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                    <ccc>XXXXXXXX</ccc>
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            <liveTestFlag>LIVE</liveTestFlag>



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            <issuerName>ACCOLADE INC</issuerName>
            <secFileNumber>001-39348</secFileNumber>
            <issuerAddress>
                <ns2:street1>1201 Third Avenue Suite 1700</ns2:street1>
                <ns2:city>Seattle</ns2:city>
                <ns2:stateOrCountry>WA</ns2:stateOrCountry>
                <ns2:zipCode>98101</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>(206)926-8100</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>RAJEEV SINGH &amp; JILL LENA SINGH </nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Director</relationshipToIssuer>
                <relationshipToIssuer>Officer</relationshipToIssuer>
            </relationshipsToIssuer>
        </issuerInfo>
        <securitiesInformation>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <brokerOrMarketmakerDetails>
                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>38th Fl.</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>125000</noOfUnitsSold>
            <aggregateMarketValue>1452500.00</aggregateMarketValue>
            <noOfUnitsOutstanding>77407607</noOfUnitsOutstanding>
            <approxSaleDate>01/09/2024</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
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            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>01/09/2024</acquiredDate>
            <natureOfAcquisitionTransaction>Exercise of Stock Options</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>125000</amountOfSecuritiesAcquired>
            <paymentDate>01/09/2024</paymentDate>
            <natureOfPayment>Cash</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
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            <sellerDetails>
                <name>RAJEEV SINGH </name>
                <address>
                    <ns2:street1>1201 Third Avenue Suite 1700</ns2:street1>
                    <ns2:city>Seattle</ns2:city>
                    <ns2:stateOrCountry>WA</ns2:stateOrCountry>
                    <ns2:zipCode>98101</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>12/19/2023</saleDate>
            <amountOfSecuritiesSold>366</amountOfSecuritiesSold>
            <grossProceeds>3985.74</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
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                    <ns2:zipCode>98101</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>12/12/2023</saleDate>
            <amountOfSecuritiesSold>677</amountOfSecuritiesSold>
            <grossProceeds>6248.71</grossProceeds>
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        <securitiesSoldInPast3Months>
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                    <ns2:stateOrCountry>WA</ns2:stateOrCountry>
                    <ns2:zipCode>98101</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>11/17/2023</saleDate>
            <amountOfSecuritiesSold>358</amountOfSecuritiesSold>
            <grossProceeds>2842.52</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>RAJEEV SINGH </name>
                <address>
                    <ns2:street1>1201 Third Avenue Suite 1700</ns2:street1>
                    <ns2:city>Seattle</ns2:city>
                    <ns2:stateOrCountry>WA</ns2:stateOrCountry>
                    <ns2:zipCode>98101</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>11/13/2023</saleDate>
            <amountOfSecuritiesSold>666</amountOfSecuritiesSold>
            <grossProceeds>4655.34</grossProceeds>
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        <securitiesSoldInPast3Months>
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                <name>RAJEEV SINGH </name>
                <address>
                    <ns2:street1>1201 Third Avenue Suite 1700</ns2:street1>
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                    <ns2:stateOrCountry>WA</ns2:stateOrCountry>
                    <ns2:zipCode>98101</ns2:zipCode>
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            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>10/17/2023</saleDate>
            <amountOfSecuritiesSold>371</amountOfSecuritiesSold>
            <grossProceeds>2678.62</grossProceeds>
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            <sellerDetails>
                <name>RAJEEV SINGH </name>
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                    <ns2:stateOrCountry>WA</ns2:stateOrCountry>
                    <ns2:zipCode>98101</ns2:zipCode>
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            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>10/11/2023</saleDate>
            <amountOfSecuritiesSold>659</amountOfSecuritiesSold>
            <grossProceeds>5687.17</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>01/09/2024</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>07/20/2023</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Rajeev Singh</signature>
        </noticeSignature>
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144
0001219071
XXXXXXXX
LIVE
0001481646
ACCOLADE INC
001-39348
1201 Third Avenue Suite 1700
Seattle
WA
98101
(206)926-8100
RAJEEV SINGH & JILL LENA SINGH
Director
Officer
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
38th Fl.
New York
NY
10004
125000
1452500.00
77407607
01/09/2024
NASDAQ
Common
01/09/2024
Exercise of Stock Options
Issuer
N
125000
01/09/2024
Cash
N
RAJEEV SINGH
1201 Third Avenue Suite 1700
Seattle
WA
98101
Common
12/19/2023
366
3985.74
RAJEEV SINGH
1201 Third Avenue Suite 1700
Seattle
WA
98101
Common
12/12/2023
677
6248.71
RAJEEV SINGH
1201 Third Avenue Suite 1700
Seattle
WA
98101
Common
11/17/2023
358
2842.52
RAJEEV SINGH
1201 Third Avenue Suite 1700
Seattle
WA
98101
Common
11/13/2023
666
4655.34
RAJEEV SINGH
1201 Third Avenue Suite 1700
Seattle
WA
98101
Common
10/17/2023
371
2678.62
RAJEEV SINGH
1201 Third Avenue Suite 1700
Seattle
WA
98101
Common
10/11/2023
659
5687.17
01/09/2024
07/20/2023
/s/ Rajeev Singh