diff --git a/bump_pydantic/codemods/replace_config.py b/bump_pydantic/codemods/replace_config.py
index ffee6b4..f1c6ff7 100644
--- a/bump_pydantic/codemods/replace_config.py
+++ b/bump_pydantic/codemods/replace_config.py
@@ -117,10 +117,15 @@ def __init__(self, context: CodemodContext) -> None:
         super().__init__(context)
 
         self.inside_config_class = False
+        self.is_base_settings = False
         self.invalid_config_class = False
         self.inherited_config_class = False
         self.config_args: List[cst.Arg] = []
 
+    @m.visit(m.ClassDef(bases=[m.ZeroOrMore(), m.Arg(value=m.Name("BaseSettings")), m.ZeroOrMore()]))
+    def visit_settings_with_config(self, node: cst.ClassDef) -> None:
+        self.is_base_settings = True
+
     @m.visit(m.ClassDef(name=m.Name(value="Config")))
     def visit_config_class(self, node: cst.ClassDef) -> None:
         scope = self.get_metadata(ScopeProvider, node)
@@ -203,7 +208,11 @@ def leave_config_class_childless(self, original_node: cst.ClassDef, updated_node
         if self.invalid_config_class:
             self.invalid_config_class = False
             return updated_node
-        AddImportsVisitor.add_needed_import(context=self.context, module="pydantic", obj="ConfigDict")
+        if self.is_base_settings:
+            needed_import = {"module": "pydantic_settings", "obj": "SettingsConfigDict"}
+        else:
+            needed_import = {"module": "pydantic", "obj": "ConfigDict"}
+        AddImportsVisitor.add_needed_import(context=self.context, **needed_import)  # type: ignore[arg-type]
         block = cst.ensure_type(updated_node.body, cst.IndentedBlock)
         body = [
             cst.SimpleStatementLine(
@@ -211,7 +220,7 @@ def leave_config_class_childless(self, original_node: cst.ClassDef, updated_node
                     cst.Assign(
                         targets=[cst.AssignTarget(target=cst.Name("model_config"))],
                         value=cst.Call(
-                            func=cst.Name("ConfigDict"),
+                            func=cst.Name("SettingsConfigDict" if self.is_base_settings else "ConfigDict"),
                             args=self.config_args,
                         ),
                     )
@@ -222,6 +231,7 @@ def leave_config_class_childless(self, original_node: cst.ClassDef, updated_node
             else statement
             for statement in block.body
         ]
+        self.is_base_settings = False
         self.config_args = []
         return updated_node.with_changes(body=updated_node.body.with_changes(body=body))
 
@@ -249,7 +259,7 @@ def _leading_lines_from_removed_keys(args: List[cst.Arg]) -> List[cst.EmptyLine]
         """
         from pydantic import BaseModel
 
-        class A(BaseModel):
+        class A(BaseSettings):
             a: str
             # My comment
 
diff --git a/tests/integration/cases/config_to_model.py b/tests/integration/cases/config_to_model.py
index c0c706a..e345818 100644
--- a/tests/integration/cases/config_to_model.py
+++ b/tests/integration/cases/config_to_model.py
@@ -60,6 +60,9 @@
                 "class Settings(BaseSettings):",
                 "    sentry_dsn: str",
                 "",
+                "    class Config:",
+                "        orm_mode = True",
+                "",
                 "",
                 "class A(BaseModel):",
                 "    class Config:",
@@ -70,11 +73,12 @@
             "config_dict_and_settings.py",
             content=[
                 "from pydantic import ConfigDict, BaseModel",
-                "from pydantic_settings import BaseSettings",
+                "from pydantic_settings import BaseSettings, SettingsConfigDict",
                 "",
                 "",
                 "class Settings(BaseSettings):",
                 "    sentry_dsn: str",
+                "    model_config = SettingsConfigDict(from_attributes=True)",
                 "",
                 "",
                 "class A(BaseModel):",