceText;
+        IEnumerable<DirectiveTriviaSyntax> sortedDirectives = directives.OrderBy(f => f.SpanStart);
+
+        DirectiveTriviaSyntax firstDirective = sortedDirectives.FirstOrDefault();
+
+        int spanStart = firstDirective.FullSpan.Start;
+        SyntaxTrivia parentTrivia = firstDirective.ParentTrivia;
+        SyntaxTriviaList triviaList = parentTrivia.GetContainingList();
+        int parentTriviaIndex = triviaList.IndexOf(parentTrivia);
+
+        if (parentTriviaIndex > 0)
+        {
+            SyntaxTrivia previousTrivia = triviaList[parentTriviaIndex - 1];
+
+            if (previousTrivia.IsWhitespaceTrivia())
+                spanStart = previousTrivia.SpanStart;
+        }
+
+        if (firstDirective is not null)
+        {
+            TextSpan span = TextSpan.FromBounds(spanStart, sortedDirectives.Last().FullSpan.End);
+
+            return sourceText.WithChange(span, "");
+        }
+
+        return sourceText;
+    }
+
     private static SourceText RemovePreprocessorDirectives(
         SourceText sourceText,
         IEnumerable<DirectiveTriviaSyntax> directives,
diff --git a/src/CSharp.Workspaces/CSharp/PreprocessorDirectiveRemoveOptions.cs b/src/CSharp.Workspaces/CSharp/PreprocessorDirectiveRemoveOptions.cs
new file mode 100644
index 0000000000..b01259344f
--- /dev/null
+++ b/src/CSharp.Workspaces/CSharp/PreprocessorDirectiveRemoveOptions.cs
@@ -0,0 +1,12 @@
+// Copyright (c) .NET Foundation and Contributors. Licensed under the Apache License, Version 2.0. See License.txt in the project root for license information.
+
+using System;
+
+namespace Roslynator.CSharp;
+
+[Flags]
+internal enum PreprocessorDirectiveRemoveOptions
+{
+    None,
+    IncludeContent,
+}
diff --git a/src/Refactorings/CSharp/Refactorings/DirectiveTriviaRefactoring.cs b/src/Refactorings/CSharp/Refactorings/DirectiveTriviaRefactoring.cs
index 67bd19e41d..be4c443a9b 100644
--- a/src/Refactorings/CSharp/Refactorings/DirectiveTriviaRefactoring.cs
+++ b/src/Refactorings/CSharp/Refactorings/DirectiveTriviaRefactoring.cs
@@ -1,5 +1,6 @@
 // Copyright (c) .NET Foundation and Contributors. Licensed under the Apache License, Version 2.0. See License.txt in the project root for license information.
 
+using System.Collections.Generic;
 using System.Collections.Immutable;
 using Microsoft.CodeAnalysis.CSharp;
 using Microsoft.CodeAnalysis.CSharp.Syntax;
@@ -25,9 +26,27 @@ public static void ComputeRefactorings(RefactoringContext context, DirectiveTriv
                 {
                     return context.Document.RemovePreprocessorDirectivesAsync(
                         directive.GetRelatedDirectives().ToImmutableArray(),
+                        PreprocessorDirectiveRemoveOptions.None,
                         ct);
                 },
                 RefactoringDescriptors.RemovePreprocessorDirective);
+
+            List<DirectiveTriviaSyntax> directives = directive.GetRelatedDirectives();
+
+            if (directives.Count > 1)
+            {
+                context.RegisterRefactoring(
+                    "Remove directive (including content)",
+                    ct =>
+                    {
+                        return context.Document.RemovePreprocessorDirectivesAsync(
+                            directives,
+                            PreprocessorDirectiveRemoveOptions.IncludeContent,
+                            ct);
+                    },
+                    RefactoringDescriptors.RemovePreprocessorDirective,
+                    "IncludingContent");
+            }
         }
     }
 }
diff --git a/src/Tests/Refactorings.Tests/RR0100RemovePreprocessorDirectiveTests.cs b/src/Tests/Refactorings.Tests/RR0100RemovePreprocessorDirectiveTests.cs
new file mode 100644
index 0000000000..b3515954e0
--- /dev/null
+++ b/src/Tests/Refactorings.Tests/RR0100RemovePreprocessorDirectiveTests.cs
@@ -0,0 +1,138 @@
+// Copyright (c) .NET Foundation and Contributors. Licensed under the Apache License, Version 2.0. See License.txt in the project root for license information.
+
+using System.Threading.Tasks;
+using Roslynator.Testing.CSharp;
+using Xunit;
+
+namespace Roslynator.CSharp.Refactorings.Tests;
+
+public class RR0100RemovePreprocessorDirectiveTests : AbstractCSharpRefactoringVerifier
+{
+    public override string RefactoringId { get; } = RefactoringIdentifiers.RemovePreprocessorDirective;
+
+    [Fact, Trait(Traits.Refactoring, RefactoringIdentifiers.RemovePreprocessorDirective)]
+    public async Task RemovePreprocessorDirectiveIncludingContent_If()
+    {
+        await VerifyRefactoringAsync(@"
+class C
+{
+#if [||]DEBUG // if
+    void M()
+    {
+    }
+#endif // endif
+}
+", @"
+class C
+{
+}
+", equivalenceKey: EquivalenceKey.Create(RefactoringId) + ".IncludingContent");
+    }
+
+    [Fact, Trait(Traits.Refactoring, RefactoringIdentifiers.RemovePreprocessorDirective)]
+    public async Task RemovePreprocessorDirectiveIncludingContent_EndIf()
+    {
+        await VerifyRefactoringAsync(@"
+class C
+{
+#if DEBUG // if
+    void M()
+    {
+    }
+#[||]endif // endif
+}
+", @"
+class C
+{
+}
+", equivalenceKey: EquivalenceKey.Create(RefactoringId) + ".IncludingContent");
+    }
+
+    [Fact, Trait(Traits.Refactoring, RefactoringIdentifiers.RemovePreprocessorDirective)]
+    public async Task RemovePreprocessorDirectiveIncludingContent_Else()
+    {
+        await VerifyRefactoringAsync(@"
+class C
+{
+#if DEBUG // if
+    void M()
+    {
+    }
+#[||]else
+    void M2()
+    {
+    }
+#endif // endif
+}
+", @"
+class C
+{
+}
+", equivalenceKey: EquivalenceKey.Create(RefactoringId) + ".IncludingContent");
+    }
+
+    [Fact, Trait(Traits.Refactoring, RefactoringIdentifiers.RemovePreprocessorDirective)]
+    public async Task RemovePreprocessorDirectiveIncludingContent_Elif()
+    {
+        await VerifyRefactoringAsync(@"
+class C
+{
+#if DEBUG // if
+    void M()
+    {
+    }
+#[||]elif FOO
+    void M2()
+    {
+    }
+#else
+    void M3()
+    {
+    }
+#endif // endif
+}
+", @"
+class C
+{
+}
+", equivalenceKey: EquivalenceKey.Create(RefactoringId) + ".IncludingContent");
+    }
+
+    [Fact, Trait(Traits.Refactoring, RefactoringIdentifiers.RemovePreprocessorDirective)]
+    public async Task RemovePreprocessorDirectiveIncludingContent_Region()
+    {
+        await VerifyRefactoringAsync(@"
+class C
+{
+    #[||]region // region
+    void M()
+    {
+    }
+    #endregion // endregion
+}
+", @"
+class C
+{
+}
+", equivalenceKey: EquivalenceKey.Create(RefactoringId) + ".IncludingContent");
+    }
+
+    [Fact, Trait(Traits.Refactoring, RefactoringIdentifiers.RemovePreprocessorDirective)]
+    public async Task RemovePreprocessorDirectiveIncludingContent_EndRegion()
+    {
+        await VerifyRefactoringAsync(@"
+class C
+{
+    #region // region
+    void M()
+    {
+    }
+    #[||]endregion // endregion
+}
+", @"
+class C
+{
+}
+", equivalenceKey: EquivalenceKey.Create(RefactoringId) + ".IncludingContent");
+    }
+}