diff --git a/src/twisted/conch/manhole.py b/src/twisted/conch/manhole.py
index f26e5de974c..5bf2f817a4e 100644
--- a/src/twisted/conch/manhole.py
+++ b/src/twisted/conch/manhole.py
@@ -17,11 +17,15 @@
 import sys
 import tokenize
 from io import BytesIO
+from traceback import format_exception
+from types import TracebackType
+from typing import Type
 
 from twisted.conch import recvline
 from twisted.internet import defer
 from twisted.python.compat import _get_async_param
 from twisted.python.htmlizer import TokenPrinter
+from twisted.python.monkey import MonkeyPatcher
 
 
 class FileWrapper:
@@ -71,6 +75,11 @@ def __init__(self, handler, locals=None, filename="<console>"):
         self.filename = filename
         self.resetBuffer()
 
+        self.monkeyPatcher = MonkeyPatcher()
+        self.monkeyPatcher.addPatch(sys, "displayhook", self.displayhook)
+        self.monkeyPatcher.addPatch(sys, "excepthook", self.excepthook)
+        self.monkeyPatcher.addPatch(sys, "stdout", FileWrapper(self.handler))
+
     def resetBuffer(self):
         """
         Reset the input buffer.
@@ -104,15 +113,20 @@ def push(self, line):
         return more
 
     def runcode(self, *a, **kw):
-        orighook, sys.displayhook = sys.displayhook, self.displayhook
-        try:
-            origout, sys.stdout = sys.stdout, FileWrapper(self.handler)
-            try:
-                code.InteractiveInterpreter.runcode(self, *a, **kw)
-            finally:
-                sys.stdout = origout
-        finally:
-            sys.displayhook = orighook
+        with self.monkeyPatcher:
+            code.InteractiveInterpreter.runcode(self, *a, **kw)
+
+    def excepthook(
+        self,
+        excType: Type[BaseException],
+        excValue: BaseException,
+        excTraceback: TracebackType,
+    ) -> None:
+        """
+        Format exception tracebacks and write them to the output handler.
+        """
+        lines = format_exception(excType, excValue, excTraceback.tb_next)
+        self.write("".join(lines))
 
     def displayhook(self, obj):
         self.locals["_"] = obj
diff --git a/src/twisted/conch/newsfragments/11638.bugfix b/src/twisted/conch/newsfragments/11638.bugfix
new file mode 100644
index 00000000000..d97998919b9
--- /dev/null
+++ b/src/twisted/conch/newsfragments/11638.bugfix
@@ -0,0 +1 @@
+twisted.conch.manhole.ManholeInterpreter now captures tracebacks even if sys.excepthook has been modified.
diff --git a/src/twisted/conch/test/test_manhole.py b/src/twisted/conch/test/test_manhole.py
index ef07bd24bcb..54159af8af7 100644
--- a/src/twisted/conch/test/test_manhole.py
+++ b/src/twisted/conch/test/test_manhole.py
@@ -8,6 +8,7 @@
 Tests for L{twisted.conch.manhole}.
 """
 
+import sys
 import traceback
 from typing import Optional
 
@@ -148,9 +149,6 @@ def test_identicalOutput(self):
 class ManholeLoopbackMixin:
     serverProtocol = manhole.ColoredManhole
 
-    def wfd(self, d):
-        return defer.waitForDeferred(d)
-
     def test_SimpleExpression(self):
         """
         Evaluate simple expression.
@@ -244,10 +242,21 @@ def finished(ign):
                     + defaultFunctionName.encode("utf-8"),
                     b"Exception: foo bar baz",
                     b">>> done",
-                ]
+                ],
             )
 
-        return done.addCallback(finished)
+        done.addCallback(finished)
+        return done
+
+    def test_ExceptionWithCustomExcepthook(
+        self,
+    ):
+        """
+        Raised exceptions are handled the same way even if L{sys.excepthook}
+        has been modified from its original value.
+        """
+        self.patch(sys, "excepthook", lambda *args: None)
+        return self.test_Exception()
 
     def test_ControlC(self):
         """
diff --git a/src/twisted/conch/test/test_recvline.py b/src/twisted/conch/test/test_recvline.py
index 03ac4659889..3fd0157e2d2 100644
--- a/src/twisted/conch/test/test_recvline.py
+++ b/src/twisted/conch/test/test_recvline.py
@@ -473,15 +473,7 @@ class _BaseMixin:
     def _assertBuffer(self, lines):
         receivedLines = self.recvlineClient.__bytes__().splitlines()
         expectedLines = lines + ([b""] * (self.HEIGHT - len(lines) - 1))
-        self.assertEqual(len(receivedLines), len(expectedLines))
-        for i in range(len(receivedLines)):
-            self.assertEqual(
-                receivedLines[i],
-                expectedLines[i],
-                b"".join(receivedLines[max(0, i - 1) : i + 1])
-                + b" != "
-                + b"".join(expectedLines[max(0, i - 1) : i + 1]),
-            )
+        self.assertEqual(receivedLines, expectedLines)
 
     def _trivialTest(self, inputLine, output):
         done = self.recvlineClient.expect(b"done")
diff --git a/src/twisted/python/monkey.py b/src/twisted/python/monkey.py
index dbf2dca7d80..08ccef2ac1f 100644
--- a/src/twisted/python/monkey.py
+++ b/src/twisted/python/monkey.py
@@ -48,6 +48,8 @@ def patch(self):
                 self._originals.append((obj, name, getattr(obj, name)))
             setattr(obj, name, value)
 
+    __enter__ = patch
+
     def restore(self):
         """
         Restore all original values to any patched objects.
@@ -56,6 +58,9 @@ def restore(self):
             obj, name, value = self._originals.pop()
             setattr(obj, name, value)
 
+    def __exit__(self, excType=None, excValue=None, excTraceback=None):
+        self.restore()
+
     def runWithPatches(self, f, *args, **kw):
         """
         Apply each patch already specified. Then run the function f with the
diff --git a/src/twisted/test/test_monkey.py b/src/twisted/test/test_monkey.py
index 6bae7170cc6..40bae09527f 100644
--- a/src/twisted/test/test_monkey.py
+++ b/src/twisted/test/test_monkey.py
@@ -152,3 +152,22 @@ def _():
         self.assertRaises(RuntimeError, self.monkeyPatcher.runWithPatches, _)
         self.assertEqual(self.testObject.foo, self.originalObject.foo)
         self.assertEqual(self.testObject.bar, self.originalObject.bar)
+
+    def test_contextManager(self):
+        """
+        L{MonkeyPatcher} is a context manager that applies its patches on
+        entry and restore original values on exit.
+        """
+        self.monkeyPatcher.addPatch(self.testObject, "foo", "patched value")
+        with self.monkeyPatcher:
+            self.assertEqual(self.testObject.foo, "patched value")
+        self.assertEqual(self.testObject.foo, self.originalObject.foo)
+
+    def test_contextManagerPropagatesExceptions(self):
+        """
+        Exceptions propagate through the L{MonkeyPatcher} context-manager
+        exit method.
+        """
+        with self.assertRaises(RuntimeError):
+            with self.monkeyPatcher:
+                raise RuntimeError("something")