diff --git a/pages/setup/Account.graphql b/pages/setup/Account.graphql
new file mode 100644
index 000000000..32a601fd3
--- /dev/null
+++ b/pages/setup/Account.graphql
@@ -0,0 +1,8 @@
+query AccountListOptions {
+  accountLists(first: 50) {
+    nodes {
+      id
+      name
+    }
+  }
+}
diff --git a/pages/setup/account.page.test.tsx b/pages/setup/account.page.test.tsx
new file mode 100644
index 000000000..9e68cc0f2
--- /dev/null
+++ b/pages/setup/account.page.test.tsx
@@ -0,0 +1,168 @@
+import { GetServerSidePropsContext } from 'next';
+import { ApolloClient, NormalizedCacheObject } from '@apollo/client';
+import { render, waitFor } from '@testing-library/react';
+import userEvent from '@testing-library/user-event';
+import { getSession } from 'next-auth/react';
+import { session } from '__tests__/fixtures/session';
+import TestRouter from '__tests__/util/TestRouter';
+import { GqlMockedProvider } from '__tests__/util/graphqlMocking';
+import makeSsrClient from 'src/lib/apollo/ssrClient';
+import AccountPage, { getServerSideProps } from './account.page';
+
+jest.mock('src/lib/apollo/ssrClient');
+
+const push = jest.fn();
+const router = {
+  push,
+};
+
+const context = {
+  req: {},
+} as unknown as GetServerSidePropsContext;
+
+const mutationSpy = jest.fn();
+
+const TestComponent: React.FC = () => {
+  const accountListOptions = {
+    accountLists: {
+      nodes: [1, 2, 3].map((id) => ({
+        id: `account-list-${id}`,
+        name: `Account List ${id}`,
+      })),
+    },
+  };
+
+  return (
+    <TestRouter router={router}>
+      <GqlMockedProvider onCall={mutationSpy}>
+        <AccountPage accountListOptions={accountListOptions} />
+      </GqlMockedProvider>
+    </TestRouter>
+  );
+};
+
+describe('Setup account page', () => {
+  it('renders account options, saves default account, and advances to the next page', async () => {
+    const { getByRole } = render(<TestComponent />);
+
+    expect(
+      getByRole('heading', { name: 'Set default account' }),
+    ).toBeInTheDocument();
+
+    userEvent.click(getByRole('combobox', { name: 'Account' }));
+    userEvent.click(getByRole('option', { name: 'Account List 1' }));
+    const continueButton = getByRole('button', { name: 'Continue Tour' });
+    userEvent.click(continueButton);
+    expect(continueButton).toBeDisabled();
+
+    await waitFor(() =>
+      expect(mutationSpy).toHaveGraphqlOperation('UpdateUserDefaultAccount', {
+        input: { attributes: { defaultAccountList: 'account-list-1' } },
+      }),
+    );
+    expect(push).toHaveBeenCalledWith(
+      '/accountLists/account-list-1/settings/preferences',
+    );
+  });
+
+  it('disables save button until the user selects an account', () => {
+    const { getByRole } = render(<TestComponent />);
+
+    expect(getByRole('button', { name: 'Continue Tour' })).toBeDisabled();
+
+    userEvent.click(getByRole('combobox', { name: 'Account' }));
+    userEvent.click(getByRole('option', { name: 'Account List 1' }));
+    expect(getByRole('button', { name: 'Continue Tour' })).not.toBeDisabled();
+  });
+});
+
+describe('getServerSideProps', () => {
+  const query = jest.fn();
+  const mutate = jest.fn();
+
+  beforeEach(() => {
+    (makeSsrClient as jest.MockedFn<typeof makeSsrClient>).mockReturnValue({
+      query,
+      mutate,
+    } as unknown as ApolloClient<NormalizedCacheObject>);
+  });
+
+  it('redirects to the login page if the session is missing', async () => {
+    (getSession as jest.MockedFn<typeof getSession>).mockResolvedValueOnce(
+      null,
+    );
+
+    await expect(getServerSideProps(context)).resolves.toEqual({
+      redirect: {
+        destination: '/login',
+        permanent: false,
+      },
+    });
+  });
+
+  it('sets the single account list as the default', async () => {
+    query.mockResolvedValue({
+      data: {
+        accountLists: {
+          nodes: [{ id: 'account-list-1' }],
+        },
+      },
+    });
+
+    await expect(getServerSideProps(context)).resolves.toEqual({
+      redirect: {
+        destination: '/accountLists/account-list-1/settings/preferences',
+        permanent: false,
+      },
+    });
+    expect(mutate).toHaveBeenCalledWith(
+      expect.objectContaining({
+        variables: {
+          input: {
+            attributes: {
+              defaultAccountList: 'account-list-1',
+            },
+          },
+        },
+      }),
+    );
+  });
+
+  it('swallows server-side mutation errors', async () => {
+    const accountListOptions = {
+      accountLists: {
+        nodes: [{ id: 'account-list-1' }],
+      },
+    };
+    query.mockResolvedValue({
+      data: accountListOptions,
+    });
+    mutate.mockRejectedValue(new Error('Failed'));
+
+    await expect(getServerSideProps(context)).resolves.toEqual({
+      props: {
+        accountListOptions,
+        session,
+      },
+    });
+  });
+
+  it('does not set an account list as the default when there are multiple', async () => {
+    const accountListOptions = {
+      accountLists: {
+        nodes: [{ id: 'account-list-1' }, { id: 'account-list-2' }],
+      },
+    };
+    query.mockResolvedValue({
+      data: accountListOptions,
+    });
+
+    await expect(getServerSideProps(context)).resolves.toEqual({
+      props: {
+        accountListOptions,
+        session,
+      },
+    });
+    expect(mutate).not.toHaveBeenCalled();
+  });
+});
diff --git a/pages/setup/account.page.tsx b/pages/setup/account.page.tsx
new file mode 100644
index 000000000..dbce25ba5
--- /dev/null
+++ b/pages/setup/account.page.tsx
@@ -0,0 +1,154 @@
+import { GetServerSideProps } from 'next';
+import Head from 'next/head';
+import { useRouter } from 'next/router';
+import React, { useState } from 'react';
+import { Autocomplete, TextField } from '@mui/material';
+import { getSession } from 'next-auth/react';
+import { useTranslation } from 'react-i18next';
+import {
+  UpdateUserDefaultAccountDocument,
+  UpdateUserDefaultAccountMutation,
+  UpdateUserDefaultAccountMutationVariables,
+  useUpdateUserDefaultAccountMutation,
+} from 'src/components/Settings/preferences/accordions/DefaultAccountAccordion/UpdateDefaultAccount.generated';
+import { SetupPage } from 'src/components/Setup/SetupPage';
+import { LargeButton } from 'src/components/Setup/styledComponents';
+import useGetAppSettings from 'src/hooks/useGetAppSettings';
+import makeSsrClient from 'src/lib/apollo/ssrClient';
+import {
+  AccountListOptionsDocument,
+  AccountListOptionsQuery,
+} from './Account.generated';
+
+type AccountList = AccountListOptionsQuery['accountLists']['nodes'][number];
+
+interface PageProps {
+  accountListOptions: AccountListOptionsQuery;
+}
+
+// This is the third page page of the setup tour. It lets users choose their
+// default account list. It will be shown if the user has more than one account
+// list and don't have a default chosen yet.
+const AccountPage: React.FC<PageProps> = ({ accountListOptions }) => {
+  const { t } = useTranslation();
+  const { appName } = useGetAppSettings();
+  const { push } = useRouter();
+  const [updateUserDefaultAccount, { loading: isSubmitting }] =
+    useUpdateUserDefaultAccountMutation();
+
+  const [defaultAccountList, setDefaultAccountList] =
+    useState<AccountList | null>(null);
+
+  const handleSave = async () => {
+    if (!defaultAccountList) {
+      return;
+    }
+
+    await updateUserDefaultAccount({
+      variables: {
+        input: {
+          attributes: {
+            defaultAccountList: defaultAccountList.id,
+          },
+        },
+      },
+    });
+    push(`/accountLists/${defaultAccountList.id}/settings/preferences`);
+  };
+
+  return (
+    <>
+      <Head>
+        <title>
+          {appName} | {t('Setup - Default Account')}
+        </title>
+      </Head>
+      <SetupPage title={t('Set default account')}>
+        {t(
+          'Which account would you like to see by default when you open {{appName}}?',
+          { appName },
+        )}
+        <Autocomplete
+          autoHighlight
+          value={defaultAccountList}
+          onChange={(_, value) => setDefaultAccountList(value)}
+          options={accountListOptions.accountLists.nodes}
+          getOptionLabel={(accountList) => accountList.name ?? ''}
+          fullWidth
+          renderInput={(params) => (
+            <TextField {...params} label={t('Account')} />
+          )}
+        />
+        <LargeButton
+          variant="contained"
+          fullWidth
+          onClick={handleSave}
+          disabled={!defaultAccountList || isSubmitting}
+        >
+          {t('Continue Tour')}
+        </LargeButton>
+      </SetupPage>
+    </>
+  );
+};
+
+export const getServerSideProps: GetServerSideProps<PageProps> = async (
+  context,
+) => {
+  const session = await getSession(context);
+  const apiToken = session?.user?.apiToken;
+  if (!apiToken) {
+    return {
+      redirect: {
+        destination: '/login',
+        permanent: false,
+      },
+    };
+  }
+
+  const ssrClient = makeSsrClient(apiToken);
+  const { data: accountListOptions } =
+    await ssrClient.query<AccountListOptionsQuery>({
+      query: AccountListOptionsDocument,
+    });
+
+  if (accountListOptions.accountLists.nodes.length === 1) {
+    // The user has exactly one account list, so set it as the default and go to preferences
+    const defaultAccountListId = accountListOptions.accountLists.nodes[0].id;
+    try {
+      await ssrClient.mutate<
+        UpdateUserDefaultAccountMutation,
+        UpdateUserDefaultAccountMutationVariables
+      >({
+        mutation: UpdateUserDefaultAccountDocument,
+        variables: {
+          input: {
+            attributes: {
+              defaultAccountList: defaultAccountListId,
+            },
+          },
+        },
+      });
+      return {
+        redirect: {
+          destination: `/accountLists/${defaultAccountListId}/settings/preferences`,
+          permanent: false,
+        },
+      };
+    } catch {
+      // If setting the account list failed, silently swallow the error and let
+      // the user view the page. If the error is persistent, the mutation will
+      // fail there when they try to choose a default account list, and they
+      // will at least get an error message.
+    }
+  }
+
+  return {
+    props: {
+      session,
+      accountListOptions,
+    },
+  };
+};
+
+export default AccountPage;